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 spiders1,2; 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
Seraly MP, Shockman J, Jacoby RA. Flame Figures in Scabies: A Case Report. Arch Dermatol. 1991;127(12):1850-1851. doi:10.1001/archderm.1991.04520010092023