Title
Periorbital Necrotizing Sweet's Syndrome: A Case Report.
Document Type
Article
Publication Date
7-21-2023
Publication Title
Ophthalmic Plast Reconstr Surg
Keywords
california; santa monica; psjhc
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.
Department
Ophthalmology
Department
Plastic Surgery
Recommended Citation
Watson, Samantha L; Kuo, Andy; Kishi, Susan H; Fat, Marisa N; and Boxrud, Cynthia A, "Periorbital Necrotizing Sweet's Syndrome: A Case Report." (2023). Articles, Abstracts, and Reports. 7660.
https://digitalcommons.providence.org/publications/7660