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Session handouts and meetings archive
Handouts ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023 Innovation Academy, Tampa, FL, August 10-13 2023 Annual Meeting, New Orleans, LA, March 17-21 Sessions ... 2025 Innovation
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2026 Annual Meeting, Denver, CO, March 27-31, 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual
AADA hosts largest Capitol Hill skin cancer check in a decade
On May 15, the AADA hosted its 10th annual Capitol Hill Skin Cancer Check and Health Fair with the Congressional Skin Cancer Caucus. This event was our largest to date, hosting 198 Hill staffers and 11 members of Congress, performing 127 skin checks, and providing 75 Reveal camera image results.
Prioritizing patient satisfaction
Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2024 DermWorld ... talks to Vinod Nambudiri, MD, MBA, EdM, FAAD, associate professor of dermatology at Harvard Medical School, about strategies for improving patient satisfaction. Vinod Nambudiri, MD, MBA, EdM, FAAD ... DermWorld: Tell us about your practice. Dr.
Future shock of teledermatology
By Warren R. Heymann, MD April 16, 2016 The authors surveyed 62 patients older than 18 years, and 43 caregivers of patients younger than 18 who had been taking isotretinoin for at least 3 months. "Most respondents reported no concern about the safety of an e-visit compared with that of
Prior Authorization Workflow
For the story below, imagine a small dermatology practice, with three dermatologists, two nurse practitioners (NPs), and two office administrators. The dermatologists see 30-40 patients a day for many different procedures, ranging from the cosmetic to non-cosmetic. Prior authorization is needed for certain procedures and medications. ... Note: This is
Prior authorization’s impact during COVID-19
Facts at your fingertips ... By Emily Margosian, Assistant Editor, October 1, 2021 In December 2020, the American Medical Association (AMA) conducted a survey on the effects of prior authorization (PA) on physicians and patients in their care. The survey was administered to a sample of 1,000 practicing physicians, made
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
Back in the day...
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... By Allison Evans, assistant managing editor
Is dyshidrosiform pemphigoid really anti-p200 pemphigoid?
By Warren R. Heymann, MD Aug. 20, 2016 Dyshidrosiform pemphigoid (DP) was initially reported in a 72 year-old man with large, tense bullae on the plantar aspect of his feet, with some lesions on an erythematous base. He also had an "ill-defined papular eruption" of the trunk and an erosion
Dermatopathology reports about basal cell carcinoma margins cannot be marginal
By Warren R. Heymann, MD July 30, 2018 ... Significant portions of residual basal cell carcinoma can be missed in the dermis (A) or subcutaneous fat (B). Small nests are highly unlikely to be detected by serial cross-sections (C). The line from the transparency is visible in A and B
The Venetian antithesis: Treating median canaliform nail dystrophy
By Warren R. Heymann, MD, FAAD Oct. 4, 2023 Vol. 5, No. 40 Tony Bennett may have left his heart in San Francisco, but mine remains in Venice. ... (The editorial staff of DWI&I offer our sincerest condolences to the families of those who perished, and our prayers for recovery
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
Improvement activities (15%)
In this performance category, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. For 2026 MIPS reporting, this category is worth 15% of the MIPS score with a maximum of 40 points available. There are 67 dermatology-relevant practice improvement activities (IAs) to choose from. ...
Improvement activities (15%)
In this performance category, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. For 2025 MIPS reporting, this category is worth 15% of the MIPS score with a maximum of 40 points available. There are 77 dermatology-relevant practice improvement activities (IAs) to choose from. ...
New pitfalls in the diagnosis of Kaposi sarcoma
By Warren R. Heymann, MD June 16, 2016 Human Herpes Virus-8 (HHV-8) is the common denominator in all forms of Kaposi sarcoma (KS) — classic, endemic, post-transplant/immunosuppressive, and epidemic/HIV. Virtually all cases will demonstrate HHV-8 by immunohistochemistry in all types. ... Manuraj et al present the instructive case of a
July
Issue ... July January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor What's hot ... What's hot? Clinical Applications ... Is there a genetic basis of CCCA and, if so what is it?
Your Dermatologist Knows content remains popular on social media
One of the key aspects of the Your Dermatologist Knows strategy is the AAD’s robust social media presence. The Academy’s social media team works with a team of ... member social media correspondents and social media ambassadors to generate and distribute paid and organic content. ... To date, the Academy’s
Member benefits – JAAD
Are you reading ... JAAD ? Of course you are. ... In fact, the ... entire world is reading it. The ... Journal of the American Academy of Dermatology ( ... JAAD ) is the most widely read dermatology journal in the world, according to Kantar Media. Recently, ... JAAD
Current state: Human trafficking and commercial sexual exploitation
Human trafficking and commercial sexual exploitation are global problems that currently affect more than 40 million people. While human trafficking can be divided into labor trafficking and sex trafficking, commercial sexual exploitation is a broader term that encompasses a range of crimes, including sex trafficking, prostitution, sex tourism, pornography, forced
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
What’s new at Annual Meeting? What can I expect from Annual Meeting 2024?
Asked and Answered ... January 1, 2024 This year’s Annual Meeting is headed to San Diego! Get ready to expand your expertise through hundreds of expert-led sessions and form lasting connections with your peers. ... You’ll always experience the gold-standard of education during an AAD meeting, and this year attendees
2025 exemption reweighting
Exemption reweighting is unchanged in 2025. Below is the breakdown of the 2025 MIPS category weights and how the weights will be redistributed if various exemptions are applied. ... As a refresher, here are the baseline weights for 2025: ... Quality: 30% ... Cost: 30% ... Promoting Interoperability (PI): 25%
2026 exemption reweighting
Exemption reweighting is unchanged in 2026. Below is the breakdown of the 2026 MIPS category weights and how the weights will be redistributed if various exemptions are applied. ... As a refresher, here are the baseline weights for 2026: ... Quality: 30% ... Cost: 30% ... Promoting Interoperability (PI): 25%
Demand for “Brotox” grows, along with other minimally invasive cosmetic trends
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, July 1, 2024 More men are investing in non-invasive cosmetic procedures, according to new data from the American Society of Plastic Surgeons (ASPS). 2022 survey data indicate that over 1.4 million male patients sought out minimally invasive cosmetic procedures —
Gen Z’s indifference to sun damage is heating up their risk of skin cancer
Facts at your Fingertips ... By Megan Bennett, Staff Writer, March 1, 2026 In an AAD survey of 1,000 U.S. adults, released in May 2025 in conjunction with Skin Cancer Awareness Month, half of the ... Gen Z responders reported getting sunburned in 2024 . About 10% reported having sunburns
Study outlines average frequency, timing of skin cancer diagnoses
Facts at your Fingertips ... By Megan Bennett, Staff Writer, April 1, 2026 More than 40% of skin cancer patients will develop skin cancer at least once more in their lifetime, according to a 2025 JAAD study that analyzed millions of patients over more than 20 years (doi: 10.1016/j.jaad.2024.12.047). ...
DWI&I holiday greeting 2020: Eyeing dermatology’s future
By Warren R. Heymann, MD Dec. 18, 2019 Vol. 1, No. 40 2020 will be replete with innumerable references focusing on vision. As I composed this holiday greeting, I had the privilege of touring Norway above the Arctic Circle, perplexed and awestruck by the Northern Lights. Vision may be hindsight, current,
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
What's hot?
What's hot ... September 18, 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 clock is TICKing on emerging vectorborne diseases. Lyme disease, famously named for its endemicity in Old
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
December 4, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / ... December 4, 2019 ... New opioid prescribing guidelines for dermatologic procedures DW Insights and Inquiries: Beware — discordance abounds among pathologists in the diagnosis of melanocytic neoplasms Prepare for next
Thinking of discontinuing the PD-1 inhibitor because of a lichenoid eruption? Don’t do it!
By Warren R. Heymann, MD May 21, 2016 Immune checkpoint inhibitors have been the proverbial "game changers" in oncology, and offer hope (and a chance of survival) where none existed just a few years ago. ... Cutaneous manifestations are the most common adverse reactions to these drugs. Indeed, more than
Coming clean on chlorhexidine-induced dermatoses
By Warren R. Heymann, MD, FAAD March 13, 2024 Vol. 6, No. 11 Dermatologic surgeons use a variety of products that may cause an irritant or allergic contact dermatitis, including antiseptics, anesthetics, gloves, suture materials, tissue adhesives, topical antibiotics, and bandages. Antiseptic agents are the most frequent cause of contact
Dermatologist on the run
In Practice ... Douglas Naversen, MD, is a dermatologist in private practice in Medford, Oregon. ... By Emily Margosian, assistant editor, August 1, 2018 It takes major motivation to complete a single marathon. Douglas Naversen, MD, has run 25. ... "My personal record is two hours, fifty-five minutes, and thirty-two
Empowering physician well-being
Answers in Practice ... By Faiza Wasif, Associate Director, Practice Management, December 1, 2023 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains how to navigate burnout in dermatology. Navigating burnout in dermatology ... Burnout is a term that has become familiar to
We’ve gotta recognize GATA2 deficiency
Cutaneous findings in GATA2 deficiency. (A) Extensive human papillomavirus infection with vulvar and anal intraepithelial neoplasia, (B) cutaneous mycobacterial infection, and (C) erythema nodosum–like panniculitis in a 40-year-old woman with GATA2 deficiency. ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 26, 2018 I’ll begin with my conclusion —
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)
Develop a nose for suspecting angiosarcoma
Angiosarcoma histopathology. Anastomosing dilated vessels, lined by crowded endothelial cells, extend between pre-existing collagen bundles. (Hematoxylin-eosin-saffron stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Nov. 12, 2018 Occasionally I read an article that disturbs me, because I know that I would miss the diagnosis, with
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
Quality assured
Engaging in quality improvement activities can boost patient outcomes, practice efficiencies, and satisfaction all around ... Feature ... By Ruth Carol, Contributing Writer, November 1, 2021 Quality improvement (QI) efforts can boost reimbursement but engaging in QI activities can have an even more positive impact on a dermatology practice’s overall
This month’s news from across the specialty
What’s hot ... November 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD Researchers in Amsterdam used karaoke to study the well-known, but poorly understood subtype of facial erythema known
Keeping pace
Life-changing advances and a multidisciplinary approach give new hope to patients with Merkel cell carcinoma ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2021 When Paul Nghiem, MD, PhD, FAAD, first started treating patients with skin cancer almost 20 years ago, physicians had little understanding of how
Injecting ideas (and therapies) in digital mucous cysts
By Warren R. Heymann, MD, FAAD Oct. 8, 2025 Vol. 7, No. 40 I am almost embarrassed to admit it, but I go on clinical autopilot when it comes to digital mucous (myxoid) cysts (DMCs). I offer a brief explanation, reassure the patient that the lesion is benign, refer the
Granular detail on granular parakeratosis
By Warren R. Heymann, MD, FAAD October 6, 2021 Vol. 3, No. 40 After attending a clinic at the University of Pennsylvania 30 years ago, I recall relaxing in the cafeteria, coffee in one hand and ... JAAD in the other, being impressed with an article by Northcutt et al
The pregnant pause in cutaneous lymphoma
By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12
Caring for patients with disabilities
Go to AAD Home ... Go to AAD Home ... Menu ... How to stay compliant with ADA guidelines while treating patients with disabilities ... How to stay compliant with ADA guidelines while treating patients with disabilities ... By Emily Margosian, assistant editor In July 2020, the Americans with Disabilities
BASCULE syndrome: Is something brewing with Bier spots?
By Warren R. Heymann, MD, FAAD Sept. 7, 2022 Vol. 4, No. 36 I have never paid too much attention to Bier spots, other than reassuring patients that they are of no concern. I may have been too cavalier by not probing further. ... Classical Bier spots (BS, also referred
Optimizing the dermatologist-patient encounter
By Warren R. Heymann, MD, FAAD Oct. 5, 2022 Vol. 4, No. 40 My celebration of the USA bicentennial on July 4, 1976, was a glorious affair. I had taken my first plane flight at age 21 to visit Boston, culminating with Arthur Fieldler and the Boston Pops performing Tchaikovsky’s
Twenty-first century pellagra
By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly
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
Keeping abreast of drug-induced cutaneous lupus
By Warren R. Heymann, MD, FAAD Aug. 4, 2021 Vol. 3, No. 31 Tom Hanks, as Commander Jim Lovell in the movie ... Apollo 13, lamented that the world was not watching their onboard video, compared to Neil Armstrong’s moon landing a year earlier. Reality dictates that the seminal breakthroughs
Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
By Warren R. Heymann, MD Oct. 7, 2020 Vol. 2, No. 40 It is not my imagination — I have been seeing more cases of bullous pemphigoid (BP) than ever. This is likely a function of an aging population in concert with an increase of drug-induced cases, notably with dipeptidyl
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
Academy physician leaders meet with federal legislators
On June 4, AADA physician leaders met with legislators in Washington, D.C., as part of the House Call on the Mall fundraiser hosted by the National Republican Congressional Committee and Rep. John Joyce, MD, FAAD (R-PA). During the event, AADA leaders reiterated the importance of Medicare physician payment reform. ...
