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Facial Sweet’s syndrome mimicking rosacea fulminans
Author(s) -
Anavekar Namrata S,
Williams Richard,
Chong Alvin H
Publication year - 2007
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2007.00334.x
Subject(s) - medicine , dermatology , prednisolone , rash , exacerbation , skin biopsy , rosacea , malaise , erythema , differential diagnosis , constitutional symptoms , surgery , biopsy , pathology , disease , acne
SUMMARY A 36‐year‐old man presented with a non‐pruritic, erythematous facial rash with peri‐oral and peri‐orbital sparing. The initial clinicopathological diagnosis was rosacea fulminans, which was treated with 25 mg oral prednisolone and cephalexin. The patient re‐presented 1 week later with exacerbation of his rash in addition to constitutional symptoms of fever and malaise. A further skin biopsy was taken and the marked neutrophilic infiltrate in the absence of vasculitis made the diagnosis of Sweet’s syndrome (acute febrile neutrophilic dermatosis). High‐dose prednisolone (50 mg daily), topical hydrocortisone cream and ichthammol in zinc ointment were commenced with rapid clinical improvement. This case highlights the importance of considering Sweet’s syndrome as a differential diagnosis when presented with a facial eruption.