Sweet's syndrome as an initial presentation in systemic lupus erythematosus: A case report and review of the literature

T. Y. Hou; D. M. Chang; H. W. Gao; C. H. Chen; H. C. Chen; Jenn Haung Lai

doi:10.1191/0961203305lu2083cr

Sweet's syndrome as an initial presentation in systemic lupus erythematosus: A case report and review of the literature

T. Y. Hou, D. M. Chang, H. W. Gao, C. H. Chen, H. C. Chen, Jenn Haung Lai

Research output: Contribution to journal › Review article › peer-review

27 Citations (Scopus)

Abstract

Malar or discoid rash is the most frequent specific cutaneous lesion for systemic lupus erythematosus (SLE). Neutrophilic dermatosis as an initial presentation in SLE is unusual. We describe a 38-year old female patient who primarily suffered from erythematous tender plaques and fever. Examination of skin biopsy of the plaques showed dense neutrophilic infiltration in the dermis. Polyarthritis, heavy proteinuria, photosensitivity and positive antinuclear antibodies (ANA > 1: 1280) concluded the diagnosis of SLE. The plaques disappeared completely after treatment with systemic corticosteroids. To our knowledge, this is the first reported SLE patient with Sweet's syndrome as the initial presentation in literature review.

Original language	English
Pages (from-to)	399-402
Number of pages	4
Journal	Lupus
Volume	14
Issue number	5
DOIs	https://doi.org/10.1191/0961203305lu2083cr
Publication status	Published - Jun 13 2005
Externally published	Yes

Keywords

Sweet's syndrome
Systemic lupus erythematosus

ASJC Scopus subject areas

Rheumatology

Access to Document

10.1191/0961203305lu2083cr

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title = "Sweet's syndrome as an initial presentation in systemic lupus erythematosus: A case report and review of the literature",

abstract = "Malar or discoid rash is the most frequent specific cutaneous lesion for systemic lupus erythematosus (SLE). Neutrophilic dermatosis as an initial presentation in SLE is unusual. We describe a 38-year old female patient who primarily suffered from erythematous tender plaques and fever. Examination of skin biopsy of the plaques showed dense neutrophilic infiltration in the dermis. Polyarthritis, heavy proteinuria, photosensitivity and positive antinuclear antibodies (ANA > 1: 1280) concluded the diagnosis of SLE. The plaques disappeared completely after treatment with systemic corticosteroids. To our knowledge, this is the first reported SLE patient with Sweet's syndrome as the initial presentation in literature review.",

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AU - Hou, T. Y.

AU - Chang, D. M.

AU - Gao, H. W.

AU - Chen, C. H.

AU - Chen, H. C.

AU - Lai, Jenn Haung

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N2 - Malar or discoid rash is the most frequent specific cutaneous lesion for systemic lupus erythematosus (SLE). Neutrophilic dermatosis as an initial presentation in SLE is unusual. We describe a 38-year old female patient who primarily suffered from erythematous tender plaques and fever. Examination of skin biopsy of the plaques showed dense neutrophilic infiltration in the dermis. Polyarthritis, heavy proteinuria, photosensitivity and positive antinuclear antibodies (ANA > 1: 1280) concluded the diagnosis of SLE. The plaques disappeared completely after treatment with systemic corticosteroids. To our knowledge, this is the first reported SLE patient with Sweet's syndrome as the initial presentation in literature review.

AB - Malar or discoid rash is the most frequent specific cutaneous lesion for systemic lupus erythematosus (SLE). Neutrophilic dermatosis as an initial presentation in SLE is unusual. We describe a 38-year old female patient who primarily suffered from erythematous tender plaques and fever. Examination of skin biopsy of the plaques showed dense neutrophilic infiltration in the dermis. Polyarthritis, heavy proteinuria, photosensitivity and positive antinuclear antibodies (ANA > 1: 1280) concluded the diagnosis of SLE. The plaques disappeared completely after treatment with systemic corticosteroids. To our knowledge, this is the first reported SLE patient with Sweet's syndrome as the initial presentation in literature review.

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