Which conditions should be included in the differential diagnoses of Wells syndrome (eosinophilic cellulitis)?

Updated: Apr 17, 2019
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Febrile eosinophilic cellulitis with toxocariasis [20] and infectious cellulitis [41] need to be considered in the differential diagnosis of Wells syndrome (eosinophilic cellulitis), as does bacterial facial cellulitis [42] and arachnid (tick) bites. [43] Distinction from Churg-Strauss syndrome is also required. [30] Wells syndrome may need to be distinguished from bullous cellulitis and should be considered if a patient does not to respond to antibiotics. [34] Cutaneous dirofilariasis may also clinically resemble Wells syndrome. [44]


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