Neutrophilic dermatosis of the dorsal hands, a variant of Sweet's syndrome.

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[CASE-STUDY] Red Plaque on the Dorsal Hand With Necrosis: Think Before You Amputate.

An 82-year-old man with a history of myelodysplastic syndrome developed a red and swollen left index finger. He was diagnosed with probable cellulitis (bacterial skin infection) and started on intravenous antibiotics. The patient's condition worsened, developing blisters and necrosis (death of tissue), so surgeons decided to amputate. In the following days, the rest of the hand worsened with the development of ulcers. Skin biopsy showed neutrophilic dermatosis of the dorsal hands, a variant of SWEET'S SYNDROME. The patient was immediately started on oral prednisone 80 mg per day, showing rapid improvement. ncbi.nlm.nih.gov/pmc/articl...