Sweet Syndrome Variant Masquerading as a Necrotising Infection of the Breast

Joshua Hamilton Tinnion, Asok Biswas, John Michael Dixon and Dhananjay Kulkarni

Department of Surgery, The University of Adelaide, Australia Edinburgh Breast Unit, Western General Hospital, Edinburgh, Australia

^*Correspondance to: Joshua Hamilton Tinnion 

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Abstract:

A 64-year-old female presented with significant superficial necrosis and cellulitis of the left breast following a fall injury. Initial examination revealed extensive skin necrosis, including the nippleareola complex, leading to a diagnosis of a necrotising skin infection. Despite intravenous antibiotics and surgical debridement, the necrosis progressed, necessitating multiple surgical interventions. Histopathological analysis suggested an acute necrotising neutrophilic dermatosis consistent with a rare necrotising variant of Sweet Syndrome. Eventually, complete recovery was achieved with steroids, regular wound care and ongoing dermatology review.

Keywords:

Sweet syndrome; Fasciitis necrotising; Soft tissue infections

Cite the Article:

Tinnion JH, Biswas A, Dixon JM, Kulkarni D. Sweet Syndrome Variant Masquerading as a Necrotising Infection of the Breast. World J Surg Surgical Res. 2026; 9: 1620.