It represents pure consciousness shining in all its luminous manifestations. The defective collagen contributes to many of the aforementioned connective tissue manifestations of this disease. Visual reduction from these manifestations is uncommon. All other deities are revered as Tengri's manifestations or spirits of the elements. Oral manifestations of the disease (enanthem) not uncommonly may precede the external rash (exanthem). The course of progression varies with different clinical manifestations among individuals. A diagnosis of peritonitis is based primarily on the clinical manifestations described above. There are a number of other rare pulmonary manifestations of histoplasmosis. Not all of the above manifestations occur in every case of hypoglycemia. This may explain the different manifestations of ergotism in different outbreaks. The two main clinical manifestations are sepsis and meningitis. This is accompanied with "dramatic physiological manifestations". Kabbalah focuses on the esoteric manifestations of God in Creation, the vessels of Divinity. The full clinical manifestations of delirium may never be reached. There are two primary manifestations of catatonic behavior.