M. L. PEDRO-BOTET, M.D.; M. SABRIÀ-LEAL, M.D., Ph.D.; J. JUNCÀ-PIERA, M.D., Ph.D.; F. MILLÁ-SANTOS, M.D.
To the editor: Recently, Barton and coworkers (1) described two cases of atypical lymphocytosis associated with serologically proven rheumatoid arthritis. Previously, Wallis and colleagues (2) had described five similar cases. In most cases, the articular manifestations corresponded to classic rheumatoid arthritis, which normally precedes a diagnosis of lymphocytosis by several years. We present the case of a patient with chronic T-cell lymphocytosis.
A 53-year-old woman had had a splenectomy for unknown reasons at age 19. At age 49, esophageal varices were diagnosed and an hepatic biopsy was done that yielded normal findings. At that time she had atypical absolute lymphocytosis.
PEDRO-BOTET ML, SABRIÀ-LEAL M, JUNCÀ-PIERA J, MILLÁ-SANTOS F. Lymphocytosis, Azurophilic Granulation, and Polyarthritis. Ann Intern Med. ;106:330. doi: 10.7326/0003-4819-106-2-330
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Published: Ann Intern Med. 1987;106(2):330.
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