摘要
报告1例首发症状为掌跖疼痛性红斑的左心房黏液瘤。患者女,42岁,双手掌、足跖出现散在粟粒大小疼痛性红色斑疹2年,伴反应迟钝、尿失禁1个月。右侧Babinski征+,右侧Chaddock征+,右侧腹壁反射减弱,Romberg征+。皮损组织病理检查显示真皮网状层血管中可见栓子,阿新蓝染色阳性。头颅磁共振检查示颅内多发性栓塞。超声心动图检查示左心房有一6.8cm×3.2cm肿瘤。手术切除左心房肿瘤,经组织病理检查证实为黏液瘤。
A case of left atrial myxoma presenting with painful erythematous macules on palms and soles is reported. A 42-year-old female patient complained of painful erythematous macules on her palms and soles for 2 years, and hypomnesis, unresponsive, listless with urgency of urination and incontinence of urine for one month. Physical examination revealed painful erythematous macules on her palms and soles, positive Babinskis sign and Chaddocks sign of the right foot. The right abdominal reflex was less than that of the left. The Rombergs sign was positive. A skin biopsy taken from an erythematous macule on her left palm revealed an embolus within a vessel in the reticular dermis, Alcian blue staining was positive. The MRI of the skull showed multiple cerebral infarctions. Echocardiography revealed a 6.8 × 3.2 cm2 mass in the left atrium. The tumor was excised surgically, and myxoma was confirmed by histological examination.
出处
《临床皮肤科杂志》
CAS
CSCD
北大核心
2004年第1期26-27,共2页
Journal of Clinical Dermatology
