Article Text

Unusual association of diseases/symptoms
Sweet’s syndrome in Crohn’s colitis
  1. Sheikh Anwar1,
  2. Aizan Hishamuddin2,
  3. A J Khairul3,
  4. A J Shamsul4,
  5. Hamizah Razlan1,
  6. Mohd Shahrir Mohamed Said5
  1. 1
    UKMMC, Medical, Jalan Yaacob Latif, Kuala Lumpur, Wilayah Persekutuan, 56000, Malaysia
  2. 2
    Hospital Shah Alam, Medical, Shah Alam, Jalan Yaacob Latif, Cheras, Shah Alam, Selangor, 41000, Malaysia
  3. 3
    Universiti Islam Antarabangsa, Medical, Jalan Universiti, Kuantan, Pahang, 30000, Malaysia
  4. 4
    Hospital Selayang, Gastroenterology and Hepatology, Jalan Hospital, Selayang, Selangor, 40000, Malaysia
  5. 5
    UKM, Medical, UKM Medical Center, Jalan Yaacob Latif, Cheras, Kuala Lumpur, Kuala Lumpur, 56000, Malaysia
  1. Mohd Shahrir Mohamed Said, drobiwan{at}gmail.com

Summary

We would like to report a case involving a 38-year-old woman who presented with knee and ankle swellings 2 weeks prior to admission. There were also multiple painful oral ulcers and a few skin sores on the wrist. She also had associated diarrhoea for 2 weeks. There was also marked loss of weight (6 kg in 2 weeks). Colonoscopy examination showed macroscopic and histopathological findings of Crohn’s disease; however, skin histology showed extensive neutrophilic infiltration in the dermis, predominantly in the perivascular region. Her final diagnosis was Sweet’s syndrome with Crohn’s disease.

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Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.