Soto Rodrigo, Levy Yair, Krause John R
Department of Pathology, Section of Hematopathology (Soto, Krause) and Department of Hematology/Oncology (Levy), Baylor University Medical Center at Dallas and the Charles A. Sammons Cancer Center at Dallas.
Proc (Bayl Univ Med Cent). 2015 Jan;28(1):62-4. doi: 10.1080/08998280.2015.11929190.
The Sweet syndrome, or acute febrile neutrophilic dermatosis, is rare and has characteristic clinical, physical, and pathologic findings: abrupt onset of pyrexia, elevated neutrophil count, tender erythematous skin lesions, and a diffuse infiltrate of mature neutrophils in the reticular dermis with edema in the papillary dermis. The Sweet syndrome can be further classified based on the clinical setting: classical, malignancy-associated, and drug-induced. Diagnosis can alert the clinician to the presence of an underlying malignancy or the recurrence of a malignancy. The most commonly associated malignancy is acute myelogenous leukemia. We present three cases of Sweet syndrome associated with hematopoietic neoplasms.
斯威特综合征,即急性发热性嗜中性皮病,较为罕见,具有特征性的临床、体格检查及病理表现:发热骤起、中性粒细胞计数升高、皮肤出现压痛性红斑病变,以及网状真皮层有成熟中性粒细胞弥漫浸润伴乳头真皮层水肿。斯威特综合征可根据临床情况进一步分类:经典型、恶性肿瘤相关性及药物诱导型。诊断可提醒临床医生存在潜在恶性肿瘤或恶性肿瘤复发。最常伴发的恶性肿瘤是急性髓性白血病。我们报告3例与造血系统肿瘤相关的斯威特综合征病例。