Acute neutrophilic dermatitis in a neutropenic patient – An uncommon presentation of sweet syndrome

Sweet syndrome (SS) is an uncommon acute febrile neutrophilic dermatosis. Patients present with acute febrile illness, neutrophilia, and tender skin lesions. It is subclassified into idiopathic, malignancy associated, and drug induced. Occasionally neutrophilia may be absent in patients who are neutropenic secondary to malignancy, drugs, and congenital neutropenia. We describe a 70-year-old gentleman presenting with febrile neutropenia and SS. We have also reviewed the previously described reports of neutropenia and SS form literature.