Abstract

Background: Sweet Syndrome is a rare phenomenon with neutrophilic infiltrate into the dermis and the sudden onset of painful, larger, asymmetrical erythematous papules or nodules. This report shares management of sweet syndrome in maternity and children hospital, Hail, Saudi Arabia.
Case presentation: A 10 months old, previously healthy, boy presented with painful skin erythematous plaques or nodular eruption in the left lower calf and trunk that discharged pus and turned into ulcers. The condition was preceded by viral gastroenteritis and upper respiratory tract infection. He was clinically diagnosed with sweet syndrome, confirmed by laboratory and histopathological findings. The infant received systemic and topical steroids and was discharged from hospital in the healthy condition.
Conclusion: A thorough search for common infectious causes and a complete examination for extracutaneous manifestations are required in such cases, and after confirming the diagnosis, a step-by-step examination to rule out underlying malignancy is warranted.

Key words: Sweet, syndrome, febrile, neutrophilic, dermatosis, report, Hail.