Loche F, Canepelle S, Arlet E, Basex J
Department of Dermatology, Purpan Hospital, place du Docteur-Baylac, 31059 Toulouse Cedex, France.
Eur J Dermatol. 1999 Dec;9(8):650-1.
A 53-year-old woman had a left hemiplegia with suspicion of cerebral metastases. Thoracic and abdominal computed tomography revealed renal and splenic infarction features and she presented violaceous papulosis on her fingers corresponding to thrombosis of dermal vessels. Echocardiography showed a left atrial tumor evoking myxoma. The clinical features of left atrial myxomas are intracardiac obstruction, extracardiac embolism and general symptoms. Cutaneous manifestations are frequently reported and can correspond to cutaneous manifestations of emboli, symptoms related to auto-immune disorders and specific cutaneous findings that suggest atrial myxoma as part of more complex syndromes.
一名53岁女性出现左侧偏瘫，怀疑有脑转移瘤。胸部和腹部计算机断层扫描显示有肾梗死和脾梗死特征，她手指上出现紫红色丘疹，对应真皮血管血栓形成。超声心动图显示左心房肿瘤，提示为黏液瘤。左心房黏液瘤的临床特征为心内梗阻、心外栓塞和全身症状。皮肤表现经常被报道，可对应于栓子的皮肤表现、自身免疫性疾病相关症状以及提示心房黏液瘤是更复杂综合征一部分的特定皮肤表现。