AADA hosts 10th annual Capitol Hill Skin Cancer Check and Health Fair
Moving the needle ... By Apoorva Stull, Senior Manager, Advocacy Communications, May 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. On May 15, the AADA hosted its 10th annual Capitol Hill Skin Cancer Check and Health
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
Advocacy Update Feb. 4 2025
IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC
Advocacy Update May 5, 2026
IN THIS ISSUE / May 5, 2026 Advocacy win: United Healthcare delays referral program penalties Dr. Gross attends political event on behalf of SkinPAC New Medicare physician payment reform legislative efforts AADA presents at FDA nonprescription drugs access public meeting Payer Advocacy Advocacy win: United Healthcare delays referral program penalties
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
Taking the challenge: Social media, adolescents, and the skin
By Albert C. Yan, MD June 12, 2019 Vol. 1, No. 14 Patterned skin injury can raise the specter of non-accidental trauma. However, over the past decade or so, striking examples of patterned skin injury have emerged among adolescents and pre-teens that share certain features: these are self-induced voluntarily; the
On the front lines in Connecticut
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DW Weekly talked to Caroline Nelson, MD, from Yale School of Medicine, about her experiences serving in the internal medicine unit during the COVID-19 pandemic. DW Weekly : I understand that you have been serving
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,
After 23 years, a syndrome converted me into an eflornithine believer
By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.
Advocacy Update Feb. 18 2025
IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to
Advocacy Update Mar. 18, 2025
IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key
Glucose monitors: Not as sweet as they seem
By Christen M. Mowad, MD Oct. 9, 2019 Vol. 1, No. 31 ... The next contact allergen of the year has been announced early by the American Contact Dermatitis Society and it is an acrylate, isobornyl acrylate. (1) This chemical is a photopolymerizable monomer that has been used in industrial
The nexus of VEXAS syndrome
By Warren R. Heymann, MD, FAAD December 1, 2021 Vol. 3, No. 47 You may not be familiar with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) syndrome, but it is conceivable that you have already unknowingly encountered patients with the disorder. ... To appreciate the clinical nuances of the VEXAS
From mentoring LGBT dermatologists, to caring for HIV patients, GALDA looks back on its 40-year journey
Answers in Practice ... By Victoria Houghton, Managing Editor, November 1, 2021 In the wake of the 40th anniversary of the onset of the HIV epidemic , DermWorld ... talks to Harold Brody, MD, FAAD, co-chair of the Board of Directors of another organization marking its 40th anniversary — the
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
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
Your Dermatologist Knows media wins 2024
A key part of Your Dermatologist Knows is pitching stories to media outlets in hopes they’ll run news stories sharing information about the wide breadth of knowledge dermatologists have to their readership. We consider every new story published as a result of our pitches as a win, regardless of whether
March 5, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 5, 2025 ... Is there a link between oral minoxidil and pericardial effusion? DermWorld Insights and Inquiries : Giving a NOD2 to Yao syndrome Higher cumulative dose of isotretinoin tied
Links in the care chain
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... By Jan Bowers, contributing writer A diagnosis of advanced melanoma marks the
December 8, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 8, 2021 ... Factors that may predict chronic spontaneous urticaria recurrence DermWorld Insights and Inquiries : Propranolol and neutrophilic dermatoses — Can beta-blockade be better blockade? Feedback requested: Actinic keratosis
'Stepping up' to off-label dosing of biologics
By David A. Wetter, MD, FAAD April 6, 2022 Vol. 4, No. 14 It is an exciting time to be a medical dermatologist, with the ongoing development of numerous safe and effective systemic treatments for several complex medical dermatologic diseases. For example, both the American and British guidelines for the
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,
March 18, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 18, 2026 ... Oral hyaluronic acid supplement: Does it improve skin aging? DermWorld What’s Hot: Insurance denial of ‘cosmetic’ conditions Is topical urea beneficial for onychomycosis? Does the application of
Setting the stage
Changes to TNM system enhance prognostication for cutaneous cancers ... Feature ... By Jan Bowers, Contributing Writer, October 1, 2021 When French surgeon Pierre Denoix, MD, pioneered the development of a simple staging system for breast cancer in the 1940s and ’50s, he opened a path for physicians treating many
Improving insomnia by increasing the diagnostic accuracy of desmoplastic melanomas
By Warren R. Heymann, MD May 21, 2016 Desmoplastic melanomas (DM) may only represent up to 4% of melanomas, however, they are responsible for 50% my insomniac nights. It is easy to lose sleep worrying if that the slightly indurated lesion that I reassured the patient was a "scar," or
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive
Demystifying cancer of the nail
Go to AAD Home ... Go to AAD Home ... Menu ... Unfamiliarity leads to missed diagnoses, reluctance to biopsy ... Unfamiliarity leads to missed diagnoses, reluctance to biopsy ... By Jan Bowers, contributing writer “You can’t trust the nail,” remarked Richard K. Scher, MD, a dermatologist with nearly 50
October 18, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 18, 2023 ... Risk factors for subsequent primary melanoma in patients with previous melanoma DermWorld Insights and Inquiries : Wolf’s isotopic response — Where and when Derm Coding Consult :
November 12, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 12, 2025 ... Efficacy of OTC androgenetic alopecia therapies vs. FDA-approved monotherapies DermWorld Insights and Inquiries : JAK inhibitors battle in the heavyweight class Is there increased psoriasis risk in
This month’s news from across the specialty
What’s hot ... June 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Emily Chu, MD, PhD, FAAD Genetic alterations underpinning melanoma have been increasingly well characterized over the last two decades — most notably point mutations
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:
Dermatological Care MIPS Value Pathway (MVP)
The Dermatological Care MIPS Value Pathway (MVP) is a streamlined reporting system designed specifically for dermatologists to meet MIPS requirements. CMS is designing MVPs to allow physicians to report on measures that are more relevant to their specialties in a structured manner. Unlike traditional MIPS, participation in an MVP for
Dermatological Care MIPS Value Pathway (MVP)
2026 MVP registration is open ... Register for the 2026 MVP for Dermatological Care through the ... QPP website . Refer to the ... QPP Access User Guide (ZIP, 5 MB) for detailed information. Register by Nov. 30, 2026! ... The Dermatological Care MIPS Value Pathway (MVP) is a streamlined
Topical minocycline for acne: A good Idea?
By Warren R. Heymann, MD May 28, 2016 Concerns about the safety of minocycline have been increasing over the past two decades, with rare, serious adverse immunologic reactions including DRESS syndrome, pneumonitis, nephritis, autoimmune hepatitis, and a lupus-like syndrome (1). There have been several reports of ANCA-positive polyarteritis nodosa (PAN)
Coding lessons learned from frequently asked questions in 2023
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, December 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . 2023 has come to a close
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
Obituaries
Obituaries ... By Jerry Graff, MD, March 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ALGIE C. BROWN, MD, of Roswell, Georgia, May 14, 2018, at age 82. Trained in dermatology at Johns Hopkins followed by a fellowship
November
Issue ... November January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Happy November! What's hot ... This month's news from across the specialty Clinical Applications ... What strategies can help manage pain in HS patients?
May 19, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 19, 2021 ... Differentiating early squamous cell carcinoma from actinic keratosis DermWorld Insights and Inquiries : Epidemic of melanoma or epidemic of scrutiny? AAD Board selects Keyvan Nouri, MD, MBA,
The illusions of IgG4-related skin disease
By Warren R. Heymann, MD, FAAD Dec. 10, 2025 Vol. 7, No. 48 "The greatest enemy of knowledge is not ignorance; it is the illusion of knowledge." – Stephen Hawking Prior to researching this commentary, I had illusions that I grasped the fundamental concepts of IgG4-related disease (IgG4-RD); after writing
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
March 11, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 11, 2026 ... Does home-use low-level laser therapy improve androgenetic alopecia? DermWorld What’s Hot: Is an oral IL-23 inhibitor on the way for psoriasis? Safety of the use of concomitant
October 1, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 1, 2025 ... Antiandrogen therapy for the treatment of female pattern hair loss DermWorld Insights and Inquiries : Lupus miliaris disseminatus faciei — A Simon and Garfunkel playlist Academy mourns
October 29, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 29, 2025 ... Does nicotinamide supplementation prevent skin cancer? DermWorld Insights and Inquiries : The 2025 Allergen of the Year is to dye for GLP-1 receptor agonists and isotretinoin Adalimumab
Step 3: Small and large practice reporting options
Access the PDF ... See a PDF version of the Academy ... ’ s ... practice reporting options . ... Review these reporting options for small practices (15 providers or fewer) and large practices (16 providers or more) to help achieve the minimum and maximum points needed to either avoid
Step 3: Small and large practice reporting options
Access the PDF ... See a PDF version of the Academy ... ’ s ... practice reporting options . ... Review these reporting options for small practices (15 providers or fewer) and large practices (16 providers or more) to help achieve the minimum and maximum points needed to either avoid
Demand for cosmetic procedures resumes after COVID
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2023 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions due to the ebb and flow in national and regional caseloads. ... The release of new
Melanoma incidence rising, deaths decreasing
Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2019 According to data from the National Institutes of Health (NIH) Surveillance, Epidemiology, and End Results Program (SEER), there were an estimated 96,480 new cases of melanoma of the skin in 2019 — making it the fifth most
COVID-19 impact on employed dermatologists: Part 1
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, September 1, 2020 Every month, Dermatology World ... covers legal issues in "Legally
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
Becoming “sensitized” to the clinical utility of the term “urticarial dermatitis” (a subtype of the dermal hypersensitivity reaction pattern)
By David A. Wetter, MD, FAAD April 2, 2025 Vol. 7, No. 13 I suspect many of us have been confounded when confronted with a patient presenting with cutaneous findings suggestive of a "dermal hypersensitivity reaction." What is the cause? How should it be evaluated and treated? What do we
July 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2024 ... Tazarotene vs. imiquimod in patients with plane warts DermWorld Insights and Inquiries : Fire ant stings: From pain to gain — The therapeutic potential of solenopsin Efficacy
June 1, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 1, 2022 ... What’s new in adult acne over the last two years? DermWorld Insights and Inquiries : Granulomatous cheilitis — Back to the Future Derm Coding Consult : Cigna’s
Obituaries
Obituaries ... By Jerry Graff, MD, September 2, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JOHN L. AELING, MD, of Orlando, Florida, Oct. 26, 2018, at age 82. Trained at National Capital Area Consortium Dermatology Residency Program. ...
2026 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 13 through Tuesday, September 15, 2026, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
2025 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
MIPS 2022 program highlights
Eligible clinicians ... Revised the definition of a MIPS eligible clinician to include: ... Clinical social workers ... Certified nurse mid-wives ... Eligibility criteria ... The low volume threshold remains the same as 2021 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients
I have scope of practice concerns. How can I get help from the Academy?
