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doi: 10.1111/j.1651-2227.1994.tb13461.x

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Chronic inflammation can lead to an increase in the expression of -smooth muscle actin, activate hepatic stellate cells, and cause collagen deposition in liver tissue, thereby inducing fibrosis

Additionally, for scenarios involving acute exacerbation on a background of chronic macrocytic anemia, the relevant code to consider is D63.8 along with the appropriate modifier