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[Sweet's syndrome associated with squamous cell bronchial carcinoma. Neutrophilic dermatosis and non-small cell lung cancer]

AbstractINTRODUCTION: Sweet's syndrome, one of the neutrophilic dermatoses, is idiopathic in most cases. In 10-20% of cases it is paraneoplastic, associated with a solid tumour or haematological malignancy. An association with carcinoma of the bronchus has been only rarely described. CASE REPORT: We report the case of a 56 year old man who presented with Sweet's syndrome two months before the diagnosis of a squamous cell carcinoma of the bronchus. The dermatosis responded well to corticosteroids. The progress of the tumour was favourable, with stabilisation following 3 courses of chemotherapy and local radiotherapy. DISCUSSION: This case report updates this rare association and underlines the importance of undertaking appropriate thoracic investigations in the presence of this dermatosis. A paraneoplastic secretion of interleukin-8, GM-CSF and/or G-CSF by the bronchial tumour cells facilitating the recruitment of neutrophils, particularly in the skin, may account for the pathophysiology of this condition.
AuthorsA Van Denhove, N Freymond, S Isaac, K Marrou, B Balme, F Gormand, B Guibert, Y Pacheco, G Devouassoux (Affiliation: Service de Pneumologie, Centre Hospitalier Lyon Sud, HCL, France.)
JournalRevue des maladies respiratoires (Rev Mal Respir) Vol. 24 Issue 1 Pg. 77-80 (Jan 2007) ISSN: 0761-8425 France
Vernacular TitleSyndrome de Sweet révélant un carcinome bronchique épidermoïde. Cancer bronchique et dermatose neutrophilique.
PMID17268370 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Bronchial Neoplasms (complications)
  • Carcinoma, Non-Small-Cell Lung (complications)
  • Carcinoma, Squamous Cell (complications)
  • Humans
  • Lung Neoplasms (complications)
  • Male
  • Middle Aged
  • Paraneoplastic Syndromes (etiology)
  • Sweet Syndrome (etiology)