Insect bite-like reaction showing features of panniculitis in a patient with chronic lymphocytic leukemia

Abstract

The association of insect bite-like reactions with hematological malignancies, especially chronic lymphocytic leukemia (CLL) is well established. Rarely, these eruptions may involve the subcutis, leading to eosinophilic panniculitis. Here, we present a case of CLL accompanied by an insect bite-like reaction with features of panniculitis. Insect bite-like lesions, eosinophilic panniculitis and and Wells' syndrome should be considered in the same spectrum in patients with hematologic disorders.