Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

01 October 2024 : Case report  USA

Pulmonary Arterial Hypertension in Adult-Onset Still’s Disease: A Rare but Severe Complication

Challenging differential diagnosis, Clinical situation which can not be reproduced for ethical reasons, Rare coexistence of disease or pathology

Gerson Quintero1ABCDE, Sophia Mourad1BF, Timea Kovacs1BF, Murali K. Iyyani2CDE, Mohammed Omar Al Salihi1BDE, Omar Qazi1AEF, Stephen J. Carlan ORCID logo3CEF*

DOI: 10.12659/AJCR.943591

Am J Case Rep 2024; 25:e943591

Table 1. Patient’s laboratory evaluation and right heart catheterization measured pressure values.

TestPatient’s valueNormal range
Troponins0.27 ng/mLVaries based on lab
BNP386Varies based on age/gender
ESR76Varies based on age/gender
CRP43 mg/L<9.9 mg/L
Ferritin2002 ng/mL15–200 ng/mL
D-Dimer14 014 ng/mL<0.5 µg/mL
LV ejection fraction60–64%55–70%
Right ventricular pressure48 mmHgVaries based on many factors
TNF24.1 pg/mL<10.0 pg/mL
IL-18>11 000.0 pg/mL<468 pg/mL
IL-65.7 pg/mL<5.0 pg/mL
IL-1β39.4 pg/mL<20.0 pg/mL
IL-2Rα1146 pg/mL< 959 pg/mL
Pulmonary artery pressure43/18 mmHg9–18 mmHg systolic, 4–12 diastolic
Mean PAP27 mmHg10–20 mmHg
Right ventricular pressure (after treatment)21 mmHgVaries based on many factors
BNP – brain natriuretic peptide; ESR – erythrocyte sedimentation rate; CRP – C-reactive protein; LV – left ventricular; TNF – tumor necrosis factor; IL-18 – interleukin-18; IL-6 – interleukin-6; IL-1β – interleukin-1 beta; IL-2Rα – interleukin-2 receptor alpha; PAP – pulmonary artery pressure.

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923