Skye El Sayegh

This is a case of an 83-year-old man who presented with atrial fibrillation, was incidentally found to have asymptomatic hypercalcemia, and was subsequently diagnosed as having AITL. This is an unusual case that demonstrates hypercalcemia as a rare presentation of an extremely rare disease, AITL. It also illustrates a very aggressive course of AITL leading to the death of our patient within only a few months after he opted for hospice care.

On August 1, 2017, a 38-year-old American woman with a negative past medical history presented to our Emergency Department (ED) with chest pain. Our patient stated that pain started on the morning of July 31 around 11:00 am, while participating in outdoor physical activities (Zumba) at a fundraising event. After 2 h into the workout, she began to feel chest pain, that was substernal, pressure-like, and throbbing in nature.