GEORGE E. MCLAUGHLIN, M.D.
To the editor: I read with interest the paper by Blumfelder and colleagues (1) but found what appears to be a perplexing inconsistency in their statement on efficacy of splenectomy in patients with Felty's syndrome sans splenomegaly. The authors state, "These patients do not respond predictably to splenectomy since four patients in this study were distributed randomly into complete, partial, and nonresponding groups." In the discussion the authors appear to contradict this statement by noting that of four patients in the study with Felty's syndrome without splenomegaly, three responded after splenectomy. This dichotomy should be resolved; presence or absence of
MCLAUGHLIN GE. Splenectomy in Felty's Syndrome. Ann Intern Med. ;96:124. doi: 10.7326/0003-4819-96-1-124_2
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Published: Ann Intern Med. 1982;96(1):124.
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