“…In the present case, the skin lesions were limited to the dorsum of the hands, causing a diagnostic difficulty, as there are only two reports of Wells syndrome confined to such limited areas. 3,4 Clinical features of the two cases include an erythematous plaque 3 and nodules. 4 When, as in our case, patients present with only Notably, previous reports suggested that insect bites or bee stings were a possible trigger of Wells syndrome localized to the hands and forearms in some patients, 5 however, no such triggers were elicited from our patient.…”