© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Clinical Vignette
Department of Rheumatology, St Vincent's University Hospital, Dublin, Ireland
Correspondence to: C. Matthews. E-mail: cfmatthews@doctors.net
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The patient, a 69-yr-old man, had seropositive erosive rheumatoid arthritis (RA) diagnosed in 1977. He failed on the conventional disease-modifying agents of salazopyrin and methotrexate. Complications of Felty's syndrome (splenomegaly, neutropenia) and osteoporosis developed during his disease course. In 1997 he