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Yu, Ashley M.; Ito, Shinya; Leibson, Tom; Lavi, Sasson; Fu, Lisa W.; Weinstein, Miriam; Skotnicki, Sandra M.
Pediatric dermatology, September/October 2018, 2018-Sep, 2018-09-00, 20180901, Letnik: 35, Številka: 5Journal Article
A 4‐year‐old boy presented with erythematous vesicular plaques, ulceration, edema, and pruritus on the left foot and ankle 10 days after receiving the tetanus, diphtheria, pertussis, and polio; measles, mumps, rubella, and varicella; and hepatitis A/B vaccines. Biopsy showed eosinophilic infiltrates and flame figures, suggesting Wells syndrome. Patch testing showed a 1+ reaction to neomycin and aluminum hydroxide, with a recall reaction of Wells syndrome of the feet bilaterally. We report a rare case of pediatric Wells syndrome triggered by nonthimerosal vaccine components confirmed by patch testing.
