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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 138 Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Sweet's disease


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Admin_Dermpath

Posted

Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

As usual, you are all doing very well. This is a very early lesion of Sweet's disease and yes you must exclude all other causes of a dense neutrophilic infitrate particularly infection both bacterial and fungal. The list of differential diagnoses is huge but could include for example pyoderma gangrenosum, Behcet's disease etc.

Submitted on 20/12/2010 19:34
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Diffuse neutrophilic infiltrate and nuclear dust. This goes with Sweet syndrome, but I can see also lymphocytes and plasma cells and the papillary dermal edema characteristic of sweet syndrome is not seen here. I can't exclude the possibility of an infection such as atypical mycobacteria or deep mycosis (suupurative reaction).

Submitted on 20/12/2010 17:31
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Sweet's syndrome(missed the papillary dermal edema).

Submitted on 20/12/2010 15:14
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Neutropilic dermatitis: differential Sweet syndrome vs neutrophilic dermatosis associated with autoinmune diseases(there is a hint of vacuolar inferface changes)

Submitted on 20/12/2010 14:31
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good morning, have a great week...agree with Sweet´s syndrome

Submitted on 20/12/2010 14:11
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Sasi Attili - Ninewells University Hospital (Dundee, UK) Wrote:

Sweet's Syndrome

Submitted on 20/12/2010 12:57
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Rodrigo Restrepo - UPB/CES (Mdlln. Col) Wrote:

SWEET'S SYNDROME.

Submitted on 18/12/2010 18:42
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ANDREW DANCKWERTS - WITS UNIVERSITY, JOHANNESBURG (JOHANNESBURG, SOUTH AFRICA) Wrote:

NEUTROPHILIC DERMATITIS (SWEET'S SYNDROME). THE DIFFERENTIAL DIAGNOSIS INCLUDES A DEEP FUNGAL INFECTION, SUCH AS CUTANEOUS CRYPTOCOCCOSIS AND HISTOPLASMOSIS.

Submitted on 18/12/2010 14:24
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Naglaa Nabil El Mongy - Cairo University (Egypt) Wrote:

Sweet's syndrome? infection must be excluded

Submitted on 17/12/2010 23:30
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