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[Sweet's syndrome, a diagnosis to keep in mind]
Caroline Lang1, Sandrine Quenan1
1Service de dermatologie et vénéréologie, HUG, 1211 Genève 14.
Revue Medicale Suisse
|July 20, 2017
Summary
Sweet's syndrome, a rare neutrophilic dermatosis, presents with sudden skin lesions, fever, and neutrophilia. This focus highlights diagnostic strategies and management for this condition.
Area of Science:
- Dermatology
- Rheumatology
- Internal Medicine
Background:
- Sweet's syndrome is a rare neutrophilic dermatosis characterized by acute onset of tender, erythematous skin lesions.
- It is often associated with fever and neutrophilia, with neutrophils infiltrating the dermis.
- While frequently idiopathic, it can be linked to infections, inflammatory bowel disease, pregnancy, vaccination, drugs, or malignancy.
Purpose of the Study:
- To outline the diagnostic strategy for Sweet's syndrome.
- To detail the management approaches for patients with Sweet's syndrome.
- To illustrate key features through clinical cases and relevant images.
Main Methods:
- Review of diagnostic criteria for Sweet's syndrome.
- Analysis of treatment options for Sweet's syndrome.
- Case study presentation with illustrative examples.
Main Results:
- Sudden onset of tender, erythematous skin lesions (papules, nodules, plaques) on limbs, face, and neck.
- Systemic symptoms include high fever and neutrophilia.
- Histopathology reveals diffuse dermal neutrophil infiltrate.
Conclusions:
- Effective diagnosis relies on characteristic clinical and histological findings.
- Management should be tailored to underlying causes and disease severity.
- Prompt recognition and treatment are crucial for favorable outcomes.
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