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Vol. 99. Núm. 1.
Páginas 61-63 (enero - febrero 2008)
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Vol. 99. Núm. 1.
Páginas 61-63 (enero - febrero 2008)
Case reports
Acceso a texto completo
Chronic Recurrent Neutrophilic Dermatosis: A Possible Variant in the Spectrum of Neutrophilic Dermatoses
Dermatosis Neutrofílica Crónica Recurrente: Una Posible Variante en el Espectro de las Dermatosis Neutrofílicas
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6678
M. Cabanillas
Autor para correspondencia
mejaime@usc.es

Correspondence: Departamento de Dermatología, Facultad de Medicina, San Francisco, s/n, 15782 Santiago de Compostela, La Coruña, Spain.
, O. Suárez-Amor, D. Sánchez-Aguilar, M.M. Pereiro, J. Toribio
Departamento de Dermatología, Complejo Hospitalario Universitario, Facultad de Medicina, Santiago de Compostela, La Coruña, Spain
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Abstract

Neutrophilic dermatoses constitute a clinically heterogeneous group of diseases that share a common histological substrate, consisting of a dense dermal inflammatory infiltrate of mature polymorphonuclear neutrophils and no evidence of vasculitis. We describe the case of a 56-year-old man with a 6-month history of painful generalized erythematous edematous plaques. Histopathology indicated neutrophilic dermatosis but the patient did not have fever, elevated white blood cell count, or systemic involvement. Tests to rule out possible inflammatory, neoplastic, or infectious processes were negative. We consider the term chronic recurrent annular neutrophilic dermatosis, first used by Christensen et al, to be the most appropriate to define this variant with clinical findings that differ from classic Sweet syndrome.

Key words:
neutrophilic dermatosis
chronic disease
recurrence
Resumen

Las dermatosis neutrofílicas constituyen un grupo clínicamente heterogéneo de enfermedades con un amplio espectro clínico que comparten un sustrato histopatológico común, consistente en un denso infiltrado inflamatorio dérmico de polimorfonucleares neutrófilos maduros sin evidencia de vasculitis. Describimos el caso de un varón de 56 años con una historia de 6 meses de evolución de placas eritematoedematosas dolorosas generalizadas, con un patrón histopatológico de dermatosis neutrofílica pero sin fiebre, leucocitosis ni afectación del estado general. Los estudios realizados para descartar una posible asociación con procesos inflamatorios, neoplásicos o infecciosos resultaron negativos. Creemos que el término de dermatosis neutrofílica anular crónica y recurrente acuñado por Christensen et al es el más adecuado para definir esta variante con hallazgos clínicos que difieren del clásico síndrome de Sweet.

Palabras clave:
dermatosis neutrofílica
enfermedad crónica
recurrencia
El Texto completo está disponible en PDF
References
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Copyright © 2008. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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