Hôpital Lariboisière, Rheumatology Department, pôle appareil locomoteur, centre Viggo-Petersen, 2 rue Ambroise-Paré, Paris, France.
Joint Bone Spine. 2012 Dec;79(6):624-5. doi: 10.1016/j.jbspin.2012.01.013. Epub 2012 Mar 7.
Felty's syndrome (FS) is a rare association of rheumatoid arthritis (RA), neutropenia and splenomegaly. Mechanisms of neutropenia in FS are unclear but involve both innate and humoral immunity, impaired granulopoiesis and decreased granulocyte half-life. Several treatments have been used without clear efficiency. We report a patient with FS efficiently treated with rituximab (RTX), the monoclonal anti-CD20 antibody. A literature review of FS treated with RTX was performed.
费尔蒂综合征(FS)是类风湿关节炎(RA)、中性粒细胞减少和脾肿大的罕见合并症。FS 中性粒细胞减少的机制尚不清楚,但涉及固有和体液免疫、粒细胞生成受损和粒细胞半衰期缩短。已经使用了几种治疗方法,但没有明确的疗效。我们报告了一例用利妥昔单抗(RTX),一种单克隆抗 CD20 抗体,有效治疗 FS 的患者。对用 RTX 治疗 FS 的文献进行了回顾。