Atypical interstitial granuloma annulare: a possible uncommon systemic manifestation of atrial myxomas

J R Coll Physicians Edinb. 2021 Jun;51(2):153-155. doi: 10.4997/JRCPE.2021.212.ABSTRACTA 73-year-old man presented with lower back pain and bilateral palmar lesions. Urine culture grew Streptococcus agalactiae and C-reactive protein was raised. He was treated with antibiotics for urinary tract infection with suspected pyelonephritis. An echocardiogram ordered to look for infective endocarditis was suggestive of a left atrial myxoma. He subsequently developed an acute right common iliac artery embolus, which resolved with conservative management. He underwent a successful open-heart left atrial mass and appendage resection, with histopathology confirming atrial myxoma. Skin biopsies of the lesions ten weeks post onset showed granuloma annulare of the palms.PMID:34131673 | DOI:10.4997/JRCPE.2021.212
Source: Journal of the Royal College of Physicians of Edinburgh - Category: General Medicine Authors: Source Type: research