Carney complex presenting with Raynaud's phenomenon and erythematous macules of the extremities.
A 12-year-old male presented with a 6-week history of apparent digital vasculitis with color changes of the distal fingers and erythematous macules of the palms and soles. Physical examination revealed skin findings of Carney complex and an abnormal cardiac examination. Echocardiography demonstrated a large left atrial mass, which caused partial obstruction during diastole and moderate mitral valve insufficiency. Surgical excision and pathological examination of the mass confirmed the presence of a large, peduculated myxoma. This case illustrates the presentation of Carney complex with left atrial myxoma as apparent vasculitis and Raynaud's phenomenon.
Mirkinson
L J
LJ
Department of Rheumatology, George Washington University Medical Center, Children's National Medical Center, Washington, DC 20010, USA. mirkil@holycross-health.org
Ratnayaka
K
K
Sable
C A
CA
Gaskin
P R A
PR
D002648:Child; D004452:Echocardiography; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging; D009386:Neoplastic Syndromes, Hereditary / Q000150:complications*; D011928:Raynaud Disease / Q000209:etiology*; D017445:Skin Diseases, Vascular / Q000209:etiology*