Treatment: Oral corticosteroids were started.
Result: Lesions and pain improved within 24-48 hours of stopping the drug and starting treatment. Blood tests showed leukocytosis with neutrophilia (high white blood cell count with high neutrophils). A skin biopsy confirmed Sweet Syndrome.
The 4 Cardinal Signs of Sweet Syndrome
This case perfectly illustrates the classic tetrad of symptoms. Be alert if these signs appear suddenly, especially after a new medication, infection, or in the context of an underlying inflammatory condition or malignancy.
1. Sudden, Painful Skin Lesions