Asked and Answered ... November 1, 2021 One of the AADA’s top priorities is to advocate for a physician-led, team-based approach to care that ensures both the safety and best outcomes for each patient. Our advocacy efforts at the federal and state levels ensure each member of the care team
Young Investigator Awards
The AAD Young Investigator Awards are given annually by the Academy to young dermatology researchers in the United States and Canada who demonstrate the potential to become established, independently funded investigators in the field. The purpose of the award is to recognize significant research advances in the science and practice
MIPS reporting: Top 10 measures reported by dermatologists in 2020
Facts at your fingertips ... By Emily Margosian, Assistant Editor, November 1, 2021 Despite challenges from the COVID-19 pandemic, the MIPS 2020 performance year was a successful one for DataDerm ... ™ ... and Academy members. Last year, 671 providers reported through the registry, with a total of 3,031 measures
Re-examining physician mental health
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, September 1, 2022 According to the National Institute of Mental Health (NIMH), approximately 1 in 5 adults in the U.S. has experienced a mental illness in the past year, with an increase in observed prevalence over the last decade. Additional
Despite economic uncertainty, demand for minimally invasive cosmetic procedures rises among Gen X and Millennials
Facts at your Fingertips ... By Emily Margosian, Senior Editor, September 1, 2025 New data released by the American Society of Plastic Surgeons (ASPS) show a consistent demand for cosmetic procedures, with a growing preference for minimally invasive options. ... 2023 ASPS data highlight a 5% increase from 2022 in
Staying safe, even from the sun
Janelle Khan, an employee at AVDA, saw how important providing shade was for families in need. Janelle’s story ... AVDA supporters of the project were happy to attend the dedication ceremony for the shade structure. ... Aid to Victims of Domestic Abuse, Inc. (AVDA) is thrilled with our new shade
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
CMS Targeted Probe and Educate (TPE) reviews are now in full swing
What is a Targeted Probe and Educate program? ... A Targeted Probe and Educate (TPE) program is a claim review process utilized by the Medicare Administrative Contractor (MACs) designed to help dermatologists reduce claim and billing denials as well as appeals through "one-on-one" corrective action assistance and is overseen by
Clawing to understand lichen nitidus
By Warren R. Heymann, MD April 5, 2018 Lichen nitidus: dermoscopic images. A, In the first patient, dermoscopic findings of the left plantar lesions revealed that linear scales in parallel (thick arrows) were discontinued by oval, well-defined depressions surrounded by ring-shaped, silvery white scales (thin arrows). Long axis of the
Learning about skin health, acne, and sun protection, oh my
Erica Aukerman, BS, and the Indiana University School of Medicine’s Dermatology Student Interest Group collaborated with Girls’ STEM Institute to teach them about their skin. Erica's story ... The Girls’ STEM Institute had fun learning more about skin anatomy, skin health, acne, sun protection, and more. ... When I first
Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease
By Warren R. Heymann, MD, FAAD Nov. 1, 2023 Vol. 5, No. 44 Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are potentially life-threatening disorders demanding aggressive therapy with all the finesse and skill that dermatologists can muster. PV is characterized by IgG autoantibodies targeting desmoglein (Dsg)‐3, which is associated with
May 22
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 22, 2019 ... What's happening to practice ownership? DW Insights and Inquiries : Breaking the terbinafine laboratory habit for onychomycosis Do you know how to get to 30 points to
December 18, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 18, 2019 ... Which physicians were sued most in 2019? DW Insights and Inquiries: Holiday greeting 2020 — eyeing dermatology’s future New DW Academy Insider coming in 2020 Does teledermatology
Changes to iPLEDGE
Moving the needle ... By Victoria Houghton, Managing Editor, November 1, 2021 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. As many dermatologists are all too aware, iPLEDGE is a distribution program designed to prevent pregnancies in patients
January 15, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 15, 2020 ... Which cosmeceuticals have proven clinical efficacy? DW Insights and Inquiries: Thoughts on hyaluronidase and The House of God Cancer death rate falls by largest one-year drop on
Deep penetrating thoughts about deep penetrating nevi
By Warren R. Heymann, MD Jan. 14, 2019 Histopathological features of deep penetrating nevus (DPN). A, At low power, the punch biopsy specimen demonstrates a well-circumscribed, wedge-shaped, pigmented dermal lesion, tapering toward the subcutaneous fat. B, DPN typically track along adnexal structures and neurovascular bundles, as shown on this high-power
Thoughts on hyaluronidase and The House of God
By Warren R. Heymann, MD January 15, 2020 Vol. 2, No. 2 I was reminiscing about my internship at Bellevue-NYU forty years ago after reading Stephen Bergman’s (pseudonym Samuel Shem) reflections on the fortieth anniversary of his irreverent, but hilariously accurate, ... The House of God — a portrayal of
This month’s news from across the specialty
What’s hot ... June 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Christen Mowad, MD, FAAD The American Academy of Dermatology SPOT Skin Cancer™ program has been very well received and provides a community service
Anterolateral leg alopecia: An example of a new dermatologic statistic — seen but unrecognized
By Warren R. Heymann, MD March 4, 2020 Vol. 2, No. 9 Aside from my family, my two greatest passions in life are dermatology and baseball. There is an infinite amount to learn in each discipline — for wisdom in each I turn to Bill James (two different people). Most
Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis
By Warren R. Heymann, MD April 23, 2018 Dermatomyositis. Erythematous papules overlying the metacarpal and interphalangeal joints (Gottron papules). ... Credit: ... JAAD Of all the cutaneous manifestations of dermatomyositis (DM) — the heliotrope rash, Gottron’s papules, Gottron’s sign, shawl sign, holster sign, flagellate erythema, photosensitivity, poikiloderma, periungual erythema, periungual
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
Educating our public — Educating patients through social media
Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on our @AADskin Twitter, Facebook, and Instagram platforms. ... Your patients = our followers ... Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on
Providing free skin cancer screenings and advice on sun safety and skin cancer prevention
AAD member Susan Boiko, MD, FAAD, FAAP, volunteered to screen patients during Skin Cancer Awareness Month. Dr. Boiko's story ... Susan Boiko, MD, FAAD screens a participant while (right to left) Estela Chami, volunteer Community Health Worker, VCC; and Deysi Merino-Gonzalez and Alla Valdespino, VCC staff, look on. ... I
Cimetidine offers a ray of sunshine for patients With erythropoietic protoporphyria
By Warren R. Heymann, MD Nov. 16, 2016 Only once in a great while an article makes me want to break into my happy dance — the report of 3 pediatric cases of erythropoietic protoporhyria (EPP) by Tu et al had that effect. Recently, I ran a post on EPP
AMA introduces new prolonged service code for 2021
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, January 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Coding based on time ... As previously discussed
August 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 9, 2023 ... Emerging treatments for itch in atopic dermatitis DermWorld Insights and Inquiries : Prior authorization audits and innovations — Are we finally reducing the (PA)in? Adverse events in
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
Beware: Discordance abounds among pathologists in the diagnosis of melanocytic neoplasms
By Jason B. Lee, MD Dec. 4, 2019 Vol. 1, No. 38 Discordance in the histological diagnosis of melanocytic lesions has been an underemphasized and understudied problem, and, therefore, the scale and the impact of the problem is largely unknown. Over the years, there were small studies and observations suggesting
What does it mean when all of a patient's patch tests come back negative?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, September 2, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Erin Warshaw, MD, MS, about
What do the AAD's new non melanoma skin cancer guidelines say?
Acta Eruditorum ... Dr. Van Voorhees is the physician editor of ... Dermatology World . She interviews the author of a recent study each month. ... By Abby S. Van Voorhees, MD, February 1, 2018 In this month's Acta Eruditorum column, Physician Editor Abby S. Van Voorhees, MD, talks with
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Positivity for CD68 stain is limited in center of specimen, where changes of juvenile xanthogranuloma exist. ... Credit: JAAD ... By Warren R. Heymann, MD Dec. 17, 2018 "Lost to follow-up" has implications that go beyond the obvious. Following up with patients is an essential part of learning for physicians
Multinucleated keratinocytes: A real histologic finding in factitial dermatoses
By Warren R. Heymann, MD ... Jan. 7, 2019 ... Patients presenting with factitial dermatoses are challenging on every level, and proving the diagnosis may be very difficult because of patient (or parental) denial of the situation. Recently, there have been a few reports of a histologic finding that
Life is just a bowl of cherry angiomas
By Warren R. Heymann, MD May 29, 2019 Vol. 1, No. 13 "Dr. Heymann, I’ve noticed a number of these spots appearing lately." ... "They’re called cherry angiomas — totally benign." ... "Why I am getting them?" ... "Maturity." ... "You mean I’m getting old!" ... "I did not say
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
By Warren R. Heymann, MD January 27, 2021 Vol. 3, No. 4 Field therapy is a cornerstone of actinic keratosis (AK) management. Two years ago, a ... New England Journal of Medicine article demonstrated that 5-fluorouracil (5-FU) was the best among inadequate therapies (compared to imiquimod, MAL-PDT, and ingenol mebutate).
Using time to select the level for E/M services
Using time to determine the level of service: In a nutshell ... The level of service can be selected based on total time spent by the dermatologist or other qualified non-physician clinician on the date of the encounter. ... Time spent by clinical staff is not included in calculation of
Medical Student Mentorship Program
The Pathways Medical Student Mentorship offers hands-on exposure to students who are interested in learning more about the specialty of dermatology through a one-on-one mentorship experience with a dermatologist of the student's choice. ... Who should apply: First- through fourth-year medical students may apply to participate in the program. However,
Pineapple and cicatricial pemphigoid: A need to dole out more studies
By Warren R. Heymann, MD Oct. 4, 2016 The benefits of pineapples have been touted in folk medicine for years. Increasing knowledge of its active ingredient bromelain has lead to a therapeutic pineapple renaissance. Bromelain is a complex natural mixture of proteolytic enzymes derived from pineapple (Ananas cosmosus) and possesses
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)
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
Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure
By Warren R. Heymann, MD, FAAD Jan. 31, 2024 Vol. 6, No. 5 The recent passing of Mikhail Gorbachev reminded me of the teaching value of his port wine stain. The following brief article published in the ... Washington Post in 1987 reflects the state of knowledge 36 years ago.
Topical isotretinoin for ichthyoses: Striving for an “A” grade
By Warren R. Heymann, MD, FAAD Nov. 20, 2024 Vol. 6, No. 47 Two meaningful events changed my life in 1982 — my marriage and the introduction of isotretinoin. Forty-two years later, both remain front and center. Attending the focus session "Think like an expert about ichthyosis" at the AAD
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
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,
What’s new and what can I expect from the 2025 Annual Meeting?
Asked and Answered ... December 1, 2024 Get ready to register for a magical experience in Orlando, Florida! ... 2025 AAD Annual Meeting attendees can expect some exciting new offerings alongside the top-tier education you expect from the AAD. ... What’s new ... Opening Ceremony, Friday, March 7 from 5:00
Reporting Evaluation and Management (E/M) Codes by Time
Can time alone be used to select an E/M code? ... In certain circumstances, time can be used as the key or controlling factor for determining the correct E/M code. When counseling and/or coordination of care dominates (e.g., more than 50%) the physician/patient encounter (e.g., face-to-face time in the office
Rewarding on every level
Dermatologist Anthony B. Mak, MD, PhD, FRCPC, DABD was so thankful to take part in the Resident International Grant Program and travel to Botswana to provide dermatologic care. Dr. Mak’s story ... Anthony B. Mak, MD, PhD, FRCPC, DABD ... Through funding from the American Academy of Dermatology and support
Evaluation and management (E/M) coding changes are coming in 2021 – Part 2
Recognizing the 2021 E/M code descriptor revisions ... Changes to E/M coding will go into effect on Jan. 1, 2021. This article follows up on ... part one of our series which introduced the reasoning for these coding changes. We will now focus on key changes for each of the
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,
Make no bones about it: Primary cutaneous ewing sarcoma is for real
By Warren R. Heymann, MD Aug. 15, 2016 Recently my partner biopsied a verrucous papule from the face of a young boy, without being confident of his clinical impression. Histologically, I knew I was looking at a malignant lesion, but could not identify it. I sent the slide for a
Spot on! Lentigines in resolved psoriatic plaques
By Warren R. Heymann, MD Nov. 30, 2016 Having treated psoriatic patients throughout my career, there have been innumerable occasions where patients were concerned about pigmentary changes following successful treatment of the plaques. I have usually reassured them that these are postinflammatory pigmentary alterations that should abate with time. Recently,
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
By Warren R. Heymann, MD Oct. 8, 2016 I thought it was my imagination, but apparently not — there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities. ... These patients are not
Increasing evidence for the use of topical timolol for pyogenic granulomas
By Warren R. Heymann, MD May 16, 2016 There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion. Certainly there are times when that approach may not be optimal, such as a PG the face of
A culture of inclusivity
The AAD takes diversity, equity, and inclusion seriously and so do our industry partners ... Feature ... By Dean Monti, Managing Editor, Special Publications, November 1, 2021 The AAD strives for a diverse and inclusive environment where all its members have opportunities that enable them to succeed and thrive. Additionally,
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE
How and when to report prolonged services
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Coding Consult articles . Prolonged services in dermatology are often necessary
June 25, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 25, 2025 ... Safety of low-dose oral minoxidil in older patients DermWorld Insights and Inquiries : Metastatic uveal melanoma — Tebentafusp unobfuscated New focused atopic dermatitis guidelines update available FDA
Telangiectasia macularis eruptiva perstans revisited
By Warren R. Heymann, MD April 29, 2016 I have always struggled with the diagnosis of telangiectasia macularis eruptive perstans (TMEP). Aside from taking the first 6 months of my residency to remember how to say it, I have never been confident of securing the diagnosis. It would always enter
MIPS Highlights for 2021
CMS announces automatic exemption for MIPS 2020 performance period & extended deadline for COVID relief ... In response to the ongoing COVID-19 public health emergency, CMS recently announced that it will apply an automatic extreme and uncontrollable circumstance (EUC) policy for all eligible clinicians for the MIPS program for the
A big, fat lie
By Warren R. Heymann, MD Feb. 17, 2019 At my heaviest, circa 1997, with my daughters Andrea, Deborah, and our (sorely missed) late puppy Heidi. ... "Packing on the pounds, aren’t you, doc?" ... What a lovely greeting that patient gave me that morning more than twenty years ago.
Oral tranexamic acid to treat melasma: Are you bloody kidding me?
By Warren R. Heymann, MD Aug. 1, 2016 Tranexamic acid (TA) is a synthetic derivative of lysine utilized as an antifibrinolytic agent to prevent bleeding (for dental surgery in patients with hemophilia, post-cardiac bypass surgery patients, or in women with menorrhagia) and as a treatment option for hereditary angioedema.
