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Modifier 24
Modifier 24: In a nutshell ... Used to report an E/M service performed during, but unrelated to the postoperative period of the previous procedure by the same physician. ... It’s important to know the ins and outs of this frequently used modifier. Not reporting or misusing modifier 24 can result
Thyroid hormone, mitochondria, photoaging and April 7, 2017
By Warren R. Heymann, MD Sept. 24, 2016 On April 7, 1997 I filed a patent entitled "Method for the treatment of dry skin," utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017. ... Some of you
January 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JANUARY 24, 2018 ... Psoriasis treatments: Which ones are the most effective? AAD names Dirk Elston, MD, next JAAD editor SCC death reports may be inaccurate Does adherence vary by treatment?
April 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 24, 2019 ... Dermal filler may effectively treat facial acne scarring DW Insights and Inquiries : Fever, rash, and lymphadenopathy may be wearing more than one DRESS AAD Board of
CMS Releases 2017 Quality Payment Program Experience Report
The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), which began in 2017, purports to reward value and positive outcomes in patient care. CMS recently released a comprehensive overview of the clinician reporting experience during the first year of the program (2017 Quality Payment Program (QPP) Experience
October 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 24, 2018 ... Drug shortages affecting your patients? Tell the FDA. When dealing with payers, the data can speak for itself Are you smarter than DataDerm™? Adalimumab biosimilar launches in
July 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Wound care after dermatologic procedures lacks uniformity In a recently published study in ... Dermatologic Surgery , investigators performed an assessment of postoperative dermatology handouts that shows high variability in patient instructions for wound care.
Securing mobile devices
Today, we are accustomed to quick communication across a variety of platforms: chat, text, email, and more. The convenience of mobile technology in health care sells itself, but when we use electronic communications to send patient information, called Protected Health Information (PHI), federal law requires safeguards to protect patient privacy.
Modifiers
Modifiers: Providing additional details ... Learn when to append a modifier to a procedure or E/M code. Improper application of modifiers is a frequent cause for rejected reimbursement, so be sure you are meeting requirements. ... Common modifiers Learn about the most commonly used modifiers in dermatology. ... Modifier 24
Methotrexate toxicity: What’s in a name?
By Warren R. Heymann, MD Aug. 24, 2017 Methotrexate-induced skin toxicity: photographs of 4 illustrative cases. A, Erosions in psoriatic plaques over the torso (patient 1). B and C, Ulcerated and reticulated psoriatic plaques over the arms (patient 2). D, Small shallow cutaneous erosions (patient 4). E, Mucosal erosions over
May 24, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 24, 2023 ... Mood changes in adolescent patients taking isotretinoin DermWorld Insights and Inquiries : Tinea gone wild — The emergence of Trichophyton indotineae as a global phenomenon Successful dose
Concierge medicine
Concierge medicine involves patients paying a monthly or annual fee for enhanced services. According to Medscape's Compensation Report from 2017, about 3% of dermatologists participate in a concierge model of care. There are many different ways to structure your practice into this model. You can choose to have patients pay
Of sirolimus, shagreen, and chagrin
By Warren R. Heymann, MD July 24, 2017 Shagreen patch is a connective tissue hamartoma composed of excess collagen and elastic tissue. ... Credit: ... JAAD By the time I left the superlative World Congress of Pediatric Dermatology in Chicago I wanted to add sirolimus to the water supply. The
Sézary syndrome and Shakespeare: What’s in a name?
By Warren R. Heymann, MD ... March 24, 2017 ... Initial clinical presentations of Sézary syndrome without erythroderma. Normal-appearing skin with moderate pigmentation on back of patient 2 (A), several seborrheic keratoses and a hematoma secondary to skin biopsy for patient 3 (B), no apparent lesion on back of
Cyclosporine reaches the top of the SJS/TEN leaderboard
By Warren R. Heymann, MD Oct. 16, 2017 ... A, Sheet-like detachment, blisters, and raw erosions on back of patient with Stevens-Johnson syndrome/toxic epidermal necrolysis. B, Postinflammatory hyperpigmentation accentuated in areas where detached epidermis was not left in situ. ... Credit: ... JAAD The first commentary in DI&I for 2017
March 24, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 24, 2021 ... Derm Coding Consult : Applying 2021 E/M coding concepts in everyday practice — Part 1 DermWorld Insights and Inquiries : Lipschütz ulcers — Not only for women
The mysteries of malakoplakia
By Warren R. Heymann, MD May 24, 2017 A, Dermal nodule with confluent sheets of histiocytes containing abundant granular amphophilic cytoplasm (arrows) admixed with an inflammatory infiltrate and scattered collection of neutrophils. B, Histiocytic inclusions staining positively for calcium on a von Kossa stain. These findings were consistent with malakoplakia.
Parvovirus infections: What’s relevant?
By Warren R. Heymann, MD Nov. 24, 2017 ... Parvovirus B19 infection. Purpuric rash on the legs (A) and hands (B) in a patient with a gloves-and-socks syndrome. ... Credit: ... JAAD It seems as though the expression "It could be Parvovirus" has entered our differential diagnostic discussions with increasing
Rethinking CLIA and the KOH exam
By Warren R. Heymann, MD Feb. 24, 2017 Yesterday, a young woman complained of a pruritic rash on her right foot that was unresponsive to an over the counter antifungal agent. Clinically, there were some dried vesicles and a few collarettes of scale on her instep, clinically appearing most like
We’re in hot water! Vibrio vulnificus infections are heading north
By Warren R. Heymann, MD Dec. 16, 2020 Vol. 2, No. 49 When driving to work, I usually listen to our local 24-hour news station, paying half-attention as I’m mentally sorting out the upcoming day’s agenda. Upon hearing a report of several cases ... Vibrio vulnificus (Vv) at my hospital
A virus like no other
How to protect yourself against identity theft. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2024 Dermatologists are high achievers. That serves them well when it comes to graduating from medical school, persevering in residency, and practicing dermatology. It doesn’t serve them well online where scammers use malware,
July 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 24, 2024 ... Is there an association between benzoyl peroxide use and increased blood benzene levels? DermWorld Insights and Inquiries : Pancreatic panniculitis — Getting spooked by ghost cells AADA
Multiple pilomatricomas by the numbers
By Warren R. Heymann, MD February 24, 2021 Vol. 3, No. 8 I have always been beguiled by pilomatricomas (PM). From the time I first heard the term "calcifying epithelioma of Mahlerbe" or pondering "is it pilomaticoma or pilomatrixoma?" this benign lesion has been a source of wonder. There is
February 24, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 24, 2021 ... COVID-19 vaccination for patients on immunotherapies: An evidence-based guide DermWorld Insights and Inquiries : Multiple pilomatricomas by the numbers DermWorld Young Physician Focus : Do you take
Transplantation dermatology: Race matters
By Warren R. Heymann, MD June 21, 2017 African American man with generalized vitiligo. Medial aspect of foot before (A) and 5 months after (B) melanocyte-keratinocyte transplantation procedure. ... Credit: ... JAAD December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late
Phacing the future: When patients with PHACE syndrome grow up
By Warren R. Heymann, MD June 24, 2020 Vol. 2, No. 25 The acronym PHACE syndrome, emphasizing the characteristic findings of this neurocutaneous syndrome: ... p osterior fossa malformations, ... h emangiomas, ... a rterial anomalies, ... c oarctation of the aorta and cardiac defects, and ... e ye abnormalities,
April 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 24, 2024 ... False negatives: How biotin can interfere with lab tests DermWorld Insights and Inquiries : Dermatofibrosarcoma protuberans recurrence — Size matters Risk of paradoxical eczema in patients receiving
January 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 24, 2024 ... Micrographic vs. conventional excision: Reducing rates of BCC, SCC DermWorld Insights and Inquiries : Senile gluteal dermatosis — The term ‘senile’ is getting old and should be
August 24, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 24, 2022 ... Comparing efficacy and safety of laser treatments for tattoo removal DermWorld Insights and Inquiries : The pressure to prevent pressure ulcers Derm Coding Consult : AMA releases
June 24, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 24, 2020 ... Derm Coding Consult : Are you ready for E/M coding changes? DW Insights and Inquiries : Phacing the future — When patients with PHACE syndrome grow up
Red alert: Avoid brimonidine and oxymetazoline as hemostatic agents
By Warren R. Heymann, MD June 19, 2017 Mohs micrographic surgery procedure including brimonidine treatment: skin before application (A), 5 minutes after application of brimonidine (B), and minimal intraoperative bleeding with pretreatment of brimonidine (C). ... Credit: ... JAAD As a youth, I recall that "rosy cheeks" were a sign
Ubiquitous ubiquitination
By Warren R. Heymann, MD June 28, 2017 Generalized severe epidermolysis bullosa simplex. Blister classification. Single blisters were defined as a count of 1. Blister nests derived from 1 healing blister were defined as a count of 1. Redness without convexes was not counted. Only time points for which good
Lipschütz ulcers: Not only for women
By Warren R. Heymann, MD March 24, 2021 Vol. 3, No. 12 Superstar dermatologists do not throw softball questions to presenters at the Annual Meeting of the American Academy of Dermatology. A few years ago, following my presentation on the cutaneous manifestations of Epstein-Barr infection, Dr. Jeffrey Callen, one of
A watershed discovery for potential treatment of pseudoxanthoma elasticum
By Warren R. Heymann, MD Feb. 28, 2017 Pseudoxanthoma elasticum. A, Multiple and yellowish papules on the neck. B, Polarized light dermoscopy revealing multiple blotchy, yellowish areas alternating with prominent superficial linear vessels. ... Credit: ... JAAD We had the honor of presenting a family with pseudoxanthoma elasticum (PXE) at
The nerve of Zika!
By Warren R. Heymann, MD April 17, 2017 Zika virus–associated skin exanthem. Peripheral edema of bilateral hands (A) and feet (B). Generalized lymphadenopathy was also present. ... Credit: ... JAAD Zika virus infections have dominated the headlines, most notably because of its association with microcephaly. According to the valuable CDC
The vexing verruciform xanthoma
By Warren R. Heymann, MD, FAAD February 23, 2022 Vol. 4, No. 8 Verruciform xanthomas (VX) were first described 50 years ago, and they are still a source of debate. Only the most astute dermatologists will make the diagnosis clinically, with the possible exception of recognizing such lesions in patients
The pressure to prevent pressure ulcers
By Warren R. Heymann, MD, FAAD Aug. 24, 2022 Vol. 4, No. 34 Pressure ulcers (PUs, aka decubitus ulcers, pressure sores, bed sores) are due to prolonged pressure, characteristically over bony prominences such as the sacrum, occiput, ischial tuberosities, greater trochanters, heels, and lateral malleoli. (1,2) Interestingly, in the COVID-19
Advocacy Update Sept. 24 2024
IN THIS ISSUE / Sept. 24, 2024 Tell Congress to include an inflationary update for your physician payment AADA Medicare physician payment action podcast available Advocacy win: Aetna corrects inappropriate modifier 58 claim denials Deadline approaching: Apply for new NASEM pediatric research committee AADA, ASDSA and other organizations urge U.S.
Becker’s nevus: Mutations that shoulder responsibility
By Warren R. Heymann, MD Aug. 31, 2017 Systematized, bilateral Becker nevus with hypoplasia of left areola in 19-year-old man (Courtesy of Dr Carlos de la Torre, Pontevedra, Spain). ... Credit: ... JAAD My wife insisted I take a break from studying for the dermatology boards. ... "Warren, give it
2017’s management of Stevens-Johnson/toxic epidermal necrolysis: The pendulum is swinging
By Warren R. Heymann, MD Jan. 1, 2017 A, Sheet-like detachment, blisters, and raw erosions on back of patient with Stevens-Johnson syndrome/toxic epidermal necrolysis. B, Postinflammatory hyperpigmentation accentuated in areas where detached epidermis was not left in situ. ... Credit: ... JAAD As in any controversial subject, it is essential
Digital media kit: DermWorld editorial calendar
Download a PDF of the 2025 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Nail disorders Treating/caring for ... scars Ergonomics in your practice ... Close: 11/26/24 ... Materials due: 12/5/24 ... Mail date: 1/2/25 ... Cosmetic or not, is it covered? ... ... Tween skin
PDF of surgery career case study
How logic surgeons will initially find positions that are a com- much time are you spending with patients
PDF of Boards Fodder Non-surgical scar revision
MoA Timing Dosing Technique effects Silicone Unclear; occlu- Variable; Concentrations Apply every 12-24
The ultimate prognosis of eosinophilic fasciitis may not be groovy
By Warren R. Heymann, MD Sept. 18, 2017 Presentation in March 2017 with diffuse hyperpigmented sclerodermoid lesions of the bilateral upper extremities with palpable fasciitis and tightening of the distal forearm muscles. ... Credit: ... JAAD My patients with eosinophilic fasciitis (EF, Shulman syndrome) have been fortunate. They have been
PDF of Clinical guideline flowchart for treating psoriasis patients using systemic non-biologics
such as t opical, * See supplementary table (7) for dosing information biologics, phot ot herapy, or com
PDF of Clinical Pearls Cutaneous T-cell Lymphona
New drugs and/or com- white blood cells, the only reason that they are vis- bination of therapies may
PDF for Clinical Pathway for Management of AK
recommendations and discussions in the guideline Treat m ent of Act inic Kerat iosis Field-direct ed Therapy Com
Additional boards resources
Looking for more study tools? Residents and Fellows Committee members have recommend the following resources when preparing for the boards. If there is a resource that is not on this list that you would like to recommend, please send an email to ... residents@aad.org . ... Browse dermatology books, quiz
Taking the pain out of prior authorizations
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Dermatology World Weekly talks with Martina Porter, MD, co-director, Clinical Laboratory for Epidemiology and Applied Research in Skin (CLEARS), department of dermatology at Beth Israel Deaconess Medical Center, about how the AAD’s online prior authorization
PDF of Boards Fodder for Dermoscopic structures and their histopathological and clinical correlations
suprabasilar epidermal Largo Medical Center and are usually hypo- layers in Florida. pigmented when com
PDF of psoriasis clinical pathways
Topical cort icost eroids can be com bined wit h biologics and syst em ic non-biologics Vit am in D Analogue
Taking the pain out of prior authorization denials
Answers in Practice ... By Emily Margosian, Assistant Editor, January 1, 2020 Dermatology World talks with Martina Porter, MD, at Beth Israel Deaconess Medical Center, about how she has mastered the prior authorization appeal process. Dr. Porter is co-director of the Clinical Laboratory for Epidemiology and Applied Research in Skin
The doctor will see you...soon?
Facts at your Fingertips ... By Emily Margosian, assistant editor, July 1, 2019 As efforts to improve access to dermatologic care remain ongoing (Read ... Dermatology World ’s 2017 feature "Access Granted" at ... www.aad.org/dw/monthly/2017/october/access-granted for strategies to broaden patient access), how long can the average patient expect to wait
Interstate Medical Licensure Compact
Legally Speaking ... Clifford Warren Lober, MD, JD, presents legal dilemmas in dermatology every other month. He is a dermatologist in practice in Florida and a partner in the law firm Lober, Brown, and Lober. ... By Clifford Warren Lober, MD, JD, October 1, 2018 Carl: Bryan, I recently heard
Boards Fodder: Clinically relevant drugs interactions in dermatology
absorption due to Decreased Administer one to two hours nesium containing formation of poorly absorbed com
PDF of guideline pathway for psoriasis comborbities
Psoriasis Com orbidit y Pat hway Assess t he following com orbid condit ions in pat ient s wit h
March 21
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MARCH 21, 2018 ... Walgreens sued over generic drug prices March Access Hero: Dr. Chong Help wanted: AAD Pruritus Measure Testing Project Deadline for 2017 MIPS data submission New poll shows
05-24-16 BOD ballot
MEMORANDUM RESULTS DATE: May 24, 2016 NO ACTION REQUIRED TO: AAD Board of Directors FROM
PDF of Derm surgery: Danger zones and relevant anatomy
forearms, dorsal hands, and feet; extremities peroneal nerve in lateral lower leg p. 4 • Summer 2017
Say “Cheese!” Three reasons why EMR photography makes me smile
By Warren R. Heymann, MD Jan. 15, 2018 It is difficult to recall medical photography (or life itself) in the pre-smartphone/pre-electronic medical record (EMR) era, even though it has only been 10 years since the inception of the iPhone, and just four years since our practice transitioned to an EMR.
