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Cutaneous Emboli of Atrial Myxoma: Unusual Case Report and Review of the Literature

Alonso de Celada, Ricardo M. MD*; Maldonado Cid, Paola MD*; Beato, María J. MD; Herranz Pinto, Pedro MD*

American Journal of Dermatopathology: July 2012 - Volume 34 - Issue 5 - p 544–548
doi: 10.1097/DAD.0b013e318247f027
Extraordinary Case Report

Abstract: Cardiac myxomas are difficult to diagnose, not only because of a lack of specific systemic symptoms but also because, even in those cases presenting with embolic disease, emboli are exceptional. The skin is one of the organa most frequently involved by myxomatous emboli. We report an extraordinary case in which emboli of a cardiac myxoma was present in the skin biopsy, but “camouflaged” among the normal Vater–Pacini corpuscles of the palm of the hand, We also review the existing literature on myxomatous emboli identified in skin biopsies.

Departments of *Dermatology

Pathology, Hospital Universitario La Paz, Madrid, Spain.

The authors deny having received funds from the following institutions: National Institutes of Health, Wellcome Trust, Howard Hughes Medical Institute, and others.

The authors deny having any conflict of interest relevant to the content of the submission.

Reprints: Ricardo M. Alonso de Celada, MD, Servicio de Dermatología, Hospital Universitario La Paz. Paseo de la Castellana 261. 28046 Madrid, Spain (e-mail: alonsodecelada@gmail.com).

© 2012 Lippincott Williams & Wilkins, Inc.