模仿传染性蜂窝织炎的临床实体:嗜酸性细胞性蜂窝织炎(韦尔斯综合征)。

Infectious diseases & clinical microbiology Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI:10.36519/idcm.2023.279
Mustafa Deniz, Kübra Demir-Önder, Yusuf Özkaraman, Zafer Adıgüzel, Kadir Balaban
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引用次数: 0

摘要

嗜酸性细胞性蜂窝织炎(EC)是一种皮肤病,以瘙痒、非化脓性红斑为特征,组织学上表现为真皮层水肿和嗜酸性粒细胞浸润。该病的发病机制尚未完全阐明。它与感染性蜂窝织炎的不同之处在于对抗生素无反应且易复发。本病例报告了一例晚期诊断的EC患者,该患者对长期广谱抗生素治疗无效。本病例强调了皮肤活检和组织病理学诊断的重要性,对于反复发作、对抗生素无反应、抗生素耐药、临床特征类似感染性蜂窝组织炎的患者,应在鉴别诊断中考虑 "嗜酸性细胞性蜂窝组织炎"。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Entity Mimicking Infectious Cellulitis: Eosinophilic Cellulitis (Wells' Syndrome).

Eosinophilic cellulitis (EC) is a skin disease characterized by pruritic, non-purulent, erythematous plaques and histologically by edema and eosinophil infiltration in the dermis. The etiopathogenesis of the disease is not fully elucidated. It differs from infectious cellulitis by being unresponsive to antibiotics and recurring. This case report presents a late-diagnosed case of EC in a patient who did not respond to long-term and broad-spectrum antibiotics. This case underscores the importance of skin biopsy and histopathological diagnosis in patients with recurrent, non-responsive, antibiotic-resistant, and cellulitis-like clinical features resembling infectious cellulitis; "eosinophilic cellulitis" should be considered in the differential diagnosis.

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