Case
RA Myxoma in a patient with Familial Homocystinuria

Age: 24
Sex: Male
Race: Indian

History
History of present illness:
PUO

Medical History:
Mental retardation, malnutrition since childhood.

Past surgical history:
nil

Allergies:
nil

Medications:
nil

Family history:
Two brothers have same problems

Social history:
Poor


Physical Exam
General:
Tall, marfanoid habitus

Temperature:
102

Heart rate:
134

Blood pressure:
110/80

Respiratory rate:
33

Oxygen saturation:
93

Head, ears, eyes, nose & throat:
High arched palate

Neck:
JVP raised

Chest:
Thin

Cardiovascular:
CVS: Harsh SM over tricuspid area

Abdomen:
Scaphoid

GU:
nad

Rectal:
nad

Neurological:
HI functions affected

Skin:
Pigmented

Laboratories:
Hb 7 g/dl

Radiology:
CXR: CM++

Other:
ECHO: Large RA myxoma

Pathology:
nil

Problems:
HIGH HOMOCYSTEINE

Assessment:
RA MYXOMA WITH HOMOCYSTINNURIA

Plan of treatment:
FOLIC ACID
RA MYXOMA REMOVAL
IMPROVEMENT OF GC

Results of treatment:
GOOD

Discussion:
Familial homocystinuria is a rare condition found very rarely. Pts present with peripheral vascular problems, This pt presented with PUO and RA myxoma. Successfully treated.

Pearls:
RA Myxoma




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