April - June 2024, Volume 20, Issue 2

Chiriac (Bozac) MI, Big SA, Maxim RA, Georgescu CE, Crisan N, Gherman V

Sweet's Syndrome Associated with Pheochromocytoma: A Rare Case Report and Review of Literature

Acta Endo (Buc) 2024, 20 (2): 222-230
doi: 10.4183/aeb.2024.222

Background. Sweet's syndrome (SS) or acute febrile neutrophilic dermatosis is a dermatological illness that can be described by tender erythematous plaques or nodules and acute onset fever. The etiology is multifactorial and is not fully understood. SS is separated in three subclasses: classical, malignancy-associated, and drug-induced. It was shown that this syndrome can reveal an underlying hematological or solid malignancy. Case presentation. We report the case of a 55-yearold female patient referred to the Urology department for management of pheochromocytoma in the right adrenal gland, revealed by abdominal imaging in another medical unit during the evaluation and diagnosis of multiple mucocutaneous lesions, characterized by erythematousviolaceous plaques and nodules, and painful aphthous ulcers of the tongue. The eruption of each lesion was preceded by low-grade fever and chills. The hormonal profile highlighted the presence of elevated normetanephrines. We performed 3D laparoscopic transperitoneal right adrenalectomy after preoperative treatment with alpha blocker therapy. The clinical outcome was favourable, given that the cutaneous lesions started to heal after the surgery. Conclusions. Sweet’s syndrome in association with pheochromocytoma is a very rare condition, only few cases were described in literature to our knowledge. The multidisciplinary collaboration is extremely important in the management of such cases.

Keywords: Sweet's syndrome, pheochromocytoma, laparoscopic adrenalectomy, acute febrile neutrophilic dermatosis.

Correspondence: Silvestru-Alexandru Big MD, Cluj Napoca Municipal Clinical Hospital, Urology, 11 Tabacarilor Street, Cluj-Napoca, Cluj, 400139, Romania, E-mail: alex_big_jsd@yahoo.ro