He didn't attend that meeting under the pretext of sickness.

他以生病为借口,没参加那个会议.

《简明英汉词典》

The boy refuses to go to school on [ under ] the pretext of illness [ an ailment, sickness ].

这孩子装病不去 上学.

《现代汉英综合大词典》

He remained home on [ under ] the pretext of being sick.

他以生病为借口 [ 托辞生病 ] 留在家里.

辞典例句

John left early under the pretext of illness.

今天约翰以生病为藉口,提早离开了.

辞典例句

He stayed away under the pretext of ill health.

他以身体不佳为借口而避开了.

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