Case Number : CT0111 Adam_Bates

neutrophilic dermatosis of the hands (sweets)?

Neutrophilic dermatosis suggestive of Sweet's syndrome.
 

Diffuse neutrophilic infiltrate and nuclear dust throughout dermis with accentuation around swollen-walled vessels. There is also epidermal hyperplasia and parakeratosis with serum crusts.
Clinical presentation suggests neutrophilic dermatosis of the dorsal hands, but as I didn't find any evidence of vasculitis, I favor Sweets syndrome.
Lesions like that described here, resembling superficial pyoderma gangrenosum, enhance concern about underlying leukemia, although more widespread distribution should be expected in malignancy-associated cases.

Neutrophilic dermatosis of the dorsal hands. But agree that it is in the same spectrum as Sweets and PG. Does the patient have rheumatoid arthritis?
 

Agree neutrophilic dermatosis of the dorsum of hands which is considered in the spectrum of Sweet´s syndrome
 

neutrophilic dermatosis of the hands...?assoc. occult malignancy or other systemic inflammatory disorder.
 

Neutrophilic dermatosis of dorsal hands.
 

Sweet's syndrome.
 

This is a case of Sweet's syndrome.