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
July 14, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 14, 2021 ... Acne scarring treatments: What’s most effective? DermWorld Insights and Inquiries : Assessing the significance of a L ong- D eveloped H abit — The role of LDH
2022 Allergen of the year: Aluminum
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, June 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Magnus Bruze, MD,
Should systemic steroids be avoided in atopic dermatitis?
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, July 2, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jonathan I. Silverberg, MD, PhD,
More on a theme
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, May 1, 2023 In our February edition of ... DermWorld , we addressed some of the similarities and differences that should be considered when treating children with biologics, reminding us that
I remember my first
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, June 1, 2021 When I was a medicine resident in the late 80s, HIV/AIDS was still a new disease, one which almost certainly conferred a death sentence on the mostly young people
Epidemic of melanoma or epidemic of scrutiny?
By Jason B. Lee, MD May 19, 2021 Vol. 3, No. 20 The goal of population screening is to detect cancers at their early stages to prevent the associated morbidity and mortality of the late stages. The efforts to detect melanoma in its early stages went into full gear over
Prioritizing physician mental health
Experts discuss available resources, and how the conversation surrounding physician mental health has changed ... Feature ... By Emily Margosian, Assistant Editor, January 1, 2022 On Oct. 28, 2012, life changed for Pamela Wible, MD, a family practice physician in Eugene, Oregon. "I found myself in the second row of
Lightening the cutaneous and emotional burden of melasma: Cysteamine’s role
By Warren R. Heymann, MD, FAAD February 9, 2022 Vol. 4, No. 6 Melasma is a frustrating disorder for patients and practitioners alike. Facial gray-brown patches may cause psychosocial distress and embarrassment, thereby diminishing quality of life. (1) Melasma most frequently occurs in women with Fitzpatrick skin types III-VI with
Transitioning to teledermatology over night
Answers in Practice ... By Victoria Houghton, managing editor, July 1, 2020 Sara Perkins, MD ... Dermatology World ... talked to Sara Perkins, MD, from Yale School of Medicine’s Department of Dermatology, about the successful transition of the ambulatory practice from a completely office-based practice to a primarily teledermatology model.
September 19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 19, 2018 ... More than 25% of Americans surveyed think psoriasis is contagious Atopic dermatitis associated with depression, anxiety, and suicidal ideation Have you joined the JAAD Journal Club yet?
June 12
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2019 ... A new way to treat warts? Heat may be the answer. DW Insights and Inquiries : Taking the challenge: Social media, adolescents, and the skin Dollars and
November 20, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld Weekly will not be published next week in observance of the Thanksgiving holiday. It will resume Wednesday, Dec. 4. IN THIS ISSUE / November 20, 2024 ... Is there an association between treatment with
March 12, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 12, 2025 ... GLP-1RA medications and hair loss DermWorld Insights and Inquiries : Antihypertensive agents and eczema — New data for older patients Combined oral contraceptives may be beneficial for
March 25, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 25, 2026 ... Finasteride and dutasteride: Depression, suicidal ideation DermWorld What’s Hot: Need for expanded patch testing FDA approves icotrokinra for plaque psoriasis Cutaneous malignancy after biologic therapy Adverse events
“Brain fog” and mastocytosis: In patients and me
By Warren R. Heymann, MD Dec. 4, 2016 When following patients with mastocytosis — whether classical urticaria pigmentosa in children or adult mastocytosis — I usually ask a directed review of systems, focusing on flushing, palpitations, and gastrointestinal symptoms. I am always concerned about the possibility of systemic disease,
Pediatric melanoma: A wolf in sheep’s clothing
By Warren R. Heymann, MD ... Sept. 27, 2016 ... Despite its rarity, the incidence of pediatric melanoma (PM) has been increasing. Every practicing dermatologist, past or present, has been humbled or fooled by the clinical appearance of melanomas, examples being amelanotic or desmoplastic variants. ... The A (asymmetry),
What features in psoriasis patients indicate that the patient is at high risk of developing psoriatic arthritis?
Clinical Applications ... Dr. Abate is a member of the ... DermWorld Editorial Advisory Workgroup. ... By Mallory Abate, MD, FAAD, December 1, 2023 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup member Mallory Abate, MD, FAAD, talks with Luigi Naldi, MD, about his JAAD ... paper,
How can institutions ensure that dermatology residents are competent with both light microscopy and digital pathology?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Carilyn Wieland, MD, FAAD, about her American Journal of Dermatopathology ... paper, ‘ Comparison of digital pathology and light microscopy among dermatology residents: A reappraisal
Happy November!
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, November 1, 2021 When I write my column each month, I try to highlight the most interesting themes. I was struck this month by the diversity of the topics we covered,
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, March 1, 2018 Change is a recurring theme in this month’s ... Dermatology World . Change seems to be a given these days; perhaps it always was, but it’s hard to imagine
CMS clarifies telehealth and telephone coding during COVID-19 public health emergency
On April 30, 2020 a second round of expansive changes to telehealth coding as well as regulatory revisions was announced by CMS. These changes were to ensure access to care and flexibility to the healthcare system during the COVID-19 public health emergency (PHE). These recent changes and more can be
American Academy of Dermatology survey shows Generation Z adults are unfamiliar with sunburn and tanning risks
Board-certified dermatologist shares her melanoma diagnosis and encourages people to protect themselves from the sun ROSEMONT, Ill. (May 9, 2023) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that many Generation Z adults, ages 18-25, are unaware of the risks associated with overexposure
American Academy of Dermatology survey shows sun protection during common outdoor activities lacking
Board-certified dermatologist discusses how people can protect themselves from the sun ROSEMONT, Ill. (May 23, 2023) — Andy Jacobs spent a lot of time playing outdoor sports during his childhood, but infrequently used sun protection. Yet it came as a shock to Jacobs when his dermatologist diagnosed a spot on
Military members more at risk for melanoma
Board-certified dermatologist discusses occupational risks of skin cancer for those who serve SAN DIEGO (March 8, 2024) — U.S. veterans are at a higher risk of developing melanoma, one of the deadliest forms of skin cancer, likely due in part to the occupational hazards associated with active duty in countries
The heartrending aspects of incontinentia pigmenti
By Warren R. Heymann, MD March 12, 2018 Incontinentia pigmenti (IP, aka Bloch-Sulzberger syndrome) provides lessons in genetics, immunology, and neuroectodermal development. Frankly, I have never given much (if any) thought about its cardiovascular manifestations. Albeit rare, they are part of the spectrum of IP. ... IP is a rare
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
Vitamin C as treatment of basal cell carcinoma: Is it fruitful?
By Warren R. Heymann, MD ... July 3, 2016 ... For those of us who learned that taking mega dose vitamin C for the common cold, as advocated by the late Nobel Laureate Linus Pauling, was truly something to sneeze at, I always approach studies lauding the effects of nutrient-based
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
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the
The state of scope of practice
Go to AAD Home ... Go to AAD Home ... Menu ... Where do things stand with scope of practice legislation and how has the pandemic affected the law? ... Where do things stand with scope of practice legislation and how has the pandemic affected the law? ... By Emily
March 16, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 16, 2022 ... Comparing four cSCC staging systems DermWorld Insights and Inquiries : Mind the gap DermWorld Young Physician Focus : Talking points Potassium monitoring in women on spironolactone Using
March 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Efficacy of various concentrations of retinol in middle-aged women DermWorld Insights and Inquiries : For the win! Championing the use of the term ‘reactive granulomatous dermatitis’ in
June 22, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 22, 2022 ... Molluscum contagiosum: 35% trichloroacetic acid vs. autoinoculation DermWorld Insights and Inquiries : Is it a waste for dermatologists to order fecal calprotectin? Physician experience with virtual scribes
February 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 10, 2021 ... FDA clears device to improve cellulite DermWorld Insights and Inquiries: Leishmania episode 1a — attack of the clones Distance traveled: Dr. Lim’s diversity focus as Academy president
February 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 19, 2025 ... Red and green LED light therapy in individuals with androgenetic alopecia DermWorld Insights and Inquiries : Treatments for renal IgA vasculitis are beginning to flow Safety of
August 27, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 27, 2025 ... A tool to assess patients at high-risk for cutaneous squamous cell carcinoma DermWorld Insights and Inquiries : Chanarin-Dorfman syndrome — Shifting out of neutral Carbon dioxide laser
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
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
Checking in on the adverse reactions to checkpoint inhibitors
By Warren R. Heymann, MD Oct. 17, 2016 Earlier this year there have been two posts devoted to adverse reactions of checkpoint inhibitors ("Thinking of Discontinuing the PD-1 Inhibitor Because of a Lichenoid Eruption? Don’t do it!" published on May 21st and "Joining the Bullae Pulpit: PD-1 inhibitors" posted on
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.
This month's news from across the specialty
What's hot ... January 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Rosalie Elenitsas, MD Cutaneous Lyme disease, erythema chronicum migrans, is a clinical diagnosis. Serologic testing may be unreliable as both false positive and
Postmortem: AADA Legislative Conference
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, November 1, 2021 Postmortem : "examination of a dead body," or "process of evaluating success (or failure) of a project’s ability to meet its goals." Given that definition,
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
Finding the right treatments for genetic hair loss
Early diagnosis and treatment can prevent hereditary hair loss from worsening and regrow hair, says board-certified dermatologist. VANCOUVER, BC. (July 21, 2022) — Hereditary hair loss, also known as androgenetic alopecia or pattern hair loss, is the most common form of hair loss in both men and women, affecting millions
Changing the narrative: The AADA and advocacy
by Melanie Tolley Hall Chief Communications and Marketing Officer, AADA In a ... previous article , I introduced you to the first of four narratives that encompasses the American Academy of Dermatology’s new brand identity — education. As I continue this series on the Academy’s promise to our members, it’s
Why does COVID-19 result in multisystem inflammatory syndrome in some children and adolescents?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, December 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Adrienne Randolph, MD, MS, about
A potentially life-threatening association of autoimmune blistering disease we bloody well need to be aware of: Acquired hemophilia A
By Warren R. Heymann, MD Oct. 29, 2018 I have been treating patients with autoimmune bullous disorders for nearly four decades. The diseases’ vagaries and associations always astound me. I have never encountered (nor have been aware of) acquired hemophilia A (AHA) in the context autoimmune bullous diseases (ABD), until
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:
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
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
Prolactin and its role in stress-induced psoriasis: Milking the data
By Warren R. Heymann, MD Jan. 18, 2018 Patients will readily acknowledge that stress worsens their psoriasis. When asked how this happens, I respond by mentioning the "mind-body connection" using the term "psychoneuroimmunology;" patients nod in agreement, feigning understanding; appropriately so, because frankly, I don’t understand it either. ... The
A new spin
Go to AAD Home ... Go to AAD Home ... Menu ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... By Victoria Houghton, assistant managing editor Professional football players, world-renowned
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Warren R. Heymann, MD, FAAD Feb. 1, 2023 Vol. 5, No. 5 It only takes a nanosecond for a dermatologist to recognize the "salt and pepper" dyspigmentation (SPD) of systemic sclerosis (SSc), but a lifetime to understand and manage it. Of all the cutaneous signs of SSc (sclerodactyly, telangiectasias,
A new chapter in vitiligo management
Recent advances in vitiligo treatment and research open doors for physicians and patients. ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2024 Since the Bronze Age, humans have recorded cases of vitiligo — and attempted to cure it. ... "3,400 years ago, ancient Indian texts called the ...
