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Atrial myxoma syndrome mimicking Ehrmann-Sneddon syndrome.
[sneddon syndrome]
Livedo
racemosa
with
cerebrovascular
lesions
has
been
described
as
Ehrmann-
Sneddon
syndrome
.
The
etiopathogenetic
factors
provoking
the
vascular
lesions
,
however
,
are
of
high
diversity
reaching
from
mechanical
to
autoimmune
causes
.
We
present
a
male
patient
with
typical
livedo
racemosa
,
muscle
pain
and
feeling
of
coldness
of
the
forearms
.
By
dermatohistopathology
and
magnetic
resonance
tomography
of
the
brain
,
Ehrmann-
Sneddon
syndrome
could
be
confirmed
.
At
this
time
a
chronic
streptococcal
infection
could
be
diagnosed
.
Antibiotics
,
anticoagulants
and
vascularity-supplying
therapy
improved
the
clinical
and
subjective
symptoms
.
Six
months
later
,
the
patient
developed
dizziness
,
vision
disorder
,
hypesthesia
of
the
right
forehead
,
malaise
and
weight
loss
.
A
further
diagnostic
workup
including
echocardiography
revealed
a
myxoma
of
the
left
atrium
.
This
report
illustrates
the
association
of
Ehrmann-
Sneddon
syndrome
with
cardiac
myxoma
and
points
out
that
cardiac
diagnostic
examination
should
be
included
when
dealing
with
small
-vessel
involvement
of
the
brain
.