2017 financial statement
Combined Statement of Financial Position December 31, 2017 and 2016 2017 2016 Assets Cash $ 5,999,276
PDF of Clinical Pearls on Patch testing
A tool to evaluate products that are not available in com- References: mercial patch tests is the Repeated
PDF of Boards Fodder for Surgical complications Part 1: Acute and sub-acute complications of cutaneous surgery
involving the carti- dal anti-inflammatory after procedure to reduce 7 days lage of the ear drug) and warm com
Selectivity and the choice of beta-blockers for infantile hemangiomas
By Warren R. Heymann, MD Sept. 11, 2017 Clinical evolution of an infantile ulcerated hemangioma on upper lip of patient 7. Clinical appearance: Before starting propranolol (A); after 12 months of follow-up (3 months of treatment) (B). ... Credit: ... JAAD Has there ever been a more radical change in
PDF of Summer 2020 Directions
. training — often without a huge time commitment. information about REPAYE (and information about com
The power of teaching
Medical student Jessika Sanz, BS, combined her passion for skin care and teaching. Jessika’s story ... The Good Skin Knowledge project truly enhanced my passion for teaching. I enjoyed educating the younger generation on a topic that I knew very little about when I was their age but learned to
Eosinophilic dermatosis of hematologic malignancy: Reality bites
By Warren R. Heymann, MD July 24, 2019 Vol. 1, No. 20 Our new gazebo’s screening beckons! Finally completed late last fall, I have longingly stared at it, waiting for spring’s warm embrace to invite me in. I cherish being outside, but in the shade and protected from the annoyance
PDF of Neonatal dermatoses
Term Infants Toxicum weeks, aver- on a “splotchy” erythematous Wright Stain will show Neonatorum age 24
Practice Management Corner: CMS Released Preliminary 2018 MIPS Participation Data
The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) which began in 2017, is in its third performance year. In July 2019, CMS published a blog and released an infographic with preliminary data on the 2018 QPP Merit-based Incentive Payment Program (MIPS) program participation which revealed the
Teprotumumab: An eye-opening advance for pretibial myxedema?
By Warren R. Heymann, MD May 8, 2017 Histologic images of PME. (A, Hematoxylin-eosin stain; original magnification, ×40. B, Colloidal iron stain; original magnification, ×100.) ... Credit: ... JAAD Having just completed the chapter on the treatment of pretibial myxedema (PTM, also known as thyroid dermopathy) for the upcoming
Skin in the news
Facts at your Fingertips ... By Emily Margosian, content specialist, April 2, 2018 In 2017, the Academy generated more than 8.8 billion media impressions in print and online — akin to reaching each person in the United States more than 26 times. Nevertheless, the year’s overall total marked a slight
Elmer Fudd beware: Tularemia’s re-emergence
By Warren R. Heymann, MD Sept. 24, 2018 Ulcer on left thumb of patient with ulceroglandular tularemia. ... Credit: ... JAAD Practicing dermatology is humbling business. I tip my hat to Polat et al, who diagnosed tularemia in an 11 year-old girl presenting with targetoid papules and plaques of her
New urticaria guidelines update antihistamine recommendations
Acta Eruditorum ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, June 1, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Diane Baker, MD, about a recent
Treating acrodermatitis continua of hallopeau in 2018? Try guselkumab!
By Warren R. Heymann, MD April 21, 2017 Acrodermatitis continua of Hallopeau (ACH) is a disorder well known to dermatologists, but absolutely mysterious to everyone else. It is now considered a localized form of pustular psoriasis of the digits that may be accompanied by onychodystrophy and osteolysis. ... In my
August 15
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 15, 2018 ... The good, the bad, and the unknown in CMS E/M proposals DataDerm™: Better your practice, better the specialty AAD Election call for nominations FDA approves new drug
PDF of Antiseptics and sterilization methods
leaks Slow G (+) and lipophilic Ineffective against Good • Also found in a PGY-4 dermatology ammonium com
February 21
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 21, 2018 ... CMS releases MIPS quality performance scores Vote in the AAD election by March 3 Study indicates e-consults improve access to dermatology How helpful is federal research funding?
Dyeing for a “new” topical agent for psoriasis? Think indigo
By Warren R. Heymann, MD April 9, 2018 Despite the magnificent revolution of biologics for psoriasis, topical agents remain the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments. Patients clamor for "natural" products and are increasingly steroid phobic (please see "Countering Corticophobia with Assistance from
Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections
By Warren R. Heymann, MD Aug. 21, 2019 Vol. 1, No. 24 Dermatologists are keenly aware of immunosuppression’s profound biologic effects. Whether by disease or iatrogenic means, clinical vigilance is mandated because of an elevated risk of malignancy, infection, or inflammatory dermatoses. ... In a study of 177 organ transplant
Melanoma incidence continues to rise — but young women inspire hope
Facts at your Fingertips ... By Emily Margosian, content specialist, May 1, 2018 Despite advances in diagnosis and treatment, according to data collected by the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute, melanoma remained the fifth-most-common cancer in the U.S. in 2017, with an estimated
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was
What's hot?
What's hot ... December 30, 2017 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Annie Chiu, MD ... Body contouring is not only in demand among patients but presents a unique challenge for physicians to achieve consistent
PDF of Board Fodder Infantile hemangioma
Superficial (50-60%, most common) phase - Most common com- - Timolol 0.5% (max 3.
NIAID guidelines for food allergy
2017 NIAID Addendum Guidelines for the Prevention of Peanut Allergy in the United States ... View key messages from the 2017 guidelines and 2010 addendum guidelines for peanut allergy below. ... Key messages ... This update to the 2010 NIAID food allergy guidelines addresses the prevention of peanut allergy and
Scratching below the surface for the etiology of lichen amyloidosis — no sweat?
By Warren R. Heymann, MD July 10, 2017 Lichen amyloidosis reveals multiple hyperkeratotic papules on anterior leg. ... Credit: ... JAAD We have all confronted patients with maddeningly pruritic, recalcitrant cases of lichen amyloidosis (LA). Establishing the diagnosis is easier than treating the disorder; understanding its pathogenesis is even more
Dermatomyositis takes your breath away!
By Warren R. Heymann, MD Feb. 22, 2017 Anti-MDA5–associated DM. Eroded violaceous papules and plaques covered by scale and crust over the palmar joint creases and digital tips. ... Credit: ... JAAD The dermatopulmonary syndrome (DPS) is a newly recognized subset of dermatomyositis (DM) associated with anti-MDA5 (melanoma differentiation-associated gene
Fire ant stings: From pain to gain — The therapeutic potential of solenopsin
By Warren R. Heymann, MD, FAAD July 3, 2024 Vol. 6, No. 27 Fire ant stings are nasty. Lesions usually occur on the lower extremities after the disruption of a nest, causing a large number of ants to swarm and attack. The most common presentation is a wheal and flare
PDF of Oral disease, part 1
Drug-Related Gingival enlargement of the interdental Redundant tissue of normal com- Discontinuation
Disclosure standards
The AAD provides CME to members through its accreditation by the Accreditation Council for Continuing Medical Education, and follows ACCME standards for disclosures of outside interests by those who prepare or present educational material. ACCME updated its Standards for Commercial Support in 2021 and renamed them the " ... Standards
Cigna’s new modifier 25 policy
New developments ... On May 24, 2023 Cigna announced it will again delay implementation of its policy to require documentation to support the use of modifier 25 when billed with E/M CPT ... ® ... codes 99212 – 99215 and a minor procedure. Cigna will continue to review for future
Like the tumor itself, knowledge about DFSP is expanding wider and deeper
By Warren Heymann, MD June 16, 2021 Vol. 3, No. 24 Dermatofibosarcoma (DFSP) is a mystifying lesion. Although considered rare, I have encountered several cases over the years. Some recent literature offers potential insights into its pathogenesis and management. ... DFSP is a low-to-intermediate grade sarcoma with a reported incidence
Re-excising severely atypical nevi: A signature issue?
By Warren R. Heymann, MD Feb. 10, 2017 Clark (dysplastic) nevus with atypical features. A, Low magnification demonstrates a broad compound melanocytic neoplasm with architectural asymmetry. B and C, Higher power reveals elongated rete ridges, subepidermal fibroplasia, parakeratosis, and marked variability in size and shape of melanocytes and their
Blasé about the acronym BLAISE (Blaschko Linear Acquired Inflammatory Skin Eruptions)
By Warren R. Heymann, MD April 29, 2017 Lichen striatus. A, Erythematous, scaly, papular eruption following the lines of Blaschko on the right leg. B, Detail of lichenoid lymphocytic interface dermatitis. C, Lymphocytic infiltrate involving eccrine gland coils (B and C, Hematoxylin-eosin stain; original magnifications: ×100). ... Credit: ... JAAD
Preventing suicide
According to the World Health Organization (WHO), nearly 800,000 people die by suicide every year, making it one of the leading causes of death worldwide. However, for each suicide, there are many more individuals who contemplate it or make unsuccessful attempts. ... If you or someone you know is experiencing
Derm hospital consults benefit patients
Dermatology consults are an integral component of hospital care for patients with inflammatory skin conditions. ... Derm consults benefit hospital patients ... Click to view and download the infographic. ... Download Source: www.aad.org/dw/monthly/2017/september/short-supply Help and Chat
Should dermatologists fear machine learning?
Go to AAD Home ... Go to AAD Home ... Menu ... Specialists say rumors of their impending obsolescence are greatly exaggerated ... Specialists say rumors of their impending obsolescence are greatly exaggerated ... By Jan Bowers, contributing writer Dermatologists could be forgiven for feeling a little blindsided when a
Talking points: JAMA study on absorption of sunscreen ingredients
Study overview ... The recent study, "Effect of Sunscreen Application Under Maximal Use Conditions on Plasma Concentration of Sunscreen Active Ingredients" published in the ... Journal of the American Medical Association addresses an important question about the potential for certain sunscreen ingredients to be absorbed in the bloodstream. ... This
Histologic overreliance on mucin for diagnosis may prove…sticky
By Warren R. Heymann, MD July 27, 2017 Cutaneous lupus mucinosis. A, Before treatment, large nodules covered with erythematous skin are seen on the lower back. B, After treatment with systemic prednisolone and tacrolimus, the sizes of the nodules are decreased and pigmentation is observed on the surface of the
From a JAK to a king of Castleman disease
By Warren R. Heymann, MD May 15, 2017 A 44-year-old Chinese woman with a 10-year history of asymptomatic cutaneous patches and plaques on her trunk (Fig 1, A) who reported intermittent fever and lymphadenopathy for 6 months. A skin biopsy specimen from a cutaneous plaque showed perivascular infiltration of plasma
Can steroids extinguish the fire of erythromelalgia?
By Warren R. Heymann, MD March 7, 2017 Red, hot, and painful feet of patient with erythromelalgia. ... Credit: ... JAAD The burning sensation of erythromelalgia is matched by a burning desire to help these patients. According to Tang et al: "This rare and debilitating disorder was first reported and
Debunking the myth of the aggressive nature of acantholytic squamous cell carcinomas
By Warren R. Heymann, MD ... Feb. 6, 2017 ... Acantholytic squamous cell carcinoma (aSCC), follicular pattern. The tumor is centered upon follicular epithelium but also involves epidermis. Some features of actinic keratosis (parakeratosis, basilar epidermal atypia) are present; by our definition, this example did not qualify for aSCC
Essentials of in-office compounding
In Practice ... By Faiza Wasif, MPH, practice management manager and Natasha Pattanshetti, JD, MPH, regulatory policy manager, June 1, 2018 As a dermatologist, you have probably compounded medications at some point during your clinical career. Skin conditions, such as acne, psoriasis, and warts, are often successfully treated using compounded
Pride 2020: What is the meaning of Pride and how should it impact our practice?
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... June 24, 2020 By Klint Peebles, MD, and Erica D. Dommasch, MD, co-chairs of the AAD’s Expert Resource Group (ERG) on LGBTQ/Sexual and Gender Minority (SGM) Health As we commemorate another LGBTQ (lesbian, gay, bisexual,
Psoriatic alopecia and sebaceous glands: An unfinished symphony
By Warren R. Heymann, MD June 15, 2017 Psoriasis and alopecia after initiation of TNFi. A, Diffuse erythematous pustules on the upper back of patient 1. B, Severe alopecia with mild papules on scalp of patient 4. ... Credit: ... JAAD Every so often, patients with psoriasis would ask me
Yeast rising: Predicting the efficacy of candida antigen immunotherapy for warts
By Warren R. Heymann, MD Oct. 2, 2017 ... Numerous flat warts (verrucae plana) seen on upper extremities of patient with epidermodysplasia verruciformis. ... Credit: ... JAAD Perhaps I’m paranoid, but I always think that warts are laughing at me, or at least at whatever I throw at them —
Here comes the sun: The role of polypodium leucotomos extract
By Warren R. Heymann, MD Aug. 9, 2017 Ultraviolet (UV)B response. Changes in biomarkers of UV radiation exposure before and after Polypodium leucotomos extract (PLE). A, Stained nuclei for cyclobutane pyrimidine dimers (CPD), Ki67, proliferating cell nuclear antigen (PCNA), and cyclin D1. B, Sunburn cells and cytoplasmic staining for cyclooxygenase-2
Something from nothing: The role of random skin biopsies
By Warren R. Heymann, MD Sept. 22, 2017 There are a few reports suggesting the usefulness of the random or blind skin biopsy from normal-appearing skin for diagnosis of intravascular lymphoma. Punch biopsy results from the abdomen. A, Intravascular large lymphoid cells. B, CD20+ tumor cells. (A, Hematoxylin-eosin stain; B,
Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.
By Warren R. Heymann, MD Sept. 4, 2017 Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever
Patient preference in dermatologist attire: A lesson from “Annie”
By Warren R. Heymann, MD June 5, 2016 The physician-patient relationship is predicated on trust and confidence. Impressions form rapidly and physician attire is an important component on how patients perceive their physician(s). ... Fox et al surveyed 255 patients (with 63% from a medical dermatology clinic, 24% a dermatologic
July 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2019 ... Academy comments on FDA sunscreen proposal DW Insights and Inquiries : Oy, another "Oid" to worry about — cryptococcoid lesions VA launches Community Care Network to provide
Neutrophil-rich subcutaneous fat necrosis of the newborn: Sometimes a cigar is just a cigar!
By Warren R. Heymann, MD June 24, 2016 Recently, I was consulted to the neonatal ICU to evaluate a newborn with red, indurated, fluctuant plaques on the back. I had no doubt that this was a classical case of subcutaneous fat necrosis of the newborn (SCFN). A biopsy demonstrated a
Pityriasis rubra pilaris: Check a TSH!
By Warren R. Heymann, MD ... June 10, 2016 ... There are myriad ways to mine the data from the review of 100 cases of PRP by Ross et al, however, one key finding will change the way I will assess these patients — 20% were hypothyroid! (1) ... There
If want to be a true leader, emulate the first president
By Warren R. Heymann, MD July 30, 2017 I recently had a discussion with our departing chief resident as he was about to embark on his academic career at UCLA. He was looking for sage advice — I focused on the need to maintain enthusiasm, wonder, curiosity, and dedication to
I’ll have a necrobiotic xanthogranuloma to go – with mustard!
