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Topotecan-induced Sweet's syndrome: A case report.
Erika L Dickson1, Arvind Bakhru2, May P Chan3
1Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor, MI, USA.
A rare case of Sweet's syndrome, a skin reaction, was triggered by topotecan chemotherapy. The patient's condition improved significantly after steroid treatment, highlighting a potential adverse effect of this cancer drug.
Area of Science:
- Dermatology
- Oncology
- Pharmacology
Background:
- Sweet's syndrome, also known as acute febrile neutrophilic dermatosis, is an inflammatory condition.
- Topotecan is a chemotherapy agent used in the treatment of various cancers.
- Drug-induced Sweet's syndrome is a recognized but uncommon adverse reaction to certain medications.
Purpose of the Study:
- To review a case of Sweet's syndrome potentially induced by topotecan chemotherapy.
- To compare the clinical presentation and diagnostic criteria of this case with established criteria for drug-induced Sweet's syndrome.
- To discuss the management and outcome of this adverse event.
Main Methods:
- Case report review.
- Comparison of clinical findings with established diagnostic criteria for drug-induced Sweet's syndrome.
- Analysis of treatment response.
Main Results:
- A patient developed Sweet's syndrome during topotecan chemotherapy.
- The case exhibited major and minor criteria consistent with drug-induced Sweet's syndrome.
- The patient showed a positive response to systemic corticosteroid therapy.
Conclusions:
- Topotecan chemotherapy can be a potential cause of Sweet's syndrome.
- Early recognition and appropriate management, including steroid therapy, are crucial for favorable outcomes in drug-induced Sweet's syndrome.
- This case underscores the importance of considering chemotherapy-induced dermatological adverse events.
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