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Remission and low disease activity (LDA) prevent damage acc..:

Ugarte-Gil, Manuel Francisco ; Hanly, John ; Urowitz, Murray...
https://discovery.ucl.ac.uk/id/eprint/10154937/2/Rahman_Remission%20LDA%20LLDAS%20damage%20SLICC%20cohort%20Jul%2009%20clean.pdf.  , 2022