A unique case of steroid-resistant, giant cellulitis-like Sweet syndrome mimicking alpha-1-antitrypsin deficiency-associated panniculitis: successful treatment with dapsone

We reported a unique case of giant cellulitis-like Sweet syndrome with concurrent subcutaneous involvement, demonstrating atypical clinicopathological features as well as a protracted, steroid-refractory course. Intriguingly, transient alpha-1-antitrypsin (AAT) depletion was recorded at the time of worsening (despite a normal SERPINA1 genotype), possibly explaining some of the observed cutaneous changes clinically mimicking AAT deficiency-associated panniculitis.

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Publication Details

Journal
Clinical and Experimental Dermatology
Published
2024-11-20
DOI
https://doi.org/10.1093/ced/llae499
Primary Topic
Autoimmune and Inflammatory Disorders
Type
article
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article

A unique case of steroid-resistant, giant cellulitis-like Sweet syndrome mimicking alpha-1-antitrypsin deficiency-associated panniculitis: successful treatment with dapsone

Carlo Alberto Maronese, Angelo Valerio Marzano, Federica Derlino, Giorgio Alberto Croci et al.
Clinical and Experimental Dermatology
Autoimmune and Inflammatory Disorders
article

A unique case of steroid-resistant, giant cellulitis-like Sweet syndrome mimicking alpha-1-antitrypsin deficiency-associated panniculitis: successful treatment with dapsone

Carlo Alberto Maronese, Angelo Valerio Marzano, Federica Derlino, Giorgio Alberto Croci, Chiara Moltrasio, Italo Francesco Aromolo
article en

Abstract

We reported a unique case of giant cellulitis-like Sweet syndrome with concurrent subcutaneous involvement, demonstrating atypical clinicopathological features as well as a protracted, steroid-refractory course. Intriguingly, transient alpha-1-antitrypsin (AAT) depletion was recorded at the time of worsening (despite a normal SERPINA1 genotype), possibly explaining some of the observed cutaneous changes clinically mimicking AAT deficiency-associated panniculitis.

Clinical and Experimental DermatologyVol. 50(5)
University of Milan (IT), Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
Good health and well-being
Openalex Percentile: Top 69%
Autoimmune and Inflammatory Disorders
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