Felty syndrome mnemonic:
The cause of Felty syndrome is unknown. It is more common in people who have had rheumatoid arthritis for a long time. People with this syndrome are at risk of infection because they have a low white blood cell count.
- Rheumatoid arthritis,
- Splenomegaly,
- Neutropenia
- Splenomegaly
- Hepatomegaly
- Lymphadenopathy
- Rheumatoid Arthritis joint deformities ± active synovitis causing joint swelling and tenderness.
- Anemia
- Eye burning or discharge
- Fatigue
- Anorexia
- Weight loss
- Recurrent infections due to neutropenia (lung and skin infections are most common).
- Left upper quadrant pain (due to splenomegaly or splenic infarcts).
- Symptoms related to Rheumatoid arthritis, including joint swelling, pain, stiffness and deformity.
A physical exam will show:
- Swollen spleen
- Joints that show signs of rheumatoid arthritis
- Possibly swollen liver and lymph nodes
A complete blood count ( CBC) may show a lower number of white blood cells called neutrophils.
An abdominal ultrasound may confirm a swollen spleen.
Persons with this syndrome are usually already receiving treatment for rheumatoid arthritis. They may need other medicines to suppress their immune system.
Methotrexate may improve the low white blood cell count.
Some people benefit from removal of the spleen (splenectomy).
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fetly syndrome mnemonic.
fetly syndrome mnemonic.
fetly syndrome mnemonic.