Premium
Sweet's syndrome following surgery: Cutaneous trauma as a possible aetiological co‐factor in neutrophilic dermatoses
Author(s) -
Minocha Rashi,
Sebaratnam Deshan F,
Choi James YJ
Publication year - 2015
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/ajd.12142
Subject(s) - medicine , dapsone , pyoderma gangrenosum , sweet's syndrome , exacerbation , etiology , dermatology , histopathology , sweet syndrome , surgery , pathergy , neutrophilic dermatosis , pathology , disease , immunology
A 47‐year‐old man presented with an acute, cutaneous eruption of exquisitely painful papules at the operative site 4 weeks after a right tibial osteotomy. Initially this was managed as a postoperative wound infection; however the exacerbation and spread of the cutaneous eruption prompted further investigation. Histopathology and clinical findings were consistent with the development of S weet's syndrome and resolution was obtained after the initiation of dapsone. We propose that surgery may produce an acute inflammatory response in a similar manner to pathergy reactions, which play an aetiological role in other neutrophilic dermatoses, such as pyoderma gangrenosum. We conclude that there may be greater overlap between these neutrophilic dermatoses than previously appreciated.