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Lichen myxoedematosus with associated cardiac abnormalities
R Morris-Jones1, R C Staughton, M Walker
1Department of Dermatology, St Mary's Hospital, London W2 1NY, U.K.
The British Journal of Dermatology
|March 22, 2001
Summary
This case study details a rare instance of lichen myxoedematosus associated with a mitral valve mucin deposit. The patient experienced severe hypertension and breathlessness over two decades, highlighting the disease
Area of Science:
- Dermatology
- Cardiology
- Pathology
Background:
- Lichen myxoedematosus is a rare chronic skin disease characterized by papules and plaques.
- Systemic involvement is uncommon but can include musculoskeletal and visceral manifestations.
Observation:
- A 42-year-old woman with a 20-year history of lichen myxoedematosus presented with dyspnea and resistant hypertension.
- Echocardiography revealed a mass on the mitral valve, suspected to be a mucin deposit.
Findings:
- This is the first reported case linking lichen myxoedematosus to a valvular mucinous mass.
- The case illustrates the potential for slow, progressive systemic complications over two decades.
Implications:
- Highlights the importance of considering systemic mucin deposition in long-standing lichen myxoedematosus.
- Suggests potential cardiac complications requiring monitoring in affected individuals.
- Underscores the need for further research into the systemic manifestations of lichen myxoedematosus.