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Sweet's syndrome with lung involvement.

C H Takimoto1, M Warnock, J A Golden

  • 1Department of Medicine, University of California, San Francisco 94143.

The American Review of Respiratory Disease
|January 1, 1991
PubMed
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This case study highlights a rare instance of Sweet's syndrome (acute febrile neutrophilic dermatosis) affecting the lungs, leading to respiratory failure in a patient with myelodysplasia. Early diagnosis is crucial for managing this severe pulmonary condition.

Area of Science:

  • Pulmonary Medicine
  • Dermatology
  • Hematology

Background:

  • Sweet's syndrome, or acute febrile neutrophilic dermatosis, is a rare inflammatory condition.
  • Myelodysplastic syndromes are a group of cancers in which immature blood cells in the bone marrow do not mature and therefore do not become healthy blood cells.
  • Pulmonary involvement in Sweet's syndrome is exceptionally uncommon.

Observation:

  • A 54-year-old woman with myelodysplasia presented with severe dyspnea and pulmonary infiltrates.
  • Recurrent episodes of Sweet's syndrome were diagnosed.
  • Lung and skin biopsies confirmed sterile neutrophilic infiltration of interstitial tissues.

Findings:

  • Corticosteroid therapy initially provided rapid clinical improvement.
  • The patient experienced recurrent episodes of pulmonary Sweet's syndrome.

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  • The condition became increasingly resistant to treatment, culminating in fatal respiratory failure.

    • Implications:

    • This case underscores the potential for severe respiratory compromise in pulmonary Sweet's syndrome.
    • Prompt recognition and diagnosis are vital for effective management of this rare condition.
    • Further research into the pathophysiology and treatment of lung involvement in Sweet's syndrome is warranted.