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一名食管腺癌患者出现伴有神经系统表现的Sweet综合征:病例报告及文献复习

Sweet's syndrome with neurologic manifestations in a patient with esophageal adenocarcinoma: case report and review of the literature.

作者信息

Sobol Urszula A, Sherman Karen L, Smith Jason, Nagda Suneel N, Micetich Kenneth, Nickoloff Brian J, Shoup Margo C

机构信息

Department of Surgery, Loyola University Medical Center, 2160 South First Ave., Maywood, IL 60153, USA.

出版信息

Int J Dermatol. 2009 Oct;48(10):1062-5. doi: 10.1111/j.1365-4632.2009.04138.x.

Abstract

BACKGROUND

Sweet's syndrome, also known as febrile neutrophilic dermatosis, can occur in patients with an underlying malignancy and can present with extracutaneous manifestations, including neurologic symptoms.

METHODS

This report describes a 62-year-old man with adenocarcinoma of the esophagus who developed Sweet's syndrome and whose postoperative course was complicated by encephalitis.

RESULTS

A diagnosis of Sweet's syndrome with neurologic manifestations was made, and the patient was treated with oral corticosteroids. His symptoms improved markedly within 12 h.

CONCLUSION

Neurologic symptoms in Sweet's syndrome are infrequently reported and have not been described previously in a patient with adenocarcinoma of the esophagus.

摘要

背景

Sweet综合征,又称发热性嗜中性皮病,可发生于患有潜在恶性肿瘤的患者,并可出现皮肤外表现,包括神经症状。

方法

本报告描述了一名62岁的食管腺癌男性患者,其发生了Sweet综合征,术后病程并发脑炎。

结果

确诊为伴有神经表现的Sweet综合征,患者接受口服糖皮质激素治疗。其症状在12小时内明显改善。

结论

Sweet综合征的神经症状报道较少,此前尚未在食管腺癌患者中描述过。

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