Sweet syndrome includes all the following except
**Core Concept**
Sweet syndrome, also known as acute febrile neutrophilic dermatosis, is a rare skin condition characterized by the sudden onset of fever, neutrophilia, and tender, erythematous skin lesions. It often involves the face, neck, and upper limbs but can affect any area of the body. Sweet syndrome is associated with various underlying conditions, including infections, inflammatory disorders, and malignancies.
**Why the Correct Answer is Right**
The correct answer involves identifying the condition that is not typically associated with Sweet syndrome. Sweet syndrome is characterized by the presence of neutrophils in the skin lesions and is often linked to underlying conditions such as infections (e.g., bacterial, viral, or fungal), inflammatory disorders (e.g., rheumatoid arthritis), and malignancies (e.g., leukemia). The condition is often triggered by a systemic infection or inflammatory response.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is a common association with Sweet syndrome, as it often involves the face, neck, and upper limbs.
* **Option B:** This option is a correct association, as Sweet syndrome is often linked to underlying conditions such as infections and inflammatory disorders.
* **Option C:** This option is incorrect because Sweet syndrome is not typically associated with autoimmune conditions like lupus erythematosus, which is characterized by a different set of clinical and histopathological features.
**Clinical Pearl / High-Yield Fact**
It is essential to recognize the clinical features of Sweet syndrome, including the presence of tender, erythematous skin lesions, fever, and neutrophilia. A high index of suspicion and awareness of the underlying conditions associated with Sweet syndrome can aid in early diagnosis and management.
**Correct Answer: C. Lupus erythematosus**