Case Number : Case 146 Posted By: Guest

Richard Carr - Warwick (UK) Wrote:

I would have gone for linear IgA first mainly because it is very rare to have a nice lesion of DH (that has not been rendered non-diagnostic by excoriation) - Phillip was very lucky to have this case with an intact lesion. Regards and seasons greetings to all.

Submitted on 30/12/2010 21:55
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Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

Sweet's syndrome is a very good differential diagnosis as is erysipelas. The patient however showed the typical clinical manifestations of dermatitis herpetiformis and this is a biopsy of a very early lesion showing neutrophil microabscesses and edema. Note that they are multiple and with progression would have given rise to the typical multilocular lesion seen in dermatitis herpetiformis. Obviously the clinical information would have made the diagnosis much easier.

Submitted on 30/12/2010 18:50
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Naglaa Nabil El Mongy - Cairo University (Egypt) Wrote:

Sweet syndrome.

Submitted on 30/12/2010 15:53
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Sweet syndrome

Submitted on 30/12/2010 15:07
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Wayne Grayson - (Johannesburg, South Africa) Wrote:

Neutrophilic dermatosis with early/incipient subepidermal vesiculation. I would favour Sweet syndrome here.

Submitted on 30/12/2010 13:21
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good morning... Sweet Syndrome

Submitted on 30/12/2010 12:51
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Graham Reilly - Princess Elizabeth Hospital (Guernsey) Wrote:

Neutrophilic infiltrate with papillary oedema - consistent with Sweet`s syndrome.

Submitted on 30/12/2010 08:30
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Sweet syndrome

Submitted on 30/12/2010 05:27
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Mona Abdel Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Edema in the papillary dermis, diffuse infiltrate predominantely made of neutrophils. Sweet syndrome. DD: Erysipelas.

Submitted on 30/12/2010 05:10
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Sweet syndrome.

Submitted on 30/12/2010 05:05
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