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费尔蒂综合征的长期预后。

Long-term outcome in Felty's syndrome.

作者信息

Thorne C, Urowitz M B

出版信息

Ann Rheum Dis. 1982 Oct;41(5):486-9. doi: 10.1136/ard.41.5.486.

DOI:10.1136/ard.41.5.486
PMID:7125718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1001028/
Abstract

Felty's syndrome has again been shown to be a severe form of systemic rheumatoid disease characterised by severe joint involvement, many extra-articular features, and a high incidence of infection. In addition we have shown that splenectomy was not protective for infections and in fact may on occasion contributed to infection. Furthermore, although most patients had an increase in white blood cell count after splenectomy, 50% of patients without splenectomy showed a similar increase in white blood cell counts at follow-up. Mortality in Felty's syndrome was high, with infection being the main cause of death.

摘要

费尔蒂综合征再次被证明是一种严重的全身性类风湿疾病,其特征为严重的关节受累、许多关节外表现以及高感染发生率。此外,我们已经表明脾切除术对感染并无保护作用,实际上有时可能会导致感染。而且,尽管大多数患者在脾切除术后白细胞计数有所增加,但50%未进行脾切除术的患者在随访时白细胞计数也有类似增加。费尔蒂综合征的死亡率很高,感染是主要死因。

相似文献

1
Long-term outcome in Felty's syndrome.费尔蒂综合征的长期预后。
Ann Rheum Dis. 1982 Oct;41(5):486-9. doi: 10.1136/ard.41.5.486.
2
Felty's syndrome. Clinical and serological analysis of 34 cases.费尔蒂综合征。34例临床及血清学分析。
Ann Rheum Dis. 1977 Dec;36(6):500-7. doi: 10.1136/ard.36.6.500.
3
Esophageal varices in Felty's syndrome: A case report and review of the literature.费尔蒂综合征中的食管静脉曲张:一例病例报告及文献综述
Arthritis Rheum. 1976 Mar-Apr;19(2):150-4. doi: 10.1002/art.1780190204.
4
The mechanism of neutropenia in Felty's syndrome.费尔蒂综合征中性粒细胞减少的机制。
Br J Haematol. 1974 Jul;27(3):463-75. doi: 10.1111/j.1365-2141.1974.tb06812.x.
5
Symptomatic porphyria in a case of Felty's syndrome. I. Clinical and routine biochemcial studies.
Clin Chem. 1972 May;18(5):459-61.
6
Clinical and serologic observations on 27 patients with Felty's syndrome.对27例费尔蒂综合征患者的临床和血清学观察。
Arthritis Rheum. 1968 Jun;11(3):377-84. doi: 10.1002/art.1780110302.
7
Felty's and pseudo-Felty's syndromes.费尔蒂综合征和假性费尔蒂综合征。
Semin Arthritis Rheum. 1991 Dec;21(3):129-42. doi: 10.1016/0049-0172(91)90002-h.
8
Role of splenectomy in Felty's syndrome.脾切除术在费尔蒂综合征中的作用。
Am J Surg. 1975 Jul;130(1):51-2. doi: 10.1016/0002-9610(75)90456-0.
9
Felty's syndrome: when is splenectomy indicated?费尔蒂综合征:何时适合行脾切除术?
Am J Surg. 1985 Feb;149(2):272-5. doi: 10.1016/s0002-9610(85)80084-2.
10
Felty's syndrome: effects of splenectomy upon granulocyte count and granulocyte-associated IgG.费尔蒂综合征:脾切除术对粒细胞计数及粒细胞相关IgG的影响
Ann Intern Med. 1981 May;94(5):623-8. doi: 10.7326/0003-4819-94-5-623.

引用本文的文献

1
Targeted Therapy with Rituximab in Felty's Syndrome: A Case Report.利妥昔单抗靶向治疗费尔蒂综合征:一例报告
Open Rheumatol J. 2012;6:312-4. doi: 10.2174/1874312901206010312. Epub 2012 Nov 16.
2
Diffuse disseminated candidiasis in a patient with Felty's syndrome: a case report.费尔蒂综合征患者的弥漫性播散性念珠菌病:一例报告
Rheumatol Int. 2007 Nov;28(1):65-8. doi: 10.1007/s00296-007-0366-x. Epub 2007 Jun 19.
3
Candida albicans peritonitis in a patient with Felty's syndrome.一名患有费尔蒂综合征患者的白色念珠菌性腹膜炎。
J Clin Pathol. 2005 Apr;58(4):432-3. doi: 10.1136/jcp.2004.016287.
4
Indolent Staphylococcus aureus pneumonia.惰性金黄色葡萄球菌肺炎
West J Med. 1990 Sep;153(3):316-9.
5
Pneumococcal septic arthritis after splenectomy in Felty's syndrome.费尔蒂综合征脾切除术后的肺炎球菌性败血症性关节炎。
Ann Rheum Dis. 1991 Oct;50(10):724-6. doi: 10.1136/ard.50.10.724.

本文引用的文献

1
Direct splenic arterial and venous blood studies in the hypersplenic syndromes before and after epinephrine.肾上腺素前后脾功能亢进综合征的直接脾动静脉血液研究。
Blood. 1951 Mar;6(3):195-212.
2
Felty syndrome.费尔蒂综合征。
Semin Arthritis Rheum. 1980 Aug;10(1):52-65. doi: 10.1016/0049-0172(80)90014-1.
3
Felty's syndrome: long-term follow-up after splenectomy.费尔蒂综合征:脾切除术后的长期随访
Ann Intern Med. 1971 Sep;75(3):381-5. doi: 10.7326/0003-4819-75-3-381.
4
Clinical and serologic observations on 27 patients with Felty's syndrome.对27例费尔蒂综合征患者的临床和血清学观察。
Arthritis Rheum. 1968 Jun;11(3):377-84. doi: 10.1002/art.1780110302.
5
Leukokinetic studies. XIV. Blood neutrophil kinetics in chronic, steady-state neutropenia.白细胞动力学研究。十四。慢性稳定期中性粒细胞减少症患者的血液中性粒细胞动力学
J Clin Invest. 1971 Aug;50(8):1678-89. doi: 10.1172/JCI106657.
6
Chemotaxis of polymorphonuclear leukocytes from patients with systemic lupus erythematosus and Felty's syndrome.系统性红斑狼疮和费尔蒂综合征患者多形核白细胞的趋化性。
Immunol Commun. 1972;1(1):39-49. doi: 10.3109/08820137209022891.
7
The mechanism of neutropenia in Felty's syndrome.费尔蒂综合征中性粒细胞减少的机制。
Br J Haematol. 1974 Jul;27(3):463-75. doi: 10.1111/j.1365-2141.1974.tb06812.x.
8
The extra-articular features of rheumatoid arthritis. A systematic analysis of 127 cases.类风湿关节炎的关节外表现。对127例病例的系统分析。
Am J Med. 1973 Apr;54(4):445-52. doi: 10.1016/0002-9343(73)90040-5.
9
Felty's syndrome. A clinical and pathological survey of 21 patients and their response to treatment.费尔蒂综合征。21例患者的临床与病理研究及其对治疗的反应
Ann Rheum Dis. 1971 Jul;30(4):359-74. doi: 10.1136/ard.30.4.359.
10
Spontaneous remission of Felty's syndrome.
Arthritis Rheum. 1975 Sep-Oct;18(5):515-7. doi: 10.1002/art.1780180516.