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  • Title: Cell mediated autoimmune granulocytopenia in a case of Felty's syndrome.
    Author: Slavin S, Liang MH.
    Journal: Ann Rheum Dis; 1980 Aug; 39(4):399-402. PubMed ID: 7436567.
    Abstract:
    A variety of mechanisms have been demonstrated or suggested to explain the neutropenia that accompanies Felty's syndrome. This case report presents with Felty's syndrome with recurrent infections with initially had a clinical response to splenectomy. Eleven years later profound neutropenia recurred. In-vitro evidence for cell mediated autosensitisation of peripheral blood lymphocytes to autologous bone marrow cells was found. The cellular abnormalities improved after high-dose corticosteroids but not lithium. However, there did not appear to be a reduction in the incidence of clinical infections. The finding suggests that granulocytopenia in some patients with Felty's syndrome may be an autoimmune phenomenon.
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