{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T12:46:34Z","timestamp":1769604394440,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2005,11,23]],"date-time":"2005-11-23T00:00:00Z","timestamp":1132704000000},"content-version":"vor","delay-in-days":9458,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[1980,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Left atrial myxoma has often simulated systemic vasculitis or a connective tissue disease, but the diagnosis is usually suggested by cardiac symptoms or signs. The present case report is both unusual and instructive in that the patient presented with a painless left foot drop followed by digital vasculitis. Laboratory findings included depressed total hemolytic complement and elevated anti\u2010double\u2010stranded DNA. Despite frequent and careful observation, a heart murmur was not appreciated. Because of the unusual features and the patient's frequent military travels, the diagnosis of left atrial myxoma was not established for 8 months. This case history stresses the importance of considering the possibility of atrial myxoma in patients with heart murmurs whose symptoms, physical findings, and laboratory studies could be compatible with a systemic vasculitis.<\/jats:p>","DOI":"10.1002\/art.1780230216","type":"journal-article","created":{"date-parts":[[2007,2,14]],"date-time":"2007-02-14T19:07:15Z","timestamp":1171480035000},"page":"240-243","source":"Crossref","is-referenced-by-count":49,"title":["Left atrial myxoma presenting as a systemic vasculitis"],"prefix":"10.1002","volume":"23","author":[{"given":"William E.","family":"Byrd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver P.","family":"Matthews","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Hunt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,11,23]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(63)90109-7"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.59.5.504"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(77)90885-3"},{"key":"e_1_2_1_5_2","first-page":"752","article-title":"Left atrial myxoma simulating peripheral vasculitis","volume":"53","author":"Huston K","year":"1978","journal-title":"Mayo Clin Proc"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(73)90092-2"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(74)90290-2"},{"key":"e_1_2_1_8_2","first-page":"469","article-title":"Unusual echocardiographic findings in a patient with left atrial myxoma","volume":"53","author":"Giuliani E","year":"1978","journal-title":"Mayo Clin Proc"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.131.5.639"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(72)90003-4"},{"key":"e_1_2_1_11_2","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1001\/jama.1974.03240050023018","article-title":"The clinical syndrome of atrial myxoma","volume":"230","author":"Peters M","year":"1974","journal-title":"JAMA"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.22.11.1112"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.26.11.1060"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(68)90141-0"},{"key":"e_1_2_1_15_2","first-page":"1540","article-title":"Left atrial myxoma mimicking vasculitis: echocardiographic diagnosis","volume":"120","author":"Buchanan RC","year":"1979","journal-title":"Can Med Assoc J"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(79)90193-5"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI108257"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(78)90058-X"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780170110"},{"key":"e_1_2_1_20_2","first-page":"172","article-title":"The heterogeneity of anti\u2010DNA antibodies in systemic lupus erythematosus and other diseases","volume":"2","author":"Alarcon\u2010Segovia D","year":"1975","journal-title":"J Rheumatol"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(76)90376-4"}],"container-title":["Arthritis &amp; Rheumatism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.1780230216","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.1780230216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T02:49:56Z","timestamp":1700707796000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.1780230216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1980,1]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1980,1]]}},"alternative-id":["10.1002\/art.1780230216"],"URL":"https:\/\/doi.org\/10.1002\/art.1780230216","archive":["Portico"],"relation":{},"ISSN":["0004-3591","1529-0131"],"issn-type":[{"value":"0004-3591","type":"print"},{"value":"1529-0131","type":"electronic"}],"subject":[],"published":{"date-parts":[[1980,1]]}}}