A bleeding disorder caused by a cardiac tumor: case report.
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.
Oostenbrug
L E
LE
Department of Internal Medicine, University Hospital Groningen, Groningen, The Netherlands.
Ottervanger
J P
JP
Dompeling
E C
EC
Sie
T H
TH
Beukema
W P
WP
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*