Key result
Urgent surgical excision of a left atrial myxoma in an adolescent woman led to significant improvement of her cutaneous and neurological symptoms.
Case Report (n=1)
Cardiac myxoma should be included in the differential diagnosis for patients presenting with a vasculitic rash without an obvious cause.
Prompts inclusion of atrial myxoma in stroke differentials for adolescents with prodromal symptoms; leaves open systematic characterization of atypical presentations.
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.
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An et al. (2024) conducted a case report in Left atrial myxoma with cerebral emboli and vasculitic rash (n=1). Surgical excision of the myxoma was evaluated on Improvement of cutaneous and neurological symptoms. Urgent surgical excision of a left atrial myxoma in an adolescent woman led to significant improvement of her cutaneous and neurological symptoms.
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