<prompt> Answer this question truthfullyCould you provide more context or is that the complete sentence? If its complete the phrasing is grammatically correct.  <response>: <reason> Moderately impaired mental ability Problems with swallowing. The Other symptoms may include Vomiting Arthritis Hoarseness Breathing difficultyXanthemas which thicken around joints as the disease progresses Lipogranulomas - small lumps of fat in the skinSwollen lymph nodesHepatosplenomegalySwollen joints Joint contractures chronic shortening of muscles or tendons around jointsImpaired intellectual ability 