Flame figures

Eosinophils in the dermis                 See DX Path for details of the conditions below

Large numbers in the dermis suggest arthropod bite including scabies, pre bullous pemphigoid and Well's syndrome of eosinophilic cellulitis.

Some increase is also seen in drug reactions, urticaria and so called deep dermal hypersensitivity reactions. Flame figures are orange deposits of eosinophilic basic protein seen in the dermis particularly in Well's syndrome