Rheumatology 2002; 41: 1067-1069
© 2002 British Society for Rheumatology
Letters to the Editor |
Recurrent tenosynovitis in Sweet's syndrome
Departments of Rheumatology and
1 Dermatology, Derriford Hospital, Plymouth, Devon PL6 8DH, UK
| The first 10% of the full text of this article appears below. |
SIR, An uncommon association of inflammatory polyarthritis is acute febrile neutrophilic dermatosis or Sweet's syndrome. This has the four cardinal features of fever, peripheral neutrophilic leucocytosis, painful plaque-forming inflammatory papules and a diffuse dermal neutrophilic infiltrate without vasculitis [1, 2]. There may be ocular, central nervous system, pulmonary, hepatic and renal involvement as well as oro-genital ulceration. Up to 62% of cases [3, 4] have musculo-skeletal manifestations including myalgia, arthralgia and arthritis. Of the cases of arthritis described in the literature [46], there no reports of associated tenosynovitis. The cause of Sweet's syndrome is unknown but it has an increased incidence in a number of conditions, particularly infections, haematological