March 11, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 11, 2020 ... A guide to managing coronavirus in dermatology clinics DW Insights and Inquiries : The 2020 vision for nemolizumab in atopic dermatitis Feedback requested: AAD/NPF draft guidelines for
November 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 2, 2022 ... Factors that influence platelet rich plasma efficacy in androgenetic alopecia DermWorld Insights and Inquiries : Lipodystrophia semicircularis — A lipoatrophy not to get depressed about Underlying conditions
June 16, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 16, 2021 ... Rituximab vs. mycophenolate mofetil for pemphigus vulgaris DermWorld Insights and Inquiries: Like the tumor itself, knowledge about DFSP is expanding wider and deeper Derm Coding Consult: Applying
September 1, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 1, 2021 ... Which dermatology patients should receive a third dose of mRNA vaccine? DermWorld Insights and Inquiries: Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder Obesity, diabetes associated with
September 15, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 15, 2021 ... Worsening psoriasis after COVID-19 vaccination DermWorld Insights and Inquiries : Is ivermectin an old drug with new tricks? Frontal fibrosing alopecia and facial care products Biden administration
April 12, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 12, 2023 ... Perioperative imaging for high-stage cutaneous SCC may guide management DermWorld Insights and Inquiries : Triskaidekaphobia legitimized: Fatal Factor XIII deficiency Contact allergens in nail products DataDerm™: 2022
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,
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
September 10, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 10, 2025 ... Most effective monotherapy for androgenetic alopecia DermWorld Insights and Inquiries : Twenty-first century pellagra Is there an association between JAKis and malignancy risk in alopecia areata? PRP
MIPS requirements for 2022
Answers in Practice ... By Faiza Wasif, MPH, Associate Director, Practice Management, June 1, 2022 Each month, DermWorld tackles issues "in practice" for dermatologists. This month, practice management staff discuss MIPS requirements. CMS published new requirements for the Merit-based Incentive Payment System (MIPS) for 2022. Review a summary of highlights
Voluntary repayments: Contractual clawbacks
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., November 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney
Climate change
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, December 1, 2021 Climate change is an existential threat to the planet, its inhabitants, and the environment. If unchecked, the changes will affect all of us in time,
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
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
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
Finding Joy in pediatric phototherapy
By Warren R. Heymann, MD Aug. 28, 2019 Vol. 1, No. 25 This commentary is dedicated to Joy, a bright, rambunctious, delightful bundle of energy with (formerly) recalcitrant atopic dermatitis, who taught me a great deal about phototherapy in children. ... The cutaneous effects of ultraviolet (UV) light are by
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,
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
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
February 16, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 16, 2022 ... A review of calcipotriol plus 5-fluorouracil for actinic keratosis DermWorld Insights and Inquiries : Vascular Ehlers-Danlos syndrome: From rupture to rapture? Delayed complications for FDA-approved HA dermal
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
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
June 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 13, 2018 ... FDA approves first hyaluronic acid filler for hands Feedback requested: Primary cutaneous melanoma treatment draft guidelines After 60 years, a new treatment for pemphigus vulgaris Jack Resneck
December 11, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 11, 2019 ... Physician depression increases medical errors…increasing depression DW Insights and Inquiries: Topical retinoid therapy for acanthosis nigricans — in the thick of it MIPS: What you need to
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
What strategies can help manage pain in HS patients?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, November 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lauren A. V.
This month’s news from across the specialty
What’s hot ... July 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Michael A. Marchetti, MD, FAAD Although management options for chronic spontaneous urticaria (CSU) improved with the introduction of the anti-IgE monoclonal antibody omalizumab
AAD EpiDerm Awards 2021
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, January 1, 2022 "Lights, camera, action…" Now is that time for the Academy EpiDerm awards which recognize significant achievement in the specialty during the last year or two
This month's news from across the specialty
What's hot ... November 1, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... EDWARD W. COWEN, MD, MHSc Adalimumab was approved in 2015 for the treatment of moderate and severe hidradenitis suppurativa (HS). It is
Clinical information
1. How contagious is measles? ... Measles is a highly contagious virus, much more contagious than the common cold and even more contagious than other outbreaks like smallpox or Ebola. ... 1 ... Measles is potentially transmissible even after brief exposures and at distances up to 30 meters. ... 2
Applying the 2021 E/M coding concepts in everyday practice – Part 7
Part seven of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how, a common dermatologic condition, actinic keratosis in these examples, can be categorized under different categories of problem addressed during the encounter depending on disease severity and patient
Granulomatous pigmented purpuric dermatosis revisited: Lessons learned from a rejected manuscript
By Warren R. Heymann, MD May 14, 2018 ... Nonpalpable pigmented purpuric eruption seen on lower aspect of right leg. ... Credit: ... JAAD In 1982, I was a second-year dermatology resident fascinated by a woman with a history of hyperlipidemia who developed a pigmented purpuric dermatosis (PPD) on her
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
More than fibrofolliculomas: A novel angiomatous lesion enters the Birt-Hogg-Dubé realm
By Warren R. Heymann, MD Dec. 9, 2016 I distinctly remember the first time I saw a case of the Birt-Hogg-Dubé (BHD) syndrome. I was attending the dermatology clinic at the University of Pennsylvania, when Julia Haimowitz and Allan Halpern asked for my opinion about a patient with dome-shaped
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
Skin conditions by the numbers
Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A
A simple stripe or a red flag?
Experts share advice for the often-tricky triage of nail pigmentation. ... Feature ... By Heidi Splete, Contributing Writer, November 1, 2025 Lines or streaks on the nails are not uncommon, but deducing the cause of these discolorations is essential for separating benign melanonychia from nail unit melanoma (NUM). ... Melanonychia,
Exploring Spitz nevi in the molecular era
Dermatopathologists discuss how to approach spitzoid lesions and how molecular testing can aid in assessing their potential malignancy. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2026 Spitz nevi. Spitz tumor. Spitz melanoma. It has long been recognized that the histopathologic differential diagnosis between a Spitz nevus
Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia
By Warren R. Heymann, MD, FAAD May 8, 2024 Vol. 6, No. 19 Neonatal dermatoses are anxiety-provoking for both physicians and parents because of crucial questions — Are there associated systemic problems? What are long-term sequelae? How should the infant be followed? One of the most striking neonatal disorders is
April 7, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 7, 2021 ... Applying 2021 E/M coding concepts in everyday practice – Part 2 DermWorld Insights and Inquiries : Keeping an eye on melanoma AAD collaborates with OM1 to enhance
January 4, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 4, 2023 ... Frontal fibrosing alopecia, sunscreen, and actinic damage DermWorld Insights and Inquiries: Sniffing out the meaning of perialar intertrigo Topical eye medications causing allergic contact dermatitis Achieving an
June 19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 19, 2019 ... Do hidradenitis suppurativa patients have a greater comorbidity burden than psoriasis patients? DW Insights and Inquiries : The newest frontier for biologics and psoriasis may be adherence
March 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Topical cetirizine with minoxidil vs. minoxidil in androgenetic alopecia DermWorld Insights and Inquiries : A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus DermWorld Young Physician Focus
August 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 28, 2019 ... Dupilumab shows positive results for younger atopic dermatitis patients DW Insights and Inquiries : Finding joy in pediatric phototherapy FDA, UMD seek feedback on compounded drug use
March 27, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 27, 2024 ... Spironolactone: Risk of breast, gynecologic malignancies? DermWorld Insights and Inquiries : Always another worry for patients with hidradenitis suppurativa — Amyloid A amyloidosis FDA approves spesolimab for
November 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 3, 2021 ... Facial contact dermatitis from cosmetic allergens DermWorld Insights and Inquiries : Humbled again — Alopecic and aseptic nodules of the scalp Derm Coding Consult : Applying 2021
June 18, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 18, 2025 ... Incidence of keratinocyte carcinoma with use of acitretin DermWorld Insights and Inquiries : Beef tallow for eczema — Grade A prime or just another bum steer? Academy mourns
July 30, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 23, 2025 ... Intralesional acyclovir vs. quadrivalent HPV vaccine for recalcitrant warts DermWorld Insights and Inquiries : PRIDE without prejudice FDA approves delgocitinib for chronic hand eczema Efficacy of hedgehog
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
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,
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
Taking it on the shin: Part one
By Warren R. Heymann, MD, FAAD May 31, 2023 Vol. 5, No. 22 I am intentionally skeptical of medical literature that purports "new" entities. Are they novel and distinct or just minor variations of long-recognized dermatoses? This two-part commentary will focus on two disorders that involve the pretibial region —
This month’s news from across the specialty
What’s hot ... July 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Social media can be a very useful tool for practices to grow their practice population, and has become a
Preparing for MIPS 2023 and beyond
Answers in Practice ... By Olivia Barry, Manager, Practice Management, April 1, 2023 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff offer tips on MIPS reporting. It’s year five of the Merit-based Incentive Payment System (MIPS), so you are probably well aware that
This month's news from across the specialty
What's hot ... November 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Health care support workers (phlebotomists, medical assistants, licensed practical nurses, nursing aides, and medical secretaries) are essential
This month's news from across the specialty
What's hot ... February 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS A ... recent blog in Medical Care reviews how health misinformation has been growing across internet and social
This month’s news from across the specialty
What’s hot ... March 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD New, but not new, but maybe new, but not good = ... Candida auris is looking worse with
This month's news from across the specialty
What's hot ... April 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate ... Mallory Abate, MD Differentiating BCCs from intradermal nevi (IDN) along the lower eyelid margin can be tricky, but is important
This month's news from across the specialty
What's hot ... February 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Food portion sizes are getting bigger and so are Americans. Obesity is associated with many dermatologic diseases
What to expect for MIPS 2024
Answers in Practice ... By Olivia Barry, Manager, Practice Management, April 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains what to expect for MIPS 2024. On Nov. 2, 2023, CMS released the final Quality Payment Program (QPP) Rule which includes
This month’s news from across the specialty
What’s hot ... February 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD The Nation’s Health by the American Public Health Association published a ... special report on improving health
Sun safety
Key messages ... At least one in five Americans will develop skin cancer during their lifetime. (1,2) ... Sun exposure is the most preventable risk factor for skin cancer, including melanoma, the deadliest form of skin cancer. (3-6) ... To protect your skin from the sun, seek shade, wear protective
2023 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as 2022 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments of
New American Academy of Dermatology survey reveals most Americans say sun protection is more important now than five years ago, yet many misunderstand how to protect themselves
Dermatologists urge the public to protect themselves from the sun to reduce skin cancer risk ahead of Melanoma Monday (May 2) and Skin Cancer Awareness Month ROSEMONT, Ill. (April 26, 2022) — In a recent survey of more than 1,000 U.S. adults, the American Academy of Dermatology found that while
This month's news from across the specialty
What's hot ... August 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Journalists at ... Kaiser Health News and The Guardian have collaborated on a program called " ...
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
Shingles and the battle of the bulge
By Warren R. Heymann, MD Sept. 11, 2019 Vol. 1, No. 27 I thought I knew herpes zoster (HZ, shingles) inside and out — from patients’ experiences, my late mother’s herpes zoster ophthalmicus (I could not believe how devastatingly awful she appeared arriving back from Europe!), to my recent vaccination
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
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
Time for a Churchillian approach to idiopathic guttate hypomelanosis?
By Warren R. Heymann, MD Jan. 22, 2018 Limbs of patient with idiopathic guttate hypomelanosis lesions. ... Credit: ... JAAD I was only 10 years old when Winston Churchill died, but even as a child I was aware of his inspirational abilities. I was reminded his gift watching Gary
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
What's coming down the psoriasis pipeline?
Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer
Warts and all
Remedies for warts abound, but high-quality studies are lacking. ... Feature ... By Jan Bowers, contributing writer, March 1, 2021 Warts, one of the most common skin disorders worldwide, can be easy to treat or maddeningly difficult. Although warts can resolve spontaneously, others readily respond to over-the-counter treatments such as
The profound dermatological manifestations of COVID-19: Part V – Pediatric multisystem inflammatory syndrome
By Warren R. Heymann, MD May 13, 2020 Vol. 2, No. 19 Disclaimers: This commentary was written on May 7, 2020 for a publication date of May 13, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
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
January 9
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 9, 2019 ... Smartphone app improves treatment adherence for psoriasis patients AAD mourns the passing of Stephen I. Katz, MD, PhD Submit your comments on psoriasis draft guidelines The Academy
May 26, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 26, 2021 ... Managing itch: Wearable sensor quantifies symptoms DermWorld Insights and Inquiries : Stevens-Johnson Syndrome-toxic epidermal necrolysis — The aftermath Bringing diversity to Academy committees and task forces Is
October 28, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 28, 2020 ... Drug may offer prolonged improvement in chronic spontaneous urticaria DermWorld Insights and Inquiries : Looking into the whites of the mouth Why will dermatology experience a 2%
July 21, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 21, 2021 ... AADA secures iPLEDGE win DermWorld Insights and Inquiries : Getting to the heart of neonatal lupus erythematosus DermWorld Young Physician Focus : Advancing the cause Cutaneous reactions
November 11, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 11, 2020 ... How effective are steroid-sparing agents in treating chronic alopecia areata? DermWorld Insights and Inquiries : Raising a toast to advances in treating alcohol-induced flushing Derm Coding Consult
January 20, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 20, 2020 ... Natural supplements in dermatology: What drugs do they interact with? DermWorld Insights and Inquiries: Olmsted syndrome patients can finally put their foot down Derm Coding Consult :
December 1, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 1, 2021 ... Risk of COVID-19 infection in atopic dermatitis patients DermWorld Insights and Inquiries : The nexus of VEXAS syndrome Skin and gut microbiome in hidradenitis suppurativa Is imiquimod
Terra Firma-Forme Dermatosis
By Warren R. Heymann, MD, FAAD Nov. 13, 2024 Vol. 6, No. 46 The renowned gastroenterologist was rounding with his fellows when he summoned me to his patient’s bedside to impress me with his astute diagnosis of malignant acanthosis nigricans, having admitted his patient for an extensive endoscopic work-up for
Eccrine syringofibroadenoma: Sweating over the details
By Warren R. Heymann, MD, FAAD January 26, 2022 Vol. 4, No. 4 While learning about rare entities during our training, we may wonder if we will ever encounter the disorders in "real life." Eccrine syringofibroadenoma (ESFA), first described in 1963 by Mascaro, was considered a relatively "new" lesion when
This month's news from across the specialty
What’s hot ... January 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Payer denials are an ever-increasing problem, leading to an increased burden of administrative tasks, and more and more physicians
2024 Medicare Physician Fee Schedule Final Rule
AADA Advocacy Results in 2024 Conversion Factor Increase ... As a result of continued advocacy by the American Academy of Dermatology Association, President Biden signed the Consolidated Appropriations Act, 2024 on March 9, which included a 2.93% update to the 2024 Medicate Physician Fee Schedule (MPFS) Conversion Factor for dates
A niche within NICH
By Warren R. Heymann, MD February 26, 2020 Vol. 2, No. 8 Just when I thought I grasped the concept of congenital hemangiomas, new data raises novel questions. ... Compared to infantile hemangiomas that grow rapidly after birth and then involute, congenital hemangiomas arise and proliferate in utero. Although two
Oy, another “Oid” to worry about: Cryptococcoid lesions
By Warren R. Heymann, MD July 3, 2019 Vol. 1, No. 17 The suffix "oid" m ... eans "resembling." There is a plethora of "oids" in dermatology — lichenoid, Pagetoid, rupioid, targetoid, to name a few. (My favorite is "oid-oid" disease, aka Sulzberger-Garbe disease, or exudative discoid and lichenoid chronic
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. ...
