Published 15 July 2009, doi:10.1136/bmj.b2293
Cite this as: BMJ 2009;339:b2293

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A painful rash

Tanya M Monaghan, academic clinical fellow and specialist registrar1, James D Thomas, specialist registrar2, William Goddard, consultant gastroenterologist3

1 Institute of Infection, Immunity and Inflammation, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, 2 Department of Radiology, Queen’s Medical Centre, Nottingham NG7 2UH, 3 Derby Digestive Diseases Centre, Derby City General Hospital, Derby DE22 3NE

T M Monaghan tanyamonaghan@gmail.com

The first 150 words of the full text of this article appear below.

A 54 year old man presented with a flare of Crohn’s disease. He had developed a painful red rash on his face, neck, and shoulders one week prior to this flare. Clinical examination showed multiple tender erythematous plaques with superadded pustules and surrounding erythema. Laboratory investigations showed a white cell count of 15x109/l—essentially neutrophilia—and a C reactive protein concentration of 106 mg/l. Blood tests were otherwise unremarkable. The patient is shown 10 days after onset of the rash, when the lesions were beginning to resolve.Go Go


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  		Fig 1 Frontal photograph of the patient’s forehead 10 days after the onset of the rash

 


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  		Fig 2 Close up photographs of two of the facial lesions

 
1 What is the diagnosis?
2 What factors is this condition associated with?
3 What is the treatment?

1 This patient has Sweet’s syndrome.
2 Sweet’s syndrome is associated with upper respiratory tract infection; gastrointestinal . . . [Full text of this article]


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