Diagnosis: Sweet's Syndrome
Description: Neutrophils and dermal oedema fluid giving a pseudoblister appearance
Clinical Features: Nodule,skin coloured
Pathology/Site Features: Neutrophils -dermis
Sex: M
Age: 55
Submitted By: Ian McColl
Differential DiagnosisHistory: Sudden onset of a nodular eruption on the arms in a man suffering from Rheumatoid arthritis with a RF titre of greater than 4000. He had recently had his methotrexate ceased because of a pyrexia of unknown origin.
See this recent review of Sweets Syndrome