By Warren R. Heymann, MD May 11, 2016 Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma. He had 20% body surface area involvement, including
American Academy of Dermatology statement on Benzoyl Peroxide in OTC Personal Care Products
American Academy of Dermatology President Susan C. Taylor, MD, FAAD ROSEMONT, Ill. (March 24, 2025) — Recent reports have noted that benzoyl peroxide, a common acne-fighting ingredient available by prescription and over the counter, has the potential to break down into benzene. The American Academy of Dermatology is committed to
New survey reveals public confusion about risks of tanning and sunburns
American Academy of Dermatology Survey Shows Large Increase in People Getting Tans and Sunburns in 2021 ROSEMONT, Ill. (May 24, 2022) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed a significant increase in both tanning and number of sunburns in 2021 compared to
Dermatofibrosarcoma protuberans recurrence: Size matters
By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered
Implementing technology
After determining that telemedicine is right for your practice and selecting a vendor, consider these steps for integrating teledermatology into your practice. ... Decide how you will offer teledermatology ... Determine what kind of scheduling for teledermatology you will offer. Store-and-forward technology gives the dermatologist more flexibility. You can state
Danazol for telomerase disorders: Prolonging the end — For chromosomes (yes), for dyskeratosis congenita (perhaps)
By Warren R. Heymann, MD May 18, 2016 Telomeres are located at the ends of chromosomes; they are repaired by telomerases. Shortening of telomeres leads to cell senescence, apoptosis, and chromosome instability. Male hormones have been used for decades to treat bone marrow failure and may have their effect by
Being aware of the “Chik” sign in the current arbovirus renaissance
By Warren R. Heymann, MD ... April 24, 2016 ... As the world focuses its attention on the Zika virus, with its profound complications of microcephaly in neonates and Guillain-Barré in adults, we cannot ignore other arboviruses that may cause devastating illness – Dengue Fever and Chikungunya Fever. ... All
Purpuric dermatitis herpetiformis: Itching to know why
By Warren R. Heymann, MD July 24, 2016 Last week my partner, Justin Green MD, asked for my opinion about a man with biopsy-proven dermatitis herpetiformis (neutrophilic abscesses and granular IgA deposition) with negative serologic studies for anti-endomysial antibodies (tissue transglutaminase). He had classical lesions on his elbows (grouped vesicles)
Stop itchy skin in its tracks
5 tips for relief from a board-certified dermatologist ROSEMONT, Ill. (Sept. 24, 2024) — Itchy skin can be irritating, especially an itch that doesn’t go away. There are many potential causes for itchy skin like common skin conditions such as eczema, shingles, hives, psoriasis, or bug bites, or it could
Senile gluteal dermatosis: The term “senile” is getting old and should be retired
By Warren R. Heymann, MD, FAAD Jan. 24, 2024 Vol. 6, No. 4 As my patients and I get older, inevitably I think more about geriatric dermatology. (1) There is a disorder I have seen on the gluteal region in mostly thin, older, sedentary patients — my recommendations of off-loading
PDF of Vasculitides
clinical Routine labs: LCV involving Spontaneous resolution Extracutaneous hemorrhagic children 4-24
PDF of Hyperplasias and Benign Neoplasms of Adnexal Origin
central of basaloid cells in upper dermis. toma dell on upper cheek of Horn cysts and calcifications com
The darkness of lichen planus pigmentosus
By Warren R. Heymann, MD Oct. 24, 2016 Darkness defines lichen planus pigmentosus (LPP) — lesional morphology, the patient’s mood about their appearance, and our ability to understand or treat it. Both patient and physician are literally in the dark. ... The following abstract by Ghosh and Coondoo (1) is
What's hot?
What's hot ... July 24, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The first human retrovirus, identified in 1980, was not HIV, but human T-cell lymphotrophic virus-1 (HTLV-1). It
This month’s news from across the specialty
What’s hot ... January 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD As dermatologists, we often advise our patients to keep their post-operative dressings dry and in place for 24-27 hours
Keeping up is hard to do: The need for true grit
By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,
PDF of Infectious diseases of genitalia
Com- of Bartholin’s glands; +/- ab- Micro: Gram negative diplo- monly co-infected dominal pain, and
PDF of Hair shaft disorders
is lighter Woolly hair nevus Sporadic TN, trichoschisis, and thinner PA, ipsilateral epi- when com
PDF of Pregnancy dermatoses
, check Generalized Pustules on Third Flexural Unclear, Systemic Pustular Low birth out the com
Tinea gone wild: The emergence of Trichophyton indotineae as a global phenomenon
By Warren R. Heymann, MD, FAAD May 24, 2023 Vol. 5, No. 21 "Well, Jane, it just goes to show you, it’s always something — if it’s not one thing, it’s another." – Gilda Radner (as Roseanne Roseannadanna) to Jane Curtin, ... Saturday Night Live Just as I quietly celebrated
February 7
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 7, 2018 ... Generic drug prices: What to expect in 2018 February Access Hero: Dr. Brodell CMS expands Extreme and Uncontrollable Circumstances policy Network inaccuracies worsen Fewer physicians opting out
Aluminum can cause allergic contact dermatitis: Allergen of the Year 2022
By Christen Mowad, MD, FAAD June 15, 2022 Vol. 4, No. 24 Allergen of the year is an eagerly awaited award for those of us excited by allergic contact dermatitis. It has been given each year for over 20 years to highlight allergens of new and emerging significance and sometimes
Fever, rash, and lymphadenopathy may be wearing more than one DRESS
By Warren R. Heymann, MD April 24, 2019 Vol. 1, No. 7 As a dermatology resident, I was mesmerized by the concept of "angioimmunoblastic lymphadenopathy with dysproteinemia" (AILD) after seeing a patient presented at our weekly conference at the Albert Einstein College of Medicine. I was perplexed as to how
PDF of Update in melanoma theories
syndrome or serious infections due to decreased neutrophil function 5-7% of patients show durable com
Knuckling down on knuckle pads
By Warren R. Heymann, MD April 1, 2020 Vol. 2, No. 13 Today is April Fools’ Day. Thus far, 2020 has felt like April Fools’ Year. All of us are dealing with COVID-19, 24/7. During World War II, morale was lifted by the song "There’ll be bluebirds over the White
Interoperability and patient access
HHS expands penalties for information blocking ... New rules impact physicians effective July 31, 2024 ... On June 24, 2024, HHS released a new Final Rule that imposes reimbursement penalties and other disincentives on physicians and non-physician clinicians (NPCs) who are found to have committed information blocking that impacts their
July 4
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JULY 4, 2018 ... iPLEDGE hits a snag with patients Hawaii governor signs legislation banning sunscreen with oxybenzone and octinoxate Medicare announces new MUE limit for aminolevulinic acid HCI, 10% (Ameluz)
A trend I cannot endorse
By Warren R. Heymann, MD Feb. 17, 2017 A patient with a morbilliform eruption was assessed at our clinic. My resident evaluated him first before presenting the case to me. ... "Did he have any systemic symptoms?" I inquired. ... "He endorsed diarrhea," my resident replied. ... "You mean he
November 14
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 14, 2018 ... 2019 Fee Schedule – You asked. DWW answers. November Patient Care Hero: Jessica Burgy, MD Are you smarter than DataDerm™? CMS conducting new survey on post-op visits
Employment-related legal considerations during the COVID-19 public health crisis
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, DC, and serves as legal counsel for the AAD and AADA. ... By Megan La Suer, JD, MHA, Rob Portman, JD, MPP, and Ben Tesdahl, JD, May 1, 2020
Teatime for radiation dermatitis (and beyond)
By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a
PDF of CPT billing codes of common procedures
supialization, milia Nail procedures Miscellaneous of nail bed with 11750 10040 removal, cysts, com
Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr., MD
By Warren R. Heymann, MD, FAAD Aug. 2, 2023 Vol. 5, No. 31 The profound sense of loss prompting people to endure waiting over 24 hours in a queue to pay their final respect to Queen Elizabeth II at Westminster Hall was an astonishing sight last year. The overwhelming majority
April 11
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / APRIL 11, 2018 ... How did you fare with MIPS? Take a look. Help wanted: AAD Pruritus Measure Testing Project Indoor tanning bed users not getting screened What is the economic
Pancreatic panniculitis: Getting spooked by ghost cells
By Warren R. Heymann, MD, FAAD July 24, 2024 Vol. 6, No. 30 I am at the age where the diagnosis of pancreatic cancer is a looming fear, punctuated by the loss of my dear aunt Helen and two friends who have succumbed to the ravages of this vicious malignancy.
The retiring type?
By Warren R. Heymann, MD April 23, 2017 "Tell me, Dr. Heymann, when do you plan to retire?" ... Patients seem to ask me that every day. ... My usual response: "Why do you ask, do I look that bad?" ... "No, you look pretty good for your age." (According
Could wart immunotherapy open a therapeutic window for congenital nevi at risk for melanoma?
By Warren R. Heymann, MD ... June 13, 2017 ... Dermatoscopic image of congenital melanocytic nevus. Arrows point to reticular network (left), perifollicular hypopigmentation (center), and globules contained within empty spaces in the network ("target globules," right), features that are reportedly suggestive of congenital melanocytic nevi. ... Credit: ...
Coming to an ICU Near You — Candida auris
By Warren R. Heymann, MD ... Nov. 30, 2017 ... I first became aware of Candida auris (C. auris) during my 96-year-old mother’s most recent hospitalization in New York for congestive heart failure. The infectious disease epidemiologist called to ask permission to swab my mother’s skin for the yeast,
CXCR4 antagonist therapy based on a WHIM syndrome
By Warren R. Heymann, MD, FAAD June 12, 2024 Vol. 6, No. 24 Emelio* had a delightfully whimsical personality that matched his syndrome’s acronym — WHIM ( ... W arts, ... H ypogammaglobulinemia, ... I nfections, and ... M yelokathexis). His smile was as infectious as his verrucae, and he
Nailing the diagnosis of psoriatic arthritis
By Warren R. Heymann, MD Oct. 30, 2017 ... A to E, Patient with psoriatic arthritis. A, Dactylitis of 4th toe. B, Enthesitis of Achilles tendon. C, X-Ray of dactylitis of 4th toe. D, Severe nail dystrophy. E, Large discoid plaques on elbows. ... Credit: ... JAAD Nail psoriasis (NP)
Charlottesville, Anzio beachhead, eponyms, and Roger Maris
By Warren R. Heymann, MD Aug. 18, 2017 I never anticipated the need to write this commentary on our vacation to celebrate our 35th anniversary. We had long planned visiting Anzio, where my late father-in-law, Louis Schnur, fought valiantly on the beachhead in the army artillery unit. He suffered from
A sweeter approach to treating scleroderma?
By Warren R. Heymann, MD March 14, 2017 Scleroderma fingernail changes. A, Longitudinal ridging and pitting. B, Brachyonychia. C, Trachyonychia. D, Thickened and enlarged cuticles. E, Thickened, enlarged, and irregular cuticles. F, Nailfold capillaroscopy: presence of enlarged and giant capillaries. G, Nailfold capillaroscopy: presence of enlarged and giant capillaries,
Breaking up (with habits) is hard to do: The role of platelet transfusions when performing skin biopsies on profoundly thrombocytopenic patients
By Warren R. Heymann, MD ... May 12, 2017 ... Hypersensitivity reaction with hemorrhagic appearance in thrombocytopenic patient. ... Credit: ... JAAD We are taught at an early age to live by the rules. In an interesting essay entitled "Breaking the Rules for Better Care", Berwick et al tell
Directions in Residency, Summer 2023, PDF
as how to improve diagnosis and treatment of Our congrats go out to Mansee Desai, MD, who recently com
Dupilumab’s growing pains
By Warren R. Heymann, MD January 8, 2020 Vol. 2, No. 1 Dupilumab has been a valuable addition to dermatologists’ therapeutic palette in managing atopic dermatitis (AD). The biologic agent was released in 2017, indicated for moderate to severe AD, and is now approved for patients who are at least
Countering corticophobia
By Warren R. Heymann, MD Oct. 19, 2017 "I don’t want to use steroids on my baby! I’m really afraid of the side effects! I see what they’ve done to athletes. Can’t you prescribe something natural?" ... I am amazed people think that applying 2.5% hydrocortisone cream can pump up
Preventing hair loss in breast cancer patients is very cool
By Warren R. Heymann, MD Feb. 15, 2017 Dramatic change in physical appearance before (A) and 1 month after (B) treatment with paclitaxel and carboplatin. ... Credit: ... JAAD The loss of my late aunt Millie to breast cancer was devastating; it was even harder to bear after learning that
Crystallizing thoughts about crystalglobulinemia
By Warren R. Heymann, MD Dec. 14, 2017 ... A, Necrotic purpuric lesions on the dorsum of the foot in a patient with crystalglobulinemia. The thumb had been previously amputated because of necrotic gangrene secondary to occluded vessels. B, Histopathologic features in cutaneous lesions of crystalglobulinemia. Scanning power showing a
Does he or doesn’t he? Only his oncologist knows for sure!
By Warren R. Heymann, MD July 17, 2017 Repigmented hair overlying melanoma in situ of scalp. Slowly darkening patch of previously white hair on superior scalp. ... Credit: ... JAAD I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I
Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication
By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain
Stepping back from the abyss: A kinder, gentler variant of calciphylaxis
By Warren R. Heymann, MD March 16, 2017 My reaction to the diagnosis of calciphylaxis is Pavlovian — I automatically think about an end-stage renal insufficiency patient with an abysmal prognosis. Increasingly there are reports of nonuremic forms of the disease, where the prognosis may not be as bleak (*although
Joining the “fold”: Squamous cell carcinoma complicating porokeratosis ptychotropica
By Warren R. Heymann, MD June 26, 2017 Coalescent erythematous papules involving bilateral buttocks. ... Credit: ... JAAD I know the variants of porokeratoses and can recite them as though I am the very model of a modern major general — Mibelli, linear, punctate, palmoplantar, DSAP, superficial disseminated, immunosuppression-related, and
PDF of AADA Letter to the FTC December 2017
December 7, 2017 Maureen K.
Rituximab therapy for recalcitrant dermatitis herpetiformis: A gut feeling
By Warren R. Heymann, MD March 20, 2017 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD Recently I "accidentally" diagnosed a severely pruritic man with dermatitis herpetiformis (DH). He had seen leading authorities for his life-altering pruritic dermatosis, that clinically and
PD1 blockade: The next step for aggressive basal cell carcinomas?
By Warren R. Heymann, MD April 19, 2017 I was about to start the weekend, relishing that delightful TGIF feeling, with one final task — go through lab reports in my bin. My mood became morose when I read the follow-up letter about Sue (not her real name). She
Memories of pneumocystis pneumonia and thoughts of prophylaxis
By Warren R. Heymann, MD ... Nov. 27, 2017 ... A chest x-ray examination demonstrated a ground-glass appearance throughout the bilateral mid lung zones with sparing of the apices (Fig. 1). ... Credit: ... JAAD My childhood friend Alan was a rotating surgical resident at Methodist Hospital in Houston
Understanding the risk of Wilms Tumor in hemihypertrophy: Are we halfway there?
By Warren R. Heymann, MD Nov. 16, 2017 ... Diffuse capillary malformation with overgrowth. A 2-month-old girl with ill-defined erythematous patches of the bilateral upper extremities, posterior trunk, and left lower extremity. There is also overgrowth of the left lower extremity. ... Credit: ... JAAD Wilms tumor (WT, nephroblastoma) is
The concept of atrophoderma of pasini and pierini as morphea may be falling off a cliff
By Warren R. Heymann, MD Nov. 6, 2017 ... Clinical photos of idiopathic atrophoderma of Pierini and Pasini. ... Credit: ... JAAD Diagnosing Atrophoderma of Pasini and Pierini (APP) is reasonably straightforward — it usually presents in adolescents and young adults, more often in females, with sharply defined, single or
Complications of silicone injections: persistence, stigma, and treatment
By Howa Yeung, MD, MSc, FAAD Jan. 18, 2023 Vol. 5, No. 3 Walking in with a cane and reporting his severe skin pain, a patient of mine recalled travelling with their friend to get buttock injections in a hotel room in another state over a decade ago. ... The
Naltrexone therapy for Hailey-Hailey disease: Confirming my addiction to evidence-based medicine
By Warren R. Heymann, MD Aug. 28, 2017 Hailey-Hailey disease. Patient 1: erythematous-crusted plaques on the lower midback before radiation treatment. ... Credit: ... JAAD I was fascinated by a presentation at the recent World Congress of Pediatric Dermatology discussing improvement of epidermolysis bullosa wounds with topical CBD (cannabis) oil.
