%0 Case Reports
%T Vasculitic rash and cerebral emboli in an adolescent with left atrial myxoma.
%A An KR
%A Marshall TC
%A Cusimano RJ
%J BMJ Case Rep
%V 17
%N 2
%D 2024 Feb 27
%M 38417930
暂无%R 10.1136/bcr-2023-258822
%X 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.