A 53-year-old woman seen for pharyngalgia with pharyngolaryngeal aphta did not respond to antibiotics administered to treat acute pharyngolaryngitis. Sweet's syndrome was suspected when typical cutaneous lesions appeared four days after she was hospitalized. Although systemic corticosteroids promptly relieved cutaneous and systemic symptoms, she suffered a relapse when corticosteroids were discontinued. Tonsillectomy, recommended in subject with Sweet's syndrome having a history of chronic tonsillitis, was done, but minor relapses occurred 9 months thereafter. She continues to take corticosteroids under careful follow-up.
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