PDF(Pubmed)
Abstract：
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.
摘要：
一位青春期后期以前健康的女性在经历了两个月的双侧足部疼痛和水肿病史后出现中风样症状，到急诊科就诊。伴有黄斑皮疹和进行性下肢无力。在进一步调查中，她被发现有多个脑栓塞和固定在房间隔上的左心房粘液瘤。患者随后接受了粘液瘤的紧急手术切除。关于后续行动，她的皮肤和神经症状明显改善。这个案例表明,在没有明显或明显原因的血管性皮疹的存在下，心脏粘液瘤应包括在鉴别诊断中。
