title: A bleeding disorder caused by a cardiac tumor: case report.
abstract: A 22-year-old female developed symptomatic thrombocytopenia. On physical examination, apart from ecchymoses, a loud holosystolic murmur was heard. Echocardiography revealed a cardiac tumor. The thrombocytopenia did not respond to corticosteroids, but after surgical removal of the intracardiac tumor, a papillary fibroelastoma, the platelet count normalised. There are no similar case reports in the literature. Our case report illustrates that thrombocytopenia may be associated with a cardiac tumor and that complete physical examination is essential in every patient presenting with easy bruising.
authors.affiliation: Department of Internal Medicine, University Hospital Groningen, Groningen, The Netherlands.
authors.forename: L E
authors.initials: LE
authors.lastname: Oostenbrug
authors.forename: J P
authors.initials: JP
authors.lastname: Ottervanger
authors.forename: E C
authors.initials: EC
authors.lastname: Dompeling
authors.forename: T H
authors.initials: TH
authors.lastname: Sie
authors.forename: W P
authors.initials: WP
authors.lastname: Beukema
mesh_terms: D000328:Adult; D004452:Echocardiography; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D013921:Thrombocytopenia / Q000209:etiology*