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"which manifested as" is a perfectly correct and usable phrase in written English
It means that something manifested itself in a particular way. For example: The increased demand for the product "which manifested as an increase in sales" was a pleasant surprise.
Exact(40)
With time, it became evident that high-dose DES was associated with excess cardiovascular mortality (de Voogt et al, 1986) which manifested as early as the first six months of treatment.
In their homes I felt the way I did in college, only more intensely: deeply curious about the nice things my wealthier friends owned, which manifested as a kind of hunger for tactile access.
To report a case of Munchausen syndrome by proxy, which manifested as recurrent bilateral keratoconjunctivitis in an infant.
To describe an unusual presentation of ring chromosome 12, which manifested as severe azoospermia, resulting in male infertility.
We present the case of a patient with ipsilateral hemidiaphragmatic paralysis after supraclavicular brachial plexus block, which manifested as loss of consciousness and hypercapnic respiratory distress.
The anti-epileptic effect persisted for one week after LFS cessation, which manifested as a long-term inhibition of the frequency of seizures with short (20 60 s) and intermediate duration (60 120 s).
Similar(20)
In its homozygous state, HbD causes hemoglobin D disease which manifests as mild to moderate anemia.
Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive disorder which manifests as isolated glucocorticoid deficiency with normal mineralocorticoid function (1).
Many doctors who do not treat it consider the condition a questionable psychological illness, which manifests as physical symptoms.
Mutations in the gene that encodes lactase may result in inherited lactase deficiency, which manifests as lactose intolerance, or the inability to digest lactose.
Preeclampsia is known to cause impairment of kidney function in pregnancy, which manifests as proteinuria.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com