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Atypical Histiocyte-Rich Sweet's Syndrome.
Sharon Chi1, Marcia Leung2, Mark Carmichael3
1Internal Medicine Residency Program, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA.
Case Reports in Dermatological Medicine
|November 29, 2017
Summary
Sweet's Syndrome, a rare immune disorder, can affect multiple organs. This case highlights an unusual presentation involving heart inflammation and atypical skin findings.
Area of Science:
- Dermatology
- Immunology
- Cardiology
Background:
- Sweet's Syndrome is a rare neutrophilic dermatosis linked to immune dysregulation.
- It can be triggered by infections, drugs, pregnancy, or malignancy, or be idiopathic.
- Established diagnostic criteria exist, but systemic involvement varies.
Observation:
- This report details an unusual case of Sweet's Syndrome.
- The patient presented with myopericarditis and acral (extremity) involvement.
- Histological examination revealed atypical findings, notably a predominance of histiocytes.
Findings:
- The case demonstrates a rare association of Sweet's Syndrome with myopericarditis.
- Atypical histological features, including histiocytic predominance, were observed.
- Acral involvement further characterized this unusual presentation.
Implications:
- This case expands the understanding of Sweet's Syndrome's systemic manifestations.
- It underscores the importance of considering cardiac and atypical histological findings in diagnosis.
- Further research may elucidate the role of histiocytes in specific Sweet's Syndrome variants.
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