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December 1983, Vol 119, No. 12 >
Article | December 1983

Acute Febrile Neutrophilic Dermatosis in Children: Title and subTitle BreakReport of Two Cases in Male Infants

Paul G. Hazen, MD; Elizabeth C. Kark, MD; Bryan R. Davis, MD; James F. Carney, MD; Elizabeth Kurczynski, MD
[+] Author Affiliations

Accepted for publication Sept 25, 1982.

Reprint requests to 14701 Detroit Ave, Lakewood, OH 44107 (Dr Hazen).


From the Department of Dermatology, Cleveland Metropolitan General Hospital (Drs Hazen, Kark, Davis, and Carney), and the Department of Pediatrics, University Hospital, Case Western Reserve University School of Medicine, Cleveland (Dr Kurczynski).


Arch Dermatol. 1983;119(12):998-1002. doi:10.1001/archderm.1983.01650360044011
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• Two male infants manifested a complex of symptoms and signs that we believed represented a distinctive hypersensitivity disease, with features of acute febrile neutrophilic dermatosis and allergic vasculitis. Both were less than 1 year of age, and both acquired their disease during or after an upper respiratory illness. Each infant was initially seen with waxy and erythematous to slightly violaceous papules that enlarged to form plaques. The lesions developed at sites of trauma and were distributed on the trunk, face, and extremities. Both infants were febrile and had leukocytosis. On histopathologic examination, biopsy specimens taken from the lesions demonstrated a pronounced dermal infiltration of polymorphonuclear leukocytes. These lesions responded to treatment with prednisone and topical fluorinated corticosteroids, healed with scarring, and recurred after initial improvement.

(Arch Dermatol 1983;119:998-1002)

