A cutaneous myxoma, or superficial angiomyxoma, consists of a multilobulated myxoid mass containing stellate or spindled fibroblasts with pools of mucin forming cleft-like spaces. There is often a proliferation of blood vessels and an inflammatory infiltrate. Staining is positive for vimentin, negative for cytokeratin and desmin, and variable for CD34, Factor VIIIa, SMA, MSA and S-100.Clinically, it may present as solitary or multiple flesh-colored nodules on the face, trunk, or extremities. It may occur as part of the Carney complex, and is sometimes the first sign. Local recurrence is common. See also
Myxoma
Skin lesion


== References ==
In Middle Eastern countries, it is not acceptable to burp out loud in public, and one should silence ones burp, or at least attempt to do so.Despite virtually no scientific research on the subject, small online communities exist for burping as a sexual fetish. Online, both men and women of any sexual orientation anecdotally report some attraction to burping, with what appears to be psychological and/or behavioural overlaps with other sexual fetishes including body inflation, feederism, vorarephilia, and farting fetishes. Anecdotally, the loudness aspect appears to be an important element to burp fetishists. Despite being a rather uncommon fetish, it continues to follow a general well-known pattern of sexual behaviour where hearing influences sexual arousal and response, noting that "it is the noise made rather than the action itself that appears to be what is sexualized and/or interpreted by the fetishist as sexually pleasurable and arousing". Infants
Babies are likely to accumulate gas in the stomach while feeding and experience considerable discomfort (and agitation) until assisted. Burping an infant involves placing the child in a position conducive to gas expulsion (for example against the adults shoulder, with the infants stomach resting on the adults chest) and then lightly patting the lower back. Because burping can cause vomiting, a "burp cloth" or "burp pad" is sometimes employed on the shoulder to protect clothing. Contest
The Guinness World Record for the loudest burp is 109.9 dB, set by Paul Hunn at Butlins Bognor Regis, United Kingdom, on 23 August 2009.