Sweet’s syndrome-like dermatosis associated with paracetamol and chlorpheniramine maleate bilaterally localized on breasts

Abstract

Sweet sendromu dermişte yoğun nötrofil infiltrasyonu ile karakterize reaktif bir proçestir. Ateş ve periferal nötrofili ile birlikte genellikle üst ekstremiteler, yüz veya boyunda lokalize kırmızı renkli, hassas ve ısı artışı gösteren papül, nodül ve plaklar ile seyretmektedir. Sweet sendromu sıklıkla idiyopatik olup bazen hastalıklara eşlik etmekte, nadiren de ilaçlara bağlı gelişmektedir. İlaçla ilişkili bazı olgularda klinik Sweet sendromuna benzese de histolojik infiltratın tipi ve bazılarında da sistemik bulguların olmaması nedeniyle farklılık gösterebilmektedir. Burada meme derisinde lokalize parasetamol ve klorfeniramin maleat ile ilişkili sıradışı bir Sweet benzeri dermatoz olgusu sunulmaktadır.

Keywords

• Sweet benzeri dermatoz,meme,ilaç,nonsteroidal antiinflamatuar ajan

References

1. 1. Hau E, Vignon ennamen MD, Battistella M, Saussine A, Bergis M, Cavelier-Balloy B, Janier M, Cordoliani F, Bagot M, Rybojad M, Bouaziz JD. Neutrophilic skin lesions in autoimmune connective tissue diseases: nine cases and a literature review. Medicine (Baltimore) 2014; 93: e346.
2. 2. Cohen PR. Sweet's syndrome-a comprehensive review of an acute febrile neutrophilic dermatosis. Orphanet J Rare Dis 2007; 2: 34.
3. 3. Walker DC, Cohen PR. Trimethoprim-sulfamethoxazole-associated acute febrile neutrophilic dermatosis: case report and review of drug-induced Sweet's syndrome. J Am Acad Dermatol 1996; 34: 918-23.
4. 4 .Moghimi J, Pahlevan D, Azizzadeh M, Hamidi H, Pourazizi M. Isotretinoin-associated Sweet’s syndrome: a case report. Daru 2014; 22: 69.
5. 5. Cohen PR. Proton pump inhibitor-induced Sweet’s syndrome: report of acute febrile neutrophilic dermatosis in a woman with recurrent breast cancer. Dermatol Pract Concept 2015; 5: 113-9.
6. 6. Carvalho R, Fernandes C, Afonso A, Cardoso J. Drug-i nduced Sweet's syndrome by aceclofenac. Cutan Ocul Toxicol 2011; 30: 315-6
7. 7. Biswas SN, Chakraborty PP, Gantait K, Bar C. Azathioprine-induced bullous Sweet's syndrome: a rare association. BMJ Case Rep 2016; doi:10.1136/bcr-2016-215192.
8. 8. Truchuelo M, Bagazgoitia L, Alcántara J, Velasco D, Carrillo R. Sweet-like lesions induced by bortezomib: a review of the literature and a report of 2 cases. Actas Dermosifiliogr 2012; 103: 829-31.

9. 9. Alper Y, Sprecher E, Bergman R, Birnbaum RF. Sweet's syndrome-like neutrophilic dermatosis resulting from exposure to a radiocontrast agent. J Am Acad Dermatol 2008; 58: 488-9.
10. 10. Dordal Culla MT, Amayuelas RN, Urda Diez-Canseco MTM, MTF Figueras, Giralt CL, Gomez Vazquez MM. Neutrophlic dermatosis (Sweet's syndrome-like) induced by paracetamol. Clin Transl Allergy 2014; 4: P83.