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KMID : 0882420110800040486
Korean Journal of Medicine
2011 Volume.80 No. 4 p.486 ~ p.489
Disseminated Gonococcal Infection Presenting as Sweet Syndrome
Kim Joon-Wan

Song Ran
Im Churl-Hyun
Kim Jin-Hyun
Lee Eun-Young
Lee Eun-Bong
Song Yeong-Wook
Abstract
The salient features of Sweet syndrome, also known as acute febrile neutrophilic dermatosis, are pyrexia, elevated neutrophil count, painful red papules, nodules, plaques, and an infiltrate that consists mainly of mature neutrophils diffusely distributed in the upper dermis. In addition to idiopathic forms of the syndrome, malignancies, inflammatory bowel disease, infections, pregnancy, and drugs have been associated with Sweet syndrome. Disseminated gonococcal infection (DGI) results from bacteremic dissemination of Neisseria gonorrhoeae. The most common presentation of DGI is arthritis-dermatitis syndrome. About 75% of DGI patients display a characteristic dermatitis consisting of discrete papules and pustules, often with a hemorrhagic component. We report a case of DGI presenting as Sweet syndrome.
KEYWORD
Neisseria gonorrhoeae, Sweet syndrome, Disseminated gonococcal infection
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