[Sweet's syndrome after off-pump coronary artery bypass grafting].
We report a 73-year-old man with myelodysplastic syndrome (MDS) who developed Sweet's disease after off-pump coronary artery bypass grafting (OPCAB). Coronary angiography showed severe 3 vessel disease. We conducted OPCAB on triple vessels using bilateral internal thoracic artery and saphenous vein grafts. He had a high fever and rubor around the median skin incision on 5 postoperative day. Skin biopsy demonstrated acute febrile neutrophilic dermatitis (Sweet's disease). The cutaneous lesions improved gradually by corticosteroids. A careful attention should be paid postoperatively in a patient with hematological disorders such as MDS, aplastic anemia, and malignancy.
Rikitake
K
K
Department of Thoracic and Cardiovascular Surgery, Saga University, Saga, Japan.
Sato
M
M
Ohtsubo
S
S
Itoh
T
T
D000368:Aged; D000787:Angina Pectoris / Q000150:complications / Q000601:surgery; D047549:Coronary Artery Bypass, Off-Pump; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009190:Myelodysplastic Syndromes / Q000150:complications; D011183:Postoperative Complications; D011239:Prednisolone / Q000008:administration & dosage; D016463:Sweet Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
D011239:Prednisolone