Image in medicine
Not always is an infection
No siempre es una infección
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arm, with no other systemic symptoms. A mastectomy with lymph node dissection in 2010 for right breast cancer and subsequent treatment with tamoxifen stood out in the patient's history. After surgery, she developed mild lymphedema. Erythematous papules with a disorganized distribution were observed on examination, some with a pustule in the centre (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Pustule culture was negative. Laboratory parameters showed a mild neutrophilia with 6500<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">3</span>/μl, although the biopsy showed oedema and an intense dermal neutrophilic infiltrate compatible with acute neutrophilic dermatosis (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>, arrow). Empirical treatment was started with oral and topical antibiotics and corticosteroids, with resolution of symptoms after a week. Sweet syndrome localized on lymphedema is a recently described atypical clinical variant, not only after mastectomy, but after cervical cancer and melanoma surgery with involvement of the lower limbs. Due to its presentation, it is frequently confused with an infectious or inflammatory process, and since the clinical presentation is mild without systemic involvement and can resolve spontaneously, it is usually underdiagnosed and poorly treated. In addition, to date, there has been no association with a possible recurrence of the primary tumour.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García Martínez E, Ruíz Martínez J, Hernández-Gil Sánchez J, Brufau Redondo C, Poblet Martínez E. No siempre es una infección. 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