What is your approach to further work-up and management of neutropenia in patients with SLE/RA overlap?

This is an interesting situation that comes up in the routine evaluation of patients with rheumatoid arthritis and other autoimmune syndromes. The normocellular bone marrow suggests a peripheral destruction, in general, and raises some concerns for antibodies directed against neutrophils. These are ...

Agree with @Dr. First Last.

For the young folk reading this thread (sorry to say we are not young folk, Paul), what we used to call "LGL syndrome" is now called RA-associated T-cell large granular lymphocyte leukemia. It used to sound a lot less scary to our patients when we could say LGL syndrome. ...