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一名患有类风湿关节炎、干燥综合征和淋巴结结核的患者出现了斯威特综合征。

Sweet's syndrome in a patient with rheumatoid arthritis, Sjögren's syndrome and lymph node tuberculosis.

作者信息

Mrabet D, Saadi F, Zaraa I, Chelly I, Sahli H, Ben Osmane A, Meddeb N, Sellami S

机构信息

Department of Rheumatology, La Rabta Hospital, Tunis, Tunisia.

出版信息

BMJ Case Rep. 2011 Feb 2;2011:bcr0720103137. doi: 10.1136/bcr.07.2010.3137.

Abstract

Sweet's syndrome (SS) is an acute neutrophilic dermatosis characterised by abrupt onset of fever, leukocytosis and cutaneous eruption, with dermal neutrophilia on skin biopsy. Most cases are idiopathic but SS can be associated with various affections, especially neoplastic, inflammatory and infectious diseases. The authors report the case of an SS occurring in a patient with a known rheumatoid arthritis associated with a secondary Sjögren's syndrome, with incidental finding of concurrent lymph node tuberculosis. In case of SS, an associated disease (malignant, inflammatory or infectious diseases) must imperatively be searched for, knowing that two or more of these affections can coexist.

摘要

斯威特综合征(SS)是一种急性嗜中性皮病,其特征为突然发热、白细胞增多和皮疹,皮肤活检显示真皮有嗜中性粒细胞浸润。大多数病例为特发性,但SS可与多种疾病相关,尤其是肿瘤、炎症和感染性疾病。作者报告了一例发生在已知患有类风湿关节炎并伴有继发性干燥综合征患者身上的SS病例,该病例偶然发现同时合并有淋巴结结核。对于SS患者,必须积极寻找相关疾病(恶性、炎症或感染性疾病),因为这些疾病中的两种或更多种可能同时存在。

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本文引用的文献

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A bullous neutrophilic dermatosis in a patient with severe rheumatoid arthritis and monoclonal IgA gammopathy.
J Am Acad Dermatol. 2004 Aug;51(2 Suppl):S94-6. doi: 10.1016/j.jaad.2003.12.054.
6
Sweet's syndrome (acute febrile neutrophilic dermatosis).斯威特综合征(急性发热性嗜中性皮病)。
J Am Acad Dermatol. 1994 Oct;31(4):535-56; quiz 557-60. doi: 10.1016/s0190-9622(94)70215-2.
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Atypical mycobacterial cervical lymphadenitis associated with Sweet's syndrome.
Acta Derm Venereol. 1995 May;75(3):237-9. doi: 10.2340/0001555575237239.

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