SECTION EDITOR: BENNIE H. JENG, MD, MS
Diagnosis: Sweet syndrome, or acute febrile neutrophilic dermatosis
B. Consult a dermatologist for skin biopsy.
The key clinical features in this case are the abrupt onset of fever, bilateral ocular inflammation nonresponsive to topical steroids, and tender skin nodules in a patient with a known diagnosis of ulcerative colitis. Other than allergic or atopic etiologies, the combination of a cutaneous rash with conjunctivitis in adults is uncommon. A skin biopsy by a dermatologist can elucidate the disease process and guide further treatment options.
Conjunctivitis, Fever, and Tender Skin Nodules—Diagnosis. JAMA Ophthalmol. 2013;131(6):792-793. doi:10.1001/jamaophthalmol.2013.4495b