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Year : 2018  |  Volume : 7  |  Issue : 6  |  Page : 1584-1587

Not so sweet; severe Sweet's syndrome presenting as SIRS and pleural effusion

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Manish Soneja
Department of Medicine, All India Institute of Medical Sciences, New Delhi - 110 129
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_289_18

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Acute febrile neutrophilic dermatosis (Sweet's syndrome) is a rare inflammatory condition which presents as abrupt onset of painful erythematous plaques or nodules, often associated with fever and leucocytosis. Many extracutaneous manifestations are described in literature, but pulmonary manifestations and systemic inflammatory response syndrome (SIRS) are rare. Here we report a case of a 35-year-old male who presented with SIRS and pleural effusion. The presence of vesiculobullous and pustular skin lesions raised the suspicion of Sweet's syndrome and it was confirmed by skin biopsy. Initiation of systemic glucocorticoids lead to complete resolution of symptoms.

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