Highlights the diagnostic challenge of cardiac myxoma and the rare presentation of cutaneous emboli mimicking normal skin structures.
May prompt consideration of cardiac myxoma in atypical palm biopsies; leaves open broader diagnostic implications pending further evidence.
Cardiac myxomas are difficult to diagnose, not only because of a lack of specific systemic symptoms but also because, even in those cases presenting with embolic disease, emboli are exceptional. The skin is one of the organs most frequently involved by myxomatous emboli. We report an extraordinary case in which emboli of a cardiac myxoma was present in the skin biopsy, but "camouflaged" among the normal Vater-Pacini corpuscles of the palm of the hand, We also review the existing literature on myxomatous emboli identified in skin biopsies.
No takes yet. Share an insight, caveat, or question.
Celada et al. (2012) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: