LIVEDO RACEMOSA GENERALISATA IN ATRIUM MY XOMA

We describe a patient with livedo racemosa generalisata (LRG), Raynaud 's phenomenon, multifocal recurring transitory and complete ischemic a ttacks and laboratory findings of systemic inflammation. Working diagn oses were vasculitis, mixed connective tissue disease, or Sneddon's sy ndrome, but echocardiography revealed a left atrial myxoma. Special st aining of skin biopsies with alcian-blue showed arterial occlusion cau sed by myxomatous material. Arterial embolism by parts of the myxoma i s suggested to be the cause of the LRG and probably the neurological f indings.