July 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 17, 2019 ... Isotretinoin, depression, and suicide: What’s the connection? DW Insights and Inquiries : Should dermatologists be anti-antihistamine for atopic dermatitis? 2018 MIPS performance feedback, final score, and targeted
Erosive pustular dermatosis of the scalp must no longer be dermatology’s secret
By Warren R. Heymann, MD May 30, 2017 As dermatologists, we get used to discussing disorders that are foreign to other physicians. A typical story would be someone with classic notalgia paresthetica whose primary care physician does not believe that cervical arthritis is responsible for the maddening scapular pruritus. "My
Untangling the neurologic comorbidities of bullous pemphigoid
By Warren R. Heymann, MD June 6, 2017 Response of a patient with bullous pemphigoid (BP) after 6 omalizumab injections as monotherapy. A, Involvement of the back of a steroid-refractory patient with BP before omalizumab treatment. B, Four months after beginning omalizumab as monotherapy, the inflammatory plaques have largely resolved,
The opioid epidemic: Coma blisters and beyond
By Warren R. Heymann, MD Aug. 4, 2017 The opioid crisis in the United States is responsible for at least 90 fatalities every day. This dire situation has been aggravated by the increased availability of very potent synthetic opioids such as fentanyl and carfentanil, which are 50 and 5000 times
Diagnosing calciphylaxis: A better way?
By Warren R. Heymann, MD Aug. 1, 2017 Calciphylaxis. Patient 6. A, Plain film of left foot with vessel calcification 0.2 mm in diameter (arrow). B, Histopathologic image with vessel calcification and thrombosis, and surrounding tissue necrosis. (Original magnification: ×100.) ... One of the most dramatic presentations on the dermatology
Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying
By Warren R. Heymann, MD April 12, 2017 In the entry "Atrophic Tinea Versicolor: More Than a Mirage" (April 22, 2016), I learned that the atrophic appearance of some cases of tinea versicolor is not just an optical illusion. The case of a 35-year-old man with depressed brown lesions on
Fake news, predatory journals, case reports, biostatistics, and other journalistic musings
By Warren R. Heymann, MD March 17, 2017 We live in an era of information excess delivered by print, digital devices, webcasts, podcasts, and tweets. Time for reflection is minimal. One of the major precipitants of physician burnout is the endless electronically documenting data, which has replaced speaking to and
Hairdressers’ dermatologic odyssey: From dye to death prevention
... By Warren R. Heymann, MD Dec. 18, 2017 My younger daughter Deborah was destined to be a hair stylist. When she was a camper in the Poconos, I received an urgent call from the staff about her. Assuming the worst, my heart palpitating in fear, all I could
Tax reform: What you need to know
Money Matters ... Jason P. Wainscott, JD, is an attorney, author, and general manager of the financial planning firm OJM Group. ... By Jason P. Wainscott, JD, March 1, 2018 Every dermatologist needs to know 2017 saw widespread changes to the federal tax code. There are many cuts and additional
Moving in to first place: Antimalarials for treating generalized granuloma annulare
... By Warren R. Heymann, MD March 26, 2017 Localized granuloma annulare. Erythematous annular plaques may be singular (A) or multiple (B). Localized granuloma annulare may also present as papules coalescing into circular plaques (C). ... Credit: ... JAAD At a University of Pennsylvania Duhring Conference years ago, an
January 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 8, 2020 ... FDA’s biotin warning: Was it enough to educate physicians, patients about the risks? DW Insights and Inquiries : Dupilumab’s growing pains 2020 kicks off with revised ICR
The alphabetization of lymphomatoid papulosis: Focus on “F”
By Warren R. Heymann, MD April 3, 2017 Follicular lymphomatoid papulosis. Recurrent papulonodular lesions on face (A to C). Patient had similar lesions on extremities. ... Credit: ... JAAD Seven years ago, today (April 3rd, 2010) my wife purchased an iPad on its inaugural release date. The only choices to
My fair-weather therapeutic friends for alopecia areata
By Warren R. Heymann, MD April 25, 2017 Type C clinical pattern of alopecia. A, Patchy hair loss on a background of a diffuse hair loss with (B) occipital involvement in an ophiasis-like pattern. C, Biopsy specimen obtained from the vertex of the scalp. Histopathology of vertical sections shows an
Here’s looking at you, KID
By Warren R. Heymann, MD April 7, 2017 Late skin findings in lethal keratitis-ichthyosis-deafness syndrome. Intertriginous hyperkeratosis and denudation in a patient with GJB2 p.A88V mutation. ... Credit: ... JAAD Keratitis, ichthyosis, and deafness (KID) syndrome is a rare genodermatosis associated with mutations in the GJB2 gene, which encodes connexin
Softening the blow of calcinosis cutis: The promise of intralesional sodium thiosulfate
By Warren R. Heymann, MD Oct. 12, 2017 ... Calcinosis cutis and pseudoxanthoma elasticum of central abdomen. Firm, erythematous nodules with focal areas of yellow chalky material centrally. ... Credit: ... JAAD I’m not sure what’s harder about calcinosis cutis (CC), the lesion itself or treating it. ... Calcinosis cutis
What are keratoacanthomatous lesions of the legs in mature women?
By Warren R. Heymann, MD Dec. 11, 2017 ... Right thigh, keratoacanthomatous atypical squamous proliferation. (Hematoxylin-eosin stain; original magnification: ×10.) ... Credit: ... JAAD I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. "Why am I getting these? Are they cancer? Why
Scarred by dogma: Revising recommendations for surgery and isotretinoin use
By Warren R. Heymann, MD Aug. 22, 2017 Severe acne. ... Credit: American Academy of Dermatology teaching slide ... I have had the privilege of prescribing isotretinoin since its release in 1982. Is there any other dermatologic medication that has benefited our patients so greatly? I’ve weathered every isotretinoin controversy
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of
Are you at risk for pityriasis rubra type V? It’s in the cards!
By Warren R. Heymann, MD Feb. 1, 2017 Characteristic facial involvement in caspase recruitment domain family member 14 gene (CARD14)-associated papulosquamous eruption. Symmetric and geometric pink, scaly patches or plaques involving the cheeks, upper cutaneous lip, and chin with sparing of the infralabial region is highly characteristic of CARD14-associated papulosquamous
Treating psoriatic patients with associated inflammatory bowel disease: A personal bias
... By Warren R. Heymann, MD Feb. 20, 2017 My late brother Andrew succumbed to complications of Crohn disease (CD) at age 29. His brief, but valiant life was punctuated by multiple hospitalizations, surgeries, remissions, and exacerbations. Although prednisone and azathioprine offered an occasional respite, he suffered. Sharing a
Sirolimus for microcystic lymphatic malformations: Caviar for frog spawn
By Warren R. Heymann, MD Jan. 23, 2017 Recently, our understanding of lymphatic malformations (LMs) has vastly expanded. Genetic advances have focused on the PI3K/AKT/mTOR pathway allowing the use of mTOR inhibitors for those lesions involved in this pathway. As noted in a previous post (Rapalogs for vascular lesions: Caveat
Bringing pigmented lupus to light
By Warren R. Heymann, MD Dec. 7, 2017 ... Cutaneous lupus. Biopsy of the left distal thigh shows interface dermatitis, dyskeratosis, superficial perivascular lymphocytic infiltrate, focal red blood cell extravasation, and pigment incontinence. ... Credit: ... JAAD Lettie (not her real name) was an elderly, charming, courtly, soft-spoken African-American woman
Incretin-based therapy for diabetes and dermatology: Promise and peril
By Warren R. Heymann, MD Oct. 23, 2017 In a given day, how many of your patients are diabetic? According to the American Diabetes Association, in 2015, 9.4% of the US population (30.3 million) were diabetic; 29 million of this group had type 2 diabetes. ... Incretin hormones refer to
Getting within a hair’s breadth of understanding prurigo pigmentosa
By Warren R. Heymann, MD March 2, 2017 Prurigo pigmentosa is an uncommon, acquired inflammatory disorder with a predilection for young adults of Asian descent. A 30-year-old Chinese man presented with reticulated erythematous and hyperpigmented papules on his back and shoulders (A and B). The eruption was present for 2
Koebnerization in Henoch-Schönlein purpura: How does it line up with prognosis?
By Warren R. Heymann, MD Nov. 20, 2017 ... Urticarial hemorrhagic lesions of Henoch-Schönlein purpura in characteristic distribution. Note Koebner phenomenon in lines of scratch. ... Credit: ... JAAD Heinrich Koebner is eponymically known for having first described the phenomenon of developing an existing dermatosis in previously normal skin following
Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?
By Warren R. Heymann, MD May 22, 2017 A clinically pigmented neurofibroma associated with underlying café au lait macule. ... Credit: ... JAAD Worry comes with the territory of Neurofibromatosis Type I (NF-1). It often starts with the anxiety of determining if a child has enough criteria to confirm the
Distance traveled: Dr. Lim’s diversity focus as AAD president still relevant today
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... In 2017, Henry W. Lim, MD, started his presidency at the Academy, designating his presidential initiatives to many areas impacting the specialty including diversity, equity, and inclusion. Today, the Academy remains indebted to the efforts
MIPS reporting in 2018
In Practice ... Rachna Chaudhari is the AAD's practice management manager. Her column offers tips in response to common member questions. ... By Rachna Chaudhari, MPH, director of practice management, February 1, 2018 After requiring dermatologists to report one measure one time in 2017 to avoid a 4% penalty in
Alopecia areata incognita in Cronkhite-Canada syndrome suggests an autoimmune etiology – and that’s the way it is.
By Warren R. Heymann, MD Sept. 14, 2017 Cronkhite–Canada syndrome. A, Onycholysis. B, Alopecia. ... Credit: ... JAAD I have always been intrigued by the mysterious nature of the Cronkhite-Canada syndrome (CCS) — although I have considered the disorder in my differential diagnosis, I have never seen a case. ...
Dermatology practice staff by the numbers
Facts at your Fingertips ... By Emily Margosian, July 2, 2018 Nurses, aestheticians, billers — who’s most likely to be spotted working in the average dermatology practice? Aside from dermatologists, medical assistants and practice administrators are the most widely employed across all practice settings, according the 2017 AAD Practice Profile
Angiosarcomas and morbid obesity: An enormous problem
By Warren R. Heymann, MD Feb. 26, 2017 Localized lymphedema. A, Case 7 showed many polypoid lesions that varied in size and were localized throughout the vulva, pubis, and perineum. B, Case 9 showed multiple small polypoid lesions with cauliflower-like morphology in the penis and scrotum. C, Case 3 showed
Atopic dermatitis: Fantasizing about a dual approach
By Warren R. Heymann, MD March 9, 2017 Patient photos before and after dupilumab. A, Subject-provided photograph before the start of dupilumab therapy. B, Photograph taken in the clinic 1 year after the patient started dupilumab therapy. ... Credit: ... JAAD It has been acknowledged that we are on the
Collodion babies and endocrine disorders: Another concern
By Warren R. Heymann, MD June 23, 2017 Collodion baby. Tight, shiny film or dried collodion reminiscent of the skin of a sausage covers the entire surface of this 2-day-old neonate whose mother was treated with infliximab throughout her pregnancy. ... Credit: ... JAAD Collodion baby (CB) describes an infant
Moving target
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...
Of every possible solution for elastosis perforans serpiginosa, fractional carbon dioxide laser may be the best
By Warren R. Heymann, MD Nov. 13, 2017 ... Elastosis perforans serpiginosa. Clinical presentation. ... Credit: ... JAAD My initial attraction to dermatology, which still offers great appeal, is the challenge and joy of differential diagnosis and clinical-pathologic correlation. I learned quickly, however, that patients don’t want to be interesting
PDF of Flaps
Not com- monly used. H-plasty Essentially a “bilateral” U-plasty.
PDF of Neonatal ichthyosis infectious dermatoses
and soles, trunk, extremities; neonate serology; Syphilis chondritis, “snuffles” or to prevent late com
Merkel cell carcinoma in situ: Begin the beguine?
By Warren R. Heymann, MD May 26, 2017 I have to admit, the concept of Merkel cell carcinoma in situ (MCCIS) was "below my radar screen," until I read the intriguing article, from Jason Lee’s group, questioning whether an intraepidermal proliferation of Merkel cells (MC) within a seborrheic keratosis is
To concierge or not concierge, that is the question
By Warren R. Heymann, MD June 10, 2017 After very long days of difficult patients (diagnostically, therapeutically, and otherwise), insurance denials, prior authorizations, business decisions, MACRA, et cetera, I think of the milkman Tevye from "Fiddler on the Roof," finally sitting down, and singing "If I Were a Rich Man."
Vitiligo, autoimmunity, and cancer?
By Warren R. Heymann, MD May 3, 2017 Disorders associated with autoimmune thyroid disease: systemic lupus erythematosus (A), progressive systemic sclerosis (B), bullous pemphigoid (C), pemphigus vulgaris (D), urticaria (E), and vitiligo (F). ... Credit: ... JAAD While attending the pre-AAD pediatric dermatology seminar in Orlando, I received a call
PDF of Photosensitivity disorders
face, hands and forearms (photo-distributed poikiloderma), - Associated malignancies: leukemia (most com
APACHE no more
By Warren R. Heymann, MD Dec. 4, 2017 ... A, Dark red, linear plaque on posterior area of right lower leg. B, Slightly raised, scaly, undulating lesion measuring 50 × 12 mm. ... Credit: ... JAAD This commentary is about being DC (Dermatologically Correct), not PC (Politically Correct as in
Who pays the bills?
Facts at your Fingertips ... By Emily Margosian, assistant editor, March 1, 2019 While the future of American health insurance remains a question mark, data from the 2017 AAD Practice Profile Survey has helped shed light on where reimbursement trends might be headed. Although the percentage of patients with private
Thinking about seborrheic keratoses: A rare event
By Warren R. Heymann, MD June 9, 2017 Clinical images of squamous cell carcinoma arising in seborrheic keratosis (SCC-SK). A, Invasive SCC-SK on forehead of a man aged 69 years. B, In situ SCC-SK from a pigmented keratosis on the back of a man aged 73 years. C, In situ
The journey of focal dermal hypoplasia: From description to inspired therapy
By Warren R. Heymann, MD Oct. 9, 2017 The dermatologic community lost a giant in 2014 with the passing of Robert W. Goltz, MD at the age of 90. Dr. Goltz was not only responsible for describing focal dermal hypoplasia (FDH), but also multicentric reticulohistiocytosis, generalized elastolysis, and the nevoid
Keeping an eye on retinoids as treatment for the ectropion of lamellar ichthyosis
By Warren R. Heymann, MD Nov. 9, 2017 ... Clinical examples of autosomal recessive congenital ichthyosis: harlequin ichthyosis (HI) at birth (A); HI evolves into generalized exfoliating erythrodermic ichthyosis (B and C) (reprinted from "Menschen mit Ichthyose - ein Bildband 2003" courtesy of Selbsthilfe Ichthyose e. V.); collodion membrane with
Generalized multinucleate cell angiohistiocytomas and thoughts on diagnostic first impressions
By Warren R. Heymann, MD April 1, 2017 I became aware of multinucleate cell angiohistiocytomas (MCA) when I learned of an article published by friends who reported the first cases in the United States (1). The following abstract by Smolle et al (2) accurately described the entity, and my concept
Springtime is tick time
By Warren R. Heymann, MD April 27, 2017 Petechial eruption on palm of child with Rocky Mountain spotted fever. ... Credit: ... JAAD Oh, the majesty of spring’s rejuvenation — a bloom’s aroma, opening day’s first pitch, and romance in the air. For dermatologists, no one will write a
Medical vs. cosmetic dermatology: Who is doing what?
