P03-026 – Sweet’s syndrome: report of a new case

Methods Mrs. S.H 31 years old, whose antecedents show irregular menstrual cycles, mechanical contraception used in anarchic way, was hospitalized for painful nodular erythematous papulopustular lesions located in the face and limbs, associated with fever (38.5°C) and arthralgia of the ankles. Clinical exam showed limited papulo-nodular erythematous lesions of variable size, in the face, the upper limbs and thighs with the dermal-hypodermic nodule in legs. Tests showed neutrophilic leukocytosis at 13000 elements/mm3, a sedimentation rate accelerated to 100mm in the first hour and a C-reactive protein increased to 79mg/l. Liver function was normal and 24h proteinuria was negative. Skin biopsy was in favor of Sweet’s syndrome. An etiological test was conducted. No abnormality was observed for blood smear, electrophoresis of proteins, lactate dehydrogenase dosage and carcinoembryonic antigen. Given the gynecological history of the patient, a dosage of Beta-HCG was performed and showed an increase to 119358mUI/ml. Endovaginal ultrasonography showed mono fetal pregnancy with a gestational age estimated to six weeks. The diagnosis of pregnancy Sweet Sydrome was retained. Therapeutic abstention was advocated with clinical monitoring and the evolution was spontaneously favorable after 6 weeks.