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seen in ~20% of RF+ patients Pulmonary involvement : interstitial lung disease (ILD), pleural effusion, pulmonary nodules, bronchiolitis obliterans Cardiac involvement : pericarditis, myocarditis, accelerated atherosclerosis, conduction abnormalities Ocular involvement : scleritis, episcleritis, keratoconjunctivitis sicca (secondary Sjgrens), uveitis (H20.x code separately) Vasculitis : digital infarcts, skin ulceration, mononeuritis multiplex, mesenteric ischemia (severe/rare) Feltys syndrome triad : RA + splenomegaly + neutropenia associated with M05.0x codes Anemia of chronic disease

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Subcutaneous use is uncommon and dose-limited

And I have been doing all of the above, since I was 23 years old

pH 7.7 Primal (South Africa)