All are clinical manifestations of Felty's syndrome except:

Felty's syndrome is characterized by Rheumatoid ahritis with splenomegaly and neutropenia Caplan syndrome is Rheumatoid ahritis in association with coal worker pneumoconiosis Felty Syndrome affects approximately 1-3% of all patients diagnosed with RA Many years of aggressive destructive rheumatoid ahritis (RA) precede the onset of Felty syndrome (FS). On occasion, RA and FS develop simultaneously. The extraaicular manifestations of RA (e.g, rheumatoid nodules, pleuropericarditis, vasculitis, peripheral neuropathy, episcleritis, other forms of eye involvement, Sjogren syndrome, adenopathy, skin ulcers) are more common in patients who develop Felty Syndrome.