Facts at your Fingertips ... By Emily Margosian, assistant editor, January 1, 2019 Despite ongoing discussion about the role of cosmetics in the specialty, data from the 2017 AAD Practice Profile Survey indicate that medical dermatology remains the primary focus of dermatology practitioners across all types. However, dermatologists spend the
Read all about it: Dermatology's media impact
Facts at your Fingertips ... By Emily Margosian, assistant editor, April 1, 2019 There’s nothing fake about this news: In 2018, the Academy generated nearly 9 billion media impressions in print and online. Despite the unpredictability of the current media landscape, the specialty’s public impact has remained stable with a
Atopic dermatitis: Up in smoke!
By Warren R. Heymann, MD Feb. 8, 2017 The etiology of atopic dermatitis (AD) is multifactorial, with genetic mutations of the filaggrin mutations affecting barrier function, immunodysregulation of the TH2 pathway, and environmental triggers being of primary importance. AD has long been associated with autoimmune diseases such as vitiligo and
The Term “Dermal Hyperneury” Hits a Nerve
By Warren R. Heymann, MD Dec. 21, 2017 ... A, On hematoxylin-eosin stain, the borders of this nerve bundle are sharply demarcated from the surrounding connective tissue with no associated inflammation or fibrosis. A thin layer of epithelium can be seen encapsulating the intersecting fascicles of nerve fibers. Within the
Avascular necrosis in psoriasis: Avoiding “snap” judgments
By Warren R. Heymann, MD May 8, 2017 Of all the adverse reactions of corticosteroids, there is none more terrifying than avascular necrosis (AVN, aka osteonecrosis); this usually involves the femoral head (AVN of the hip), although the shoulders and knees may be affected. It is estimated that 25,000 new
Becoming whipped up over flagellate dermatoses
By Warren R. Heymann, MD ... July 13, 2017 ... A, A 44-year-old male patient with characteristic flagellate dermatitis after ingestion of shiitake. B, Same patient 4 days after balneo PUVA therapy. ... Credit: ... JAAD The literature on flagellate dermatoses has been whipped into frenzy. The initial description
My core incompetencies
By Warren R. Heymann, MD May 19, 2017 It is time for our semiannual ritual — the meeting of our Clinical Competency Committee (CCC). Our dermatology program is small, having twice as many faculty members as residents, so everyone serves on the committee. The process has changed dramatically from the
Vitiligo or vitiligo-like lesions and PD1-inhibitors: Which is right?
By Warren R. Heymann, MD June 1, 2017 The following is a well-known staple of Jewish humor. I’ve heard it thousands of times, but it always makes me smile: ... In a small town in Russia, people brought their complaints to the Rabbi to settle their differences. One man purchased
Tofacitinib for adolescent alopecia areata: Balancing the risk-benefit ratio
By Warren R. Heymann, MD Jan. 17, 2017 Alopecia areata with patient 4 after 2 months of treatment with 2% tofacitinib in VersaBase cream (A) and after 6 months of treatment with 2% tofacitinib in liposomal base (B). ... Credit: ... JAAD There has been acute interest in utilizing Janus
A novel sebum inhibitor for acne vulgaris: A slick maneuver
By Warren R. Heymann, MD Jan. 11, 2017 Illustrative photos of severe inflammatory acne vulgaris, largely without nodules (A). B, Very severe acne with cysts. ... Credit: ... JAAD What a pleasure it is to think about a novel treatment for acne! Honestly, have you gotten excited learning that the
Of strife and SDRIFE
By Warren R. Heymann, MD May 17, 2017 Patient 3. SDRIFE. Frontal view (A) and right lateral view (B) with erythema and blanching papules coalescing into plaques with vesicles on back, abdomen, and bilateral inframammary and inguinal folds. ... Credit: ... JAAD A conceivable Yelp review: I was so uncomfortable
Maximizing knowledge about infantile hemangioma with minimal or arrested growth
By Warren R. Heymann, MD Feb. 3, 2017 Areas affected by segmental infantile hemangioma (IH) and IH with minimal or arrested growth (IH-MAG) of the arms (A to E) with correlating arterial supply areas. ... Credit: ... JAAD Knowledge about hemangiomas is proliferating at a rate the compares with the
Eyeing the use of cryotherapy for eyebrow alopecia areata
By Warren R. Heymann, MD April 5, 2017 I am always looking for alternatives to injecting eyebrow alopecia areata with triamcinolone acetonide (TAC). My protocol, based on the recommendation by Alkhalifah et al, is TAC 2.5 mg/mL, 0.5 mL to each eyebrow, every 4 to 6 weeks, as necessary (1).
Can oral ivermectin cure pediatric periorificial dermatitis? It mite!
By Warren R. Heymann, MD March 5, 2017 A 13-year-old boy with severe rosacea before (A) and 1 month (B) and 4 months (C) after receiving oral therapy with a single dose of 250 μg/kg ivermectin (case 3). Note the facial desquamation after the first weeks of therapy, not attributable
Mindfulness for the patient and the dermatologist
By Warren R. Heymann, MD ... March 28, 2017 ... While meditation has been present for millennia, the concept of mindfulness has recently come into vogue. Conceptually, mindfulness aims to have a person focus their attention on the present moment by developing coping strategies, such as meditation or deep
Covfefe and the art of the diagnostic deal
By Warren R. Heymann, MD June 2, 2017 Progressive nodular histiocytosis. A, Multiple papulonodular lesions over upper extremities and trunk. B, Leonine appearance for coalescing of lesions on face. ... Credit: ... JAAD I don’t know what’s more frightening — making diagnoses on autopilot or being genuinely stumped and having
Ustekinumab: A topic for atopics?
By Warren R. Heymann, MD Jan. 9, 2017 Atopic dermatitis patient shows drastic improvement at week 19 of ustekinumab treatment. ... Credit: ... JAAD If you’re like me, you have a cadre of patients with severe atopic dermatitis (AD) patients who are counting the minutes for the release of
What should dermatologists tell their patients about pesticide exposure risks?
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, February 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Alicia Leytem, MS, and
Obituaries
Obituaries ... By Jerry Graff, MD, June 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ROBERT AUERBACH, MD, of New York, Nov. 1, 2017, at age 85. Trained in dermatology at University of Chicago. Was a well-known expert
Golden rules for the golden years
Go to AAD Home ... Go to AAD Home ... Menu ... Strategies for caring for elderly patients ... Strategies for caring for elderly patients ... By Victoria Houghton, assistant managing editor According to the U.S. Census, there were 47.8 million people over the age of 65 in the United
Obituaries
Obituaries ... By Jerry Graff, MD, June 3, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JON GARRY BEIDLER, MD, of Chambersburg, Pennsylvania, Dec. 30, 2018, at age 82. Trained in dermatology at University of Pennsylvania and practiced in
Thoughts about genital melanosis on Melanoma Monday
By Warren R. Heymann, MD May 1, 2017 Vulvar genital melanosis. The lesions on the posterior fourchette are dark brown to black in color while other superior macules in the labia minora and vagina are lighter brown. Additively, the lesions are more than 2 cm in diameter. The lesions are
Viva ex vivo dermoscopy?
By Warren R. Heymann, MD March 12, 2017 Evaluation of dermoscopic features on a formalin-fixed specimen (ex vivo dermoscopy) using a smartphone attached to a dermoscope. ... Credit: ... JAAD It has been said that the best "special stain" is a deeper section — wise words indeed. While always gratifying
DI&I encore: Better than a back scratcher?
By Warren R. Heymann, MD March 30, 2017 The potential toxicity of the combination of topical ketamine/amitriptyline/lidocaine (TKAL) was discussed in a recent entry detailing the encephalopathic findings in an octogenarian Parkinsonian man with atopic dermatitis who was treated with the compound. I concluded: "As our therapeutic options for recalcitrant
A dermatologic riddle: How is IgG4-related ophthalmic disease parliamentary?
By Warren R. Heymann, MD March 22, 2017 Immunostains of infiltrate. A, Immunostain shows an infiltrate rich in IgG4+ plasma cells. The infiltrate had an IgG4+ cell count of 80 per HPF and an IgG4+/IgG+ ratio of 80%. B, IgG immunostain shown for comparison. (A and B, original magnifications:
A presidential viewpoint: “Nobody knew that benign vascular lesions of the lip could be so complicated”
By Warren R. Heymann, MD April 14, 2017 Well, maybe not as befuddling as replacing Obamacare, but there may be occasional difficulties in diagnosing benign vascular lesions of the lip, with implications for appropriate therapy. ... Tobouti et al, in a study from an oral pathology service, found that of
Does your dermatopathologist recommend treatment suggestions for melanocytic lesions? My two cents (and sense)
My dermatopathology fellowship photo from 1985 at the University of Pennsylvania: Standing Left to Right: Myself, Wallace H. Clark, Jr, and Margaret Freeman (co-fellow); Seated: Bernett Johnson, Jr and Margaret Gray Wood. I learned from the best! While they (the professors) are no longer with us, somehow I hope they
Platelet rich plasma: Good for whatever ails you?
By Warren R. Heymann, MD Jan. 13, 2017 Hair regrowth in ophiasis-type alopecia areata after platelet-rich plasma (PRP) injection. Occipital hair loss before treatment (A) and occipital hair regrowth 3 months after administration of PRP at a concentration 3.5 times above baseline (B). ... Credit: ... JAAD Okay, okay, I
PDF of Oral disease, part 2
bone marrow trans- pallor of anemia, increased viral, myelomonocytic leukemias). plantation are most com
PDF of Inborn errors of metabolism
. - HSM, lymph node enlargement, periph- AR transport protein: almost com- Maculopapular eruption over
PDF of Skin signs of internal malignancy
malignancy or syndrome (or malignancies) Acanthosis nigricans (Malignant Hyperpigmented velvety plaques, com
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
OblIgEd to search for steroid-sparing agents in treating bullous pemphigoid
By Warren R. Heymann, MD ... Jan. 19, 2017 ... I’m always anxious to learn about alternative approaches for treating bullous pemphigoid (BP). Perhaps it’s my imagination, but most of my patients with BP are elderly, diabetic, hypertensive, and anticoagulated. It is impossible to prescribe rituximab out of the
AAD’s historical commitment to diversity
The AAD has a rich history in support of diversity and tradition of embracing all members from our multicultural nation. The AAD established a Diversity Task Force in 1994, which later became a committee and launched the Diversity Mentorship Program in 1995 to connect medical students from communities underrepresented in
Frontal fibrosing alopecia: Bewitched, bothered, and bewildered
By Warren R. Heymann, MD Feb. 13, 2017 Women given the diagnosis of frontal fibrosing alopecia (FFA) with different severity grades. A, FFA grade I/V in a premenopausal 30-year-old woman, with a less than 1-cm wide area of cicatricial skin produced by the recession of the frontal and temporal hairline.
Difficulty differentiating palmar psoriasis from eczema: Can dermatopathologists lend a Hand?
By Warren R. Heymann, MD July 2, 2017 Clinical manifestations of palmar skin lesions. A, Palmar psoriasis appeared as scattered hyperkeratotic scaly round patches over the entire palm. B, Hand eczema appeared as scaly patches on the palm and phalanges. C, Hyperkeratotic hand dermatitis appeared as sharply demarcated areas of
Calcineurin inhibitors under occlusion – I could’ve had a V8!
By Warren R. Heymann, MD June 6, 2017 I have used topical steroids under occlusion for as long I have been in dermatology. What a fabulous maneuver this is for difficult to treat dermatoses such as lichen simplex chronicus, recalcitrant psoriasis, or hypertrophic lichen planus, etc. I recommend Saran wrap
Linear and whorled nevoid hypermelanosis: Past reflections and future directions
By Warren R. Heymann, MD July 4, 2017 Linear or circular arrangement of pigmented macules along the lines of Blaschko. ... Credit: ... JAAD I recall meeting Debra Chester Kalter as a young, remarkable dermatologist, chatting annually with her at the AAD meeting. She was my wife’s classmate at the
Considering palmar erythema requires memory (and lane)
By Warren R. Heymann, MD Oct. 26, 2017 ... Bilateral palmar erythema with scattered purplish telangiectasias. ... Credit: ... JAAD I cannot imagine how many patients I have seen with palmar erythema (PE) during my career. It is usually asymptomatic, and when present, is often in the context of a
Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons
By Warren R. Heymann, MD April 10, 2017 Histopathologic features of Kimura's disease. A, Scanning view shows prominent germinal center formation. B, Higher magnification of a germinal center with abundant number of eosinophils. C, Focally, blood vessels may show prominent endothelial cells with vacuolated cytoplasm. (A-C, Hematoxylin-eosin stain; original magnifications:
Comprehending the association of orofacial granulomatosis and Crohn disease would be swell
By Warren R. Heymann, MD Sept. 25, 2017 Orofacial granulomatosis. A, Initial presentation with erythema and swelling of the upper lip, extending to the right oral commissure and lower lip. B, Complete resolution of erythema, swelling, and induration after 6 months of mycophenolate mofetil monotherapy (1000 mg/day). Only a small
Can computer algorithms improve dermatologists’ accuracy when diagnosing melanoma?
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, January 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Michael A. Marchetti, MD, about his
Could human polyomaviruses cause grover disease?
By Warren R. Heymann, MD May 5, 2017 Clinical images of a man with Grover disease. A, papulovesicular rash on the trunk evolving to crusts and keratotic erosions. B, Zoomed-in image. ... Credit: ... JAAD My profound dermatologic experience in 1970 was the embarrassment I endured abruptly leaving Vincent Chiarello’s
Happy Father’s Day
By Warren R. Heymann, MD June 18, 2017 It is ironic that the founding father of the American Academy of Dermatology, Howard Fox, was a bachelor with no children. He was undoubtedly influenced by his father, the beloved and internationally known dermatologist, George Henry Fox. We are their legacy, and
A heartfelt thank you note to my psoriasis research colleagues
... By Warren R. Heymann, MD May 11, 2017 Dear psoriasis researcher: ... I first met Casey (not his real name) when he was a child, referred to me for awful psoriasis. He was always upbeat and resilient, but clearly the disease adversely affected his life and that of
Not just for boys: X-linked erythropoietic protoporphyria
By Warren R. Heymann, MD Sept. 7, 2017 I was anxiously awaiting the results of erythrocyte protoporphyrin levels obtained from a 4 year-old boy who avoids sunlight because his "skin hurts" when not in the shade. Until I read the article by Balwani, et al (1), I was unaware of
Working with a local dermatologist to teach sun safety
Bonnie J. Reece, Executive Director of St. Louis Transitional Hope House, was surprised and pleased when the organization received a shade structure grant through the AAD’s Adopt-a-Shade program. Bonnie’s story ... A much needed shade structure brings sun safety to the children at Hope House. ... In May 2017, Hope
PDF of Summer 2019 issue of Derm Directions
Graft Complications and Management Early discoloration Dusky Blue Normal and typically occurs at 24
Desquamative gingivitis: Sinking your teeth in miagnosis and management
By Warren R. Heymann, MD Jan. 7, 2017 Cycle of oral hygiene in desquamative gingivitis. ... Credit: ... JAAD Patients presenting with desquamative gingivitis (DG) are typically some of the most frustrated, aggravated patients I encounter. Frequently, they have not been adequately evaluated, are in pain, and are desperate for
DOS Coding and Billing for Surgical and Anatomical Pathology Services
On September 19, 2017, the Centers for Medicare & Medicaid Services (CMS) released MLN Matters Number: SE17023 to provide coding and billing guidance for surgical and anatomical pathology date of service (DOS) on professional claims. However, it was immediately rescinded. ... The following update references the Internet Only Manual Update
Idiopathic facial aseptic granuloma — Have we met?
