TY - CHAP M1 - Book, Section TI - Chapter 32. Acute Febrile Neutrophilic Dermatosis (Sweet Syndrome) A1 - Cohen, Philip R. A1 - Honigsmann, Herbert A1 - Kurzrock, Razelle A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintAcute Febrile Neutrophilic Dermatosis (Sweet Syndrome) at a GlanceAcute febrile neutrophilic dermatosis (Sweet syndrome) is characterized by a constellation of symptoms and findings: the acute onset of fever, neutrophilia, erythematous, and tender skin lesions that typically show an upper dermal infiltrate of mature neutrophils, and the prompt improvement of both symptoms and lesions after initiation of treatment with systemic corticosteroids.Cardiovascular, central nervous system, gastrointestinal, hepatic, musculoskeletal, ocular, oral, otic, pulmonary, renal, and splenic organs can be involved by the extracutaneous manifestations of Sweet syndrome.Classical Sweet syndrome may be associated with infection of the upper respiratory tract and/or gastrointestinal tract, inflammatory bowel disease, and pregnancy.Malignancy-associated Sweet syndrome occurs in individuals with previously undiagnosed or relapsing hematologic malignancies and solid tumors; in these patients, Sweet syndrome appears as a cutaneous paraneoplastic syndrome.Drug-induced Sweet syndrome describes the onset of dermatosis in patients following the initiation of certain medications—most commonly granulocyte-colony stimulating factor.Cytokines—directly or indirectly—may have an important etiologic role in the pathogenesis of this dermatosis.The first-line oral systemic agents for treating Sweet syndrome are corticosteroids, potassium iodide, and colchicine.The second-line oral systemic agents for treating Sweet syndrome are indomethacin, clofazimine, cyclosporine, and dapsone.Topical application of high-potency corticosteroids or intralesional corticosteroids may be efficacious for treating localized Sweet syndrome lesions. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=56030398 ER -