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If you have a patient with recurrent multiple tender erythematous to purpuric macules on both palms and soles Consider ATRIAL MYXOMA.(Ask about dyspnea - orthopnea, embolic manifestations- fever- myalgia- arthralgia- Raynaud’s phenomenon )
If you suspect ATRIAL MYXOMA Skin biopsy myxomatous embolus in the arteriole of the lower dermis:point_right:Two-dimensional echocardiography Confirmed Diagnosis Refer to cardio thoracic surgeon.
Atrial myxomas are the most common primary heart tumors.
Early diagnosis may be a challenge.
Cutaneous signs may be the sole symptoms and/or
first sign, warranting the dermatologist’s attention.