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阿扎胞苷治疗伴发的骨髓增生异常综合征后Sweet综合征完全缓解。

Complete remission of Sweet's syndrome after azacytidine treatment for concomitant myelodysplastic syndrome.

作者信息

Martinelli Sara, Rigolin Gian Matteo, Leo Genesio, Gafà Roberta, Lista Enrico, Cibien Francesca, Sofritti Olga, Daghia Giulia, Cavazzini Francesco, Cuneo Antonio

机构信息

Section of Hematology, Azienda Ospedaliero-Universitaria S.Anna, Ferrara, Italy,

出版信息

Int J Hematol. 2014;99(5):663-7. doi: 10.1007/s12185-014-1527-9. Epub 2014 Feb 20.

DOI:10.1007/s12185-014-1527-9
PMID:24554168
Abstract

Sweet's syndrome is a rare condition with potentially disabling implications, characterized by painful skin lesions due to neutrophilic dermal infiltration and systemic inflammatory symptoms. A significant proportion of cases is malignancy associated. Hematologic neoplasms, particularly acute myeloid leukemia and myelodysplastic syndromes, are the most commonly associated malignant conditions. Here, we describe the first case of clinical remission of refractory Sweet's syndrome following hypomethylating therapy with azacytidine in a patient with myelodysplastic syndrome who concurrently obtained a complete hematologic response.

摘要

斯威特综合征是一种罕见疾病,可能产生致残影响,其特征为因中性粒细胞浸润皮肤而出现疼痛性皮损以及全身炎症症状。相当一部分病例与恶性肿瘤相关。血液系统肿瘤,尤其是急性髓系白血病和骨髓增生异常综合征,是最常伴发的恶性疾病。在此,我们报告首例骨髓增生异常综合征患者使用阿扎胞苷进行低甲基化治疗后难治性斯威特综合征临床缓解,同时该患者获得完全血液学缓解。

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Complete remission of Sweet's syndrome after azacytidine treatment for concomitant myelodysplastic syndrome.阿扎胞苷治疗伴发的骨髓增生异常综合征后Sweet综合征完全缓解。
Int J Hematol. 2014;99(5):663-7. doi: 10.1007/s12185-014-1527-9. Epub 2014 Feb 20.
2
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J Dermatol. 2021 May;48(5):695-698. doi: 10.1111/1346-8138.15781. Epub 2021 Feb 13.
3
Azacitidine-associated Sweet's syndrome.阿扎胞苷相关性Sweet 综合征。
Am J Health Syst Pharm. 2012 May 15;69(10):869-71. doi: 10.2146/ajhp110523.
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Response of autoimmune and inflammatory disorders in myelodysplastic syndromes to 5-azacytidine: report of two cases and literature review.骨髓增生异常综合征中自身免疫和炎症性疾病对 5-氮杂胞苷的反应:两例报告及文献复习。
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引用本文的文献

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Complex Interplay Between Sweet Syndrome and Therapy-Related Myelodysplastic Syndrome After B-Cell Lymphoma Treatment: A Case Report.B细胞淋巴瘤治疗后Sweet综合征与治疗相关的骨髓增生异常综合征之间的复杂相互作用:一例报告
Am J Case Rep. 2025 Aug 11;26:e949165. doi: 10.12659/AJCR.949165.
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Sweet's syndrome associated with clonal hematopoiesis of indeterminate potential responsive to 5-azacitidine.与具有不确定潜能的克隆性造血相关的Sweet综合征对阿扎胞苷有反应。
Ther Adv Hematol. 2017 Feb;8(2):91-95. doi: 10.1177/2040620716680330. Epub 2016 Nov 29.

本文引用的文献

1
Acute febrile neutrophilic dermatosis (Sweet's syndrome).急性发热性嗜中性皮病(Sweet 综合征)。
Curr Opin Hematol. 2013 Jan;20(1):26-35. doi: 10.1097/MOH.0b013e32835ad132.
2
Subcutaneous Sweet syndrome with nuclear segmentation anomalies: a diagnostic marker of myelodysplasia.伴有核分叶异常的皮下Sweet综合征:骨髓发育异常的诊断标志物
Int J Dermatol. 2012 Aug;51(8):976-8. doi: 10.1111/j.1365-4632.2011.05103.x.
3
Azacitidine-associated Sweet's syndrome.阿扎胞苷相关性Sweet 综合征。
Am J Health Syst Pharm. 2012 May 15;69(10):869-71. doi: 10.2146/ajhp110523.
4
20q- clonality in a case of oral sweet syndrome and myelodysplasia.口腔Sweet 综合征伴骨髓增生异常一例中 20q 克隆性。
Am J Clin Pathol. 2012 Feb;137(2):310-5. doi: 10.1309/AJCP9I7NRWYLTJHV.
5
Azacitidine: a new medication associated with Sweet syndrome.阿扎胞苷:一种与Sweet综合征相关的新药。
J Am Acad Dermatol. 2011 May;64(5):e77-9. doi: 10.1016/j.jaad.2010.06.032.
6
5-Azacytidine in myelodysplastic syndromes: a clinical practice guideline.5-氮杂胞苷治疗骨髓增生异常综合征:临床实践指南。
Cancer Treat Rev. 2011 Apr;37(2):160-7. doi: 10.1016/j.ctrv.2010.05.006. Epub 2010 Jun 29.
7
EPONYM. Sweet syndrome.译名:Sweet 综合征。
Eur J Pediatr. 2010 Dec;169(12):1439-44. doi: 10.1007/s00431-010-1201-z. Epub 2010 May 6.
8
Atypical presentations of Sweet's syndrome in patients with MDS/AML receiving combinations of hypomethylating agents with histone deacetylase inhibitors.骨髓增生异常综合征/急性髓系白血病患者接受去甲基化药物与组蛋白去乙酰化酶抑制剂联合治疗时Sweet综合征的非典型表现
Am J Hematol. 2009 Oct;84(10):688-9. doi: 10.1002/ajh.21510.
9
Sweet's syndrome with hematologic disorders: a review and reappraisal.伴有血液系统疾病的Sweet综合征:综述与重新评估
Int J Dermatol. 2008 Aug;47(8):775-82. doi: 10.1111/j.1365-4632.2008.03859.x.
10
Sweet's syndrome--a comprehensive review of an acute febrile neutrophilic dermatosis.斯威特综合征——急性发热性嗜中性皮病的全面综述
Orphanet J Rare Dis. 2007 Jul 26;2:34. doi: 10.1186/1750-1172-2-34.