Presentation
Recurrent GI bleeding, neutropenia with a history of rheumatoid arthritis for 15 years
Patient Data
Age: 60 years
Gender: Female
From the case:
Felty syndrome
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Enlarged spleen with evidence of portal hypertension complicated by gastric and esophageal varices. There are no signs of liver cirrhosis or portal vein thrombosis.
Case Discussion
Felty syndrome is a rare complication of rheumatoid arthritis, which occurs in less than 1%. It is characterized by the presence of three clinical features: rheumatoid arthritis, splenomegaly, and neutropenia. Sometimes Felty syndrome can cause non-cirrhotic portal hypertension.
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