Cryptococcoid Sweet Syndrome: A Case Report and Literature Review

    Elizabeth L. Stauder, Christina Topham, Ashley Khouri, Margaret Cocks, Rosemary deShazo, Jamie Zussman, Lauren M. Madigan
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    Studysummary This study outlines a rare case of cryptococcoid Sweet syndrome linked to hydralazine use and previous cocaine exposure, emphasizing the importance of recognizing unique histopathological features such as multiple positive autoantibodies and mucosal involvement to ensure timely diagnosis and treatment.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A man in his 50s with a complex medical history, including hypertension, diabetes, and past substance use, developed acute renal failure, respiratory failure, and a painful rash. Diagnosed with cryptococcoid Sweet syndrome, a rare variant of Sweet syndrome, he was treated with methylprednisolone and dapsone, leading to gradual resolution of symptoms. This case, along with a literature review, highlights the association of this syndrome with hydralazine use and the presence of multiple autoantibodies. The review emphasizes the need for high clinical suspicion and further research into this rare condition.
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