Lichen myxoedematosus with associated cardiac abnormalities.
We describe a 42-year-old woman who developed lichen myxoedematosus. Twenty years after the onset of the disease she became breathless and hypertensive, and an echocardiogram showed a mass on the mitral valve, which was thought to be a mucin deposit. Her hypertension was resistant to treatment with combination antihypertensives. To our knowledge, this is the first report to link lichen myxoedematosus with a valvular mucinous mass. This case also demonstrates the slow clinical progression of the disease over 20 years.
Department of Dermatology, St Mary's Hospital, London W2 1NY, U.K.
R
R
Morris-Jones
R C
RC
Staughton
M
M
Walker
D J
DJ
Sheridan
K
K
Rajappan
J
J
Leonard
C
C
Hardman
D000328:Adult; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000209:etiology; D006801:Humans; D008943:Mitral Valve; D017520:Mucinoses / Q000150:complications* / Q000473:pathology; D017444:Skin Diseases, Papulosquamous / Q000150:complications* / Q000473:pathology