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* 1. Are you currently in clinical practice?

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* 2. How many patients with uncontrolled moderate to severe atopic dermatitis do you see on a weekly basis?

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* 3. The remaining questions are regarding your patient case.
Please indicate your patient’s sex:

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* 4. Please indicate your patient’s age group:

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* 5. Does the patient have any of the following comorbidities? (Choose all that apply)

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* 6. Please provide a detailed description of your case, including past and current medication, relevant comorbidities, known laboratory values, and clinical assessment

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* 7. If my case is selected for discussion, I can be contacted to provide additional HIPAA-compliant details, if necessary, to help elucidate the scenario for resolution by the expert faculty

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* 8. If yes, please provide your email address:

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