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Survival in patients with hypoechoic muscularis propria lesions suggestive of gastrointestinal stromal tumors in gastric wallSymptomatic ileocolic fistula as a complication of endoscopic laser therapy A case report

Sweet's syndrome in a patient with Crohn's disease

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(Acta gastroenterol. belg., 1999, 62, 372-374)

July-September Volume 62, fasc. 3

Sweet's syndrome in a patient with Crohn's disease

W. Carpels, C. Mattelaer 1, K. Geboes 1, G. Coremans, J. Tack. - Department of Internal Medicine Division of Gastroenterology; (1) Department of Pathology, University Hospital Gasthuisberg University of Leuven, Leuven, Belgium.

Crohn's disease is rarely associated with Sweet's syndrome. We report a 32-year old woman who presented with diarrhea, fever and disseminated erythematous plaques on the arms and the trunk. After colonoscopy with biopsies, Crohn's disease was diagnosed. Skin biopsy showed a dense infiltration of neutrophilic polymorphonuclear leukocytes, establishing also the diagnosis of Sweet's syndrome. Crohn's disease is one of several systemic diseases that may underlie Sweet's syndrome. Treatment with methylprednisolone resulted in a rapid improvement of both gastrointestinal symptoms and skin lesions.