Sweet’s Syndrome Associated with Mycobacterium Tuberculosis and Cervical Cancer: A Case Report
Onsiri Serirat MD*, Yupin Thaipisuttikul MD*
Affiliation : *Department of Medicine, Rajavithi Hospital,College of Medicine, Rangsit University, Bangkok, Thailand
A case of Sweet’s syndrome associated with pulmonary tuberculosis and cervical cancer was reported. A 34-year- old Thai woman had pulmonary tuberculosis. After treatment with anti-tuberculosis for two months, she developed erythema- tous 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
