Wells syndrome in a diabetic patient

Abstract

Wells syndrome or eosinophilic cellulitis is a rare condition, primarily a disease of adults. It is characterized by edematous and erythematous plaques with violaceous borders persisting for weeks. Here, we describe a rare case of Wells syndrome occurring in a 51-year-old diabetic lady associated with a dental abscess. She was admitted with complaints of recurrent episodes of raised skin lesions on the body for the last two years. Patient also gave history of toothache with swelling of gums on and off since the last 2 years A skin biopsy was done from a raised lesion on the back which was consistent with eosinophilic cellulitis The patient was put on prednisolone 40mg daily along with ranitidine, calcium and oral hypoglycemics. She underwent tooth extraction for recurrent dental abscesses in the dental OPD. Our patient had dental abscess, a known predisposing factor. The association with diabetes mellitus is another unique feature, rarely reported before.