Sweet's syndrome masquerading as facial cellulitis.
Sweet's syndrome, or acute febrile neutrophilic dermatosis, is a cutaneous condition that typically occurs as tender red plaques or nodules. However, atypical presentations may occur and, in our case, Sweet's syndrome masqueraded as facial cellulitis and soft tissue infections of the extremities in a sporotrichoid pattern. Despite treatment with broad-spectrum antibiotics, the cutaneous lesions progressed. Results of skin biopsy specimens of the facial plaque and a nodule on the right upper extremity were diagnostic of Sweet's syndrome. Simultaneous to diagnosis, the patient also was found to have acute myelogenous leukemia (AML).
Crum
Nancy F
NF
Infectious Diseases Division, Naval Medical Center San Diego, California 92134-1005, USA. nfcrum@nmcsd.med.navy.mil
Higginbottom
Philip A
PA
Fehl
Frederick C
FC
Graham
Brad S
BS
D000970:Antineoplastic Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D003561:Cytarabine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005145:Face; D005260:Female; D006801:Humans; D015255:Idarubicin / Q000627:therapeutic use; D015470:Leukemia, Myeloid, Acute / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D016463:Sweet Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000970:Antineoplastic Agents; D003561:Cytarabine; D015255:Idarubicin