Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum
Alemka Markotić
; University Hospital for Infectious Diseases „Dr. Fran Mihaljević“, Zagreb, Croatia
Ivana Puškarić
; University Hospital for Infectious Diseases „Dr. Fran Mihaljević“, Zagreb, Croatia
Tomislava Skuhala
; University Hospital for Infectious Diseases „Dr. Fran Mihaljević“, Zagreb, Croatia
APA 6th Edition Markotić, A., Puškarić, I. i Skuhala, T. (2019). Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum. Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, (540=48-49), 71-74. https://doi.org/10.21857/mwo1vczw1y
MLA 8th Edition Markotić, Alemka, et al. "Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum." Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, vol. , br. 540=48-49, 2019, str. 71-74. https://doi.org/10.21857/mwo1vczw1y. Citirano 18.04.2021.
Chicago 17th Edition Markotić, Alemka, Ivana Puškarić i Tomislava Skuhala. "Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum." Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti , br. 540=48-49 (2019): 71-74. https://doi.org/10.21857/mwo1vczw1y
Harvard Markotić, A., Puškarić, I., i Skuhala, T. (2019). 'Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum', Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, (540=48-49), str. 71-74. https://doi.org/10.21857/mwo1vczw1y
Vancouver Markotić A, Puškarić I, Skuhala T. Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum. Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti [Internet]. 2019 [pristupljeno 18.04.2021.];(540=48-49):71-74. https://doi.org/10.21857/mwo1vczw1y
IEEE A. Markotić, I. Puškarić i T. Skuhala, "Upper Respiratory Infection Followed by Concurrent Sweet’s Syndrome and Erythema Nodosum", Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, vol., br. 540=48-49, str. 71-74, 2019. [Online]. https://doi.org/10.21857/mwo1vczw1y
APA 6th Edition Markotić, A., Puškarić, I. i Skuhala, T. (2019). Respiratorna infekcija gornjih dišnih putova praćena istovremeno Sweetovim sindromom i nodoznim eritemom. Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, (540=48-49), 71-74. https://doi.org/10.21857/mwo1vczw1y
MLA 8th Edition Markotić, Alemka, et al. "Respiratorna infekcija gornjih dišnih putova praćena istovremeno Sweetovim sindromom i nodoznim eritemom." Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, vol. , br. 540=48-49, 2019, str. 71-74. https://doi.org/10.21857/mwo1vczw1y. Citirano 18.04.2021.
Chicago 17th Edition Markotić, Alemka, Ivana Puškarić i Tomislava Skuhala. "Respiratorna infekcija gornjih dišnih putova praćena istovremeno Sweetovim sindromom i nodoznim eritemom." Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti , br. 540=48-49 (2019): 71-74. https://doi.org/10.21857/mwo1vczw1y
Harvard Markotić, A., Puškarić, I., i Skuhala, T. (2019). 'Respiratorna infekcija gornjih dišnih putova praćena istovremeno Sweetovim sindromom i nodoznim eritemom', Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, (540=48-49), str. 71-74. https://doi.org/10.21857/mwo1vczw1y
Vancouver Markotić A, Puškarić I, Skuhala T. Respiratorna infekcija gornjih dišnih putova praćena istovremeno Sweetovim sindromom i nodoznim eritemom. Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti [Internet]. 2019 [pristupljeno 18.04.2021.];(540=48-49):71-74. https://doi.org/10.21857/mwo1vczw1y
IEEE A. Markotić, I. Puškarić i T. Skuhala, "Respiratorna infekcija gornjih dišnih putova praćena istovremeno Sweetovim sindromom i nodoznim eritemom", Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, vol., br. 540=48-49, str. 71-74, 2019. [Online]. https://doi.org/10.21857/mwo1vczw1y
Sažetak Sweet’s syndrome (SS) is a rare inflammatory condition presented with fever, leukocytosis, ery- thematous, tender plaques and histology evidence of dense neutrophilic infiltration in the dermis. It appears mostly in women between age 30-60 years. Erythema nodosum (EN), a form of pan- niculitis, is manifested as erythematous painful rounded lumps and occurs 3-5 times more often
in female patients in all age groups, but mostly between the second and the fourth decades of life. Although rare, concurrent occurrence of Sweet’s syndrome and erythema nodosum is described and may be associated with autoimmune disorders, certain malignancies, gastrointestinal disease or upper respiratory tract infections. Here, we described 34-year-old saleswoman who developed con- current Sweet’s syndrome and erythema nodosum seven days after upper respiratory tract infection onset. During upper respiratory infection, she was treated with three-days azithromycin therapy, together with ibuprofen and paracetamol. Later, when she developed concurrent SS and EN, she was treated initially with clindamycin and prednisone 40 mg, followed by 60 mg of prednisone after which the patient becomes afebrile with gradual rash regression. There is limited knowledge on concurrent SS and EN, their etiopathogenesis and association with different diseases, infections and /or medications. Concurrent SS and EN in our patient was probably triggered by the upper respiratory tract infection. Although, there is no evidence that azithromycin may induce SS or EN or both, it could be considered as a possible trigger alone or together with the upper respiratory tract infection.