Necrotizing Sweet Syndrome of the Upper Extremity After Elective Hand Surgery.
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.
Duke Scholars
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Related Subject Headings
- Upper Extremity
- Sweet Syndrome
- Surgical Flaps
- Postoperative Complications
- Orthopedics
- Necrosis
- Middle Aged
- Methylprednisolone
- Male
- Interleukin 1 Receptor Antagonist Protein
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Upper Extremity
- Sweet Syndrome
- Surgical Flaps
- Postoperative Complications
- Orthopedics
- Necrosis
- Middle Aged
- Methylprednisolone
- Male
- Interleukin 1 Receptor Antagonist Protein