Sweet Syndrome: The Uncommon Painful Rash

A 60-year-old woman presented to the hospital with a 7-day history of a rash that developed predominantly over her hands and upper extremities. She stated she had worked for several hours in her garden at home. Later that evening she noticed pruritis of her upper extremities. The next morning she developed small vesicles on her fingers, fingertips, and upper extremities. She reported no erythema, fevers, bug bites, new chemical exposures, recent travel, or recent illness.