title: Spleen and liver enlargement in a patient with rheumatoid arthritis.
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.
authors.affiliation: Sección de Reumatología, Hospital J. M. Cullen, Santa Fe, Argentina. Electronic address: eugebedoya11@gmail.com.
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Bedoya
authors.affiliation: Sección de Reumatología, Hospital J. M. Cullen, Santa Fe, Argentina.
authors.forename: Federico
authors.initials: F
authors.lastname: Ceccato
authors.affiliation: Sección de Reumatología, Hospital J. M. Cullen, Santa Fe, Argentina.
authors.forename: Sergio
authors.initials: S
authors.lastname: Paira
mesh_terms: D003937:Diagnosis, Differential; D005258:Felty Syndrome / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006529:Hepatomegaly / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010198:Pancytopenia / Q000175:diagnosis / Q000209:etiology*; D013163:Splenomegaly / Q000175:diagnosis / Q000209:etiology*
keywords: Arthritis rheumatoid; Artritis reumatoide; Esplenomegalia; Hepatomegalia; Hepatomegaly; Spleen enlargement