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Spleen and liver enlargement in a patient with rheumatoid arthritis
María Eugenia Bedoya1, Federico Ceccato1, Sergio Paira1
1Sección de Reumatología, Hospital J. M. Cullen, Santa Fe, Argentina.
Abstract:
We describe the case of a 51-year-old woman with a seropositive, erosive, and non-nodular rheumatoid arthritis of 15 year of evolution. The patient had poor compliance with medical visits and treatment. She came to the clinic with persistent pancytopenia and spleen and liver enlargement. Liver and bone marrow biopsies were carried out and amyloidosis, neoplasias and infections were ruled out. We discuss the differential diagnosis of pancytopenia and spleen and liver enlargement in a long-standing rheumatoid arthritis patient.
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