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Non responding pneumonia with skin lesions.
S Ladhani1, R T Kamble, P Sundaram
1Department of Respiratory Medicine, B.Y.L. Nair Ch Hospital, Mumbai.
The Indian Journal of Chest Diseases & Allied Sciences
|September 1, 2001
Summary
Sweet's syndrome, a neutrophilic dermatitis, can affect the lungs. This case shows lung consolidation responding to steroids, not antibiotics, highlighting a treatment option for this rare condition.
Area of Science:
- Dermatology
- Pulmonology
- Pathology
Background:
- Sweet's syndrome, or acute febrile neutrophilic dermatitis, presents with skin lesions, fever, and malaise.
- Pulmonary involvement in Sweet's syndrome is documented, including infiltrates, organizing pneumonia, and pleural effusion.
- Histopathology reveals dense papillary neutrophilic infiltrates.
Observation:
- A case of Sweet's syndrome presented with left lower lobe lung consolidation and persistent fever.
- The patient's persistent fever was unresponsive to antibiotic treatment.
- Radiological opacities were observed in the left lower lobe.
Findings:
- The patient showed clinical improvement and clearing of radiological opacities.
- Improvement was achieved with oral steroid therapy.
- This suggests a potential therapeutic role for corticosteroids in pulmonary Sweet's syndrome.
Implications:
- Oral steroids may be an effective treatment for lung consolidation in Sweet's syndrome.
- This case expands the understanding of pulmonary manifestations and treatment of Sweet's syndrome.
- Further research into steroid efficacy for pulmonary Sweet's syndrome is warranted.