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Abstract
Felty's syndrome is an uncommon but severe extra-articular manifestation of rheumatoid arthritis. Felty's syndrome is characterized by the triad of rheumatoid arthritis, neutropenia, and splenomegaly. The lifetime risk of Felty's syndrome for a rheumatoid arthritis patient is less than 1%. We present a case which is a classical presentation of Felty's syndrome with the triad of RA, neutropenia and splenomegaly. We present a case of 51-year old woman on chronic RA treatment who presented with cellulitis. The work up showed splenomegaly and neutropenia which support Felty's syndrome diagnosis. Patients with Rheumatoid arthritis (RA), who developed neutropenia and splenomegaly, should be suspected of developing Felty's syndrome as a complication of Rheumatoid arthritis.
Highlights
This case is a presentation of a unique condition that is not identified in regular basis
Felty’s Syndrome (FS) is characterized by the triad of Rheumatoid arthritis (RA), neutropenia, and splenomegaly
The lifetime risk of FS for a RA patient is less than 1% [3]
Summary
This case is a presentation of a unique condition that is not identified in regular basis. The patient case was escalated from being a cellulitis patient with rheumatoid arthritis to the diagnosis of rare Felty’s Syndrome. We report the case of a 51-year-old female with a known medical history of seronegative rheumatoid arthritis, presents to the ED with a worsening left groin wound that started around 4 days ago after selfadministering an Enbrel shot.
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