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Sweet’s Syndrome

Sweet’s Syndrome. David Deneau MD Acute Neutrophilic Dermatosis (Sweet RD. Br. J. Dermatol.1964; 76:349-56). Sweet’s Syndrome. Sweet’s Syndrome. Sweet’s Syndrome. Sweet’s Syndrome. Sweet’s Syndrome. Sweet’s Syndrome. Sweet’s Syndrome. Sweet’s Syndrome. Clinical Features

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Sweet’s Syndrome

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  1. Sweet’s Syndrome David Deneau MD Acute Neutrophilic Dermatosis (Sweet RD. Br. J. Dermatol.1964; 76:349-56)

  2. Sweet’s Syndrome

  3. Sweet’s Syndrome

  4. Sweet’s Syndrome

  5. Sweet’s Syndrome

  6. Sweet’s Syndrome

  7. Sweet’s Syndrome

  8. Sweet’s Syndrome

  9. Sweet’s Syndrome Clinical Features • Tender to painful red plaques face, hands, arms, upper trunk • Acute onset • Frequently associated with; PMN leucocytosis Fever Arthralgias Malaise

  10. Sweet’s Syndrome Histology • Diffuse neutrophilic infiltrate in upper dermis • Leucocytoclasis • Without evidence of primary leucocytoclastic vasculitis

  11. Sweet’s Syndrome Associated Disorders 50% cases are idiopathic 50% may be associated with underlying disease • Malignancy (20 – 25%) Leukemia Lymphoma Carcinomas

  12. Sweet’s Syndrome Associated Disorders, (continued) • Infection: Streptococcal URI Yersinial GI infection • Pregnancy • Inflammatory Bowel Disease

  13. Sweet’s Syndrome Associated Disorders (continued) • Drug Reactions: G-CSF Minocycline Trimethoprim – Sulfamethoxazole all – trans Retinoic Acid Oral Contraceptives

  14. Sweet’s Syndrome

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  21. Sweet’s Syndrome Treatment • Systemic corticosteroids Usually dramatic response 4-6 week tapering course Relapse may occur • Colchicine May be effective in mild disease

  22. Sweet’s Syndrome Treatment (continued) • Potassium iodide • Indomethacin • Dapsone • Cyclosporine • Tetracycline type antibiotics

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