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Multiple painful plaques and the Sweet's syndrome
Debra Lee1, Daniel Baird2, Michelle Tarbox2
1Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas.
A rare case of Sweet's syndrome (acute febrile neutrophilic dermatosis) was diagnosed in a 39-year-old woman presenting with fever and painful skin plaques. Prompt diagnosis via skin biopsy is vital for identifying associated systemic disorders.
Area of Science:
- Dermatology
- Internal Medicine
- Pathology
Background:
- Sweet's syndrome, also known as acute febrile neutrophilic dermatosis, is a rare inflammatory condition.
- It is characterized by the sudden onset of fever, neutrophilia, and characteristic skin lesions.
Observation:
- A 39-year-old woman presented with subjective fevers, polyarthralgia, and malaise.
- She developed worsening, painful erythematous plaques on her trunk, arms, and legs.
Findings:
- Skin biopsy confirmed the diagnosis of acute febrile neutrophilic dermatosis (Sweet's syndrome).
- This diagnosis necessitates evaluation for underlying systemic conditions like leukemia, inflammatory bowel disease, and infections.
Implications:
- Early diagnosis through skin biopsy is critical for timely management.
- Sweet's syndrome management often involves systemic corticosteroids or potassium iodide.
- Identifying and treating associated disorders is crucial for patient outcomes.
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