Sweet's syndrome revealing relapsing polychondritis.
Sweet's syndrome is extremely rare in relapsing polychondritis. We report a rare case of Sweet's syndrome revealing relapsing polychondritis. A 77-year-old man presented with fever, associated with respiratory symptoms and non pruritic, painful, erythematous, papules and plaques mainly on the arms and legs. Skin biopsy of the arm found a neutrophilic dermal infiltrate consistent with Sweet's syndrome. A month and a half after admission, the patient presented with ear chondritis and dysphonia. Biopsy of the ear cartilage found a significant perichondral inflammatory cells infiltrate. The diagnosis of relapsing polychondritis was established and a steroid treatment was instituted with a complete regression of the cutaneous signs and chondritis.
Department of Internal Medicine, University Hospital Purpan, Toulouse, France. astudillo.l@chu.toulouse.fr
L
L
Astudillo
F
F
Launay
L
L
Lamant
L
L
Sailler
J
J
Bazex
B
B
Couret
E
E
Arlet-Suau
D000368:Aged; D003937:Diagnosis, Differential; D004431:Ear, External; D006801:Humans; D008297:Male; D011081:Polychondritis, Relapsing / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D016463:Sweet Syndrome / Q000150:complications / Q000175:diagnosis* / Q000473:pathology