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Chest, Vol 93, 1099-1100, Copyright © 1988 by American College of Chest Physicians

ARTICLES

Malignant fibrous histiocytoma of the heart presenting as hemoptysis. Association with pseudothrombocytopenia

D DiNardo-Ekery, KY Lau, MJ Spicer and MV Ascherl
Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso 79905.

A 24-year-old patient presented with hemoptysis. Pulmonary evaluation was unrevealing. After being lost to follow-up, he again presented with worsening symptoms and physical findings of severe pulmonary hypertension. A large left atrial mass was found on echocardiogram. This was subsequently found to be a malignant fibrous histiocytoma. He also had pseudothrombocytopenia due to platelet cold agglutinins. Left atrial masses must be considered in unexplained hemoptysis.




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Copyright © 1988 by the American College of Chest Physicians.