By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise
The evolution of practice settings
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, April 2, 2018 In my ... introductory column as your Academy President, I addressed the many changes facing dermatology and medicine. Over time we have found ourselves adapting to
PDF of Panniculitis
Bedrest, compression stockings, smoking avoidance Pancreatic Most com- In patients with May develop
PDF of Drug eruptions
wheals/hives); associated with sparse, perivas- H1 antihistamines; tests to confirm diag- bodies within 24
ALDY and the redemptive power of “I don’t know”
... By Warren R. Heymann, MD Jan. 28, 2017 When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the
Reducing the burden of clinical documentation with EHRs
In Practice ... By Swapna Bhatia, MPH, June 3, 2019 It’s no surprise that clinical and administration documentation burden with electronic health records (EHRs) has been on the rise. ... Although 78% of dermatology practices reported acquiring an EHR system in the 2017 AAD Practice Profile Survey, the Academy recognizes
Attending the masquerade ball with CTCL and alopecia areata
By Warren R. Heymann, MD Feb. 1, 2017 It comes as no surprise to dermatologists that cutaneous T cell lymphoma (CTCL) is associated with alopecia, especially in patients with follicular mucinosis (alopecia mucinosa), but how often does CTCL masquerade as alopecia areata? ... Amin et al reported a 33-year-old female
07-29-17 ballot
Answered Question: 24, Skipped Question: 0, Not Yet Answered: 12 Comments Terrence Cronin on 7/18/2017
Risk factors for herpes zoster: Age, immunosuppression, and…statins?
... By Warren R. Heymann, MD Jan. 25, 2017 When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the
03-06-17 email ballot
AAD and AADA Board of Director March 2017 Email Ballot Good afternoon, The following email ballot contains
11-04-17 email ballot
AAD & AADA November 4, 2017 Board of Directors Consent Agenda Email Ballot Good afternoon, This email
MIPS Value Pathways
Get a glimpse into the upcoming federal quality program and how the Academy is taking the lead ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2022 In 2017, CMS launched the Quality Payment Program, which created two payment pathways for physicians: alternative payment models (APMs) and the
How to hire a great practice manager
Go to AAD Home ... Go to AAD Home ... Menu ... Finding the right fit for your practice ... Finding the right fit for your practice ... By Emily Margosian, assistant editor Behind the scenes, who keeps your practice running? According to the 2017 AAD Practice Profile Survey, 64%
Eye-opening news about oxymetazoline
By Warren R. Heymann, MD, FAAD April 27, 2022 Vol. 4, No. 17 Certain articles have a "wow" factor that immediately impacts practice. In 2007, I recall being impressed by the 2 cases of erythematotelangiectatic rosacea reported by Shanler and Ondo that dramatically improved with the application of oxymetazoline hydrochloride
That's not me!
Go to AAD Home ... Go to AAD Home ... Menu ... How to protect yourself from physician identity theft ... How to protect yourself from physician identity theft ... By Emily Margosian, assistant editor In 2017 alone, there were 16.7 million victims of identity fraud, according to data from
02-19-18 AADA email results
AAD Board of Directors Minutes: November 4, 2017 Approve Do Not Approve Abstain/Recuse Pull for Board
Seeing red with dupilumab
By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used
Making a pitch for the C-reactive protein/albumin ratio
By Warren R. Heymann, MD, FAAD Feb. 12, 2025 Vol. 7, No. 6 Studying the PhanaVision jumbotron at Citizens Bank Park on a warm Friday evening in June, I realized that when analyzing baseball data, I am "old school." In my youth, the critical measure of a pitcher’s success was
Melanoma controversies
Screening, biopsy practices questioned as incidence rate increases ... Feature ... By Jan Bowers, contributing writer, September 1, 2021 At first glance, dermatologists would seem to be wildly successful in their decades-long effort to detect and remove cutaneous melanoma lesions before they can metastasize and become deadly. According to the
PDF of Unconscious Bias Proccedings AAMC 2017
American Medical Colleges Diversity Policy and Programs Phone: (202) 828-0891 tstcloud@aamc.org © 2017
06-29-17 email ballot
AAD Board of Directors June 29, 2017 Email Ballot Attached are two proposals that Dr.
PDF of Disorders of hypopigmentation
Hypomelanosis starts on the face; hair is dry, lusterless, +/- red-brown color out the com- Copper Deficiency
PDF of Spring 2020 issue of DW Directions in Residency
Dialogues offers the ability to earn up to 24 AMA PRA Category 1 Credits™ a year.
PDF of The Impact of Unconscious Bias in HealthCare Marcelin 2019
Tackling unconscious bias involves willingness to alter one’s tarian beliefs [20, 24].
PDF of Fall 2021 DIR
This obviously includes patient names, birth dates, request the method(s) by which their physicians com
Aleppo to Zika: 2016’s anxieties may lead to 2017’s dermatoses
By Warren R. Heymann, MD Dec. 17, 2016 "Doctor, did stress cause my breakout?" ... How many times have your patients with acne, psoriasis, or urticaria asked you this question? My usual response is "No, it didn’t cause it, but it sure can make it worse!" ... The first time
04-7-17 AADA ballot
Cyndi Tel: (847) 240-1041 Fax: (847) 240-8628 cdelboccio@aad.org Total Invited to Survey: 24 Total
PDF of Granulomas
by over time, leaving a scar deep dermal infiltrate of lympho- sodium stibogluco- Africa, Asia; most com
PDF of BSD Skin infections
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
Directions in Residency, Fall-2023 PDF
She correctly identified tertiary syphilis in our sum- Cutis. 2017 Jun;99(6):413-417.
04-28-18 email ballot
2018 Approve Do Not Approve Abstain/Recuse Pull for Board Discussion 0 2 4 6 8 10 12 14 20 16 22 18 24
PDF of Biologics 2019 update
CHF; melanoma able cap of the Milam, MD, in 2017. α.
PDF of Data Access and Use Policy
Data Analytics Partner In Spring 2021, AAD launched a collaboration with OM1, [https://www.om1.com
Annual Meeting Registration Comparison Statistics
Registration Comparison Report Registration Category 2022 Boston, MA 2019 Washington, DC 2018 San Diego, CA 2017
Previous meeting registration statistics
Meeting Registration Comparison Report Registration Category 2019 - New York, NY 2018- Chicago, IL 2017
Previous meeting registration stats 2015-2019
Meeting Registration Comparison Report Registration Category 2019 - New York, NY 2018- Chicago, IL 2017
Previous meeting registration statistics 2016-2021
Registration Comparison Report Registration Category 2021 - Tampa, FL 2019 - New York, NY 2018- Chicago, IL 2017
September 26
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 26, 2018 ... Drug prices spike after shortages September Access Hero: Dr. Jonathan Silverberg Dupilumab improves adolescent atopic dermatitis, quality of life Drug prices spike after shortages According to a
Cutaneous green and E-A-G-L-E-S!
By Warren R. Heymann, MD Jan. 25, 2018 Dermatologists will be seeing a lot of green in their offices the next two weeks, especially here in the Delaware Valley, in anticipation of Super Bowl LII in Minneapolis on February 4th, 2018. ... May this serve as a reminder that some
Private equity at a glance
Go to AAD Home ... Go to AAD Home ... Menu ... A visual guide to private equity's presence within the specialty ... A visual guide to private equity's presence within the specialty ... By Emily Margosian, assistant editor Since private equity’s debut into dermatology, its presence has sparked spirited
March 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MARCH 28, 2018 ... The burden of prior authorizations: Is it really that bad? Take the ABMS survey on MOC Help wanted: AAD Pruritus Measure Testing Project FDA approves new psoriasis
PDF of BSD Vitiligo
AMERICAN ACADEMY OF DERMATOLOGY SKIN DISEASE BRIEFS Vitiligo by the numbers Vitiligo is among 24 skin
PDF of Seborrheic dermatitis
DERMATOLOGY SKIN DISEASE BRIEFS Seborrheic dermatitis by the numbers Seborrheic dermatitis is among 24
PDF of BSD Rocacea
AMERICAN ACADEMY OF DERMATOLOGY SKIN DISEASE BRIEFS Rosacea by the numbers Rosacea is among 24 skin
PDF of BSD Psoriasis
AMERICAN ACADEMY OF DERMATOLOGY SKIN DISEASE BRIEFS Psoriasis by the numbers Psoriasis is among 24
PDF of BSD Hair and nails
DERMATOLOGY SKIN DISEASE BRIEFS Hair and nail disorders by the numbers Hair and nail disorders are among 24
PDF of BSD Contact dermatitis
OF DERMATOLOGY SKIN DISEASE BRIEFS Contact dermatitis by the numbers Contact dermatitis is among 24
PDF of BDS Atopic dermatitis
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of BSD Acne
AMERICAN ACADEMY OF DERMATOLOGY SKIN DISEASE BRIEFS Acne by the numbers Acne is among 24 skin diseases
October 30, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2019 ... Potential treatment for chronic urticaria may offer complete control DW Insights and Inquiries: Can chowing down improve pseudoxanthoma elasticum? Advances in medical technology: friend or foe? Do
PDF of DIR Fall 2022
leaks Slow G (+) and lipophilic Ineffective against Good • Also found in a PGY-4 dermatology ammonium com
PDF of DIR Summer 2022
Edinburgh: Elsevier; 2017. 4. Patterson J. Weedon’s Skin Pathology. 5th ed. Elsevier; 2021. 5.
AAD Annual Meeting Registration Statistics Comparison
Meeting Registration Comparison Report Registration Category 2019 Washington, DC 2018 San Diego, CA 2017
PDF of BSD Bullous diseases
OF DERMATOLOGY SKIN DISEASE BRIEFS Bullous diseases by the numbers Bullous diseases are among 24
What is DataDerm?
DataDerm is a clinical data registry developed by dermatologists for dermatologists that was launched in 2016. It connects data on millions of patients from thousands of dermatologists nationwide, eases the pain of reporting, and allows you to demonstrate the quality of care you provide to payers, policy makers, and the
PDF of BSD Cutaneous lymphona
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of BSD Congenital abnormalities
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
07-30-16 ballot
only Board of Director Minutes - 20 1 May 21, 2016 Board of Director Email Ballot - 21 May 24
PDF of BSD Skin ulcers wounds and burns
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of BSD Skin cancer
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of BSD Non-cancerous skin growths
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of BSD Drug eruptions
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of BSD Connective tissue diseases
Copyright © 2017 by American Academy of Dermatology. All rights reserved.
PDF of Directions, Winter 2019
A 24-year-old female presents for a one-year history of wrinkling of her palms that seems to occur after
Putting a finger on the diagnosis of Achenbach syndrome
By Warren R. Heymann, MD, FAAD July 28, 2021 Vol. 3, No. 30 Please study the image below first. Castillo et al reported the case a 48-year-old woman complaining of acute pain, swelling, and ecchymosis of the volar aspect of her right third finger, sparing the fingertip, when walking her
PS-All Products Clause
Owner: Advocacy & Policy Reviewed: 3/11/24 Position Statement on All-Products Clause \(Approved
05-20-17 email ballot
May Board of Director Consent Agenda Email Ballot This email ballot contains items from the May 20, 2017
Previous AAD Annual Meeting registration statistics
Meeting Registration Comparison Report Registration Category 2019 Washington, DC 2018 San Diego, CA 2017
Does the JAK inhibitor baricitinib raise the bar on treating lupus?
By Warren R. Heymann, MD Aug. 20, 2018 Cutaneous lupus in dermatomal distribution. Erythematous papules in a dermatomal distribution along the patient's left lower extremity. ... Credit: ... JAAD Undeniably, the JAK inhibitors have been at the forefront of advances in immunologically-based diseases, including alopecia areata, vitiligo, psoriasis, rheumatoid arthritis,
PDF of urticaria methods for comments
................................................................................................... 24
October 2, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2019 ... Does gluten increase risk for psoriasis and AD in women? DW Insights and Inquiries : Cutting giant congenital nevi down to size molecularly Upcoming coding changes: Differentiating
Hidden in plain sight: Satoyoshi syndrome
By Warren R. Heymann, MD Feb. 19, 2018 I was inspired by the conclusion of a report detailing an 11 year-old boy from India diagnosed Satoyoshi syndrome: "We present this case to emphasize the importance of recognizing Satoyoshi syndrome, which could go unnoticed if not suspected." (1) ... I have
May 9
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 9, 2018 ... FDA grants lidocaine HCL 1% approval to Spectra Medical AAD Board selects Daniel D. Bennett, MD, as next assistant secretary-treasurer Hawaii passes legislation banning sunscreen with oxybenzone
September 14, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 14, 2022 ... Real-world methotrexate use in pediatric patients with plaque psoriasis DermWorld Insights and Inquiries : The ever-changing world of nevus sebaceus New anti-wrinkle injection receives FDA approval FDA
PDF of DIR winter 2021
Epub 2017 Dec 9. Directions Editor 4. NCCN Clinical Practice Guidelines in Oncology .
January 19, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 19, 2022 ... Finasteride: Topical vs. oral for male androgenetic alopecia DermWorld Insights and Inquiries : Probing pityriasis rosea in pregnancy Derm Coding Consult : Dermatology benign, premalignant, and malignant
Wolf’s isotopic response: Where and when
By Warren R. Heymann, MD, FAAD Oct. 18, 2023 Vol. 5, No. 42 Wolf’s isotopic response (WIR) has been a mysterious and controversial dermatological sign for almost 40 years. In 1984, the Doctors Wolf (Ronni and Danny) described two cases — a 52-year-old man and a 12-year-old girl — both
Adjusting the screen door: Developing a rational approach to assessing for thyroid disease in patients with alopecia areata
By Warren R. Heymann, MD Jan. 11, 2018 Loss of the sideburns and marked frontal-temporal scarring alopecia with lonely hairs. ... Credit: ... JAAD Since my residency, I have been perplexed about how to screen patients with alopecia areata (or vitiligo) for thyroid disease. What tests should (or should not)
April 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 3, 2019 ... Can the elimination diet hurt pediatric atopic dermatitis patients? DW Insights and Inquiries : Tofacitinib – a JAK inhibitor of all trades Unity in dermatology starts with
An old dog with a new trick: High dose intralesional steroids in hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD February 2, 2022 Vol. 4, No. 5 Hidradenitis suppurativa (HS) is hitting its stride academically — deservedly so. In 2000 there were 2 publications about HS in the ... Journal of the American Academy of Dermatology ; in 2010, 9 manuscripts; and, in 2020,
Decomplexing plexiform neurofibromas
By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse
PDF of Soft tissue fillers, part 1: Biodegradable
to severe facial wrinkles • CPM® and folds • Crosslinking rate variable • No lidocaine Juvéderm® 24
PDF of biodegradeable part 1
to severe facial wrinkles • CPM® and folds • Crosslinking rate variable • No lidocaine Juvéderm® 24
AAD Annual Meeting Past International Registrants
2014-2019 GEOGRAPHIC PROFILE REPORT - INTERNATIONAL MEDICAL REGISTRANTS -MOST TO LEAST 2018 2019 2017
The challenge of identifying identical twins: Advances in differentiating lupus erythematosus panniculitis from subcutaneous panniculitis-like T-cell lymphoma
By Warren R. Heymann, MD Feb. 22, 2018 Lupus erythematosus panniculitis. Malar eminence with prominent subcutaneous atrophy. ... Credit: ... JAAD Did you ever have trouble telling identical twins apart? Most parents can do so by differentiating minor features that others might overlook, such as the way one laughs, wrinkles
Epidermolysis bullosa: The need for novel topical care
By Warren R. Heymann, MD May 7, 2018 ... Blue-black macules and papules on the back of the neck within the scars of a patient with recessive dystrophic epidermolysis bullosa. ... Photo: ... JAAD The advances in epidermolysis bullosa (EB) have been spellbinding. There are now four well-defined forms of
May 4, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 4, 2022 ... Plantar warts: Local hyperthermia vs. cryotherapy DermWorld Insights and Inquiries : Eruptive pseudoangiomatosis is real Intralesional methotrexate vs. triamcinolone acetonide for nail matrix psoriasis Report shows physician
August 4, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 4, 2021 ... Probiotic supplements improve atopic dermatitis symptoms DermWorld Insights and Inquiries : Keeping abreast of drug-induced cutaneous lupus From mentoring LGBT dermatologists, to caring for HIV patients, GALDA
October 5, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 5, 2022 ... Is there an association between low-dose methotrexate and melanoma? DermWorld Insights and Inquiries : Optimizing the dermatologist-patient encounter FDA approves first treatment for prurigo nodularis Perioperative practices
Predicting malignancies in Sweet syndrome has become sweeter
By Warren R. Heymann, MD Feb. 8, 2018 Histiocytoid Sweet syndrome. A, Multiple round erythematous papules and plaques on trunk and upper limbs. B, Multiple erythematous papules and plaques grouped in figurate pattern on the right thigh of a pediatric patient. C, Erythematous figurate annular plaques with erythematous elevated borders
March 14
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MARCH 14, 2018 ... FDA approves anti-fungal agent for pediatric patients Bruce H. Thiers, MD, selected incoming president-elect in 2018 Academy election Open Payments review starts next month: Are you ready?
