Sweet syndrome in patients with and without malignancy: A retrospective analysis of 83 patients from a tertiary academic referral center

Caroline A. Nelson, Megan H. Noe, Christine M. McMahon, Asha Gowda, Benedict Wu, Hovik J. Ashchyan, Alexander E. Perl, William D. James, Robert G. Micheletti, Misha Rosenbach

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Background: Sweet syndrome is a neutrophilic dermatosis that may be categorized into classic, malignancy-associated, and drug-induced subtypes. Few studies have systematically analyzed this rare disorder. Objective: To describe the clinicopathologic characteristics and treatment of Sweet syndrome and identify characteristics associated with concurrent malignancy. Methods: We retrospectively reviewed patients with Sweet syndrome at the University of Pennsylvania from 2005 to 2015. Results: We identified 83 patients (mean age, 57 years; 51% male) with Sweet syndrome: 30% with the classic form, 44% with the malignancy-associated form, 24% with the drug-induced form in the setting of malignancy, and 2% with the drug-induced form. Acute myeloid leukemia was the most common malignancy (in 24 of 83 patients [29%]). Filgrastim was the most common medication (used in 8 of 83 patients [10%]). Leukopenia (P <.001), anemia (P =.002), thrombocytopenia (P <.001), absence of arthralgia (P <.001), and histiocytoid or subcutaneous histopathology (P =.024) were associated with malignancy (χ2 test). Limitations: This was a retrospective study that represents patients from a single tertiary academic referral center, which may limit its generalizability to other settings. Conclusion: When caring for patients with Sweet syndrome, dermatologists should be aware of the potential association of leukopenia, anemia, thrombocytopenia, absence of arthralgia, and histiocytoid or subcutaneous histopathology with malignancy.

Original languageEnglish (US)
Pages (from-to)303-309.e4
JournalJournal of the American Academy of Dermatology
Volume78
Issue number2
DOIs
StatePublished - Feb 2018
Externally publishedYes

Keywords

  • acute febrile neutrophilic dermatosis
  • acute myeloid leukemia
  • fms-like tyrosine kinase 3
  • karyotype
  • neutrophil
  • neutrophilic dermatosis
  • somatic mutations
  • Sweet syndrome

ASJC Scopus subject areas

  • Dermatology

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