Background. - Acute febrile neutrophilic dermatosis (Sweet's syndrome) is v
ery uncommon in infancy. Systemic corticosteroid treatment is the standard
therapy usually leading to dramatic improvement within a few days.
Case report, - A seven-month-old female infant was admitted for investigati
on of a rash developing over ten days with fever. Physical examination and
skin biopsy led to a diagnosis of Sweet's syndrome. The relative inefficien
cy of systemic corticotherapy induced the parents to stop all treatment.
Conclusion. - This case report allows us: 1) to consider the clinical and b
iological features of Sweet's syndrome in infancy; 2) to describe a cortico
steroid resistant disease; and 3) to observe the course of a spontaneous ev
olution of Sweet's syndrome. (C) 2000 Editions scientifiques et medicales E
lsevier SAS.