title: Cutaneous embolism of an atrial myxoma.
abstract: Cardiac myxoma often presents with heterogeneous symptoms and signs and represents a challenging diagnosis. The cutaneous manifestations, if present, are often transient and non-specific and the clinician must possess a high degree of suspicion to secure the diagnosis. We present the case of a 36-year-old woman with a 6-month history of intermittent, painful, violaceous, non-blanching macules on the thumb and fingertips of the left hand and right ankle. A cutaneous embolic phenomenon was suspected and an urgent echocardiogram demonstrated an atrial mass, with subsequent histopathology confirming the clinical suspicion of atrial myxoma. Early diagnosis and excision of the tumour avoided serious complications.
authors: Department of Dermatology, Hospital Universitario La Paz, Madrid, Spain.|Department of Dermatology, Westmead Hospital, Sydney, New South Wales, Australia.
authors: Ana Isabel
authors: AI
authors: Rodríguez Bandera
authors: Department of Dermatology, Westmead Hospital, Sydney, New South Wales, Australia.
authors: Nicholas Charles
authors: NC
authors: Stewart
authors: Department of Dermatology, Westmead Hospital, Sydney, New South Wales, Australia.|Department of Dermatology, School of Medecine, Pontificia Universidad católica de Chile, Santiago, Chile.
authors: Pablo
authors: P
authors: Uribe
authors: Department of Dermatology, Westmead Hospital, Sydney, New South Wales, Australia.
authors: Rashi
authors: http://orcid.org/0000-0002-2667-6610
authors: R
authors: Minocha
authors: Department of Dermatology, Westmead Hospital, Sydney, New South Wales, Australia.
authors: James Young Joon
authors: JY
authors: Choi
mesh_terms: D000328:Adult; D000842:Ankle; D004452:Echocardiography; D004617:Embolism / Q000209:etiology*; D005260:Female; D005385:Fingers; D006229:Hand Dermatoses / Q000209:etiology; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging; D012867:Skin / Q000098:blood supply*; D017445:Skin Diseases, Vascular / Q000209:etiology*
keywords: atrial; cardiac; cutaneous; embolism; myxoma