0
Article |

Septal Granulomatous Panniculitis in Sweet's Syndrome: Title and subTitle BreakReport of Two Cases

Ariel Blaustein, MD; Abelardo Moreno, MD; Javier Noguera, MD; José M. de Moragas, MD
[+] Author Affiliations

Accepted for publication June 8, 1984.

Reprints not available.


From the Departments of Dermatology (Drs Blaustein, Noguera, and de Moragas) and Pathology (Dr Moreno), Hospital de la Santa Cruz y San Pablo, Universidad Autónoma de Barcelona, Barcelona, Spain.


Arch Dermatol. 1985;121(6):785-788. doi:10.1001/archderm.1985.01660060099030
Text Size: A A A
Published online

• Two patients had Sweet's syndrome (acute febrile neutrophilic dermatosis) with subcutaneous lesions resembling erythema nodosum. In both, the erythema nodosum-like lesions histologically showed a septal granulomatous panniculitis with numerous Miescher's granulomas. This type of subcutaneous involvement in Sweet's syndrome should be differentiated from panniculitis caused by deep subcutaneous neutrophilic infiltration. Involvement of the panniculus in Sweet's syndrome may then occur in two different patterns: a septal granulomatous panniculitis, as in our two cases, or a neutrophilic lobular panniculitis, as has been previously reported.

(Arch Dermatol 1985;121:785-788)

REFERENCES

Sweet RD:  An acute febrile neutrophilic dermatosis . Br J Dermatol 1964;;76:349-356.
Sweet RD:  Further observations on acute febrile neutrophilic dermatosis . Br J Dermatol 1968;;80:800-805.
Whittle CH, Beck GA, Champion RH:  Recurrent neutrophilic dermatosis of the face: A variant of Sweet's syndrome . Br J Dermatol 1968;;80:806-810.
Splector JL, Zimbler H, Levine R, et al:  Sweet's syndrome: Association with acute leukemia JAMA 1980;;244:1131-1132.
Gunawardena DA, Gunawardena KA, Ratvayaka RMRS, et al:  The clinical spectrum of Sweet's syndrome (acute febrile neutrophilic dermatosis): A report of eighteen cases . Br J Dermatol 1975;;92:363-373.
Cooper PH, Innes DJ, Greer KE:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) and myeloproliferative disorders . Cancer 1983;;51:1518-1526.
Storer JS, Nesbitt LT, Galen WK, et al:  Sweet's syndrome . Int J Dermatol 1983;;22:8-12.
Crow KD, Kardel-Vegas F, Rook A:  Acute febrile neutrophilic dermatosis: Sweet's syndrome . Dermatologica 1969;;139:123-124.
Greer KE, Pruitt JL, Bishop GF:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1975;;111:1461-1463.
Shapiro L, Baraf CS, Richheimer LL:  Sweet's syndrome (acute febrile neutrophilic dermatosis): Report of a case . Arch Dermatol 1971;;103:81-84.
Prytowsky SD, Fye KH, Goette KD, et al:  Acute febrile neutrophilic dermatosis associated with Sjörgren's syndrome . Arch Dermatol 1978;;114:1234-1235.
Goldman GC, Moschella SL:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1971;;103:654-660.
Hoffman GS:  Treatment of Sweet's syndrome (acute febrile neutrophilic dermatosis) with indomethacin . J Rheumatol 1977;;4:201-206.
Bechtel MA, Callen JP:  Acute febrile neutrophilic dermatosis. Sweet's syndrome . Arch Dermatol 1981;;117:664-666.
Honigsmann H, Wolff K:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) , in Fitzpatrick TB, Eisen AZ, Wolff K, et al (eds): Update: Dermatology in General Medicine . New York, MacGraw-Hill Book Co, 1983;, pp 40-45.
Greer KE, Cooper PH:  Sweet's syndrome (acute febrile neutrophilic dermatosis) . Clin Rheum Dis 1982;;8:427-441.
Sweet RD:  Acute febrile neutrophilic dermatosis—1978 . Br J Dermatol 1979;;100:93-99.
Evans S, Evans CC:  Acute febrile neutrophilic dermatosis: Two cases . Dermatologica 1971;;143:153-159.
Petrozzi JW, Warthan TL:  Sweet's syndrome: Unique local response to streptococcal antigen . Cutis 1976;;17:267-272.
Nunzi E, Crovato F, Dallegri F, et al:  Immunopathological studies on a case of Sweet's syndrome . Dermatologica 1981;; 163:393-400.
Cooper PH, Frierson HF, Greer KE:  Subcutaneous neutrophilic infiltrates in acute febrile neutrophilic dermatosis . Arch Dermatol 1983;;119:610-611.
Miescher G:  Zur Frage der Radiärknötchen beim Erythema nodosum . Arch Dermatol Syphilol 1951;;193:251-256.
Getz K, cited in Montgomery H: Dermatopathology . New York, Harper & Row Publishers Inc, 1967;, p 678.
Sanz Vico MD, Sanchez Yus E:  El granuloma de Miescher (GM) en las paniculitis: Historia, estructura y posible significación . Gac Dermatol 1981;;2:207-214.
Mackie RM:  Sweet's syndrome: A further case of acute febrile neutrophilic dermatosis . Dermatologica 1974;;149:69-73.
Moragas JM:  Panniculitis , in Fitzpatrick TB, Eisen AZ, Wolff K, et al (eds): Dermatology in General Medicine . New York, McGraw-Hill Book Co, 1979;, pp 784-802.
Schulz EJ, Whiting DA:  Treatment of erythema nodosum and nodular vasculitis with potassium iodide . Br J Dermatol 1976;;94:75-78.
Horio T, Imamura S, Danno K, et al:  Treatment of acute febrile dermatosis (Sweet's syndrome) with potassium iodide . Dermatologica 1980;;100:341-347.
Horio T, Danno K, Okamoto H, et al:  Potassium iodide in erythema nodosum and other erythematous dermatoses . J Am Acad Dermatol 1983;;9:77-81.
Conde JM, Vanaclocha F:  Afectación hipodérmica en el Síndrome de Sweet . Read before the Reunión Nacional Grupo Dermatopatología, Logroño, Spain, Oct 28, 1983 .