Till death do you part: Love, marriage, melanoma, and more
By Warren R. Heymann, MD May 21, 2018 ... "What brings you to the office today"? ... "My wife wanted me to get my skin checked." ... If it wasn’t for wives, I wouldn’t have any male patients. ... Seven years ago, my wife noted a lesion on my back,
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.
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
Short anagen syndrome: The long and short of it
By Warren R. Heymann, MD, FAAD Feb. 7, 2024 Vol. 6, No. 6 Have you ever encountered a patient who says that their hair does not grow very much and that they rarely need to cut their hair? I have, and I suppose you have, too. Although considered uncommon, short
The skin and stress connection
Experts explore the underlying mechanisms of the link between the brain and the skin. ... Feature ... By Allison Evans, assistant managing editor, December 1, 2020 There is generally no question among dermatologists that psychological stress can affect the skin. This year, more than ever, the heightened stress of living
E/M codes: Change is here
What dermatologists need to know about the restructured evaluation and management codes to ensure correct reimbursement ... Feature ... By Allison Evans, assistant managing editor, January 1, 2021 Evaluation and management (E/M) visit codes are by far the most heavily used codes across all specialties. They accounted for about 15%
Help needed
As rural America seeks dermatologists, increasing rural residency tracks may steer them there. ... Feature ... By Ruth Carol, Contributing Writer, May 1, 2023 Looking to treat grateful patients who present with a mix of diverse and challenging cases? Hoping to offer training opportunities for dermatology residents? Willing to work
What’s new in treating actinic keratosis?
Dermatologists discuss how to balance the latest evidence, patient preferences, and clinical experience when treating AKs ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2022 Actinic keratoses (AKs) are commonly diagnosed and treated by dermatologists. In fact, the National Ambulatory Medical Care Survey on outpatient medical care
Extinguishing burnout
Managing low morale in medicine. ... Feature ... By Megan Bennett, Staff Writer, January 1, 2026 About five years into her practice, Lisa Swanson, MD, FAAD, began feeling the symptoms of occupational burnout. ... "It’s kind of an insidious process where it’s probably been creeping up for a while, but
Filling the medicine cabinet
Go to AAD Home ... Go to AAD Home ... Menu ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... By Victoria
A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn
By Warren R. Heymann, MD, FAAD Oct. 25, 2023 Vol. 5, No. 43 Any parent looking at their newborn child will wonder if the skin lesions they observe are worrisome. During the neonatal period, defined as the first four weeks of life, most cutaneous findings are transient and benign; occasionally,
August 1
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / AUGUST 1, 2018 ... Physicians suing patients over negative reviews FDA to laser device manufacturers: Stop marketing for vaginal rejuvenation FDA releases biosimilars plan to increase access, encourage competition Blood test
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
March 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 13, 2019 ... Is routine laboratory monitoring for isotretinoin patients necessary? Welcome to Dermatology World Insights and Inquiries Innovative learning experiences equip members to provide compassionate patient care Scientists report
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
April 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2019 ... Having trouble accessing compounded quinacrine tablets? Here’s why. DW Insights and Inquiries : A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Lessons
May 28, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 28, 2025 ... Efficacy of combination topical finasteride and minoxidil in male androgenetic alopecia DermWorld Insights and Inquiries : Loss and legacy — A tribute to Robert F. Duffy, MD
Summary of MIPS 2021 changes
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Faiza Wasif, MPH, the Academy’s Practice Management manager, offers a summary of MIPS changes in 2021. CMS released the final Quality Payment Program (QPP)
Coding and documentation clarity
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, April 2, 2018 You biopsy a suspected drug eruption and document the following: "Punch biopsy done. Return in 1
This month’s news from across the specialty
What’s hot ... August 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the Clear Clinical Communications group at the University of Minnesota ... studied children’s understanding of
This month’s news from across the specialty
What’s hot ... June 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD An interventional study of aging in mice points to a new paradigm for rejuvenation ( ... Nature. 2024.
The profound dermatological manifestations of COVID-19: Part II
By Warren R. Heymann, MD March 25, 2020 Vol. 2, No. 12 Disclaimers: This commentary was written on March 17, 2020 for a publication date of March 25, 2020. The issues related to the COVID-19 pandemic are changing like lightning. The content included in this commentary may no longer be
Biting my nails worrying about atypical presentations of nail unit melanomas
By Warren R. Heymann, MD March 27, 2019 Vol. 1, No. 3 I recently encountered a patient who expressed his disappointment in me, complaining that I was too slow to diagnose a lentigo maligna in a facial solar lentigo that we had been following. How could I miss a melanoma?
On the cusp of extraordinary advances in extramammary Paget disease
By Warren R. Heymann, MD May 27, 2020 Vol. 2, No. 21 I always include extramammary Paget disease (EMPD) and Bowen disease in my differential diagnosis of anogenital rashes for fear of missing them. It is good form to biopsy such lesions should they not respond to standard therapies for
Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?
By Warren R. Heymann, MD Sept. 18, 2019 Vol. 1, No. 28 Chatting with my chief resident, Tia Pyle, I was lamenting the recent comparative report that ingenol mebutate (and other treatments) did not fare as well as 5-fluorouracil (5-FU) for treating actinic keratoses (AKs). (1) (See previous ... Dermatology
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)
When assessing morbilliform eruptions think about morbilli (measles)!
By Warren R. Heymann, MD May 1, 2019 Vol. 1, No. 8 ... I’m confident you’ve seen the headlines about measles (rubeola, morbillii): ... "Measles Outbreak: The Spread in New York" ( ... New York Times , March 28, 2019) ... "Fourth Measles Case Reported in Maryland Outbreak" ( ...
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
Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018
By Warren R. Heymann, MD July 16, 2018 ... A and B, Pityriasis lichenoides chronica–like drug eruption. The lower legs show several, 3- to 4-mm, red-brown, thin papules with centrally adherent micaceous scale and intermixed erosions. ... Credit: ... JAAD As a first-year dermatology resident in 1980, I struggled with
Getting steamed over vaping
By Danielle DeHoratius, MD January 29, 2020 Vol. 2, No. 4 Danielle DeHoratius, MD ... To call vaping an epidemic is an understatement. As of Oct. 15, 2019, the CDC has confirmed 33 deaths among the 1,479 lung injuries associated with the use of e-cigarettes (1). Every state but Alaska
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
FTC proposed rule on non-compete clauses: What are the implications for dermatologists?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Natalie Lorenz, JD, Ben Tesdahl, JD, and Robert M. Portman, JD, MPP, January 1, 2024 Every month, DermWorld ... covers legal issues in "Legally Speaking." This
2022 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, November 1, 2021 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The American Medical Association (AMA) has released the
What's hot?
What's hot ... March 27, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Alopecia areata is frustrating to patients, parents, and practitioners, all of whom may be left with unsatisfactory
10 tips for surviving payer audits
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, Analyst, Coding & Reimbursement, April 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . In the complex world of health care, payer audits are an inevitable reality
A near miss
Dermatologists discuss patient safety issues in procedural dermatology. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2024 The 2000 landmark report by the Institute of Medicine, ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era, bringing
Shedding light on treatments for female pattern hair loss
Dermatologist hair experts discuss the efficacy and safety considerations of off-label treatments for female pattern hair loss. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2025 A female patient presents with thinning hair and a reduction in hair density at the top of the scalp. Is it
Distracted doctoring
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss a growing health care concern ... Experts discuss a growing health care concern ... By Ruth Carol, contributing writer There is a growing patient safety concern that is unrelated to a specific diagnosis, medication, procedure, or
Piecemeal policy
Go to AAD Home ... Go to AAD Home ... Menu ... Trump administration addresses health care policies in small bites ... Trump administration addresses health care policies in small bites ... By Ruth Carol, contributing writer While the Trump administration has raced to eliminate the Affordable Care Act (ACA),
Adding protothecosis to the protocol
By Warren R. Heymann, MD, FAAD April 23, 2025 Vol. 7, No. 16 As a dermatology resident at the outset of the AIDS epidemic, I quickly learned that all bets are off when diagnosing infectious diseases in immunocompromised hosts. That experience taught me to culture broadly for bacterial, atypical mycobacterial,
A cold abscess remains a cold case: Multiple neonatal staphylococcal cold abscesses of the large folds
By Warren R. Heymann, MD, FAAD Jan. 17, 2024 Vol. 6, No. 3 Graduating residents will usually ask me for parting words of wisdom. If I had to choose one morsel of advice, it would be to read and study throughout their career. I still marvel at reports of entities
September 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 2, 2020 ... What role can dermatologists play in developing a COVID-19 vaccine? DW Insights and Inquiries : Dermatopathology’s taste of honey Non-discrimination protections change under ACA Skin of color
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
What's hot?
What's hot ... April 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Having trouble managing your patients with burning mouth syndrome? In the February edition of ... Dialogues in Dermatology ,
What's hot?
What's hot ... February 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Isn’t it interesting how some common warts that we treat seem to go away almost instantly but others persist
Managing Gen Z patients
Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2023 DermWorld ... talks to Brittany Craiglow, MD, FAAD, from Yale School of Medicine, about tips for managing Gen Z patients — individuals born after 1996. DermWorld: Tell us about your practice. Brittany Craiglow, MD, FAAD ... Dr. Craiglow:
Documentation and reporting requirements for adjacent tissue transfer or rearrangement
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, June 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Adjacent tissue transfer (ATT) or rearrangement procedures
Incident to: Old wine in modern bottles
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., March 1, 2021 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Alice G. Gosfield, Esq., is a health care attorney
What's hot?
What's hot ... February 28, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Rosalie Elenitsas, MD ... Malignant melanoma is one of the most serious diagnoses that dermatologists face on a regular basis. While many cases
Telemedicine: Reimbursement liability patient consent and HIPAA
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Robert M. Portman, JD, MPP, Rebecca Burke, JD, and Christina L. Krysinski, JD, September 3, 2018 This month, we follow up on our May 2018 column
What's hot?
What's hot ... January 29, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Many of us struggle with patients with refractory pruritus who have tried many combinations of antihistamine, tricyclic,
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
Practicing cosmetic dermatology during COVID-19
Answers in Practice ... By Victoria Houghton, managing editor, November 1, 2020 DermWorld ... talks with Sean Wu, MD, Monica Boen, MD, Douglas C. Wu, MD, PhD, and Mitchel P. Goldman, MD, from Cosmetic Laser Dermatology in San Diego, about best practices for offering cosmetic dermatology during COVID-19. DermWorld: How
This month's news from across the specialty
What's hot ... March 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD If we can get ahead of the variants through testing and new treatment regimens, we should be able
Navigating MIPS 2026: A survival guide for dermatology practices
Answers in Practice ... By Olivia Barry, Manager, Practice Management, April 1, 2026 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss navigating MIPS in 2026. CMS has released the rules for the MIPS program for 2026 and continues to encourage use of
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
Anticipating Iceland: Ice-pack dermatosis
By Warren R. Heymann, MD, FAAD April 10, 2024 Vol. 6, No. 15 Iceland beckons. Many of our plans were scuttled by COVID-19, including a long-planned tour of Iceland, which (as of this writing) is exactly two months away.* My wife and I eagerly await the other-worldly topography, unpronounceable waterfalls,
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 28, 2020 Vol. 2, No. 43 How often do you perform an oral examination? If you’re like me, probably only under two circumstances — when the patient has specific complaints (soreness, a raised lesion, or a discoloration noted by their dentist), or when we
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD July 20, 2022 Vol. 4, No. 29 One of the joys of practicing in the Delaware Valley is participating in the Philadelphia Dermatological Society (PDS). The local institutions each provide superlative patient presentations and lectures — the range of case presentations is stunning. For
Forty years of marriage, dermatology, inequities, and gratitude
By Warren R. Heymann, MD, FAAD Aug. 10, 2022 Vol. 4, No. 32 We have all been affected by the COVID-19 pandemic. There have been more than one million fatalities in the United States. Additionally, the associated sequelae of COVID — long-COVID in survivors, compounded by emotional, financial, and scholastic
The woolly culprit: Lanolin revealed as an uncommon cause of dermatitis on normal skin
By Christen Mowad, MD, FAAD Nov. 15, 2023 Vol. 5, No. 46 Excitement surrounding the "Allergen of the Year" may only be truly appreciated by those immersed in the field of contact dermatitis and patch testing, but each year the announcement is met with enthusiasm from the wider dermatology specialty.
