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Dermatology

G169. CARDIOCUTANEOUS SYNDROME PRESENTING AS A HEMIPARESIS
S.E. Baron, J. Britton, M. Saleem, S. Clark, R. Sheehan-Dare.

Dermatology and Cardiothoracic Surgery Department, The General Infirmary at Leeds, Leeds, LS1 3EX

Cutaneous pigmented lesions may be associated with cardiac abnormalities in the LEOPARD, NAME, LAMB and CARNEY syndromes. These syndromes have common features including cutaneous lentigines, which develop in infancy or early childhood and cardiac abnormalities, most frequently atrial myxomas and conduction defects, which develop in the teenage years.

We describe a case of a child who initially presented to the dermatologists with multiple facial lentigines. He later presented aged 20 years to the Accident and Emergency department following an episode of collapse and confusion. Shortly after arrival he developed right-sided focal seizures and neurological examination revealed marked right-sided weakness and an up-going right plantar reflex. On examination he had multiple facial pigmented macules with extension onto the trunk and a subcutaneous nodule on his left shoulder.

On . . . [Full text of this article]