Erythematous papules in a patient with a history of TIA can be a rare cutaneous manifestation of cardiac myxoma emboli.
Erythematous papules may signal cardiac myxoma emboli in TIA patients; case report extends rare embolic associations but leaves screening implications open.
A 35-year-old woman was followed up by a physician for one and a half years as a case of transient ischemic attach (TIA) due to thrombosis. She had a few erythematous papules on the dorsal side of her right forearm and on the right side of her neck. From the history of TIA and the transient erythematous papules, we suggested the possibility of cardiac myxoma. Echocardiogram demonstrated a large mass in her left atrium. An immediate operation was carried out, and the cardiac myxoma was excised surgically. Histological examination of the erythematous papule revealed myxoma emboli.
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Misago et al. (1995) studied this question.
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