Race, equity, and the impact of COVID-19 on African Americans
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Dermatology World Weekly talked to Sacharitha Bowers, MD, vice chair of the Diversity, Inclusion, Community Engagement and Equity (DICE) Council for the Department of Internal Medicine at Southern Illinois University School of Medicine, about the
November 20, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 20, 2019 ... Which types of dermal fillers are associated with increased complications? DW Insights and Inquiries: Rituximab and dermatomyositis — Dr. Samitz would be proud An ode to the
June 28, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE/ June 28, 2023 ... A beneficial botanical extract for actinic keratosis? DermWorld Insights and Inquiries : Dermatologic ergonomics — Straighten up and fly right FDA approves alopecia areata treatment in adults and
Taking woolly hair to heart
By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch
Nailing the diagnosis of the BAP1 tumor predisposition syndrome
By Warren R. Heymann, MD, FAAD June 5, 2024 Vol. 6, No. 23 I never imagined that I would be writing another commentary on onychopapillomas (Ops) so soon. The initial commentary was devoted to rare malignant Ops. (1) Unsurprisingly, additional reports of malignant Ops have been reported. (2) What else
Coming clean on bleach baths for atopic dermatitis
By Warren R. Heymann, MD Oct. 23, 2019 Vol. 1, No. 33 ... Bleach baths have become popularized over the past decade in managing atopic dermatitis (AD). I have been a strong proponent, often telling patients (and their parents) that the procedure would help decolonize the skin and prevent
Lagging ahead: LAG-3 checkpoint inhibition for advanced melanoma
By Warren R. Heymann, MD, FAAD May 11, 2022 Vol. 4, No. 19 Checkpoint inhibition has revolutionized the treatment of advanced melanoma over the past decade, beginning with the release of the anti-CTLA4 checkpoint inhibitor ipilimumab (Yervoy). This was followed by the development of the anti-PD-1 inhibitors pembrolizumab (Keytruda) and
Diagnosing nail unit melanomas at a faster clip
By Warren R. Heymann, MD, FAAD Aug. 16, 2023 Vol. 5, No. 33 Every dermatologist has examined a pigmented nail, wondering if the pathologic process reflects a nail unit melanoma (NUM) or subungual melanoma (SUM) versus a benign melanocytic lesion (melanocytic activation, lentigo, or nevus), pigmented onychomycosis, or hemorrhage. A
8 tips to help optimize financial efficiency in your practice
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2020 Financial efficiency is desirable to all practices no matter the size or practice model. There are several steps you can take to ensure that your practice is not only financially compliant, but also financially successful. ...
Et tu, Ibrutinib?
By Warren R. Heymann, MD July 8, 2020 Vol. 2, No. 27 When it comes to medications that I never prescribe, I learn from my patients who present with findings that compel me to do my homework. Such was the case of a middle-aged woman with chronic lymphocytic leukemia (CLL)
Acne necrotica: A real head-scratcher
By Warren R. Heymann, MD, FAAD May 15, 2024 Vol. 6, No. 20 I sympathize with new residents in dermatology coming to grips with difficult terms and concepts that are essential in practice. As a novice, I recall struggling with the concept of acne necrotica (AN), dreading that I would
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
By Warren R. Heymann, MD, FAAD Nov. 2, 2022 Vol. 4, No. 44 A colleague asked me if I could evaluate his 26-year-old daughter while she was briefly on break from her graduate studies in Barcelona. He was concerned that she had developed lipodystrophy. Of course, I agreed, without his
Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —
Nonepidemic Kaposi sarcoma: The fifth dimension
By Warren R. Heymann, MD Oct. 16, 2019 Vol. 1, No. 32 ... For more than a century, since first described in 1872 by Moritz Kaposi* as "idiopathic multiple pigmented sarcoma," dermatologists focused on classical Kaposi sarcoma (KS) — violaceous patches, plaques, and tumors on the lower extremities of
Dermatologic ergonomics: Straighten up and fly right
By Warren R. Heymann, MD, FAAD June 28, 2023 Vol. 5, No. 26 My posture has never been proper, having a proclivity to slouch. "Stand up straight, son!" my father would admonish. When I was young and supple, I would half-listen to the advice, usually reverting to my standard (incorrect)
Lipoid proteinosis’ weak, hoarse cry is crying for targeted therapeutic intervention
By Warren R. Heymann, MD, FAAD Nov. 6, 2024 Vol. 6, No. 45 Having recently participated in the excellent conference devoted to antisemitism in medicine organized by Heather Milbar at the University of Pennsylvania, I reacquainted myself with Erich Urbach, who described lipoid proteinosis (LP, Urbach-Wiethe disease) with the otolaryngologist
Propranolol and neutrophilic dermatoses: Can beta-blockade be better blockade?
By Warren R. Heymann, MD, FAAD December 8, 2021 Vol. 3, No. 48 Ask any dermatology resident what the first-line treatment is for infantile hemangiomas (IH) and you will get a matter-of-fact response — "propranolol" — as if this has been an entrenched fact for decades. Barely more than a
The 21st Century Cures Act: What a difference a day makes
By Warren R. Heymann, MD, FAAD Sept. 24, 2025 Vol. 7, No. 38 The 21st Century Cures Act (Cures Act, CA) was signed into law on Dec. 13, 2016. (1) In April 2021, the Information Blocking Rule (IBR) of the CA went into effect, giving patients immediate access to notes,
Coming full circle (almost): Low dose oral minoxidil for alopecia
By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab
By Warren R. Heymann, MD, FAAD Sept. 13, 2023 Vol. 5, No. 37 This is an exciting time for cutaneous lupus erythematosus (CLE). Recently published findings from three clinical trials show substantial progress in developing more targeted, efficacious, and better-tolerated medications for patients with CLE, particularly by inhibiting the production
A pandemic of perception
Virtual life has negatively affected patients’ self-perception. Dermatologists may be in a position to help. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2022 Photo editing, once associated with flawlessly airbrushed celebrities, has become not only ubiquitous but nearly a requirement of social sharing. In a highly
Skin and hair legislation: What’s happening?
Experts offer a primer on what dermatologists should keep their eyes on. ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2023 On the heels of the start of the 118th U.S. Congress — which marks the first Republican House-Democratic Senate split in a decade — lawmakers and federal
Mohs under review
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 1, 2020 Test your knowledge: Mohs under review ... Take the quiz to see if you're up to
Adapting with intention: Tips for joining an established practice
Answers in Practice ... By Emily Margosian, Senior Editor, July 1, 2025 DermWorld ... talks to Brittany Smirnov, DO, FAAD, about advice on assimilating to a new work culture when joining an established practice. DermWorld: Tell us about your practice. Brittany Smirnov, DO, FAAD ... Dr. Smirnov: I practice in
Does your dermatology practice comply with the Family and Medical Leave Act?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Jeremy Lewin, JD, Ben Tesdahl, JD, LL.M, and Robert M. Portman, JD, MPP, September 1, 2022 DermWorld ... covers legal issues in Legally Speaking. This month’s
Evaluation and management in 2021: Part 2
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 2 ... Take the quiz to see
Coding for preventive skin examination in 2021 and beyond
To understand the new evaluation and management (E/M) coding guidance, the AAD/A recommends reviewing and applying the coding guidelines holistically. When coding is based on medical decision making (MDM), documentation for the encounter must meet or exceed two of the three elements as described in the ... E/M Office Visit
Progress in pemphigus: Solidifying rituximab’s role
By Warren R. Heymann, MD, FAAD July 7, 2021 Vol. 3, No. 27 "Now what do I do?" ... That question, asked by dermatologists every day about patients who are not responding to therapy, was posed in the preface of the first (and every subsequent) edition of ... Treatment of
Hair straightening and acute renal injury: The latest data straight up
By Warren R. Heymann, MD, FAAD April 3, 2024 Vol. 6, No. 14 The global hair straightener market has experienced significant growth, with a market size of US$ 587.9 million in 2022, projected to be US$ 759.9 million by 2028. (1) I expected the market to already be in the
Metastatic uveal melanoma: Tebentafusp unobfuscated
By Warren R. Heymann, MD, FAAD June 25, 2025 Vol. 7, No. 25 Oncodermatology is a full-time occupation comprised of two major components — novel therapies for cutaneous malignancies and adverse reactions to treatments for diverse cancers. A novel class of anticancer agents is termed ImmTACs — immune mobilizing monoclonal
Reflections on infantile perianal pyramidal protrusion and Hippocrates
By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as
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
Shocking news: Heat shock protein inhibition finally enters the realm of dermatologic therapy
By Warren R. Heymann, MD, FAAD Oct. 23, 2024 Vol. 6, No. 43 Heat shock proteins (HSP) were serendipitously discovered by the brilliant Professor Ferruccio Ritossa in 1962 while studying nucleic acid synthesis in chromosomal puffs of ... Drosophila salivary glands. De Maio states, "Ritossa noticed something unexpected when cells
Immunotherapy: No warts about it
Therapeutic use of the HPV vaccine shows promise as a treatment for stubborn warts. ... Feature ... By Emily Margosian, Assistant Editor, September 1, 2024 Warts are one of the most common skin disorders worldwide. They can also be among the most challenging to treat. ... "Warts are stubborn. They
Is it a waste for dermatologists to order fecal calprotectin?
By Warren R. Heymann, MD, FAAD June 22, 2022 Vol. 4, No. 25 I am still haunted by my initiation to Crohn disease. My late brother Andrew, who succumbed to the illness because of a confluence of complications at 29 years-old, first manifested symptoms as a child. It was a
Optimizing telehealth services
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, July 1, 2020 Take the quiz to see if you're up to date. ... You spend seven minutes doing
Preparing for 2025 MIPS and the new dermatological care MVP
Answers in Practice ... By Oliva Barry, Manager, Practice Management, April 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss what to expect for MIPS 2025. MIPS program timeline ... In November, CMS released the ... final rule for the Quality
Equal opportunity for all?
Go to AAD Home ... Go to AAD Home ... Menu ... How to take steps to address implicit bias in health care hiring ... How to take steps to address implicit bias in health care hiring ... By Emily Margosian, assistant editor What do male receptionists and female department
Giving a NOD2 to Yao syndrome
By Warren R. Heymann, MD, FAAD March 5, 2025 Vol. 7, No. 9 The 21 ... st ... century has witnessed an expanding array of systemic autoinflammatory disorders (SAIDs) due to innate immunity dysfunction. SAIDs are characterized by recurrent attacks of fever, cutaneous signs, chest or abdominal pain, lymphadenopathy, vasculopathy,
Pathway to clarity simplified: Melanocytic Pathology Assessment Tool and Hierarchy for Diagnosis (MPATH-Dx) version 2.0
By Jason B. Lee, MD, FAAD July 16, 2025 Vol. 7, No. 28 In modern medical practice, clinical care guidelines have emerged to promote consistent and evidence-based practices to manage common diseases. In dermatology, the American Academy of Dermatology, in collaboration with the National Psoriasis Foundation, has published clinical guidelines
Resorcinol’s resourcefulness in hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD March 22, 2023 Vol. 5, No. 12 Management of hidradenitis suppurativa (HS) is challenging, including medical and surgical approaches, which are often combined for best outcomes. Lifestyle changes, pain management, and emotional/psychiatric issues must be addressed. Therapeutic approaches include the use of topical therapies
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
By Warren R. Heymann, MD, FAAD February 16, 2022 Vol. 4, No. 7 If there was a statistic for a dermatological diagnostic impact factor, vascular Ehlers-Danlos syndrome (vEDS) would be at the top. Often undiagnosed until tragedy strikes, astute dermatologists who consider the diagnosis prior to an acute event may
Cycling back to doxycycline’s roots as therapy for bullous pemphigoid
By Warren R. Heymann, MD, FAAD July 26, 2023 Vol. 5, No. 30 Patients with moderate to severe bullous pemphigoid are usually treated with systemic corticosteroids. Four patients were treated with tetracycline hydrochloride and niacinamide because of the steroid-sparing anti-inflammatory properties of these agents. An excellent clinical response free of
Demodectic eruptions: More than you mite have imagined
By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the
Periocular hypopigmentation of the elderly: A new POTUS dermatosis?
