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Disseminated Gonococcal Infection Presenting as Sweet Syndrome  

Kim, Joon-Wan (Department of Internal Medicine, Seoul National University College of Medicine)
Song, Ran (Department of Internal Medicine, Seoul National University College of Medicine)
Im, Churl-Hyun (Department of Internal Medicine, Seoul National University College of Medicine)
Kim, Jin-Hyun (Department of Internal Medicine, Seoul National University College of Medicine)
Lee, Eun-Young (Department of Internal Medicine, Seoul National University College of Medicine)
Lee, Eun-Bong (Department of Internal Medicine, Seoul National University College of Medicine)
Song, Yeong-Wook (Department of Internal Medicine, Seoul National University College of Medicine)
Publication Information
The Korean Journal of Medicine / v.80, no.4, 2011 , pp. 486-489 More about this Journal
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.
Keywords
Neisseria gonorrhoeae; Sweet syndrome; Disseminated gonococcal infection;
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