ABSTRACT
Sweet's syndrome (SS) is an acute neutrophilic dermatosis characterised by abrupt onset of fever, leukocytosis and cutaneous eruption, with dermal neutrophilia on skin biopsy. Most cases are idiopathic but SS can be associated with various affections, especially neoplastic, inflammatory and infectious diseases. The authors report the case of an SS occurring in a patient with a known rheumatoid arthritis associated with a secondary Sjögren's syndrome, with incidental finding of concurrent lymph node tuberculosis. In case of SS, an associated disease (malignant, inflammatory or infectious diseases) must imperatively be searched for, knowing that two or more of these affections can coexist.
Subject(s)
Arthritis, Rheumatoid/complications , Sjogren's Syndrome/complications , Sweet Syndrome/etiology , Tuberculosis, Lymph Node/complications , Adult , Female , HumansSubject(s)
Eosinophilia/etiology , Fasciitis/etiology , Lupus Erythematosus, Systemic/complications , Female , Glucocorticoids/administration & dosage , Glucocorticoids/therapeutic use , Humans , Lupus Erythematosus, Systemic/physiopathology , Prednisone/administration & dosage , Prednisone/therapeutic use , Syndrome , Young AdultABSTRACT
Extra-intestinal manifestations of Crohn's disease are well described. A very uncommon gynaecologic manifestation of this disease is vulvar involvement. Till now, sixteen cases have been reported in the literature. We report a case of a pregnant woman with isolated vulvar involvement, without bowel manifestations. The diagnosis have been clinically uncertain, but the histopathology goes with Crohn's disease. Discussion point out the difficulties in diagnosis and management of this vulvar condition, and of its association with pregnancy.