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Mark P. Seraly, MD
Department of Dermatology University of Pittsburgh 3601 Fifth Ave Pittsburgh, PA 15213

Joel Shockman, MD
6810 Castor Ave Philadelphia, PA 19149

Richard A. Jacoby, MD
Departments of Dermatology and Pathology Thomas Jefferson University Hospital 111 S 11th St Philadelphia, PA 19107

Arch Dermatol. 1991;127(12):1850-1851.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Flame figures were first described by Wells in 1971 and are an important, but not pathognomonic, histopathologic criterion for Wells' syndrome.¹ Since their original description, flame figures have been found in a variety of conditions other than Wells' syndrome. These conditions include arthropod bite reactions from ticks, bees, fleas, and spiders^1,2; hematogenous disorders, including lymphoma, pseudolymphoma, leukemia, and polycythemia vera; inflammatory conditions, including eczema, prurigo, bullous pemphigoid, and herpes gestationis2; chronic urticaria; respiratory tract infections, such as sinusitis and Streptococcal pharyngitis; drug administration and surgical procedures; dermatophyte infections and sporotrichosis¹; and parasitic infections, including toxocariasis and onchocerciasis.² We report the first case of scabies that reveals flame figures.

Report of a Case.

—A 29-year-old white woman presented to a dermatologist in private practice complaining of a 3-week history of multiple scattered, hemorrhagic, pruritic pustular skin lesions involving her arms and legs. On physical . . . [Full Text PDF of this Article]

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