Case Number : Case 537 Posted By: Guest

[b]Francisco Vílchez-Márquez - Department of Dermatology. Ceuta Universitary Hospital. (Ceuta, Spain.) Wrote:[/b]

Eosinophilic spongiosis: insect bite

[size=2]Submitted on 29/06/2012 11:36[/size] [b]Yüksel Okumuş - Bursa State Hospital (Turkey) Wrote:[/b]

Insect/arthropod bite reaction. Look for scabies.

[size=2]Submitted on 29/06/2012 11:02[/size] [b]Engin Sezer - (Istanbul) Wrote:[/b]

Eosinophilic spongiosis with a wedge-like dermal infiltration suggestive of a hypersensitivity reaction to insect bite.

[size=2]Submitted on 29/06/2012 10:55[/size] [b]Hazem Hamed - Imperial College (London) Wrote:[/b]

Eosinophilic spongiosis, acanthosis and dermal perivascular and periappendageal infiltrate of lymphocytes, plasma cells and eosinophils. No grenz zone is seen. Flame figures are not present. There is no evidence of vasculitis. There are no features to suggest leukemia. Given the clinical appearance of nodules my first differential is Arthropod bite reaction. I think Wells disease is unlikely (epidermal involvement). Is drug reaction a possibility?

[size=2]Submitted on 29/06/2012 10:47[/size] [b]I. Abdul-kadir (ST2 histopath) - York Hospital (UK) Wrote:[/b]

?Insect bites.

[size=2]Submitted on 29/06/2012 10:22[/size]