Neuro-Sweet disease is a rare condition causing encephalitis or meningitis in addition to the erythematous skin plaques of Sweet syndrome. Neuro-Sweet disease has been associated with several ocular manifestations, including ocular movement disorders, episcleritis, conjunctivitis, uveitis, and optic disc oedema. The author reports a patient with orbital inflammation, cranial neuropathies, and a skin rash in the setting of myelodysplastic syndrome. Biopsy of her skin lesion confirmed the diagnosis of neuro-Sweet disease. To the author's knowledge, this is the first reported case of neuro-Sweet disease causing orbital inflammation. Her ocular inflammation resolved with the use of systemic corticosteroid treatment.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5123168 | PMC |
http://dx.doi.org/10.3109/01658107.2014.961090 | DOI Listing |
Rinsho Shinkeigaku
August 2024
Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University.
Clin Exp Dermatol
September 2024
Department of Dermatology, Ninewells Hospital and Medical School, Dundee, UK.
Intern Med
November 2023
Department of Neurology, Toyohashi Municipal Hospital, Japan.
Intern Med
September 2022
Department of Neurology, Tokyo Metropolitan Neurological Hospital, Japan.
Intern Med
February 2022
Department of Neurology, National Hospital Organization Miyagi Hospital, Japan.
Behçet disease and its related disorder, Sweet disease, are multifactorial disorders whose susceptibility loci have been identified in the genes of various immunological factors aside from human leukocyte antigens. The neurological involvement of these diseases, including encephalitis, myelitis, and meningitis, referred to as neuro-Behçet disease (NBD) and neuro-Sweet disease (NSD) respectively, is sometimes difficult to diagnose, especially when the characteristic mucocutaneous symptoms do not precede neurological symptoms or when characteristics of both diseases are present in a single patient. NBD and NSD constitute a spectrum of diseases that are differentiated according to the combination of risk factors, including the genetic background.
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