Clinical Pearl. Oral lesions in lupus can have a sunray appearance (lines emanating from the lesion)

dry mouth. Abstract recently presented at the oral medicine meeting. Aquaporin gene transfer!

Clinical Pearl on burning mouth syndrome A diagnosis of exclusion. Small study…clonazepam systemically or topically can help.

Clinical Pearl. Cuoghi Edens One key question. To start the discussion about planned pregnancy. Validated

Clinical Pearl Cuoghi Edens Drugs and pregnancy

Clinical Pearl. Contraception. Cuoghi Edens

Clinical Pearl. Cuoghi Edens MMF requires 2 forms of contraception.

Clinical Pearl Cuoghi Edens progestin only methods are ok for use in antiphospholipid ab patients

Clinical Pearl. Cuoghi Edens Emergency contraception is safe for all of our rheum patients. No medical contraindications

Clinical Pearl. Assistive reproductive technology Cuoghi Edens

Clinical Pearl Cuoghi Edens if mom on immunosuppressive agent, hold live vaccines for baby for 6 months if patients on rituxan. Ok if on others

Clinical Pearl. A high vitamin D is not toxicity. It is the hypercalcemia that occurs that classifies it as vitamin D toxicity

Clinical Pearl. VITAL trial. (BMJ(2022). Vitamin D supplementation decreases incidence of development of autoimmune disease by 22% (2000IU D3 daily dose)

What a turnaround! Congrats, Cavs #LetEmKnow

Looking forward to this #company #broadwayseries

Happy Father’s Day

90 degrees outside and of course the AC at work decides to die. Patients are being seen quickly to minimize their discomfort.

Violence is never the answer

It is for the best