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Rev Mal Respir ; 24(1): 77-80, 2007 Jan.
Article in French | MEDLINE | ID: mdl-17268370

ABSTRACT

INTRODUCTION: Sweet's syndrome, one of the neutrophilic dermatoses, is idiopathic in most cases. In 10-20% of cases it is paraneoplastic, associated with a solid tumour or haematological malignancy. An association with carcinoma of the bronchus has been only rarely described. CASE REPORT: We report the case of a 56 year old man who presented with Sweet's syndrome two months before the diagnosis of a squamous cell carcinoma of the bronchus. The dermatosis responded well to corticosteroids. The progress of the tumour was favourable, with stabilisation following 3 courses of chemotherapy and local radiotherapy. DISCUSSION: This case report updates this rare association and underlines the importance of undertaking appropriate thoracic investigations in the presence of this dermatosis. A paraneoplastic secretion of interleukin-8, GM-CSF and/or G-CSF by the bronchial tumour cells facilitating the recruitment of neutrophils, particularly in the skin, may account for the pathophysiology of this condition.


Subject(s)
Bronchial Neoplasms/complications , Carcinoma, Non-Small-Cell Lung/complications , Carcinoma, Squamous Cell/complications , Lung Neoplasms/complications , Paraneoplastic Syndromes/etiology , Sweet Syndrome/etiology , Humans , Male , Middle Aged
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