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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
PubMed
Summary
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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.

Related Experiment Videos

  • 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.