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April 1978

Sweet's Disease

Arch Dermatol. 1978;114(4):624-625. doi:10.1001/archderm.1978.01640160090035

To the Editor.—  Acute febrile dermatosis was first described by Sweet in 1964.1 Prominent features of the disease are: fever; leukocytosis; raised, painful, erythematous plaques on the face, neck, and limbs; and a dense polymorphonuclear leukocytic infiltrate. This case is presented because of the rare occurrence of the syndrome in a man.

Report of a Case.—  A 25-year-old man was seen in the Cook County emergency room with a two-day history of high fever, headache, nausea, and abdominal discomfort, followed by the sudden appearance of painful plaque-like lesions involving the medial aspect of the right thigh. The patient stated that he had experienced five similar episodes every two to three months in the last two years. The skin lesions always appeared in a band 10- to 15-cm wide on the inner aspect of his right thigh, extending from the groin to the knee. He had never received medical treatment