Vasculitic rash and cerebral emboli in an adolescent with left atrial myxoma.
Kevin R AnTerrel C MarshallRobert J CusimanoPublished in: BMJ case reports (2024)
A previously healthy woman in late adolescence presented to the emergency department with stroke-like symptoms following a two-month history of bilateral foot pain and oedema, accompanied by a macular rash and progressive lower extremity weakness. On further investigation, she was found to have multiple cerebral emboli and a left atrial myxoma fixed to the interatrial septum. The patient subsequently underwent urgent surgical excision of the myxoma. On follow-up, her cutaneous and neurological symptoms were significantly improved. This case suggests that, in the presence of a vasculitic rash without evident or obvious cause, cardiac myxoma should be included in the differential diagnosis.
Keyphrases
- left atrial
- atrial fibrillation
- left ventricular
- emergency department
- mitral valve
- catheter ablation
- case report
- subarachnoid hemorrhage
- cerebral ischemia
- chronic pain
- young adults
- multiple sclerosis
- mental health
- depressive symptoms
- diabetic retinopathy
- pain management
- spinal cord injury
- physical activity
- blood brain barrier
- cerebral blood flow
- age related macular degeneration