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VIGNETTES
Sweet Syndrome Associated With New-Onset Systemic Lupus Erythematosus in a 25-Year-Old Man
Neil F. Fernandes, MD;
Leslie Castelo-Soccio, MD, PhD;
Ellen J. Kim, MD;
Victoria P. Werth, MD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Sweet syndrome (SS) is a reactive neutrophilic process characterized by tender, erythematous papules and plaques, fever, and leukocytosis and is associated with underlying infections, inflammatory diseases, and malignant neoplasms. To our knowledge, only 2 cases of SS associated with new-onset systemic lupus erythematosus (SLE) have been reported—one in an adult woman and the other in a 14-year-old girl.1-2 We report the first case in an adult man.
Report of a Case
A 25-year-old previously healthy man was admitted for intermittent fevers (temperature readings to 39.4°C), arthralgias, chest pain, and eruption. He reported 7 months of malaise and a previous admission for chest pain during which a chest computed tomographic (CT) scan revealed bilateral axillary lymphadenopathy. A dermatologist was consulted to evaluate a malar eruption and multiple, red, tender plaques with central vesiculopustules (Figure 1). The patient . . . [Full Text of this Article] Comment
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