Síndrome de Felty. Reporte de caso

Abstract

Felty’s syndrome is a rare extra-articular complication of rheumatoid arthritis, with a prevalence of less than 1% among all rheumatoid arthritis cases. It is characterized by the presence of neutropenia and splenomegaly. This condition has a high mortality rate due to the increased susceptibility of patients to infections, which occur as a result of the neutropenia exhibited. A case of a 41-year-old female patient is presented who came for evaluation due to marked asthenia and hyporexia. She was diagnosed with profound neutropenia, requiring hospitalization and early treatment to prevent complications. During her hospital stay, the patient reported joint pain; therefore, rheumatoid factor and anti-cyclic citrullinated peptide antibodies were tested positive. Splenomegaly was observed by ultrasound, and the patient was diagnosed with Felty’s syndrome after presenting with the classic triad.