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Cutaneous embolism of an atrial myxoma
Author(s) -
Rodríguez Bandera Ana Isabel,
Stewart Nicholas Charles,
Uribe Pablo,
Minocha Rashi,
Choi James Young Joon
Publication year - 2015
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/ajd.12301
Subject(s) - medicine , myxoma , left atrial myxoma , embolism , atrial myxoma , surgery , histopathology , dermatology , radiology , cardiology , pathology , atrial fibrillation , left atrium
Cardiac myxoma often presents with heterogeneous symptoms and signs and represents a challenging diagnosis. The cutaneous manifestations, if present, are often transient and non‐specific and the clinician must possess a high degree of suspicion to secure the diagnosis. We present the case of a 36‐year‐old woman with a 6‐month history of intermittent, painful, violaceous, non‐blanching macules on the thumb and fingertips of the left hand and right ankle. A cutaneous embolic phenomenon was suspected and an urgent echocardiogram demonstrated an atrial mass, with subsequent histopathology confirming the clinical suspicion of atrial myxoma. Early diagnosis and excision of the tumour avoided serious complications.