A Rare Case of Sweet Syndrome

11 yrs female, 2^nd issue of non-consanguineous marriage with

H/O Joint Pain & swelling since 8 months, fever since 4 days was admitted with us.

Our provisional diagnosis was Polyarticular Arthritis to r/o Mixed Connective tissue disorder.

Patient was investigated and treated symptomatically. Peripheral smear showed dense neutrophilia. Serological investigations like ANA, ASO and RA factor were negative. Skin biopsy confirmed the final diagnosis of ‘Sweet Syndrome’. Symptoms relieved dramatically after MethylPrednisolone Pulse Therapy. Guttons’ papules also resolved on the day of discharge. Patient was discharged on oral glucocorticoids and was advised follow up.