Granulomatous Mastitis: A Rare Case with Sjogren's Syndrome and Complications.

Granulomatous mastitis (GM) is a rare benign chronic inflammatory process of the breast in reproductive aged females. Although considered idiopathic in many cases, it has been associated with other conditions. Herein we report a highly complex and interesting case of GM in a young female with Sjogren's syndrome. We also review the literature and discuss challenges pertaining to the management of patients with similar risk factors. According to our knowledge, this is the third case documenting the co-occurrence of GM and Sjogren's syndrome. We focus on the challenges and complications of GM in the context of an autoimmune disease. With evidence from our patient's disease course and support from the literature, we advocate the use of corticosteroids for GM to prevent complications in patients with additional risks factors such as an autoimmune disease.

Left Atrial Myxoma Associated with Malignant Anomalous Course of Right Coronary Artery: A Rare Concurrent Incidence of Two Rare Diseases.

Cardiac atrial myxoma is a primary cardiac tumor with a prevalence of 0.0017-0.19% at autopsy. Anomalous origin of right coronary artery (ARCA) from opposite sinus of Valsalva is considered the second most common cause of sudden cardiac death among young athletes with an incidence of 0.09%-0.92% and mortality risk of 0-57%. We present a case of symptomatic left atrial myxoma in the presence of ARCA from the opposite sinus of valsalva. The myxoma was excised and the anomalous right coronary artery was re-implanted during the same operative session.