Demitsu T, Tadaki T
Department of Dermatology, Sanuma General Hospital, Sendai, Japan.
Dermatologica. 1991;183(3):230-3. doi: 10.1159/000247677.
We describe 2 female patients, both with a history of radical mastectomy for breast cancer, in whom several indurated erythematous plaques developed on the upper extremity affected by postmastectomy lymphedema. There were no general symptoms or leukocytosis. Histopathological examination showed a dense neutrophilic infiltrate without a feature of vasculitis in the dermis and subcutis. Dramatic therapeutic response was observed to treatment with potassium iodide. These findings resemble Sweet's syndrome, but such cases have not been previously reported. Possible pathogenic mechanisms for these unique cutaneous eruptions are discussed.
我们描述了2例女性患者，她们均有乳腺癌根治术病史，在因乳房切除术后淋巴水肿而受累的上肢出现了几个硬结性红斑斑块。无全身症状或白细胞增多。组织病理学检查显示真皮和皮下组织有密集的中性粒细胞浸润，无血管炎特征。碘化钾治疗后观察到显著的治疗反应。这些发现类似于Sweet综合征，但此前尚未有此类病例的报道。本文讨论了这些独特皮肤疹的可能致病机制。
