Carney complex: in a patient with multiple blue naevi and lentigines, suspect cardiac myxoma.
Carney complex is characterized by spotty pigmentation (blue naevi and lentigines), myxomas (cardiac, cutaneous, mammary), endocrine over-activity (Cushing's syndrome, acromegaly), testicular tumours, and schwannomas. We report a male with multiple blue naevi, lentigines, testicular large cell calcifying Sertoli-cell tumour and four cardiac myxomas. The myxomas caused two cerebrovascular accidents and a myocardial infarction. All patients with multiple blue naevi or lentigines should be investigated for the life-threatening association of cardiac myxomas.
Bleasel
N R
NR
Department of Dermatology, Royal Hobart Hospital, Tasmania, Australia. nbleasel@hotmail.com.au
Stapleton
K M
KM
D000328:Adult; D006338:Heart Neoplasms / Q000150:complications*; D006801:Humans; D007911:Lentigo / Q000150:complications*; D008297:Male; D009232:Myxoma / Q000150:complications*; D018329:Nevus, Blue / Q000150:complications*; D012707:Sertoli Cell Tumor / Q000150:complications*; D012878:Skin Neoplasms / Q000150:complications*; D013577:Syndrome; D013736:Testicular Neoplasms / Q000150:complications*