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Sweet RD:  An acute febrile neutrophilic dermatosis . Br J Dermatol 1964;;76:349-356.
Sweet RD:  Further observations on acute febrile neutrophilic dermatosis . Br J Dermatol 1968;;80:800-805.
Whittle CH, Beck GA, Champion RH:  Recurrent neutrophilic dermatosis of the face: A variant of Sweet's syndrome . Br J Dermatol 1968;;80:806-810.
Splector JL, Zimbler H, Levine R, et al:  Sweet's syndrome: Association with acute leukemia JAMA 1980;;244:1131-1132.
Gunawardena DA, Gunawardena KA, Ratvayaka RMRS, et al:  The clinical spectrum of Sweet's syndrome (acute febrile neutrophilic dermatosis): A report of eighteen cases . Br J Dermatol 1975;;92:363-373.
Cooper PH, Innes DJ, Greer KE:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) and myeloproliferative disorders . Cancer 1983;;51:1518-1526.
Storer JS, Nesbitt LT, Galen WK, et al:  Sweet's syndrome . Int J Dermatol 1983;;22:8-12.
Crow KD, Kardel-Vegas F, Rook A:  Acute febrile neutrophilic dermatosis: Sweet's syndrome . Dermatologica 1969;;139:123-124.
Greer KE, Pruitt JL, Bishop GF:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1975;;111:1461-1463.
Shapiro L, Baraf CS, Richheimer LL:  Sweet's syndrome (acute febrile neutrophilic dermatosis): Report of a case . Arch Dermatol 1971;;103:81-84.
Prytowsky SD, Fye KH, Goette KD, et al:  Acute febrile neutrophilic dermatosis associated with Sjörgren's syndrome . Arch Dermatol 1978;;114:1234-1235.
Goldman GC, Moschella SL:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) . Arch Dermatol 1971;;103:654-660.
Hoffman GS:  Treatment of Sweet's syndrome (acute febrile neutrophilic dermatosis) with indomethacin . J Rheumatol 1977;;4:201-206.
Bechtel MA, Callen JP:  Acute febrile neutrophilic dermatosis. Sweet's syndrome . Arch Dermatol 1981;;117:664-666.
Honigsmann H, Wolff K:  Acute febrile neutrophilic dermatosis (Sweet's syndrome) , in Fitzpatrick TB, Eisen AZ, Wolff K, et al (eds): Update: Dermatology in General Medicine . New York, MacGraw-Hill Book Co, 1983;, pp 40-45.
Greer KE, Cooper PH:  Sweet's syndrome (acute febrile neutrophilic dermatosis) . Clin Rheum Dis 1982;;8:427-441.
Sweet RD:  Acute febrile neutrophilic dermatosis—1978 . Br J Dermatol 1979;;100:93-99.
Evans S, Evans CC:  Acute febrile neutrophilic dermatosis: Two cases . Dermatologica 1971;;143:153-159.
Petrozzi JW, Warthan TL:  Sweet's syndrome: Unique local response to streptococcal antigen . Cutis 1976;;17:267-272.
Nunzi E, Crovato F, Dallegri F, et al:  Immunopathological studies on a case of Sweet's syndrome . Dermatologica 1981;; 163:393-400.
Cooper PH, Frierson HF, Greer KE:  Subcutaneous neutrophilic infiltrates in acute febrile neutrophilic dermatosis . Arch Dermatol 1983;;119:610-611.
Miescher G:  Zur Frage der Radiärknötchen beim Erythema nodosum . Arch Dermatol Syphilol 1951;;193:251-256.
Getz K, cited in Montgomery H: Dermatopathology . New York, Harper & Row Publishers Inc, 1967;, p 678.
Sanz Vico MD, Sanchez Yus E:  El granuloma de Miescher (GM) en las paniculitis: Historia, estructura y posible significación . Gac Dermatol 1981;;2:207-214.
Mackie RM:  Sweet's syndrome: A further case of acute febrile neutrophilic dermatosis . Dermatologica 1974;;149:69-73.
Moragas JM:  Panniculitis , in Fitzpatrick TB, Eisen AZ, Wolff K, et al (eds): Dermatology in General Medicine . New York, McGraw-Hill Book Co, 1979;, pp 784-802.
Schulz EJ, Whiting DA:  Treatment of erythema nodosum and nodular vasculitis with potassium iodide . Br J Dermatol 1976;;94:75-78.
Horio T, Imamura S, Danno K, et al:  Treatment of acute febrile dermatosis (Sweet's syndrome) with potassium iodide . Dermatologica 1980;;100:341-347.
Horio T, Danno K, Okamoto H, et al:  Potassium iodide in erythema nodosum and other erythematous dermatoses . J Am Acad Dermatol 1983;;9:77-81.
Conde JM, Vanaclocha F:  Afectación hipodérmica en el Síndrome de Sweet . Read before the Reunión Nacional Grupo Dermatopatología, Logroño, Spain, Oct 28, 1983 .

Correspondence

CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.