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Sweet's syndrome after pneumonectomy
Walid R Saliba1, George S Habib, Lee H Goldstein
1Department of Medicine C, Ha-Emeq Medical Center, Afula, Israel. salibuss@yahoo.com
The Annals of Thoracic Surgery
|June 30, 2004
Summary
This case study describes a rare instance of Sweet's syndrome, a skin condition, developing after lung surgery. The patient experienced typical lesions, fever, and leukocytosis, confirming the diagnosis through biopsy.
Area of Science:
- Dermatology
- Pulmonology
- Oncology
Background:
- Sweet's syndrome is an acute febrile neutrophilic dermatosis.
- Postoperative complications can manifest in diverse ways, including dermatological conditions.
- Lung sarcoma treatment in childhood can lead to long-term complications like bronchiectasis.
Observation:
- A 38-year-old woman developed characteristic skin lesions of Sweet's syndrome two days post-left pneumonectomy.
- The pneumonectomy was necessitated by severe bronchiectasis, a sequela of childhood lung sarcoma treated with chemotherapy and radiotherapy.
- Subsequent fever and leukocytosis were observed, alongside skin biopsy confirming neutrophilic infiltration.
Findings:
- The patient's presentation represents a rare case of postoperative Sweet's syndrome.
- Histopathological examination of skin lesions confirmed neutrophilic infiltration, consistent with Sweet's syndrome.
- This case adds to the limited literature on Sweet's syndrome occurring after major thoracic surgery.
Implications:
- This case highlights the importance of considering rare dermatological conditions in postoperative patients.
- Understanding the pathogenic mechanisms of postoperative Sweet's syndrome may improve patient management.
- Further research into the link between thoracic surgery, cancer treatment history, and Sweet's syndrome is warranted.