KAMAL M. BAKRI, M.D.
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To the editor: In the September issue, Wallis and colleagues (1) describe the association of polyarthritis and neutropenia associated with circulating large granular lymphocytes. They state, "Polyarthritis has been described in only 3 patients." However, they have not accounted for two previous reports, namely, a patient described by Hooks and colleagues (2) and one reported by us (3). While studying our patient, we realized that this disease is a new and interesting entity, yet to be explored. We named it "RATS" syndrome (rheumatoid arthritis and T-suppressor lymphocytosis with neutropenia) and stressed its similarity to Felty's syndrome (3).
Peripheral blood lymphocytes
BAKRI KM. Polyarthritis and Neutropenia. Ann Intern Med. ;104:127. doi: 10.7326/0003-4819-104-1-127_1
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Published: Ann Intern Med. 1986;104(1):127.
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