Periorbital Necrotizing Sweet’s Syndrome: A Case Report

Author:

Watson Samantha L.1,Kuo Andy2,Kishi Susan H.3,Fat Marisa N.4,Boxrud Cynthia A.56

Affiliation:

1. Candidate at Northwestern University Feinberg School of Medicine, Chicago, Illinois

2. Candidate at Case Western Reserve University School of Medicine, Cleveland, Ohio

3. Candidate at Keck School of Medicine of the University of Southern California, Los Angeles, California

4. Candidate at Anne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, Texas

5. Division of Ophthalmology, Providence St. John’s Hospital, Santa Monica, California

6. Ophthalmic Plastic and Reconstructive Surgery, UCLA Jules Stein Eye Institute, Santa Monica, California, U.S.A.

Abstract

Sweet’s syndrome (acute febrile neutrophilic dermatosis) is an uncommon inflammatory condition most often associated with painful skin lesions of the head, neck, and upper extremities. To the authors’ knowledge, this case report is the only published record of the necrotizing clinical variant of Sweet’s syndrome in the periorbital space. This case follows a 91-year-old female who presented with generalized cutaneous eruptions of tender erythematous plaques, including a necrotic plaque of the left upper eyelid, and pancytopenia. A biopsy of an inner thigh lesion was consistent with Sweet’s syndrome. Initially diagnosed with preseptal cellulitis, the patient experienced marked clinical improvement with corticosteroids. This, coupled with the histopathologic findings of her thigh biopsy and the absence of eyelid margins, led to the diagnosis of periorbital necrotizing Sweet’s syndrome. Although cases of Sweet’s syndrome in the periorbital region are rare, these diagnoses should not be overlooked and may be critical to patient care.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Ophthalmology,General Medicine,Surgery

Reference11 articles.

1. Sweet’s syndrome – a comprehensive review of an acute febrile neutrophilic dermatosis.;Cohen;Orphanet J Rare Dis,2007

2. New practical aspects of Sweet syndrome.;Joshi;Am J Clin Dermatol,2022

3. Insights into the pathogenesis of Sweet’s syndrome.;Heath;Front Immunol,2019

4. Bilateral periocular swelling in Sweet’s syndrome.;Patel;Eye,2004

5. Insights into the characteristics of Sweet syndrome in patients with and without hematologic malignancy.;Zheng;Front Immunol,2020

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