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Logo of annaldermaAnnals of DermatologyThis ArticleInformation for AuthorsOnline Submission
Ann Dermatol. Aug 2012; 24(3): 337–340.
Published online Jul 25, 2012. doi:  10.5021/ad.2012.24.3.337
PMCID: PMC3412243
Cardiac Myxoma Diagnosed by Signs of Purpuric Macules on Both Palms and Soles
Hyo Jin Lee, M.D., Jeung Young Park, M.D., Young Sik Kim, M.D., Dong Hoon Shin, M.D.,corresponding author Jong Soo Choi, M.D., Ki-Hong Kim, M.D., and Young Kyung Bae, M.D.1
Department of Dermatology, Yeungnam University College of Medicine, Daegu, Korea.
1Department of Pathology, Yeungnam University College of Medicine, Daegu, Korea.
corresponding authorCorresponding author.
Corresponding author: Dong Hoon Shin, M.D., Department of Dermatology, Yeungnam University College of Medicine, 170 Hyeongchung-ro, Nam-gu, Daegu 705-717, Korea. Tel: 82-53-620-3160, Fax: 82-53-622-2216, dhshin/at/
Received March 23, 2011; Revised June 9, 2011; Accepted June 9, 2011.
Cardiac myxoma, the most prevalent primary cardiac tumor, is rare. The clinical features of this tumor are principally intracardiac obstruction, extracardiac embolism, and general symptoms including fever, myalgia, arthralgia. Although cutaneous manifestations in patients with cardiac myxoma are frequent, in rare cases, cutaneous signs have been clues to the correct diagnosis. We report a 42-year-old male who presented with recurrent multiple purpuric patches on both palms and soles for 4 months. Histopathological finding showed a myxomatous embolus in the arteriole in the lower dermis. Echocardiogram demonstrated the presence of a left atrial myxoma with a provisional diagnosis of left atrial myxoma. In our patient, skin examinations and histopathological finding led us to the diagnosis of cardiac myxoma.
Keywords: Cardiac myxoma, Palms and soles, Purpura
Articles from Annals of Dermatology are provided here courtesy of
Korean Dermatological Association and Korean Society for Investigative Dermatology