REFERENCES

1 +
Sweet RD:  An acute febrile neutrophilic dermatosis . Br J Dermatol 1964;;76:349-356.
2 +
Wenning J:  Akute febrile neutrophile dermatose-Sweet-Syndrome . Hautarzt 1978;;29:467-473.
3 +
Saxe N, Gordon W:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . S Afr Med J 1978;;53:253-256.
4 +
Goldman GC, Moschella SL:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1971;;103:654-660.
5 +
Hilder RJ, Simmons LB, Damm SR:  Sweet's syndrome: A case report . J Assoc Military Dermatol 1979;;5:17-20.
6 +
Itami S, Nishioka A:  Sweet's syndrome in infancy . Br J Dermatol 1980;;103:449-451.
7 +
Levin DL, Esterly NB, Herman JJ, et al:  Sweet's syndrome in children . J Pediatr 1981;;99:73-78.
8 +
Raimer S, Duncan WC:  Febrile neutrophilic dermatosis in acute myelogenous leukemia . Arch Dermatol 1978;;114:413-414.
9 +
Shapiro L, Baraf CS, Richleimer L:  Sweet's syndrome (acute febrile neutrophilic dermatosis) . Arch Dermatol 1971;;103:81-84.
10 +
Green KE, Pruitt JL, Bishop GF:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1975;;111:1461-1463.
11 +
Goodfellow A, Calvert H:  Sweet's syndrome and acute myeloid leukemia . Lancet 1979;;2:478-479.
12 +
Dymock RB, Van Deth AG, Dale B, et al:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) with myeloid proliferation . Aust J Dermatol 1978;;19:24-27.
13 +
Sweet RD:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . J Cont Ed Dermatol 1979;;18:31-41.
14 +
Lever WF, Schaumburg-Lever G: Histopathology of the Skin , ed 5. Philadelphia, JB Lippincott Co, 1975;, pp 122-124.
15 +
Sams WM, Thorne EG, Small P, et al:  Leukocytoclastic vasculitis . Arch Dermatol 1976;;112:219-226.
16 +
Lever WF, Schumburg-Lever G: Histopathology of the Skin , ed 5. Philadelphia, JB Lippincott Co, 1975;, pp 160-163.
17 +
Chajek T, Fainaru M:  Behçet's disease: Report of 41 cases and a review of the literature . Medicine 1975;;54:179-197.
18 +
Shapiro L, Teisch JA, Brownstein MH:  Dermatohistopathology of chronic gonococcal sepsis . Arch Dermatol 1973;;151:403-406.
19 +
Pedace FJ, Perry HO:  Granuloma faciale: A clinical and histopathologic review . Arch Dermatol 1966;;94:387-395.
20 +
Diaz-Perez JL, Winkelmann RK:  Cutaneous periarteritis nodosa . Arch Dermatol 1974;;110:407-414.
21 +
Katz SI, Gallin JI, Hertz KC, et al:  Erythema elevatum diutinum: Skin and systemic manifestations, immunologic studies and successful treatment with dapsone . Medicine 1977;;56:443-455.
22 +
Petrozzi JW, Wartham TL:  Sweet's syndrome: Unique local response to streptococcal antigen . Cutis 1971;;84:393-399.
23 +
Cream JJ, Levene GM, Calnan CD:  Erythema elevatum diutinum . Br J Dermatol 1971;;84:393-399.
24 +
Graykowski EA, Barile MF, Lee WB, et al:  Recurrent aphthous stomatitis . JAMA 1966;;196:637-644.
25 +
Rudzki E, Maciejowska E, Leszczynski W, et al:  Bacterial allergy in the skin diseases . Acta Derm Venereol 1964;;45:136-141.
26 +
Allen DM, Diamond LK, Howell DA:  Anaphylactoid purpura in children (Schönlein-Henoch syndrome) . Am J Dis Child 1960;;99:833-854.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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1 +
Sweet RD:  An acute febrile neutrophilic dermatosis . Br J Dermatol 1964;;76:349-356.
2 +
Wenning J:  Akute febrile neutrophile dermatose-Sweet-Syndrome . Hautarzt 1978;;29:467-473.
3 +
Saxe N, Gordon W:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . S Afr Med J 1978;;53:253-256.
4 +
Goldman GC, Moschella SL:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1971;;103:654-660.
5 +
Hilder RJ, Simmons LB, Damm SR:  Sweet's syndrome: A case report . J Assoc Military Dermatol 1979;;5:17-20.
6 +
Itami S, Nishioka A:  Sweet's syndrome in infancy . Br J Dermatol 1980;;103:449-451.
7 +
Levin DL, Esterly NB, Herman JJ, et al:  Sweet's syndrome in children . J Pediatr 1981;;99:73-78.
8 +
Raimer S, Duncan WC:  Febrile neutrophilic dermatosis in acute myelogenous leukemia . Arch Dermatol 1978;;114:413-414.
9 +
Shapiro L, Baraf CS, Richleimer L:  Sweet's syndrome (acute febrile neutrophilic dermatosis) . Arch Dermatol 1971;;103:81-84.
10 +
Green KE, Pruitt JL, Bishop GF:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1975;;111:1461-1463.
11 +
Goodfellow A, Calvert H:  Sweet's syndrome and acute myeloid leukemia . Lancet 1979;;2:478-479.
12 +
Dymock RB, Van Deth AG, Dale B, et al:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) with myeloid proliferation . Aust J Dermatol 1978;;19:24-27.
13 +
Sweet RD:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . J Cont Ed Dermatol 1979;;18:31-41.
14 +
Lever WF, Schaumburg-Lever G: Histopathology of the Skin , ed 5. Philadelphia, JB Lippincott Co, 1975;, pp 122-124.
15 +
Sams WM, Thorne EG, Small P, et al:  Leukocytoclastic vasculitis . Arch Dermatol 1976;;112:219-226.
16 +
Lever WF, Schumburg-Lever G: Histopathology of the Skin , ed 5. Philadelphia, JB Lippincott Co, 1975;, pp 160-163.
17 +
Chajek T, Fainaru M:  Behçet's disease: Report of 41 cases and a review of the literature . Medicine 1975;;54:179-197.
18 +
Shapiro L, Teisch JA, Brownstein MH:  Dermatohistopathology of chronic gonococcal sepsis . Arch Dermatol 1973;;151:403-406.
19 +
Pedace FJ, Perry HO:  Granuloma faciale: A clinical and histopathologic review . Arch Dermatol 1966;;94:387-395.
20 +
Diaz-Perez JL, Winkelmann RK:  Cutaneous periarteritis nodosa . Arch Dermatol 1974;;110:407-414.
21 +
Katz SI, Gallin JI, Hertz KC, et al:  Erythema elevatum diutinum: Skin and systemic manifestations, immunologic studies and successful treatment with dapsone . Medicine 1977;;56:443-455.
22 +
Petrozzi JW, Wartham TL:  Sweet's syndrome: Unique local response to streptococcal antigen . Cutis 1971;;84:393-399.
23 +
Cream JJ, Levene GM, Calnan CD:  Erythema elevatum diutinum . Br J Dermatol 1971;;84:393-399.
24 +
Graykowski EA, Barile MF, Lee WB, et al:  Recurrent aphthous stomatitis . JAMA 1966;;196:637-644.
25 +
Rudzki E, Maciejowska E, Leszczynski W, et al:  Bacterial allergy in the skin diseases . Acta Derm Venereol 1964;;45:136-141.
26 +
Allen DM, Diamond LK, Howell DA:  Anaphylactoid purpura in children (Schönlein-Henoch syndrome) . Am J Dis Child 1960;;99:833-854.

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