Myxoma masquerading as polyarteritis nodosa.
A patient who presented with multisystemic symptoms is described. A diagnosis of polyarteritis nodosa was made after arteriographic demonstration of multiple aneurysms in the mesenteric and splenic circulations. The occurrence of a 2nd myocardial infarction in the absence of markers of activity of polyarteritis nodosa led to coronary arteriography which demonstrated a large left atrial myxoma confirmed by echocardiography. Surgical removal of the myxoma was followed by resolution of most of his symptoms and serves to point out the mimicking of a generalized vasculitis by cardiac myxoma.
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology; D003937:Diagnosis, Differential; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries; D009232:Myxoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010488:Polyarteritis Nodosa / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D012077:Renal Artery; D013157:Splenic Artery