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Eisenmenger syndrome and juvenile rheumatoid arthritis--a case of double diagnosis
Osman Ozdemir1, Pinar Isik Agras, Samil Hizli
1Department of Paediatric Cardiology, Kecioren Training and Research Hospital, Ankara, Turkey. pedkard@gmail.com
Abstract:
An 8.5-year-old girl evaluated for central cyanosis, hypoxia and normocarbia was found to have aorticopulmonary window and pulmonary hypertension. The diagnosis of Eisenmenger syndrome (ES) was made and treatment with bosentan was started. Four months later she was diagnosed to have juvenile rheumatoid arthritis and naproxen treatment was started. The case was remarkable in that she showed clinical improvement with new generation treatment of ES although pulmonary arterial pressure did not decrease significantly and the diagnosis of juvenile rheumatoid arthritis was made during follow-up.
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