Necrotizing Sweet Syndrome of the Upper Extremity After Elective Hand Surgery.

Journal Article (Journal Article)

Sweet syndrome, or acute febrile neutrophilic dermatosis, is a systemic disease process mainly characterized by hyperpyrexia and skin lesions. A newly described entity, necrotizing Sweet syndrome, is a severe and locally aggressive dermatological condition that clinically and histopathologically resembles a necrotizing soft tissue infection. It is characterized by pathergy, a nonspecific inflammatory response to cutaneous trauma resulting in a propagation of the disease. In contrast to a necrotizing infection, this condition responds to systemic steroids. A high clinical suspicion is required in order to distinguish a necrotizing polymicrobial infection from noninfectious necrotizing Sweet syndrome. We present a case following elective hand surgery.

Full Text

Duke Authors

Cited Authors

  • Lipof, JS; Beck, LA; Reddy, SC; Southgate, RD; Carney-Young, K; Hammert, WC

Published Date

  • April 2018

Published In

Volume / Issue

  • 43 / 4

Start / End Page

  • 389.e1 - 389.e6

PubMed ID

  • 28935337

Electronic International Standard Serial Number (EISSN)

  • 1531-6564

Digital Object Identifier (DOI)

  • 10.1016/j.jhsa.2017.08.019


  • eng

Conference Location

  • United States