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Necrotising Sweet’s syndrome: a rare presentation of Sweet’s syndrome with unilateral painful swelling of the neck
  1. Andreas Husted1,
  2. Sebastian Udholm2 and
  3. Nichlas Udholm2
  1. 1Department of Cardiology, Aarhus University Hospital Skejby, Aarhus N, Denmark
  2. 2Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus N, Denmark
  1. Correspondence to Dr Andreas Husted; andreashusted.nielsen{at}


This case describes the first documented clinical presentation of Sweet’s syndrome with unilateral swelling of the neck, severe pain and fever. The clinical and radiological manifestation resembled necrotising fasciitis and the patient underwent acute neck dissection. The patient was ultimately diagnosed with a new subtype of Sweet’s syndrome called necrotising Sweet’s syndrome, and quickly recovered after treatment with intravenous administration of prednisolone.

  • ear
  • nose and throat
  • skin
  • immunology
  • infectious diseases
  • otolaryngology / ENT

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  • Contributors SU, NU and AH conceptualised this case due to their involvement in the patient's diagnostics and treatment. AH wrote the introduction and NU wrote the case presentation. SU and AH wrote the discussion. AH wrote the conclusion. SU, NU and AH discussed and contributed to the final manuscript. AH did the proofreading of the article and published the article to BMJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.