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Arch Dermatol. 2008;144(2):255-260.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Neutrophilic dermatosis of the dorsal hands (NDDH).

MICROSCOPIC AND LABORATORY FINDINGS AND CLINICAL COURSE

The laboratory findings showed a white blood cell count of 13 640 cells/µL (reference range, 3280-9290 cells/µL), with a neutrophil count of 9600 cells/µL (reference range, 1300-7000 cells/µL) (to convert white blood cell and neutrophil counts to x10⁹/L, multiply by 0.001) and an erythrocyte sedimentation rate of 46 mm/h (reference range, 0-10 mm/h). The skin biopsy revealed compact orthokeratosis, epidermal spongiosis, and a prominent dermal neutrophilic infiltrate with prominent edema and extravasation of red blood cells into the papillary dermis. There was no evidence of leukocytoclastic vasculitis. These findings are consistent with "neutrophilic dermatosis of the dorsal hands" (NDDH).

After diagnosis, the patient continued methylprednisolone therapy and had complete resolution of the lesions and systemic symptoms after 1 week of treatment.

DISCUSSION

Neutrophilic dermatosis of the dorsal hands is a rare condition thought to be possibly related to Sweet's syndrome (SS) and atypical pyoderma gangrenosum (PG). Strutton et al¹ reported . . . [Full Text of this Article]

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Arch Dermatol. 2008;144(2):255-260.
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