Qiao Jianjun, Wang Yan, Bai Juan, Wu Yinhua, Fang Hong
The First Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang Province, China.
An Bras Dermatol. 2015 Mar-Apr;90(2):237-9. doi: 10.1590/abd1806-4841.20153201.
We report the case of a 54-year-old woman with concurrent Sweet's syndrome, pathergy phenomenon and eythema nodosum-like lesions associated with suppurative tonsillitis. Tender, violaceous and highly edematous papules and plaques were detected on the forearms and legs, some of which were pseudovesicular. Similar edematous papules were detected on the dorsum of the hands at the sites of intravenous injection. Biopsies of a plaque on the forearm and a papule at the site of intravenous injection confirmed the presence of Sweet's syndrome. Multiple, tender, violet-red, subcutaneous erythematous nodules were revealed on the legs. A biopsy taken from a nodule on the leg revealed septal panniculitis. To our knowledge, no patient with concurrent Sweet's syndrome, pathergy phenomenon, and erythema nodosum-lesions had been reported yet in previous literature.
我们报告了一例54岁女性患者，其同时患有Sweet综合征、同形反应现象以及与化脓性扁桃体炎相关的结节性红斑样病变。在前臂和腿部检测到压痛性、紫红色且高度水肿的丘疹和斑块，其中一些呈假水疱状。在静脉注射部位的手背也检测到了类似的水肿性丘疹。对前臂的一个斑块和静脉注射部位的一个丘疹进行活检，证实存在Sweet综合征。在腿部发现了多个压痛性、紫红斑块、皮下红斑结节。对腿部一个结节进行活检显示为间隔性脂膜炎。据我们所知，此前文献中尚未报道过同时患有Sweet综合征、同形反应现象和结节性红斑样病变的患者。
