Nadir bir olgu:  Sweet Sendromu'na ba�l� akci�er tutulumu

Argun Bar��, Serap; Do�ru, Gonca; Boyac�, Ha�im; Ba�yi�it, �lknur; Y�ld�z, F�sun

Cilt : 3 Say� : 1 Y�l : 2024

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Nadir bir olgu: Sweet Sendromu'na ba�l� akci�er tutulumu [Respir Case Rep]

Respir Case Rep. 2014; 3(1): 11-15 | DOI: 10.5505/respircase.2014.30592

Nadir bir olgu: Sweet Sendromu'na ba�l� akci�er tutulumu

Serap Argun Bar��, Gonca Do�ru, Ha�im Boyac�, �lknur Ba�yi�it, F�sun Y�ld�z
Kocaeli �niversitesi T�p Fak�ltesi G��s Hastal�klar� Anabilim Dal�, Kocaeli

Sweet sendromu ya da akut febril n�trofilik dermatoz, eritemli pap�l ve plaklar, ate�, l�kositoz ve artraljiden olu�an bir sendromdur. Nadir olarak Sweet sendromuna ba�l� pulmoner, kardiyaovask�ler, renal, hepatik, ok�ler ve n�rolojik tutulumlar� i�eren ekstrakutan�z tutulumlar g�r�lebilmektedir. Elli �� ya��nda erkek hasta nefes darl��, �ks�r�k ve 38,2 derece ate� y�ksekli�i �ikayeti ile ba�vurdu. Bir y�l �nce Sweet sendromu tan�s� konulan hastan�n fizik muayenesinde her iki �st ekstremite, boyun ve y�zde eritemli pap�lop�st�ler lezyonlar mevcuttu. PA akci�er grafisinde bilateral silik opasiteler, toraks BT�sinde her iki akci�erde periferal yerle�imli da��n�k yamal� opasiteler izlendi. Laboratuvar tetkiklerinde, C reaktif protein ve eritrosit sedimentasyon y�ksekli�i izlendi. Bronkoalveoler lavaj s�v�s�nda n�trofil oran�nda art�� olan hastaya mevcut klinik ve radyolojik bulgular� ile Sweet sendromuna ba�l� akci�er tutulumu tan�s� konularak steroid tedavisi ba�land�. Bir bu�uk ay sonras�nda klinik, laboratuvar ve radyolojik olarak gerileme saptand�. Sweet sendromuna ba�l� pulmoner tutulum geli�en hastam�z� sunmaktay�z.

Anahtar Kelimeler: Sweet sendromu, akci�er, buzlu cam dansitesi, steroid

Lung involvement in Sweet's Syndrome: a rare case

Serap Argun Bar��, Gonca Do�ru, Ha�im Boyac�, �lknur Ba�yi�it, F�sun Y�ld�z
Department Of Pulmonary Disease, Kocaeli University Medical Faculty, Kocaeli, Turkey

Sweet's syndrome, or acute febrile neutrophilic dermatosis, is a syndrome of erythematous papules and plaques, fever, leukocytosis, and arthralgia. Although rare, Sweet's syndrome can have extra-cutaneous manifestations, including pulmonary, cardiovascular, renal, hepatic, ocular, and neurologic. A 53-year-old man presented with a fever of 38.2 degrees Celsius associated with cough and dyspnea. There were erythematous papular lesions on the upper extremities and face. The chest X-ray and thoracic CT showed bilateral peripherally ground glass opacities. C reactive protein and erythrocyte sedimentation levels were high. There was an increase of neutrophils in bronchoalveolar lavage. The diagnosis was pulmonary involvement of Sweet's syndrome according to the clinical, radiologic and BAL findings, and the patient was treated with corticosteroid. There was a dramatic improvement of clinical, biochemical, and radiological findings 1.5 months after the treatment. Herein, the researchers report a case of Sweet's syndrome with pulmonary involvement.

Keywords: Sweet syndrome, lung, ground-glass opacity, steroid

Sorumlu Yazar: Serap Argun Bar��, T�rkiye
Makale Dili: T�rk�e

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