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Importantly, none of these analyses highlighted any difference in terms of arthritis prevention in PsO among the various systemic therapies, apart from the study by Singla et al

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[14] Maximal secretion of GH may occur within minutes of the onset of slow-wave (SW) sleep (stage III or IV)

Familiarity with various etiologies of sclerosing cholangitis and awareness of their typical clinical and imaging findings are essential for an accurate diagnosis and appropriate management
