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Contributor

Greg Hosler, MD, PhD

Diagnosis

Sweet syndrome

Body Site

leg

Age

71 years

Pigmentation

medium

Organization

scattered

Color

brown red

Morphology

nodule

Pattern

localized

Comments

This elderly man developed small nodules on his lower extemities and trunk while hospitalized. The clinical differential diagnosis was tumor or infection. Sweet syndrome is one of the neutrophilic dermatoses, meaning there are numerous neutrophils but without frank vasculitis. Other entities in the differential diagnosis include pyoderma gangrenosum, cellulitis, erysipelas, and others. Clinical correlation is required to make a definitive diagnosis.

Description

There is a brisk inflammatory infiltrate within the superficial dermis. The infiltrate appears mostly of neutrophils at this power. There is also papillary dermal edema.

Categories

cutaneous sign of systemic disease

Image Added

2/7/2007 21:50:42

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Other Resources

PubMed Medline Plus Medscape

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