Sweet's syndrome: clinicopathological features of patients treated from 1997 to 2009 at Cassiano Antonio Moraes University Hospital - Vitoria (Espirito Santo)

Anais Brasileiros de Dermatologia

Itamara Assini Eleuterio²  Ricardo Montibeler Tiussi¹  Delio Delmaestro²  Lucia Martins Diniz¹  Elton Almeida Lucas¹ 

[1],Federal University of Espirito Santo Cassiano Antonio Moraes University Hospital Vitoria ES ,Brazil

关键词: fever;    pathology;    Sweet syndrome;    febre;    patologia;    síndrome de Sweet;   

DOI  :  10.1590/S0365-05962012000300014

来源: SciELO

【 摘 要 】

Sweet's syndrome or acute febrile neutrophilic dermatosis is rare in Brazil. It is clinically characterized by painful erythematous nodules, papules or plaques that occur mainly on the neck and upper limbs. Its cause may be unknown (idiopathic form) or it may be associated with malignancies, usually hematologic, or drugs. The authors describe 16 cases of the syndrome. The median age was 36 years, and all patients were white and presented solid lesions, predominantly on the upper limbs and trunk. Histopathological examination of the dermis of all patients revealed predominance of moderate to intense, superficial and deep, diffuse inflammatory infiltrate, mainly consisting of polymorphonuclear neutrophils, with leukocytoclasia. It also revealed changes in the epidermis and hypodermis (neutrophilic hypodermitis), but with no signs of vasculitis in most patients, which was not considered an important finding for diagnosis. Presence of exocytosis of neutrophils was common, favoring the diagnosis of Sweet's syndrome when accompanied by diffuse interstitial neutrophilic dermatitis.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License