BULLOUS WELLS SYNDROME: A CASE REPORT.

 

WAN AHMAD KAMMAL WSL1,  ABDUL MALIK KHIEW MA2, WAN AHMAD KAMMAL WSE3, BAKRIN IH4, HOW KN1

 

1Dermatology Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia.

2Medical Department, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia.

3Diagnostic Laboratory Services Department, Universiti Kebangsaan Malaysia Medical Centre.

4Pathology Department, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia.

 

ABSTRACT

Bullous Wells syndrome is a rare inflammatory dermatosis.  Typically it presents as an erythematous plaque with bullae. Morphologically, it can be confused with bullous cellulitis, arthropod bite, contact dermatitis and bullous pemphigoid. Histopathology is mandatory to diagnose the disease. Bullous Wells syndrome can be associated with sinister systemic conditions such as Churg Strauss syndrome, ulcerative colitis and lymphoma. Treatment can be topical or systemic steroid. We report an interesting case of idiopathic bullous Wells syndrome in a 30-year-old woman who responded well to oral steroid.

 

Keywords:  Bullous Lesions, Drug Therapy, Eosinophilia, Eosinophilic Cellulitis, Wells syndrome.

 

Corresponding author: Wan Syazween Lyana Wan Ahmad Kammal, MRCP(Eire), Dermatology Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Malaysia.

Telephone number: +603-8947 2568; Fax number: +603-8947 2759

Email address : syazween@upm.edu.my

 

Brunei Int Med J. 2020;16:84-87

 

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