{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T18:37:41Z","timestamp":1793817461317,"version":"4.6.1"},"reference-count":5,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,7,12]],"date-time":"2018-07-12T00:00:00Z","timestamp":1531353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 4\u2010year\u2010old boy presented with erythematous vesicular plaques, ulceration, edema, and pruritus on the left foot and ankle 10\u00a0days 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.<\/jats:p>","DOI":"10.1111\/pde.13532","type":"journal-article","created":{"date-parts":[[2018,7,12]],"date-time":"2018-07-12T08:15:17Z","timestamp":1531383317000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Pediatric Wells syndrome (eosinophilic cellulitis) after vaccination: A case report and review of the literature"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9028-5809","authenticated-orcid":false,"given":"Ashley M.","family":"Yu","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Ottawa Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Ito","sequence":"additional","affiliation":[{"name":"Division of Clinical Pharmacology and Toxicology Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Leibson","sequence":"additional","affiliation":[{"name":"Division of Clinical Pharmacology and Toxicology Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasson","family":"Lavi","sequence":"additional","affiliation":[{"name":"Division of Immunology and Allergy Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa W.","family":"Fu","sequence":"additional","affiliation":[{"name":"Division of Immunology and Allergy Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Weinstein","sequence":"additional","affiliation":[{"name":"Section\u00a0of Dermatology Division of Paediatric Medicine Hospital for Sick Children Toronto ON Canada"},{"name":"Division of Dermatology University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra M.","family":"Skotnicki","sequence":"additional","affiliation":[{"name":"Division of Dermatology University of Toronto Toronto ON Canada"},{"name":"Department of Occupational and Environmental Health St. Michael's Hospital Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,12]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.12601"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-0960.2003.00678.x"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.10.035"},{"key":"e_1_2_4_5_1","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1111\/j.1365-4362.1997.tb01153.x","article-title":"Wells\u2019 syndrome related to tetanus vaccine","volume":"36","author":"Moreno M","year":"1997","journal-title":"Int J Dermatol"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1999.02621.x"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpde.13532","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.13532","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T04:06:32Z","timestamp":1720411592000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.13532"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,12]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/pde.13532"],"URL":"https:\/\/doi.org\/10.1111\/pde.13532","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,12]]},"assertion":[{"value":"2018-07-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}