Diagnosis: Sweet's Syndrome
Description: Infiltrated areas on thenar eminence
Morphology: Red,nonscaly
Site: Hand,palm
Sex: F
Age: 41
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory: This is the classic presentation of Sweet's syndrome with red non scaly infiltrated plaques which come on quickly.The precipitating cause may be a respiratory or other infection,ocassionally a drug reaction.The rash is usually misinterpreted as an infection but is a form of neutrophilic reaction pattern in the skin.It responds quickly to oral steroids.Rarely the condition can be associated with an underlying myeloproliferative disorder.