Question

a 57 year old caucasian female presents to your office with signs and symptoms consistent with rheumatoid arthritis. in addition she is has a history of splenomegaly and hypersplenism. her most recent blood work indicates she has anemia with a neutropenia. what is this patients most likely tentative diagnosis?
felty syndrome
caplan syndrome
still syndrome
sjogren syndrome
reiter syndrome

Explanation:

Felty syndrome is characterized by the combination of rheumatoid arthritis, splenomegaly, and neutropenia often with anemia. Caplan syndrome is associated with rheumatoid arthritis and pneumoconiosis. Still syndrome is a form of juvenile - idiopathic arthritis with systemic symptoms. Sjogren syndrome is an autoimmune disorder affecting exocrine glands. Reiter syndrome is a reactive arthritis. Given the patient's symptoms of rheumatoid arthritis, splenomegaly, hypersplenism, anemia, and neutropenia, Felty syndrome is the most likely diagnosis.

Answer:

A. Felty syndrome