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Annals of Dermatology 2012 ; 24(3): 337~340
Annals of Dermatology 2012 ; 24(3): 337~340

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., Jong Soo Choi, M.D., Ki-Hong Kim, M.D., Young Kyung Bae, M.D.1
Departments of Dermatology and 1Pathology, Yeungnam University College of Medicine, Daegu, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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. (Ann Dermatol 24(3) 337∼340, 2012)
Annals of Dermatology 2012 ; 24(3): 337~340
Keyword : Cardiac myxoma, Palms and soles, Purpura
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