AI Article Synopsis
- A 62-year-old woman with splenomegaly and severe granulocytopenia showed no initial signs of rheumatoid arthritis but had recurrent infections.
- After a splenectomy, her leucopenia improved significantly and remained stable for 7 years.
- Nine months later, symmetrical swelling in her metacarpophalangeal joints appeared, highlighting that arthritis can be a delayed and less prominent symptom of Felty's syndrome.
Article Abstract
A 62-year-old female patient with splenomegaly, severe granulocytopenia, recurrent infections and negative rheumatoid factor test initially had no clinical evidence of rheumatoid arthritis. Leucopenia responded to splenectomy and did not recur during 7 years follow-up. Symmetrical metacarpophalangeal joint-swelling developed 9 months after 7 years of radiographic destruction. This case emphasizes that arthritis may occasionally be a late and minor manifestation of Felty's syndrome.
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