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Conclusions A standardized, multidisciplinary, and minimally invasive endoscopic approach for LAGB erosion was found to achieve success with no need for additional surgical intervention and can even be offered to clients upon advancement of erosion.Dermato-neuro problem is a potentially fatal neurological complication of scleromyxedema composed of fever, seizures, and coma. It is an overlooked scleromyxedema case of a 62-year-old female client from 2-years ago. She was admitted to