Mixed connective tissue disease complicated by heart failure in Ile-Ife, Nigeria: management challenges in a resource-limited economy

  • Oladapo Adewuya, Rasaaq Adebayo, Adeola Ajibade, Gbenga Odunlami, Anthony Akintomide, Suraj Ogunyemi, Olufemi Ajayi, Adebola Adetiloye, Adeleye Omisore, Oladipo Olanipekun, Adeyinka Owolabi, Ifeoluwa Amjo, Olumide Akinyele, Abayomi Bamgboje, Michael Balogun
  • International Medical Case Reports Journal, November 2018, Dove Medical Press
  • DOI: 10.2147/imcrj.s151693

Connective Tissue Disease made worse by heart failure.

What is it about?

It was interesting and fulfilling writing this article. This is because Heart Failure is a common disease but to have it likely caused by a rare disease like Mixed Connective Tissue Disease(MCTD) is not common. I am glad that, from Nigeria in West Africa, our medical team could inform the World that such a rare combination of diseases that occurs in the Western world and other far flung places also occurs here in Africa, and we could share ideas in its proper identification and prompt treatment.

Why is it important?

It is critical for medical personnel to have a high index of suspicion for rare diseases causing common diseases. And that the management of special double diseases like this Case requires careful and prompt intervention to achieve a positive outcome. In addition, this case advocates for medical personnel to try to go the extra mile for patients in investigation and confirmation of a rare disease even though the facilities for such may not exist in ones domain. Also to make known that its important to have specific investigatory materials for rare diseases in hospitals.


Oladapo Adewuya
Ekiti State University Teaching Hospital ( EKSUTH) Ado- Ekiti. Nigeria.

Writing up this article has been a great learning experience for me. It also fostered a strong interdepartmental collaboration that made me friends that I never had before writing this article. For example, working and making friends with the Rheumatologists and Radiologists on this article enabled me to benefit from their knowledge and now personal care given to my mother when she was admitted for Crystal Arthritis in the same hospital. She was well treated by my new friends made from the joint efforts in the production of this article.

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The following have contributed to this page: Adeleye Omisore, Professor MICHAEL OLABODE BALOGUN, Oladapo Adewuya, and Adebola Adetiloye