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Year : 1991  |  Volume : 57  |  Issue : 3  |  Page : 154

Sweet's syndrome - spontaneous remission

Correspondence Address:
K Kaushal Verma

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How to cite this article:
Verma K K, Singh K M, Ramam M, Singh P O. Sweet's syndrome - spontaneous remission. Indian J Dermatol Venereol Leprol 1991;57:154

How to cite this URL:
Verma K K, Singh K M, Ramam M, Singh P O. Sweet's syndrome - spontaneous remission. Indian J Dermatol Venereol Leprol [serial online] 1991 [cited 2020 Mar 29];57:154. Available from: http://www.ijdvl.com/text.asp?1991/57/3/154/3657

Sweet's syndrome was first described in 1964 by Sweet[1], a form of distinct skin dis­ease, designated as acute febrile neutrophilic dermatosis. Here we described a case of Sweet's syndrome who had complete sponta­neous remission in two weeks. A 36-year-old house-wife presented with sudden onset of multiple erythematous painful nodules and plaques on the arms, face and neck of four days duration. The lesions were warm, ex­quisitely tender, well defined succulent, indurated 1-3 cm nodules and plaques. She had fever, injection of conjunc­tivae, joint pain involving the knees, and no other systemic abnormalities. Investigations revealed a normal haemogram and periph­eral smear, Blood sugar, blood urea, chest x-ray, urine, liver function tests and stool ex­amination were normal. Skin biopsy showed perivascular polymorphonuclear infiltrate in the dermis without any damage to the vessel walls. The lesions began subsiding after 24 hours without any treatment and seven days later lesions became flat. Within two weeks time her skin lesions, joint pain and conjunctivitis completely disappeared. It is to be noted that fever and leukocytosis are not always present. We feel that term 'Sweet's syndrome' is preferred over 'acute febrile neutrophilic dermatosis'. It is essentially a benign condition, which has a tendency of spontaneous remission and recovery can be hastened if necessary by corticosteroids.[2] Here corticosteroids therapy was not initiated as the lesions started regressing by itself.

  References Top

1.Sweet RD : An acute febrile neutrophilic dermatosis,Brit J Dermatol, 1964; 76 : 349-352.  Back to cited text no. 1    
2.Crow KD, Kerdal-Vegas F and Rook A : Acute febrile neutrophilic dermatosis. Sweet's syndrome, Dermatologica, 1969; 139 : 123.  Back to cited text no. 2    


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