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  Vol. 145 No. 3, March 2009 TABLE OF CONTENTS
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VIGNETTES
Sweet Syndrome With Pulmonary Involvement in a Healthy Young Woman

Courtney M. Robbins, MD; Stephen E. Mason, MD; Lauren C. Hughey, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Sweet syndrome, or acute febrile neutrophilic dermatosis, is a syndrome of erythematous papules and plaques, fever, leukocytosis, and arthralgias.1-2 Although rare, Sweet syndrome can have extra cutaneous manifestations, including pulmonary, cardiovascular, renal, hepatic, ocular, and neurologic.2

Report of a Case

A 26-year-old woman presented with abrupt onset of a hemorrhagic bulla on her leg, bilateral knee pain, and the subsequent development of fever, chills, arthralgias, and multiple skin lesions. Skin examination revealed numerous violaceous papules and plaques (some with overlying bullae), pustules, and ulceration over her face, trunk, and extremities (Figure 1). A complete blood cell count revealed a white blood cell count of 9550/µL with 81% neutrophils, and her erythrocyte sedimentation rate and C-reactive protein level were elevated. (To convert white blood cell count to number of cells x 109/L, multiply by 0.001.) Analysis of a peripheral blood . . . [Full Text of this Article]


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