By Warren R. Heymann, MD, FAAD Sept. 4, 2024 Vol. 6, No. 36 Editorial Note: DermWorld Insights and Inquiries provides commentaries on issues in dermatology. This editorial was composed before the assassination attempt of former President Trump, President Biden’s decision not to seek a second term, and the nomination of
Checking in on immune checkpoint inhibitors
Immune checkpoint inhibitors offer hope for non-melanoma skin cancer patients ... Feature ... By Heidi Splete, Contributing Writer, July 1, 2022 Patients with advanced non-melanoma skin cancer see new hope on the horizon, thanks to recent developments in the number and effectiveness of new drugs to improve survival. ... "Patients
Extending medicine's reach
DermWorld takes a look at the Interstate Medical Licensure Compact. ... Feature ... By Andrea Niermeier, Contributing Writer, January 1, 2023 In 1925, inventor and publisher Hugo Gernsback wrote in ... Science and Invention magazine of a "teledactyl," a device that would allow doctors to not only see their patients
Cocaine-associated plasma cell orificial mucositis: Anything goes
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, April 1, 2026 Vol. 8, No. 4 Dermatologists will never be bored by cocaine. The mucocutaneous manifestations are so vast that one can almost say that "anything goes," but there are clinical scenarios where clinicians should suspect cocaine use
The ACA: 10 years later...during a pandemic
Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10
Always another worry for patients with hidradenitis suppurativa: Amyloid A amyloidosis
By Warren R. Heymann, MD, FAAD March 27, 2024 Vol. 6, No. 13 My introduction to hidradenitis suppurativa (HS) was as a first-year dermatology resident on the inpatient dermatology service at Van Etten Hospital in the Bronx, caring for a most unfortunate woman with HS; she had secondarily infected pyoderma
A Frank discussion about earlobe creases
By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied
Our donors
We welcome this year's generous donors into the following giving societies and thank them for their commitment to advancing the programs and services of the Academy, especially those who have given consecutively for the past 5+ years. ... 1938 Legacy Society (Transformational gift) ... Bruce D. Glassman, MD, FAAD ...
Fixating on doxycycline-induced fixed drug eruptions
By Warren R. Heymann, MD, FAAD May 21, 2025 Vol. 7, No. 20 When reading medical journals, I am intrigued by titles that inspire me to learn more about the topic. Happening upon a letter to the editor titled "Doxycycline-induced fixed drug eruption: The new epidemic?" (1) gave me pause.
Treatments for renal IgA vasculitis are beginning to flow
By Warren R. Heymann, MD, FAAD Feb. 19, 2025 Vol. 7, No. 7 The alliterative phrase "palpable purpura" will instantly conjure the diagnosis of leukocytoclastic vasculitis (LCV) for dermatologists. IgA vasculitis (IgAV, aka Henoch-Schönlein purpura [HSP]) is the most common vasculitis in children but is much less frequent in adults.
Don’t call it a comeback
Experts review emerging and re-emerging diseases in dermatology. ... Feature ... By Emily Margosian, Senior Editor, September 1, 2025 Natural disaster, climate change, shifting health norms, and global travel. All are contributing factors to the emergence and re-emergence of disease. ... "It’s always worthwhile to remind dermatologists of our role
Cosmetic complications
Dermatologists offer insight and instruction for approaching procedural afflictions. ... Feature ... By Laura Vernaci, Contributing Writer, September 1, 2025 It goes without saying that dermatologists do everything in their power to keep their patients safe and avoid complications or adverse events. However, stay in the business long enough and
Mpox: Treating severe lesions
Wound care ... Accurate diagnosis of lesions is crucial and should start with an assessment of the patient and potential risk factors for mpox (monkeypox), disease severity, and complications. Risk factors for mpox include history of known or possible exposure, relevant travel and sexual behaviors (e.g., sex associated with commercial
Deeper thoughts about acne keloidalis nuchae
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, February 1, 2026 Vol. 8, No. 2 Wallace Clark taught me the truism that thinking often ceases when a diagnosis is rendered. The clinical diagnosis of acne keloidalis nuchae (AKN) is straightforward. Embarrassingly, I had not given much thought
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, D.C. ... By Megan La Suer, JD, MHA, Rob Portman, JD, MPP, and Ben Tesdahl, JD, May 1, 2020 Every month, Dermatology World ... covers legal issues in "Legally
Getting physical
Go to AAD Home ... Go to AAD Home ... Menu ... Does a physician's relationship to fitness affect patient care? ... Does a physician's relationship to fitness affect patient care? ... By Allison Evans, assistant managing editor ... A physician’s job, pared down to its most simplistic form,
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%
The profound dermatological manifestations of COVID-19: Part III
By Warren R. Heymann, MD April 8, 2020 Vol. 2, No. 14 Disclaimers: This commentary was written on April 5, 2020 for a publication date of April 8, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
High-dose vitamin D may be a ray of sunshine for treating sunburn
By Warren R. Heymann, MD, FAAD June 4, 2025 Vol. 7, No. 22 Rightly or wrongly, I attribute my melanoma to a blistering sunburn at the Sahara Hotel in Miami Beach in 1958. I recall my mother shmearing Noxzema on my back — the distinctive smell of Noxzema (from eucalyptus,
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
Pathway to reducing medical errors
By Jason B. Lee, MD, FAAD June 26, 2024 Vol. 6, No. 26 The 2000 landmark report by the Institute of Medicine ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era. (1) The report highlighted nearly 98,000 hospital deaths
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
Deciding the right time for treatment
Experts discuss neoadjuvant vs. adjuvant immunotherapy for melanoma — and recent advances in the neoadjuvant space. ... Feature ... By Emily Margosian, Assistant Editor, May 1, 2025 "The melanoma landscape, especially in the last decade or so, has changed remarkably in ways I never thought I would see in my
Troll control
How can dermatology practices respond to false and malicious online reviews while maintaining HIPAA compliance? ... Feature ... By Allison Evans, Assistant Managing Editor, June 1, 2023 The practice of medicine is personal. It’s personal for the patient, and it’s personal for the physician. While negative reviews sting, there is
Leaders in medicine – Part 2
DermWorld talks to dermatologists in leadership roles in the house of medicine. ... Feature ... By Matthew Walsh, Member Communications Specialist, June 1, 2023 This is the second part of a series of interviews in which ... DermWorld spoke with nine board-certified dermatologists who serve or have served in important
Negotiating fee schedules
When negotiating with private payers, knowing your worth can pay off. ... Feature ... By Ruth Carol, contributing writer, November 1, 2020 If you think medical school and residency were difficult, wait until you try to negotiate a higher fee schedule with a payer. ... "My experience has been that,
2024 MIPS update
What dermatologists need to know about this year’s MIPS reporting. ... Feature ... By Allison Evans, Assistant Managing Editor, May 1, 2024 "If you provide Medicare services, MIPS is a must when it comes to your reimbursement," said Florida dermatologist Shawna Flanagan, MD, FAAD, member of the Academy’s Practice Management
Mental health cases in pediatric dermatology
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the cutaneous manifestations of Munchausen by proxy, child abuse, and eating disorders ... Experts discuss the cutaneous manifestations of Munchausen by proxy, child abuse, and eating disorders ... By Barbara Boughton, contributing writer While most dermatologists
Is your EHR high maintenance?
Go to AAD Home ... Go to AAD Home ... Menu ... Now that electronic health records (EHRs) are a staple in nearly all dermatologists' offices, what is involved in maintaining them? ... Now that electronic health records (EHRs) are a staple in nearly all dermatologists' offices, what is involved
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
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
The great resignation
Dermatologists and practice management experts share strategies for minimizing staff turnover. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2023 In 2021, 20% of health care workers left their jobs — more than doubling the pre-pandemic rate. According to a survey conducted by the American Medical Association,
Acne: The drought is over
After years of recycling the same ingredients, dermatologists have novel acne treatments and formulations available — with more on the horizon. ... Feature ... By Allison Evans, assistant managing editor, February 1, 2021 Over the past few years, an incredible amount of innovation has taken place for the treatment of
Cutaneous complications of immune checkpoint inhibitors
DermWorld highlights some of the common (and not-so-common) skin complications associated with ICIs and shares expert tips for management. ... Feature ... By Heidi Splete, Contributing Writer, March 1, 2024 Immune checkpoint inhibitors (ICIs) are a mainstay of immunotherapy for many cancer types — including breast, colon, liver, lung, skin,
Go your own way
Dermatologists share experiences and considerations practicing in a variety of practice models. ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2025 Whether you’re embarking on your career path, or you’re simply ready for a reset, there are a multitude of practice models to investigate. Each path offers
Skin cancer fact sheet
Incidence rates ... Skin cancer is the most common cancer in the United States. (1-3) ... Current estimates are that one in five Americans will develop skin cancer in their lifetime. (4) ... It is estimated that approximately 9,500 people in the U.S. are diagnosed with skin cancer every day.
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
Choosing wisely: Recommendations about treatments, tests, and procedures
The ABIM Foundation’s Choosing Wisely ... ® ... campaign is focused on encouraging physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm. To join, a medical society must provide expert guidance on five medical tests or treatments commonly used in its field.
Going virtual
The rapid transition to digital medical education offers both advantages and challenges ... Feature ... By Allison Evans, assistant managing editor, June 1, 2021 With the onset of the COVID-19 pandemic, the transition to virtual education happened practically overnight — offering attendees the opportunity to get their CME credits from
A juggling act
Dermatologist parents share their experiences managing their families and practices. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2023 The juggle is real. For physician parents, the challenges of parenthood are magnified with long hours, unpredictable schedules, and mounting pressures to do more at work and at
Managing menopause
Dermatologists discuss dermatologic changes before and during menopause and the dermatoses that may occur. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2025 Menopausal transitions can be stressful. While rapidly declining estrogen levels can wreak havoc internally, many of these changes involve the skin, hair, and vulvar
No longer on display
Go to AAD Home ... Go to AAD Home ... Menu ... After a resurgence of syphilis, dermatologists find themselves as syphilologists...once again ... After a resurgence of syphilis, dermatologists find themselves as syphilologists...once again ... By Allison Evans, assistant managing editor Christopher Columbus. Oscar Wilde. Al Capone. What do
23andDermatology
Go to AAD Home ... Go to AAD Home ... Menu ... What are the dermatologic implications of direct-to-consumer DNA tests? ... What are the dermatologic implications of direct-to-consumer DNA tests? ... By Emily Margosian, assistant editor Spit, swab, drop DNA in the mail. Since genetic tests were first offered
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
Side gig
Go to AAD Home ... Go to AAD Home ... Menu ... What can physicians do in addition to clinical services, and how do you get started? ... What can physicians do in addition to clinical services, and how do you get started? ... By Emily Margosian, assistant editor While
Managing melasma
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... By Jan Bowers, contributing writer The emotional toll of melasma on patients
Sky high
PBM tactics increase drug prices, lower patient access ... Feature ... By Ruth Carol, Contributing Writer, September 1, 2022 Last month, ... DermWorld discussed the role pharmacy benefits managers (PBMs) play in the drug distribution chain. This month, we will discuss some of the tactics PBMs use that are driving
Nailed it!
Nail experts discuss how to diagnose common — and not-so-common — nail disorders. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2025 Diagnosing conditions of the nail can be confounding. Patients may experience delays in treatment due to challenges in diagnosis. While the nail may seem like
More than skin deep
Dermatologists discuss cutaneous complications of tattoos — and their complex regulatory status. ... Feature ... By Emily Margosian, Assistant Editor, July 1, 2024 Humans have been tattooing since the Stone Age. The oldest discovery to date of tattooed human skin is on the body of Ötzi the Iceman, dating back
The blister beetle and beyond
Pediatric dermatologists discuss what’s new — and unchanged — in treating molluscum contagiosum. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2024 Molluscum contagiosum (MC), a virus of the ... Poxviridae family, is a common viral cutaneous infection that primarily affects children, immunocompromised patients, and sexually active
What you say vs. what patients hear
Go to AAD Home ... Go to AAD Home ... Menu ... Strategies for improving patient communication, compliance, and satisfaction ... Strategies for improving patient communication, compliance, and satisfaction ... By Emily Margosian, content specialist The scene is set. Already running behind in the day’s schedule, a dermatologist sees their
Practicing during a pandemic
How has COVID-19 impacted dermatologists and their patients? ... Feature ... By Emily Margosian, assistant editor, May 1, 2021 While the ongoing national vaccine rollout has offered a glimmer of light at the end of the tunnel, COVID-19 isn’t over yet. More than a year has passed since the first
HIV 40th anniversary: An oral history
Reflecting on dermatology’s contributions to the investigation and treatment of HIV/AIDS ... Feature ... By Emily Margosian, assistant editor, June 1, 2021 As the world continues to wrestle with the aftershocks of COVID-19, this June marks the 40th anniversary of another deadly virus. Since its first identification in the summer
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