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Felty's Syndrome (cont.)

How is Felty's syndrome treated?

Treatment of Felty's syndrome is not always required. The underlying rheumatoid arthritis is managed in the standard fashion. Treatments used for patients with recurring infections, active arthritis, or ulcer in the legs include rheumatoid disease modifying drugs, such as methotrexate and azathioprine. Patients with severe infectious diseases may benefit by weekly injections with a stimulating factor (granulocyte stimulating factor/GSF) that acts to increase the amount of white blood cells. Surgical removal of the spleen has been performed for the same reasons but has not been evaluated by long-term research studies.

Felty's Syndrome At A Glance
  • Felty's syndrome is a complication of long-standing rheumatoid arthritis.
  • Patients with Felty's syndrome can have more infections than the average person and can develop leg ulcers.
  • The cause of Felty's syndrome is not known.
  • Felty's syndrome is diagnosed by the presence of three conditions: rheumatoid arthritis, an enlarged spleen, and an abnormally low white blood count.
  • Treatment of Felty's syndrome is not always required, but medications are used for serious manifestations.

Last Editorial Review: 3/27/2008




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