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Sweet综合征的多器官受累:一例报告及文献综述

Multi-organ involvement of Sweet's syndrome: a case report and literature review.

作者信息

Li Bo, Ma Zhongsen, Xu Xuesong, Yin Jinzhi, Wang Xiuli, Ren Jin, Wang Songyan, Yang Junling, Ma Tiangang, Zhang Qinghua, Yu Jinyan, Yan Bingdi

机构信息

Department of Respiratory Medicine, Second Clinical Hospital, Jilin University; Department of Occupational Disease Prevention, Jilin Provincial Occupational Disease Prevention and Treatment, China.

出版信息

Intern Med. 2015;54(3):339-43. doi: 10.2169/internalmedicine.54.2755.

Abstract

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.

摘要

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。

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