Recurrent Subcutaneous Sweet's Disease in a Myelofibrosis Patient Treated with Ruxolitinib before Allogeneic Stem Cell Transplantation

Intern Med. 2017 Sep 15;56(18):2481-2485. doi: 10.2169/internalmedicine.8491-16. Epub 2017 Aug 21.

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-SCT) has a curative potential for myelofibrosis (MF) patients; however, its association with a high therapy-related mortality (TRM) remains a big obstacle that needs to be overcome. Ruxolitinib (RUXO), a novel JAK1/2 inhibitor, can be used as a bridging therapy until allo-SCT can be performed to reduce TRM. We herein report a RUXO-treated MF patient who developed recurrent subcutaneous Sweet's disease (SSD) that was successfully treated by the administration of systemic glucocorticoids. We performed allo-SCT as previously scheduled, resulting in a good clinical course without deterioration of SSD. RUXO administration, as well as MF itself, might therefore sometimes cause this rare non-infectious event.

Keywords: Sweet's disease; myelofibrosis; ruxolitinib; stem cell transplantation; subcutaneous.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chronic Disease
  • Glucocorticoids / therapeutic use
  • Hematopoietic Stem Cell Transplantation / methods
  • Humans
  • Male
  • Nitriles
  • Primary Myelofibrosis / complications*
  • Primary Myelofibrosis / drug therapy*
  • Pyrazoles / adverse effects
  • Pyrazoles / therapeutic use*
  • Pyrimidines
  • Sweet Syndrome / complications*
  • Sweet Syndrome / drug therapy

Substances

  • Glucocorticoids
  • Nitriles
  • Pyrazoles
  • Pyrimidines
  • ruxolitinib