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Sweet's syndrome associated with spinal surgical intervention. A case report
D A Propst1, C R Bossons, C E Sutterlin
1Florida Foundation for Research in Spinal Disorders, Inc., Gainesville, USA.
Spine
|August 15, 1998
Summary
A patient developed a recurrence of Sweet's Syndrome, an acute neutrophilic dermatosis, after cervical spine surgery. The rash resolved spontaneously, and the patient experienced improved cervical pain and spinal fusion.
Area of Science:
- Dermatology
- Orthopedic Surgery
- Medical Case Study
Background:
- Sweet's Syndrome is a rare neutrophilic dermatosis typically affecting middle-aged women.
- It presents as recurrent, painful, red, tender skin plaques, predominantly on the torso.
- Association between Sweet's Syndrome and surgical interventions, including spinal surgery, has not been previously reported.
Observation:
- A patient with a history of Sweet's Syndrome presented with cervical pain and underwent surgery.
- Postoperatively, the patient developed cutaneous lesions consistent with an acute recurrence of Sweet's Syndrome.
- The patient's postoperative course was documented, and medical records were reviewed retrospectively.
Findings:
- The patient's skin rash resolved spontaneously.
- Solid fusion of the C5-C6 cervical spine occurred.
- The patient remained neurovascularly intact with significantly decreased axial cervical pain.
Implications:
- Sweet's Syndrome can complicate postoperative recovery, even after routine procedures.
- The study highlights an unusual association between Sweet's Syndrome recurrence and spinal surgery.
- Further research is needed to understand the effect of Sweet's Syndrome on bone healing and perioperative management.