Rautenstrauch H
Abteilung für Innere Medizin und Rheumatologie des Kreiskrankenhauses, Rheumaklinik Bad Schussenried.
Z Rheumatol. 1988 Jan-Feb;47(1):58-61.
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.
一名62岁女性患者，有脾肿大、严重粒细胞减少、反复感染且类风湿因子检测阴性，最初无类风湿关节炎的临床证据。白细胞减少症经脾切除后得到缓解，在7年随访期间未复发。在影像学显示破坏7年后的9个月，出现了对称性掌指关节肿胀。该病例强调关节炎偶尔可能是费尔蒂综合征的晚期轻微表现。