The congenital perineal groove: Defective recognition of a dermal defect
By Warren R. Heymann, MD ... Feb. 28, 2018 ... It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features: (1) a wet groove in the midperineum between the fourchette and the anus; (2) normal formation of
What's hot?
What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,
August 11, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 11, 2021 ... Topical tofacitinib for alopecia areata affecting facial hair DermWorld Insights and Inquiries : Monitoring infantile hemangiomas — What’s the score? Is there an effective treatment for skin
PDF of Important immunohistochemical stains in dermatology
J Cutan Pathol. 2006; 33: 24-28. 2. de Feraudy S, Mar N, McCalmont TH.
Till death do us part: Love, marriage, and cutaneous oncology
By Warren R. Heymann, MD, FAAD April 9, 2025 Vol. 7, No. 14 "What’s that on your back?" ... My wife asked me that question a year after finding a tick at the same site. This time, the dark lesion was a thin melanoma. I hadn’t a clue that a
Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is
By Warren R. Heymann, MD, FAAD Aug. 28, 2024 Vol. 6, No. 35 Part of the folklore at the Albert Einstein College of Medicine when I rotated as a fourth-year medical student in dermatology was that a prior resident made the correct diagnosis of Cronkhite-Canada syndrome (CCS). The constellation of
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
By Warren R. Heymann, MD, FAAD Jan. 15, 2025 Vol. 7, No. 2 Perhaps dupilumab won’t be the game-changing biologic that patients are pining for. At the least, it represents the dawn of the biologic era for AD [atopic dermatitis] ... . That alone offers hope for our long-suffering patients,
Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders
By Warren R. Heymann, MD, FAAD Dec. 11, 2024 Vol. 6, No. 49 Patients often ask me, "Doctor, is my disease rare?" I’m never quite sure how to respond — while most patients are relieved to know that they are not alone ("misery loves company"), some relish the experience of
Sophie’s choice: Assessing atypical Spitz tumors in the molecular era
Atypical Spitz tumor category. Higher magnification reveals severe cytologic atypia. Although cells exhibit a spindled appearance typical of the Spitz nevus, they appear severely dysplastic with nuclear hyperchromasia and an immunogenic host response. (Hematoxylin-eosin stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 10, 2018
May 8
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 8, 2019 ... Skin scratching and intestinal changes: What’s the link? DW Insights and Inquiries : Progress for progressive multifocal leukoencephalopathy Sunscreen study supports FDA call for additional data New
On the shelf
Go to AAD Home ... Go to AAD Home ... Menu ... What is keeping biosimilars out of reach and when will they be available? ... What is keeping biosimilars out of reach and when will they be available? ... By Allison Evans, assistant managing editor Over the last few
Changing perceptions of pediatric mastocytosis
By Warren R. Heymann, MD Sept. 3, 2018 I have always been disquieted by mastocytosis. Its constellation of clinical presentations from childhood to adulthood, spectrum of systemic involvement, variable prognoses, and therapeutic challenges, never allow for complacency or certainty. ... Even when the diagnosis is straightforward with an excellent prognosis,
October 31
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 31, 2018 ... Oral antibiotic gets FDA approval for acne Teamwork Hero: Steven Daveluy, MD Are you smarter than DataDerm? ABMS approves Micrographic Dermatologic Surgery subspecialty Trump administration announces plans
December 5
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 5, 2018 ... USP update on access to buffered lidocaine Are you smarter than DataDerm™? What’s the latest on drug shortages? Identifying, treating rosacea in skin of color 2019 AAD
PDF of member ethics resources
Epub 2017 Dec 29. PMID: 29291953. Wolz MM.
Professionalism and Ethics
Ethics and medicine have been intertwined since the dawn of our profession. From the ancient Hippocratic Oath to the principle of ... primum non nocere to modern-day principlism, medical ethics have evolved over time. ... As public and professional interest in medical ethics increases, it is important for clinicians, researchers,
December 19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 19, 2018 ... A new frown line treatment – coming soon? The AAD 2019 Strategic Plan: Our vision for the future December Heroes: Jean Pierre Galliani, MD, and Naomi Johansen,
Itching to see if polymerase chain reaction mite be the future of diagnosing scabies
By Warren R. Heymann, MD January 6, 2021 Vol. 3, No. 1 The scourge of scabies has been plaguing mankind for millennia. The causal relationship of the itch mite causing scabies was discovered by Bonomo and Cestoni in 1687, earning the distinction of being the first to discover a proven
Itching to prescribe the right treatment for scabies: Topical permethrin or oral ivermectin?
By Warren R. Heymann, MD ... Feb. 1, 2018 ... Scabies burrow via high-resolution digital photography (4 megapixels). ... Credit: ... JAAD Three weeks after confirming the diagnosis of crusted scabies on an HIV-positive patient, I started to scratch while driving in the parking lot at Cooper University Hospital.
December 12
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 12, 2018 ... Trouble prescribing isotretinoin to new patients? New tax bill would repeal indoor tanning tax Are you smarter than DataDerm?™ Apply for the AAD’s Cochrane Scholarship Academy Advisory
December 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 6, 2023 ... iPLEDGE wins: FDA to implement AADA’s recommendations DermWorld Insights and Inquiries : Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years Treatment access
Paradoxical biological reactions and Grandma Dora’s waterbed
By Warren R. Heymann, MD January 22, 2020 Vol. 2, No. 3 My late maternal grandmother Dora — a real ... balabusta (Yiddish for "mistress of the house") — was the first person I knew to get a waterbed. That raised eyebrows, until I explained that it comforted her octogenarian
Humbled again: Alopecic and aseptic nodules of the scalp
By Warren R. Heymann, MD, FAAD November 3, 2021 Vol. 3, No. 44 "To confess ignorance is often wiser than to beat about the bush with a hypothetical diagnosis." - Sir William Osler I confess. I had never heard of alopecic and aseptic nodules of the scalp (AANS) and have
October 10
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 10, 2018 ... CMS to make physicians’ offices fax-free by 2020 Are you smarter than DataDerm™? Issue breakdown: Compounding standard would disrupt care AI trained to classify common dermatopathology diagnoses
December 21, 2022 DermWorld Weekly
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 21, 2022 ... Isotretinoin and the risk of psychiatric events in acne patients DermWorld Insights and Inquiries : Holiday greeting 2022 Risk of skin cancer in patients with chronic cutaneous
February 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 23, 2022 ... Frontal fibrosing alopecia: The effects of sunscreens and moisturizers DermWorld Insights and Inquiries : The vexing verruciform xanthoma DermWorld Young Physician Focus : The patient experience —
As molecular knowledge of PROS expands, lesions contract
By Warren R. Heymann, MD April 19, 2018 PIK3CA patient showing hemifacial hypertrophy. ... Credit: ... JAAD Somatic activating mutations in the phosphatidylinositol-3-kinase/AKT/mTOR pathway manifest as heterogeneous segmental overgrowth phenotypes Historically, the clinical diagnoses in patients with PIK3CA activating mutations have included Fibroadipose Hyperplasia or Overgrowth (FAO), Hemihyperplasia Multiple Lipomatosis
Weighing in on glucagon-like peptide-1 receptor agonists in dermatology
By Warren R. Heymann, MD, FAAD April 17, 2024 Vol. 6, No. 16 Glucagon-like peptide-1 (GLP-1) receptor agonists — your patients are on them, and perhaps you are too (or at least have thought about it). In 2023, more than 500 million people worldwide were afflicted with obesity and type
Dermatopathology’s taste of honey
By Warren R. Heymann, MD September 2, 2020 Vol. 2, No. 35 Recently, on our consult service, my resident and I were assessing a patient with a potential autoimmune bullous disease; we concurred that a skin biopsy for routine microscopy and direct immunofluorescence (DIF) was warranted. "I’ll have to come
Key messages to communicate about Indoor tanning
Key messages ... Using indoor tanning beds can increase your risk of skin cancer, including melanoma, the deadliest form of skin cancer. (1-15) ... Using tanning beds before age 20 can increase your chances of developing melanoma by 47%, and the risk increases with each use. (16) ... Women younger
Email ballot from the May 21, 2022 AAD/A Board of Directors meeting.
Approve Do Not Approve Abstain/Recuse Pull for Board Discussion 0 2 4 6 8 10 12 14 16 18 20 22 24 26
PDF of Addressing the Elephant in the Room: Microaggressions in Medicine
stageforunconsciousbiasestoaffectbehavior.Accordingto than the sum of racism and sexism, [and thus] any analysis the 2017
PDF of Leprosy caused by Mycobacterium leprae
differential 2) For multibacil- nerves • Multicentric lary (LL, BL, & BB) reticulohistio- disease, 24
PDF of autoimmune bullous dermatoses
This optimum cutoff was found to be 27.2 Immunol. 1997; 159:2010-2017. 5.
Sweating over acquired idiopathic generalized anhidrosis
By Warren R. Heymann, MD, FAAD June 8, 2022 Vol. 4, No. 23 As I am composing this commentary, I find myself daydreaming about the warmth that will envelop the Delaware Valley later this week — it has been a long, cold, lonely COVID-19 winter. Rising temperatures mean outdoor exercise
January 16
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 16, 2019 ... Isotretinoin may change bacteria levels on skin of acne patients We want your feedback: Psoriasis draft guidelines Cochrane collection gathers new diagnostic test accuracy reviews for skin
Approved email ballot for the March 28, 2022 AAD/A Board of Directors meeting.
Approve Abstain/Recuse Pull for Board Discussion - leave comment too. 0 2 4 6 8 10 12 14 16 18 20 22 24
Results of the July 23, 2022 AAD/A Board of Directors online ballot.
Approve Do Not Approve Abstain/Recuse Pull for Board Discussion 0 2 4 6 8 10 12 14 16 18 20 22 24 26
The email ballot for the Nov. 6, 2021 AAD and AADA Board of Directors meetings.
Report Approve Do Not Approve Abstain/Recuse Pull for Board Discussion 0 2 4 6 8 10 12 14 16 18 20 22 24
PDF of Cultural competency 21st century
Even when surmounting the 24-28 worsehealthoutcomes.
Tackling itch
Understanding and treating chronic itch ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2022 Itch, or pruritus, is a common symptom (and condition) that is considered one of the 50 most prevalent conditions worldwide — an estimated 15% of the population suffers from chronic pruritus. Speak to
PDF of boards fodder mastocytosis review
o After general anesthesia, SM patients should be moni- tored for 24 hours as delayed anaphylaxis may
August 19, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 19, 2020 ... Does topical tacrolimus for AD increase cancer incidence in children? Study says ‘no.’ DW Insights and Inquiries: Juvenile lichen sclerosus — A loss of innocence Derm Coding
2024 AADA Legislative Conference | Advocacy Sponsorship Opportunities
send 4 representatives to the following events held during the AADA Legislative Conference: • 9/7/24
PDF of AAD Elections Ballot Book
Foundation 2016-2019 ASDS, Board of Directors 2015-2017 Chair, SkinPAC Board of Advisors 2011-2017
PDF of 2022 AAD Election Ballot Book
-2020 SOP/TIA Triage Team 2017-2020 2017-present Aesthetic Stem Cell Society Task Force 2018-2019 Workgroup-Harassment
PDF of Academy ballot book
ACCESS CODES will be mailed to eligible voting members without email on file with the AAD on February 24
June 26, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 26, 2024 ... Finasteride vs. minoxidil for female pattern hair loss DermWorld Insights and Inquiries : Pathway to reducing medical errors Cutaneous drug reactions to psychedelics and hallucinogens Trichophyton indotineae
False advertising
Go to AAD Home ... Go to AAD Home ... Menu ... How to spot fakes in medicine ... How to spot fakes in medicine ... By Emily Margosian, assistant editor The ongoing criminal investigation of a disgraced Silicon Valley CEO, a false German heiress who infiltrated New York high
Vaccines, maintenance, and PEP
The information below is provided for informational purposes only and does not represent treatment or vaccine guidelines from the AAD. Please refer to your local, state, or national guidelines for treatment and vaccine guidelines. ... 1. What are the guidelines for routine MMR vaccination? ... 1,2 ... The routine vaccination
PDF of white paper
This may attract some patients to AMC-affiliated community hospital clinics (24).
PDF of NAHS handbook
Updated May, 2017 Native American Health Service Resident Rotation Orientation Handbook
June 3, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 3, 2020 ... COVID-19 and androgenetic alopecia: Is there a link? DW Insights and Inquiries : Clear cell papulosis — Clearly distinctive, clearly underrecognized Register for the Academy’s virtual meeting
May 11, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 11, 2022 ... Sexual dysfunction associated with finasteride use in men with androgenetic alopecia DermWorld Insights and Inquiries : Lagging ahead — LAG-3 checkpoint inhibition for advanced melanoma FDA grants
PDF of 2021 AAD election ballot book
ACCESS CODES will be mailed to eligible voting members without email on file with the AAD on February 24
PDF of AAD 2023 Election Ballot Book
ACCESS CODES will be mailed to eligible voting members without email on file with the AAD on February 24
Recognizing mpox
The information on this page was created by the Academy’s Ad Hoc Task Force to Develop Mpox Content. Mpox (monkeypox) is caused by the mpox virus, which belongs to the ... Orthopoxvirus genus in the family Poxviridae. ... 1 ... Though mpox is rare, it is endemic in Central and West
Turning a blind eye on second opinions
By Warren R. Heymann, MD, FAAD June 21, 2023 Vol. 5, No. 25 Whenever I encounter patients who ask for, or are being seen for, second opinions, I silently chuckle at Henny Youngman’s timeless one-liner about the subject (you can Google it). The fact is that second opinions are no
Taking a hard look at eosinophilic fasciitis on its golden anniversary
By Warren R. Heymann, MD, FAAD Aug. 14, 2024 Vol. 6, No. 33 In 1974, Dr. Lawrence E. Shulman identified two male patients (aged 53 and 19 years old) with a scleroderma-like illness that he subsequently published as "Diffuse fasciitis with hyperglobulinemia and eosinophilia: A new syndrome?" Both had a
Vasculitis on the run
By Warren R. Heymann, MD, FAAD July 10, 2024 Vol. 6, No. 28 I am not a runner, but I live vicariously through my residents who are. This weekend, our first-year resident, Erika Tvedten, will run the Philadelphia marathon for the first time. I have been intrigued (and impressed!) by
AccessDerm: Serving the underserved
In Practice ... Dr. Simpson serves in the Department of Dermatology at University of Pennsylvania. ... By Dean Monti, managing editor, special publications, September 2, 2019 Dermatology World speaks with Cory Simpson, MD, PhD, about why he uses AccessDerm — the Academy's volunteer teledermatology platform — how it works, and
June 29, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 29, 2022 ... Psoriasis treatment adherence: Adalimumab vs. ixekizumab DermWorld Insights and Inquiries : When to see red in linear erythronychia — Malignant onychopapilloma Dermatologist Jack Resneck Jr., MD, FAAD,
July 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 8, 2020 ... Chilblains and COVID-19: Is there an association? DW Insights and Inquiries : Et tu, ibrutinib? How to treat nail lichen planus during the COVID-19 pandemic CMS publishes
AccessDerm: Serving the underserved
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... With just a few minutes a day and a smartphone, dermatologists have the potential to make a significant impact in their community by using the Academy's volunteer teledermatology platform, ... AccessDerm . ... Dermatology World
PDF of urticaria guidelines for comment
The 2017 Revision and Update'. Allergy. 2018;73(5):1145-1146. 8.
