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[Sweet syndrome presenting as orbital cellulitis]
Kazuhiro Oshitari1, Tetsuo Hida, Megumi Takahashi
1Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka 181-8611, Japan.
Nippon Ganka Gakkai Zasshi
|April 24, 2004
Summary
Sweet syndrome can mimic orbital cellulitis. Early corticosteroid treatment resolved a teen
Area of Science:
- Dermatology
- Ophthalmology
Background:
- Sweet syndrome is an uncommon neutrophilic dermatosis.
- Orbital involvement is rare but can mimic other orbital pathologies.
Observation:
- A 17-year-old female presented with acute eyelid swelling and limited ocular motility.
- Initial symptoms suggested infectious orbital cellulitis, unresponsive to antibiotics.
- Systemic signs included erythema of extremities and elevated inflammatory markers.
Findings:
- Diagnosis of Sweet syndrome confirmed by clinical presentation and skin biopsy showing neutrophilic infiltration.
- Rapid improvement of ocular and skin symptoms following oral corticosteroid therapy.
Implications:
- Highlights the importance of considering Sweet syndrome in orbital inflammatory conditions.
- Prompt diagnosis and treatment with corticosteroids can prevent morbidity associated with misdiagnosis.