Back issues No.2 - 1998 / Case Report  

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Sweet's Syndrome Associated with Myelodysplastic Syndrome
Chu-Hui Tu, Kou-Huan Tseng, The-Li Wong, Shih-Lung Chang
Dermatol Sinica 16: 119-123, 1998

A 58-year-old male patient presented with tarry stool passage for many times. Some painful erythematous nodules and plaques were noted on the face and neck during hospitalization. Histological examination of these skin lesions revealed prominent perivascular infiltration of neutrophils but no evidence of vasculitis. Hematological tests showed pancytopenia and an elevated erythrocyte sedimentation rate. A bone marrow aspiration was arranged and refractory anemia was found. Under the impression of Sweet's syndrome with myelodysplastic syndrome, steroids were given with subsequent marked improvement of these skin lesions within several days. Unfortunately, the patient died of respiratory failure several months later.

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