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Felty's syndrome in a Nigerian.

I I Onyewotu1, G C Onyemelukwe, J U Okpapi

  • 1Department of Medicine, Ahmadu Bello University Hospital, Zaria, Nigeria.

Tropical and Geographical Medicine
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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This case report details the first Nigerian patient with Felty's syndrome, a rare complication of rheumatoid arthritis. The patient presented with splenomegaly and leukopenia, alongside impaired staphylococcal killing by granulocytes.

Area of Science:

  • Rheumatology
  • Hematology
  • Immunology

Background:

  • Felty's syndrome is a rare triad of rheumatoid arthritis, splenomegaly, and neutropenia.
  • It typically occurs in long-standing, seropositive rheumatoid arthritis.
  • This condition is associated with specific autoantibodies and impaired neutrophil function.

Observation:

  • A 55-year-old Nigerian woman with a 10-year history of seropositive rheumatoid arthritis presented with splenomegaly and leukopenia.
  • Radiological examination showed no erosions, and subcutaneous nodules were absent.
  • The patient exhibited a positive granulocyte-specific anti-nuclear factor and cryoglobulins containing IgA and IgM.

Findings:

  • The patient's polymorph-nuclear granulocytes demonstrated impaired staphylococcal killing capacity.

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  • Despite the presence of splenomegaly and leukopenia, the rheumatoid arthritis was not severely deforming.
  • Laboratory findings included positive anti-nuclear factor and specific cryoglobulins.
  • Implications:

    • This case expands the known geographical and clinical spectrum of Felty's syndrome.
    • It highlights the importance of considering Felty's syndrome in African patients with rheumatoid arthritis and cytopenias.
    • Further research may elucidate genetic or environmental factors influencing Felty's syndrome presentation in diverse populations.