Sweet's syndrome presenting as acute hand infection.

Abstract:

BACKGROUND:Sweet's syndrome, originally described as an acute febrile neutrophilic dermatosis, belongs to a class of skin lesions that histologically have intense epidermal and/or dermal inflammatory infiltrate of neutrophils without evidence of infection or vasculitis. Skin lesions of Sweet's syndrome most commonly present on the face, trunk, upper extremities, and hands. The presenting lesions are often confused with infections because of their clinical appearance. METHODS:A retrospective search of the electronic medical record was performed to identify patients with Sweet's syndrome from 1996 to the present. These records were then reviewed to identify those patients who had Sweet's syndrome that involved the hands. RESULTS:A total of 103 patients with Sweet's syndrome have been seen and treated at Scott and White Memorial Hospital since 1996. Of these, 49 patients had lesions on the hands. The presentation, treatment, and outcomes of several of these patients are presented. CONCLUSIONS:As physicians responsible for the treatment of hand lesions, it is important to consider the diagnosis of Sweet's syndrome because these wounds are unresponsive to antibiotics, do not benefit from débridement, and instead, require treatment with steroids.

journal_name

Plast Reconstr Surg

authors

O'Halloran LE,Bennett LL,Grothaus PC,Lynch DJ

doi

10.1097/01.prs.0000172890.53979.09

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

497-501

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-200508000-00025

journal_volume

116

pub_type

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