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Correspondence
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Volume 340:1371 April 29, 1999 Number 17
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Neutrophilic Dermatosis versus Neutrophilic Eccrine Hidradenitis

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 by Starobinski, M.
To the Editor: In the Images in Clinical Medicine in the December 3 issue,1 the history and pathologic picture are not consistent with the diagnosis of acute febrile neutrophilic dermatosis but are typical of neutrophilic eccrine hidradenitis, a condition frequently seen in patients receiving chemotherapy.2 The important distinction is the presence of neutrophils around eccrine sweat glands deep within the dermis. The response of the patient shown in the Image to intravenous corticosteroids is not specific. Neutrophilic eccrine hidradenitis remits spontaneously but may recur during subsequent courses of chemotherapy.


Paul R. Gross, M.D.
220 S. 8th St.
Philadelphia, PA 19107


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