Arch Plast Surg.  2012 Jan;39(1):59-62. 10.5999/aps.2012.39.1.59.

A Case Report of Sweet's Syndrome with Parotitis

• Jo MS
• Lim YB
• Shin HK
• Choe J
• Seul JH
• Jang TJ

• KMID: 1922789
• DOI: http://doi.org/10.5999/aps.2012.39.1.59

Abstract

Sweet's syndrome is characterized by clinical symptoms, physical features, and pathologic findings which include fever, neutrophilia, tender erythematous skin lesions, and a diffuse infiltrate of mature neutrophils. This is a report of our experience of Sweet's syndrome with parotitis. A 57-year-old man initially presented with tender swelling on the right cheek similar to parotitis. His symptoms relapsed despite the use of an oral antibiotic agent for 3 weeks. He additionally presented with erythematous papules and plaques on the periocular area and dorsum of both hands. Histiopathologic findings on punch biopsy of the right dorsum of the hand showed superficial perivenular histiocytic infiltration without vasculitis. We confirmed this as histiocytoid Sweet's syndrome and used systemic corticosteroid. After initiation of treatment with systemic corticosteroids, there was a prompt recovery from both the dermatosis-releated symptoms and skin lesions. Sweet's syndrome should be considered in patients with therapy-refractory parotitis and unclear infiltrated nodules. We present a confusing case who initially appeared to have parotitis but turned out to have histiocytoid Sweet's syndrome.

Keyword

Sweet syndrome; Dermatosis; Parotitis

MeSH Terms

Adrenal Cortex Hormones
Biopsy
Cheek
Fever
Hand
Humans
Middle Aged
Neutrophils
Parotitis
Skin
Skin Diseases
Sweet Syndrome
Vasculitis
Adrenal Cortex Hormones