Section 3 of 9
Minor criteria
B. Vais, K. Serror, B. Pulvermacker, E. Zakine, J-D. Bouaziz, M. Chaouat, and D. Boccara · about 1 minutes
1.Fever above 38°C.2.Association with a triggering factor: infection, inflammatory disease, neoplasia, pregnancy, drug exposure, or surgery.3.Leukocytosis with predominant neutrophilia.4.Rapid response to corticosteroids or anti-inflammatory therapy.
The differential diagnosis mainly includes postoperative bacterial infections, Pyoderma gangrenosum (PPG), and ischemic skin necrosis. However, the negative microbiological samples systematically obtained in this setting, together with the favorable response to corticosteroid therapy, strongly support the diagnosis of a neutrophilic dermatosis.
We report here the first documented case of Sweet syndrome following cervicofacial rhytidectomy, diagnosed early and successfully treated with corticosteroid therapy.