title: Coexistent Felty's syndrome and palindromic rheumatism.
abstract: Palindromic rheumatism is a syndrome of intermittent abrupt onset monoarthritis with asymptomatic intercritical periods of variable duration, which commonly evolves into rheumatoid arthritis. Felty's syndrome consists of leucopenia (selective neutropenia) and splenomegaly, usually occurring in longstanding classic rheumatoid arthritis. Felty's syndrome can be confused with the more recently recognised rheumatoid arthritis associated large granular lymphocyte proliferative disease. This paper describes a patient with palindromic rheumatism presenting with Felty's syndrome in whom large granular lymphocyte proliferative disease was ruled out by lymphocyte phenotyping.
authors.affiliation: Department of Internal Medicine, School of Medicine, University of California, Davis 95616.
authors.forename: R E
authors.initials: RE
authors.lastname: Alvillar
authors.forename: L
authors.initials: L
authors.lastname: O'Grady
authors.forename: D
authors.initials: D
authors.lastname: Robbins
mesh_terms: D002452:Cell Count; D003937:Diagnosis, Differential; D005258:Felty Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008214:Lymphocytes / Q000737:chemistry; D008232:Lymphoproliferative Disorders / Q000175:diagnosis*; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D010641:Phenotype; D012216:Rheumatic Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
chemical_list: D008727:Methotrexate