Li Bo, Ma Zhongsen, Xu Xuesong, Yin Jinzhi, Wang Xiuli, Ren Jin, Wang Songyan, Yang Junling, Ma Tiangang, Zhang Qinghua, Yu Jinyan, Yan Bingdi
Department of Respiratory Medicine, Second Clinical Hospital, Jilin University; Department of Occupational Disease Prevention, Jilin Provincial Occupational Disease Prevention and Treatment, China.
Intern Med. 2015;54(3):339-43. doi: 10.2169/internalmedicine.54.2755.
The hallmark of Sweet's syndrome (SS) is the infiltration of mature neutrophils in the upper dermis. We herein report a case of SS with multi-organ involvement. A 32-year-old man presented with fever, anemia and dyspnea. He was given antibiotics, without any improvements. Later, a number of erythematous lesions appeared, accompanied by deteriorating respiratory and cardiovascular functions. A diagnosis of SS was confirmed on a skin biopsy, and the patient was given corticosteroids, the dose of which was reduced after one month. The organ function subsequently deteriorated, and he ultimately died of multi-organ failure. Early recognition of SS with multi-organ involvement is important in patients with SS.
斯威特综合征(SS)的标志是成熟中性粒细胞浸润真皮上层。我们在此报告一例多器官受累的SS病例。一名32岁男性出现发热、贫血和呼吸困难。给予抗生素治疗,无任何改善。后来,出现了一些红斑性病变,同时呼吸和心血管功能恶化。皮肤活检确诊为SS,给予患者皮质类固醇治疗,1个月后剂量减少。随后器官功能恶化,患者最终死于多器官功能衰竭。对于SS患者,早期识别多器官受累的SS很重要。