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Knee Surg Sports Traumatol Arthrosc ; 26(9): 2692-2696, 2018 Sep.
Article in English | MEDLINE | ID: mdl-28875344

ABSTRACT

Sweet's syndrome (SS) or acute febrile neutrophilic dermatosis is an uncommon condition. It is characterized by fever, polymorphonuclear leukocytosis, painful erythematous cutaneous plaques, and dense dermal infiltrate of neutrophils without vasculitis at the site of skin lesions. Lesions in SS might enlarge and coalesce with increasing dermal oedema, resulting in pseudo-vesicular appearance mimicking joint infections. Here, a rare case of SS mimicking acute haematogenous periprosthetic infection in a 74-year-old woman with a history of total knee arthroplasty is reported. This report aims to elaborate clinical various manifestations of SS in a patient with a history of total knee arthroplasty. In addition, this report describes how to discriminate inflammation between SS and periprosthetic joint infection. Level of evidence V.


Subject(s)
Prosthesis-Related Infections/diagnosis , Sweet Syndrome/diagnosis , Aged , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Arthritis/etiology , Arthroplasty, Replacement, Knee/adverse effects , Colchicine/therapeutic use , Diagnosis, Differential , Female , Humans , Ibuprofen/therapeutic use , Inflammation/etiology , Knee Joint , Prosthesis-Related Infections/etiology , Sweet Syndrome/drug therapy
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