High Yield Pearls From the Experts

• Cobos - With scleromyxedema always check thyroid, work up for underlying gammopathy and treat with IVIG or thalidomide

• Cobos - Do not give a diagnosis if there is uncertainty.

• Cobos - In higher doses of systemic glucocorticoids each 10mg/d increase was associated with a 3.6% increase in osteonecrosis rate and >20mg/d resulted in higher osteonecrosis incidence.

• Koo - AD is a spectrum disorder, meaning it manifests in many ways. Pause, ask questions, and document atopic disease to leave all therapeutic options available.

• Koo - Psoriasis is a dangerous and deadly disease (cardiac, metabolic, thrombotic, psychosocial comorbidities); therefore, not treating this disease aggressively is a detriment to our patients. Untreated disease is often more dangerous than FDA approved medications.