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CASE REPORT
Year : 2017  |  Volume : 18  |  Issue : 2  |  Page : 110-112

Disseminated granuloma annulare-like presentation of juvenile Wells' syndrome


1 Department of Dermatology and Pediatric Dermatology, National Reference Centre for Rare Skin Diseases, Hopital Pellegrin, CHU Bordeaux, France; Department of Dermatology, CHU-Treichville, Abidjan, Cote d'ivoire
2 Department of Dermatology, CHU-Treichville, Abidjan, Cote d'ivoire
3 Department of Dermatology and Pediatric Dermatology, National Reference Centre for Rare Skin Diseases, Hôpital Pellegrin, CHU Bordeaux, France

Correspondence Address:
Celestin Kouadio Ahogo
Department of Dermatology, CHU-Treichville, Abidjan, Cote d’ivoire

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2319-7250.203002

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A 5-year-old boy was referred because of urticarial flares with angioedema. Antihistamines and systemic steroids were not useful to prevent flares. At examination, at distance of a flare, chronic red-brownish plaques were found on the legs, trunk, and back, resembling granuloma annulare. The skin biopsy showed epithelioid and giant-cell granulomas, elastophagia, and “flames figures” surrounded with many eosinophils. A diagnosis of disseminated granuloma annulare-like variant of Wells' syndrome as described earlier by Caputo was made. A treatment with dapsone was initiated and enabled to stop flares. Wells' syndrome is a rare clinicopathologic entity with a chronic benign course and often misleading clinical presentation. Our case illustrates the clinical polymorphism and benefit of dapsone therapy.


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