J Med Assoc Thai 2011; 94 (3):119

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Sweet’s Syndrome Associated with Mycobacterium Tuberculosis and Cervical Cancer: A Case Report
Serirat O Mail, Thaipisuttikul Y

A case of Sweet’s syndrome associated with pulmonary tuberculosis and cervical cancer was reported. A 34-yearold
Thai woman had pulmonary tuberculosis. After treatment with anti-tuberculosis for two months, she developed erythematous
papules, plaque, pustule-like lesions at face and limbs, extremities, palms and soles spare truncal area. She also had high
fever and muscle pain. Biochemical test at that time showed only leukocytosis and thrombocytosis, no correlation to any other
infections, malignancy or connective tissue disease was found. We continued treating with anti-tuberculosis, simultaneously
with systemic steroid and occasional colchicin for her cutaneous and hematologic conditions. The disease flared up for few
episodes which could be controled with systemic steroid before it subsided. However, she was diagnosed and treated for
cervical carcinoma few years later. Eventhough is not very common, the chance of having tuberculosis and cervical cancer
should be considered in patients presenting with Sweet’s syndrome.

Keywords : Acute febrile neutrophilic dermatosis (Sweet’s syndrome), Tuberculosis, Anemia, Thrombocytosis, Cervical
cancer


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