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National adaptation plan for climate change impacts in Sri Lanka: 20162025

With poorly controlled or severe disease, there is risk that extra-articular manifestations such as keratitis, pulmonary granulomas (rheumatoid nodules), pericarditis/pleuritis, small vessel vasculitis, and other non-specific extra-articular symptoms will develop

Further research suggest systematic healing of intestinal damage such as stulas, inammatory disorders, gastro-intestinal cramps, Crohns disease and leaky gut