A Case Report of Pruritus as the Initial Symptom of Cardiac Thrombus Secondary to Atrial Fibrillation
| Author | Fatemeh Omidi | en |
| Author | Mohammad Parsa Mahjoob | en |
| Author | Naser Kachoueian | en |
| Author | Moein Ebrahimi | en |
| Author | Tahereh Sabaghian | en |
| Orcid | Fatemeh Omidi [0000-0001-7302-9136] | en |
| Orcid | Mohammad Parsa Mahjoob [0000-0003-1269-3134] | en |
| Orcid | Tahereh Sabaghian [0000-0001-7689-8150] | en |
| Issued Date | 2026-06-30 | en |
| Abstract | Introduction: This case report describes a 73-year-old Middle Eastern woman with a history of hypertension who developed generalized pruritus without visible skin lesions. During the evaluation, abnormal liver enzyme levels were identified, and further workup revealed atrial fibrillation and multiple atrial masses. These masses extended into the left ventricle and the left ventricular outflow tract during diastole. This case highlights the importance of considering cardiovascular causes in patients with nonspecific symptoms, particularly those involving the skin. Case Presentation: A 73-year-old Middle Eastern woman presented with generalized pruritus without visible skin lesions. During the diagnostic workup, abnormal liver enzyme levels were detected. Further evaluation revealed atrial fibrillation and four atrial masses that extended into the left ventricle and left ventricular outflow tract during diastole. Conclusions: This case highlights the importance of considering atrial fibrillation and heart failure as potential diagnoses in patients who present with pruritus and abnormal liver test results, particularly those with risk factors such as hypertension. | en |
| DOI | https://doi.org/10.5812/ijcp-170956 | en |
| URI | https://brieflands.com/journals/ijcp/articles/170956 | en |
| Keyword | Cardiac Thrombus | en |
| Keyword | Medically Unexplained Symptoms | en |
| Keyword | Nonspecific Symptoms | en |
| Keyword | Pruritus | en |
| Keyword | Case Report | en |
| Publisher | Brieflands | en |
| Title | A Case Report of Pruritus as the Initial Symptom of Cardiac Thrombus Secondary to Atrial Fibrillation | en |
| Type | Case Report | en |