PDF of resident & fellows abstract
NCHS Data Brief. 2017(294):1-8. 7. Rudd RA, Seth P, David F, Scholl L.
01-23-17 AADA ballot
ASSOCIATION BOARD OF DIRECTORS SPECIAL SESSION ON HEALTH CARE REFORM CONFERENCE CALL JANUARY 23, 2017
PDF of 2024-2025 Nomination & Election Timeline
Statement Specifications to videotape and submit your candidate statement via Dropbox by February 24
PDF of Contact dermatitis
Surgical Scrubs p. 1 • Summer 2017 www.aad.org/DIRboards fodder Contact Dermatitis Allergens by Alina
PDF of Contact dermatitis allergens
Surgical Scrubs p. 1 • Summer 2017 www.aad.org/DIRboards fodder Contact Dermatitis Allergens by Alina
Social media in medicine
Go to AAD Home ... Go to AAD Home ... Menu ... How can you use social media to enhance your career and promote your practice? ... How can you use social media to enhance your career and promote your practice? ... By Danielle Tokarz, staff writer The concept of
PDF of DIR Winter 2020
to severe facial wrinkles • CPM® and folds • Crosslinking rate variable • No lidocaine Juvéderm® 24
The appropriate dermatologic response when considering the capillary malformation-arteriovenous malformation syndrome: Fast flow to referral
By Warren R. Heymann, MD, FAAD Sept. 18, 2024 Vol. 6, No. 38 I have had the privilege of contributing to Dr. Ronni Wolf’s outstanding AAD symposium devoted to Emergency Dermatology by presenting the lecture "Dermatological Urgent Care: When Banalities Surprise You," discussing several cutaneous disorders that could easily be
Indoor tanning fact sheet
Indoor tanning use ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in
July 11
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... JULY 11, 2018 ... Amazon upends drug market with purchase of online pharmacy Amazon recently announced it will ... purchase online pharmacy PillPack for about $1 billion. PillPack claims to simplify treatment plans for patients
PDF of Measure 224.
All rights reserved. 12/11/2017 Page 5 of 13Version 2.0 CPT only copyright 2017 American Medical Association
March 7
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MARCH 7, 2018 ... Is MIPS a burden? Tell CMS and get full credit in 2018. Academy election results announced ABD requests Mohs subspecialty certification AAD relocates headquarters Conversion therapy still
PDF of Infestations: scabies and pediculosis
individuals prep of skin individuals <15kg - Subsequent infesta- - Scalp scrapings Crusted scabies tions ~24
PDF of Disclosure of Interests
relationship(s) with ineligible companies (FKA commercial interests) in any amount occurring within the last 24
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
By Warren R. Heymann, MD, FAAD Sept. 8, 2021 Vol. 3, No. 36 "The patient, a fat baby thriving on its mother’s milk, was suddenly attacked by purpura, urticaria and localized edema, lasting about ten days. There were only systemic symptoms from the result of pain. At first the bowels
Probing pediatric pigmented purpuras
By Warren R. Heymann, MD, FAAD October 20, 2021 Vol. 3, No. 42 Pigmented purpuric (PP) eruptions are often referred to as "benign" pigmented purpuras. Although that may be true in the medical sense, these dermatoses may be very distressing for patients (or their parents). Angst may be due to
May 15
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 15, 2019 ... Why are psoriasis patients turning to complementary and alternative medicine? DW Insights and Inquiries : Coughing up a new warning for ustekinumab AAD adopts position statement on
June 23, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 23, 2021 ... Subcutaneous vs. oral methotrexate for psoriasis patients DermWorld Insights and Inquiries : Dermatology and dermatopathology awake — now is the time to embrace the AI revolution Young
May 27, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 27, 2020 ... How to classify COVID-19 rashes DW Insights and Inquiries : On the cusp of extraordinary advances in extramammary Paget disease Derm Coding Consult : Telephone code Medicare
January 29, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 29, 2020 ... Patients are using YouTube to get information on isotretinoin. Here’s what you need to know. DW Insights and Inquiries: Getting steamed over vaping Derm Coding Consult: A
May 3, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 3, 2023 ... Oral oxybutyloride for hidradenitis suppurativa patients? DermWorld Insights and Inquiries : Necrobiosis lipoidica in a Wink Exposure to anesthesia and alopecia areata Do study authors accurately report
Dermatology World Weekly
DermWorld Weekly is a brief, concise digest of the latest news, hand-picked by ... DW’s editorial team with analysis of why it matters to dermatologists. ... Each week editors review the landscape of health care news in ... DermWorld's core areas of practice management, policy, and patient care, and highlight
February 14
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 14, 2018 ... A win for dermatology: Congress repeals IPAB, misvalued codes policy Vote in the AAD election by March 3 Are machines poised to replace physicians? Countdown to official
PS-Sexual and Gender Minority Health in Dermatology
." \(2017\. 16. Mundluru, S. N., and A. R. Larson.
Good advice?
Go to AAD Home ... Go to AAD Home ... Menu ... What is the USPSTF and what do its skin cancer counseling recommendations mean for the specialty and its patients? ... What is the USPSTF and what do its skin cancer counseling recommendations mean for the specialty and its
PDF of Mohs surgery AUC
reached for all 270 (100%) scenarios by the Ratings Panel, with 200 (74.07%) deemed as appropriate, 24
April 18
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / APRIL 18, 2018 ... Getting too many calls from pharmacists? It could get worse. April Access Hero: Dr. Van Voorhees 2019 committee appointment application now open Not sure you’re eligible for
May 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 30, 2018 ... FDA issues warning on unapproved sunscreen pills May Access Hero: Karen Edison, MD Study: AI detects skin cancer better than dermatologists BCBS Michigan rescinds modifier 25 reimbursement
2023 AAD Inovation Academy Exhibitor Booth Construction
layout arrangements for island exhibits are requested for online review by the Academy by January 24
PDF of Sample radio PSA scripts
. | 24-421-MRESample 10-Second Announcer-Read Radio Public Service Announcement Script Sponsor: American
What's hot?
What's hot ... October 30, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you familiar with "fish pedicures" and their risks? Fish pedicures are pedicures in which the feet are immersed
What's hot?
What's hot ... May 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... You may be surprised to learn that a ... new organ’ in the skin was recently identified.
June 30, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 30, 2021 ... Treating atopic dermatitis with cognitive behavioral therapy: Does it work? DermWorld Insights and Inquiries : Deep learning in dermatopathology Sublingual tofacitinib for alopecia areata Biologic psoriasis treatments
My diagnostic blind spot: Erythema elevatum diutinum
By Warren R. Heymann, MD Feb. 15, 2018 Erythema elevatum diutinum depicted by erythematous-to-violaceous papules and plaques affecting the extensor surfaces of the patient's arms, legs, and buttocks. ... Credit: ... JAAD I’m certain that every dermatologist — myself included — has a diagnostic blind spot. I came to this
Lessons learned from canine atopic dermatitis
What can human and veterinary dermatologists learn from each other in the management and treatment of atopic dermatitis? ... Feature ... By Emily Margosian, assistant editor, December 1, 2020 In the past, a single doctor would have been called upon to care for all members of a household — including
PDF of measure 226 flowchart
practice conduct a screening for tobacco use one or more for tobacco use one or more times within 24
PDF of tribute to Academy members lost in 2021
Cook, MD December 24, 2020Wallace E. De Launey, MD November 20, 2019Frederic C.
PDF of psoriasis phototherapy guideline supplemental tables
the subsequent treatment depending on degree and duration of erythema o Minimal erythema lasting <24
CMS Pays for Communication Technology-based Services, Effective 2019
Given the recent ubiquitous nature of synchronous audio and video applications available for download and the increased use of patient-facing health portals, the Center for Medicare & Medicaid Services (CMS) has determined that a broad range of services can be provided by healthcare professionals via communication technology. ... Remote Evaluation
August 22
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 22, 2018 ... 6 new biopsy codes for 2019 August Access Hero: Jessica Burgy, MD Submit your comments on psoriasis draft guidelines 2018 QPP exception applications now available Ortho Dermatologics
June 20
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 20, 2018 ... Robots in health care are coming, but at what cost? June Access Hero: Dr. Colven Does benzoyl peroxide stain all fabrics? CMS launches new Medicare Card search
January 31
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JANUARY 31, 2018 ... First IGA scale for EB simplex validated AAD election candidates announced FDA to revise draft guidance affecting in-office preparations How do different SPFs compare? Alex Azar confirmed
PDF of Historic Board 1967 - 2029
Callender, MD 2017-2021 Orlando Canizares, MD 1969-1971 Fred F.
PDF of Moody CV
ACADEMY INVOLVEMENT 2019-Present Patient Access and Payer Relations Committee: Chair 2017
The compounding conundrum
Go to AAD Home ... Go to AAD Home ... Menu ... Dissecting the compounding guidelines that pit safety concerns against patient access ... Dissecting the compounding guidelines that pit safety concerns against patient access ... By Victoria Houghton, assistant managing editor In the fall of 2012, health officials and
Talk of the town: JAK inhibitors in dermatology
Dermatologists discuss the influx of new JAK inhibitors in dermatology and how they are breaking new ground for the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2024 Over the last decade, research and development of Janus kinase (JAK) inhibitors have exploded. Three years ago, JAK
2024 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
Academy letter of support for H 1964
Joint Committee on Public Health Massachusetts Senate Massachusetts House of Representatives 24
Telemedicine coding basics: What you need to know now
Teledermatology visits ... Teledermatology services are used in lieu of an in-person visit when medically appropriate to address the care of the patient and when the patient and/or family/caregiver agree to this format of care. Teledermatology services are performed using virtual technology in one of the two ways: ... Live-interactive
May 2
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 2, 2018 ... The clock is ticking: Only a few days left to review your Sunshine Act info PBMs cutting copay coupons from patient deductibles — which could mean soaring
PDF of Friedman CV
-Present o Treating Tumors and Inflammatory Skin Diseases with Immunomodulators and Biologics: 2017
Forever young with chocolate
By Warren R. Heymann, MD May 19, 2016 Recently we discussed how dark chocolate can exacerbate acne. How many times have you heard a patient complain that it’s just not fair — they’re getting wrinkles and are still breaking out? Here is some good news! ... Kim et al have
Mee too: More than just arsenic
By Warren R. Heymann, MD June 11, 2016 Mee’s lines is the eponym for linear leukonychia, presenting as transverse white bands of the nail plate. It is due to interrupted growth of the nail matrix, resulting in parakeratosis of the nail plate. These lesions grow out with the nail and
Psoriasis: Shared Decision Making in the Treatment of Psoriasis — QCDR measure AAD19
Psoriasis: Shared Decision Making in the Treatment of Psoriasis DESCRIPTION: Percentage of patients with a diagnosis of psoriasis with a documented shared decision-making discussion that includes the patient’s treatment goals, preferences, and the risks & benefits of treatment options. ... ... MEASURE ID: ... AAD19 ... ...
PDF of CV and questions for Kishwer Nehal, MD, FAAD
present AMA CPT Advisor 2008-present Directing Forums and Symposiums at Annual AAD Meetings 2014-2017
Getting to the heart of neonatal lupus erythematosus
By Warren R. Heymann, MD, FAAD July 21, 2021 Vol. 3, No. 29 I have found that rendering the diagnosis of neonatal lupus erythematosus (NLE) is fraught with emotional challenges. Not only are mothers concerned for their children, frequently they are unaware of the fact that they are also at
Stress^2 + Hormones^2 = Acne^2
By Warren R. Heymann, MD June 5, 2019 Vol. 1, Issue 13 I would wager that every human being has experienced at least one pimple attributed to stress. I recall a devastatingly embarrassing moment during 10th grade world history class at Martin Van Buren High School (Queens, New York), when
Cutting giant congenital nevi down to size molecularly
By Warren R. Heymann, MD Oct. 2, 2019 Vol. 1, No. 30 Personally, I find giant congenital melanocytic nevi (GCMN) to be among the most unnerving skin lesions imaginable. The risk of melanoma, leptomeningeal melanocytosis, and psychosocial stresses are profoundly burdensome to patients, their families, and health care professionals. With
June 6
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 6, 2018 ... Feedback requested: Primary cutaneous melanoma treatment draft guidelines Integrating the human touch at the AAD Annual Meeting Insurer reverses onerous isotretinoin policy FDA issues REMS draft guidance
PS-The Cost Effectiveness of Derm Care in Support of Direct Access
Access to Dermatologic Care \(Approved by the Board of Directors: March 21, 1997; Revised May 20, 2017
2022 Annual Meeting Events and Meeting Policies
March 23..................................................................All Day Thursday, March 24
Burden of skin disease
In 2016, the AAD embarked on a research study that looked at the effects of having skin disease on the United States patient population, and to provide an up-to-date analysis of the burden of skin disease that reflects these recent changes in the practice of medicine. ... Burden of Skin
The medical word to watch in 2018: Dysbiosis
By Warren R. Heymann, MD Jan. 4, 2018 With increasing rapidity, new words enter the dermatological lexicon, reflecting concepts that change our perceptions of disease and treatment. Recent examples include "comorbidities," "programmed cell death inhibition," and "teledermatology". The word to watch in 2018 is "dysbiosis." ... The microbiome has been
June 27
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 27, 2018 ... FDA does not approve topical psoriasis treatment Medicare to limit reimbursement for aminolevulinic acid HCI, 10% Senators urge FDA to examine drug shortages Sen. Schumer works to
Biotin supplementation for hair and nail health: Does it pass the test?
By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,
PDF of late-breaking research abstracts
. & Pimpinelli, N. (2017).
February 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 28, 2018 ... Anthem rescinds proposed modifier 25 policy Vote in the AAD election by March 3 FDA grants rituximab priority review for pemphigus vulgaris CMS eases up on value-based
PDF of AADA letter-hatch waxman 9.15
September 15, 2017 Scott Gottlieb, MD Commissioner Food and Drug Administration U.S.
PDF of Sidbury CV
Force (Editorial Board) 2014-2018 DermWorld Work Group 2015-2016 Enduring Materials Committee 2015-2017
PDF of meetings events policies
Sunday, July 24 ........................ Before 7:15 a.m. and After 12 p.m.
April 25
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / APRIL 25, 2018 ... Who’s better at diagnosing skin cancer: PAs or dermatologists? How is MIPS affecting you? CMS wants to know. New physician compensation report: How does dermatology fare? Medicare
PDF of CV and question for Robert Sidbury, MD, MPH, FAAD
Force (Editorial Board) 2014-2018 DermWorld Work Group 2015-2016 Enduring Materials Committee 2015-2017
PDF of Burkhart CV
Development Task Force 2012-2014 Grassroots Advocacy Workgroup 2011-2015 State Policy Committee 2015-2017