Table 1.
Criteria for diagnosis of classic and drug-induced Sweet’s syndrome | |
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Major criteria | |
1. Abrupt onset of typical cutaneous lesions (tender erythematous plaques or nodules, occasionally with vesicles, pustules, or blisters) 2. Histopathology consistent with Sweet’s syndrome (predominantly neutrophilic dermal infiltrate without leukoclastic vasculitis) | |
Minor criteria | |
1. Preceded by an associated infection (gastrointestinal or respiratory) or vaccination or associated with - Inflammatory diseases such as chronic autoimmune disorders, infections - Hemoproliferative disorders or solid malignant tumor - Pregnancy 2. Presence of fever (> 38 °C) 3. Abnormal laboratory values - Erythrocyte sediment rate > 20 mm/h - Elevated C-reactive protein levels - Leukocytosis > 8000 - Neutrophilic > 70% 4. Excellent response to systemic corticosteroids |
Criteria for diagnosis of drug-induced Sweet’s syndrome | |
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1. Abrupt onset of painful erythematous plaques or nodules 2. Histopathological evidence of a dense neutrophilic infiltrate without evidence of leukoclastic vasculitis 3. Presence of fever (38 °C) 4. Temporal relationship between drug ingestion and clinical presentation or temporally related recurrence after oral challenge 5. Temporally related resolution of lesions after drug withdrawal or treatment with systemic corticosteroids |
In order for the diagnosis of SS, including classic SS and/or malignancy-associated SS, both major criteria along with at least two minor criteria must be met. For drug-induced SS, all five criteria must be met for diagnosis