Sweet's syndrome presenting as palmoplantar pustulosis

Sweet's syndrome was initially described as a reactive dermatosis character ized by sudden onset of fever, leucocytosis, and raised erythematous plaque s infiltrated with neutrophils, and therefore called acute febrile neutroph ilic dermatosis. However, later it became obvious that fever and neutrophil ia are variable features, and a number of other characteristics have been d escribed. Although the dorsa of the hands are frequently affected, the palm oplantar involvement mimicking pustulosis observed in our case appears to b e unusual.