It is a variant of rheumatoid arthritis and is common in people who have had rheumatoid arthritis for a long time. People with this syndrome suffer from an increased incidence of infection associated with the low white blood cell count . Prevention is unknown. A physical examination shows an enlarged spleen , and may also show an enlarged liver or enlarged lymph nodes .
Joint findings are typical of rheumatoid arthritis .
A CBC may show decreased neutrophil count. Progression of rheumatoid arthritis is likely. Some people benefit from splenectomy . Recurrent infections may develop. Call for an appointment with your health care provider if symptoms of this disorder develop.