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Neuro-Sweet Syndrome: A Diagnostic Conundrum

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dc.contributor.author Acurio Ortiz, Karlos Alvaro
dc.contributor.author Chuquilin, M.
dc.date.accessioned 2023-09-06T20:45:10Z
dc.date.available 2023-09-06T20:45:10Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14098
dc.description.abstract Sweet Syndrome presents as acute fever, leucocytosis and characteristic skin plaques. It can involve many organ systems but rarely affects the nervous system. We report the case of a 51-year-old female that presented with fever, rash, headache and encephalopathy. Brain magnetic resonance imaging showed extensive T2 hyperintensities involving cerebral hemispheres, cerebellum, and brainstem. A skin biopsy revealed dermal infiltration by neutrophils consistent with Sweet Syndrome. She started steroid treatment with a good clinical response. Further questioning revealed that she had a similar episode 10 years prior that had been diagnosed as acute disseminated encephalomyelitis. Neuro-Sweet Syndrome can present with a great array of symptoms and relapses over long periods of time making the diagnosis difficult without a high degree of suspicion. Clinicians should consider this syndrome in the setting of acute encephalitis with white matter lesions that are highly responsive to steroids particularly in the presence of previous similar symptoms. en_US
dc.language.iso eng
dc.publisher Sage Publications
dc.relation.ispartofseries Neurohospitalist
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Neuro-Sweet Syndrome en_US
dc.subject Diagnostic en_US
dc.subject.mesh Síndrome de Sweet
dc.subject.mesh Diagnóstico
dc.title Neuro-Sweet Syndrome: A Diagnostic Conundrum en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1177/19418744231174949
dc.relation.issn 1941-8752

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