Abstract
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.
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Acikel M, Yekeler I, Ates A, Erkut B (2004) A giant left atrial myxoma: an unusual cause of syncope and cerebral emboli. Int J Cardiol 94:325–326
Brosh D, Sherez J, Keren G (1999) Dyspnea and left atrial myxoma. Isr Med Assoc J 1:138
Byrd WE, Matthews OP, Hunt RE (1980) Left atrial myxoma presenting as systemic vasculitis. Arthritis Rheum 23:240–243
Carney JA, Gordon H, Carpenter PC, Shenoy BV, Go VL (1985) The complex of myxomas, spotty pigmentation and endocrine overactivity. Medicine (Baltimore) 64:270–283
Crouzet J, Duterque M, Lardoux H, et al. (1987) Arthralgias, cutaneous lesions and Raynaud’s syndrome associated with myxoma of the left atrium. Rev Rhum Mal Osteoartic 54:431–433
Fernando Val-Bernal F, Acebo E, Javier Gomez-Roman J, Francisca Garijo M (2003) Anticipated diagnosis of left atrial myxoma following histological investigation of limb embolectomy specimens: a report of two cases. Pathol Int 53:489
Garcia-F-Villalta MJ, Sanz-Sanchez T, Aragues M, et al. (2002) Cutaneous embolization of cardiac myxoma. Br J Dermatol 147:379
Koh WH, Chuah SC, Chng HH (1995) Left ventricular myxoma, adrenal tumour and cutaneous vasculitis—a case report. Singapore Med J 36:328–330
Kounis NG (1979) Left atrial myxoma presenting with intermittent claudication and Raynaud’s phenomenon: echocardiographic patterns of the tumor size. Angiology 30:356–360
Lazarevic AM, Neskovic AN, Popovic AD (1997) Hypertensive crisis associated with cerebellar embolization due to left atrial myxoma. Int J Cardiol 61:287–289
Matyakhina L, Pack S, Kirschner LS, et al. (2003) Chromosome 2 (2pl6) abnormalities in Carney complex tumours. J Med Genet 40:268–211
Ruiz Perez L, Sempere Perez A, Garcia Alonso A, Alenda Gonzalez C, Flores Serrano J (2003) Cerebrovascular stroke as a sign of atrial myxoma in childhood. Ann Pediatr (Barc) 58:273–276
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Mirkinson, L., Ratnayaka, K., Sable, C. et al. Carney Complex Presenting with Raynaud’s Phenomenon and Erythematous Macules of the Extremities. Pediatr Cardiol 27, 297–300 (2006). https://doi.org/10.1007/s00246-005-1238-3
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DOI: https://doi.org/10.1007/s00246-005-1238-3