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ULCERS OF THE LEG IN FELTY'S SYNDROME
EUGENE P. SCHOCH, Jr., M.D.
AMA Arch Derm Syphilol. 1952;66(3):384-390.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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FIVE CASES of chronic rheumatoid arthritis, splenomegaly, and leucopenia in middle-aged adults were described by Felty1 in 1924. Other somewhat inconsistent clinical features included slight secondary anemia, lymphadenopathy, lowgrade fever, weight loss, and yellowish-brown pigmentation and dusty nodules in the skin. Still2 previously had described a form of chronic arthritis occurring in children, accompanied with lymphadenopathy and splenomegaly, but with leucocytosis rather than leucopenia. Chauffard and Raymond3 similarly had reported adenopathy occurring in adults with rheumatoid arthritis. Thus, the somewhat confused literature has referred to a heterogeneous group of conditions as StillChauffard-Felty's disease.
There have been numerous reports of cases fitting Felty's original description.4 A statistical review of cases of rheumatoid arthritis supports Felty's original concept that the syndrome is a single pathologic process caused by a noxa which affects the joints, spleen, and leucocytes. However, such a review questions the
. . . [Full Text PDF of this Article]
Author Affiliations
MINNEAPOLIS
From the Division of Dermatology, University of Minnesota, H. E. Michelson, M.D., Director, and the Department of Dermatology, Minneapolis General Hospital, Carl W. Laymon, M.D., Director.
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