The objective of this study was to describe the myxoma of the right atrium occurring in an 11-year-old girl. It was an 11</span><span style="font-family:Verdana;">-</span><span style=&qu...The objective of this study was to describe the myxoma of the right atrium occurring in an 11-year-old girl. It was an 11</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">old girl weighing 22 kg, admitted for exertional dyspnea, dry cough, palpitations, hepatitis, abdominal bloating, fever evolving for more than 9 months without a history of known cardiovascular disease;referral from a pulmonology department for cardiomegaly and right pleurisy.</span><span style="font-family:""> </span><span style="font-family:Verdana;">At cardiac auscultation, the rhythm was irregular</span><span style="font-family:Verdana;">ly</span><span style="font-family:Verdana;"> fast at 130 beats without added noise with a blood pressure of 110/65</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">mmhg. In the lungs, there was silence and a decrease in vocal vibrations at the right base, SaO</span><sub><span style="font-family:Verdana;">2</span></sub><span style="font-family:Verdana;"> at 70%. Elsewhere a thoracic collateral venous circulation was visible. Electrocardiogram recorded rapid atrial fibrillation at 134 cycles. The cardiac ultrasound concluded that there was a mobile mass in the right atrium prolapsing in the right ventricle measuring 25 mm × 18.9 mm suggesting a myxoma. The myxoma of the right atrium is of a rare localization with a polymorphic clinical manifestation. It should be diagnosed as early as possible to avoid the occurrence of dreaded complications. Its management is surgical.展开更多
Object: The aim of this study was to describe a familial dyslipidemia revealed by a corneal arch.<span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Fami...Object: The aim of this study was to describe a familial dyslipidemia revealed by a corneal arch.<span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Familial hypercholesterolemia is a rare and severe hereditary dyslipidemia with an exceptional homozygous form. He was a 43</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">old patient admitted with visual disturbance, xanthomatous papule and orange coloring at the level evolving for 5 years</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">no personal history of cardiovascular disease, having a family history of lipid disorders in siblings</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> as a cardiovascular risk factor: age over 50 and the male gender</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> normal cardio pulmonary examination, blood pressure at 120/80</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">mmhg, heart rate 78</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">bpm</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> in whom the ophthalmological examination shows a yellowish spot on the cornea (</span><b><span style="font-family:Verdana;"><a href="#f1">Figure 1</a></span></b><span style="font-family:Verdana;">). We report the case of familial dyslipidemia revealed by a corneal spot in Guinea.</span><span style="font-family:;" "=""></span><span style="font-family:Verdana;">More recent studies increasingly suggest that it is much more widespread than previously thought: 1/200 to 1/400. Familial dyslipidemia is a rare and severe metabolic abnormality. It should be screened as early as possible like any other cardiovascular risk factor for atheroma to avoid the occurrence of a major cardiovascular event.</span>展开更多
文摘The objective of this study was to describe the myxoma of the right atrium occurring in an 11-year-old girl. It was an 11</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">old girl weighing 22 kg, admitted for exertional dyspnea, dry cough, palpitations, hepatitis, abdominal bloating, fever evolving for more than 9 months without a history of known cardiovascular disease;referral from a pulmonology department for cardiomegaly and right pleurisy.</span><span style="font-family:""> </span><span style="font-family:Verdana;">At cardiac auscultation, the rhythm was irregular</span><span style="font-family:Verdana;">ly</span><span style="font-family:Verdana;"> fast at 130 beats without added noise with a blood pressure of 110/65</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">mmhg. In the lungs, there was silence and a decrease in vocal vibrations at the right base, SaO</span><sub><span style="font-family:Verdana;">2</span></sub><span style="font-family:Verdana;"> at 70%. Elsewhere a thoracic collateral venous circulation was visible. Electrocardiogram recorded rapid atrial fibrillation at 134 cycles. The cardiac ultrasound concluded that there was a mobile mass in the right atrium prolapsing in the right ventricle measuring 25 mm × 18.9 mm suggesting a myxoma. The myxoma of the right atrium is of a rare localization with a polymorphic clinical manifestation. It should be diagnosed as early as possible to avoid the occurrence of dreaded complications. Its management is surgical.
文摘Object: The aim of this study was to describe a familial dyslipidemia revealed by a corneal arch.<span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Familial hypercholesterolemia is a rare and severe hereditary dyslipidemia with an exceptional homozygous form. He was a 43</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">year</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">old patient admitted with visual disturbance, xanthomatous papule and orange coloring at the level evolving for 5 years</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">no personal history of cardiovascular disease, having a family history of lipid disorders in siblings</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> as a cardiovascular risk factor: age over 50 and the male gender</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> normal cardio pulmonary examination, blood pressure at 120/80</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">mmhg, heart rate 78</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">bpm</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> in whom the ophthalmological examination shows a yellowish spot on the cornea (</span><b><span style="font-family:Verdana;"><a href="#f1">Figure 1</a></span></b><span style="font-family:Verdana;">). We report the case of familial dyslipidemia revealed by a corneal spot in Guinea.</span><span style="font-family:;" "=""></span><span style="font-family:Verdana;">More recent studies increasingly suggest that it is much more widespread than previously thought: 1/200 to 1/400. Familial dyslipidemia is a rare and severe metabolic abnormality. It should be screened as early as possible like any other cardiovascular risk factor for atheroma to avoid the occurrence of a major cardiovascular event.</span>
