“…However, it seems to be caused by a hypersensitivity reaction, leading to inflammatory cytokines secretion and neutrophil activation and migration, with tissue inflammation and damage. The unique bullous photo-distributed pattern of this case could be explained by severe inflammation with dermo-epidermal segregation, [3][4][5]7 alongside an isomorphic Koebner reaction classically described in neutrophilic dermatoses caused by UV radiation, or its direct action on neutrophil activation and migration to the skin. 9 Sometimes, paraneoplastic Sweet syndrome may occur before clinically evident neoplasia.…”