This case is of a 64-year-old Asian woman with Sweet Syndrome possibly from twenty years ago and erythema nodosum, proven through biopsy five years ago. The patient presented with an acute episode of sweet syndrome. Moreover, a thorough investigation didn’t reveal any underlying secondary cause.
History and Examination
She presented with a four-day history of fever and irregular, tender, red, palpable, and non-scaly plaques on her knees, elbows, and shin. They were multiple in number, and she also had ankle joint pain. In addition to painless red eye on the left side. لعبة الروليت المجانيه However, no proximal weakness or racoon eyes were seen clinically.
The patient’s inflammatory markers were high, but her septic screen and creatinine phosphokinase were negative. Doctors immediately started her on IV co-amoxiclav and oral ciprofloxacin for covering the infection. Moreover, upon further history, she claimed that he had had a similar fever with skin rash in the past. طريقة المراهنات في كرة القدم It involved her upper arms and legs. She was treated in the hospital for a week around twelve tears ago. However, no records were available for it.
She was treated for biopsy-proven erythema nodosum five years ago and she settled with no further complications. Furthermore, since she had such a history, she was suspected of the sweet syndrome and doctors started her on oral methylprednisolone, in addition to the already prescribed antibiotics.
Her symptoms dramatically improved in two days. However, the doctors were unable to person a skin biopsy because the patient did not consent to it. But the diagnostic criteria for the sweet syndrome were met.
Treatment Outcomes and Follow Up
The plaques disappeared completely with only discoloured skin after one week. Moreover, the inflammatory markers also improved, and the methylprednisolone prescription continued for two weeks. It was tailed off over six weeks.
Doctors also did a thorough set of investigations, but they did not find any underlying cause for sweet syndrome and erythema nodosum in the patient.
She followed up after nine months of her current presentation and was asymptomatic of ESR of 20mm after an hour. طريقه لعب البوكر
Conclusion
The conclusion of this case is that SS and EN can occur in healthy patients as well who don’t have any underlying malignancy or any secondary cause.
