However, for patients with a short RA history and no clinical signs or symptoms, Felty syndrome is often easily missed or misdiagnosed, leading to delayed treatment.[5,14,19] Therefore, here, we report the case of a patient with a short history of RA (<1 year) that presented as subcutaneous hemorrhage and decreased hemoglobin (Hb), WBC, and blood platelet count (BPC). The gene discussed is GSTM1; the disease is rheumatoid arthritis.