Korean J Dermatol.  2010 Jan;48(1):43-46.

Sweet Syndrome as an Initial Presentation in a Patient with Systemic Lupus Erythematosus

• Kang HK
• Son YM
• Na SY
• Lee HY
• Baek JO
• Roh JY
• Lee JR

Abstract

Sweet syndrome is also called acute febrile neutrophilic dermatosis and this malady is characterized by an abrupt onset of fever, leukocytosis and tender erythematous plaques that are infiltrated by neutrophils. It most commonly occurs in women who are between 30 to 50 years of age. About 50% of the cases are associated with autoimmune disease, sarcoidosis, Behcet's disease and pregnancy. We present here a 48-year-old woman who had tender erythematous tender plaque and nodules with vesicles and pustules over both extremities. She complained of general weakness, chills and arthralgia. We biopsied the nodule and performed laboratory tests. The results of the biopsy were compatible with Sweet syndrome and the laboratory test showed systemic lupus erythematosus. We report here on a case of Sweet syndrome as an initial presentation of systemic lupus erythematosus.

Keyword

Sweet syndrome; Systemic lupus erythematosus

MeSH Terms

Arthralgia
Autoimmune Diseases
Biopsy
Chills
Extremities
Female
Fever
Humans
Leukocytosis
Lupus Erythematosus, Systemic
Middle Aged
Neutrophils
Pregnancy
Sarcoidosis
Sweet Syndrome