Key Clinical Message:
The atypical presentation of Felty syndrome, even without arthritis
symptoms, needs further evaluation. Timely diagnosis of neutropenia and
splenomegaly in patients with rheumatoid arthritis without joint
symptoms is crucial for a better prognosis. Despite the rarity of the
condition, clinicians should have a high index of suspicion, and
multidisciplinary collaboration between rheumatology, hematology, and
other specialists is required for accurate diagnosis.