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IL-36 and generalized pustular psoriasis: L’chaim!
Read the March 9, 2022 DermWorld Insights and Inquiries on IL-36 and generalized pustular psoriasis.
The expanding horizon of anti-IL-36 therapy
The IL-36/IL-36R axis is crucial in the pathogenesis and treatment of generalized pustular psoriasis. Researchers have demonstrated that this pathway may be instrumental in several other inflammatory dermatoses, as already shown in pyoderma gangrenosum.
Are you at risk for pityriasis rubra type V? It’s in the cards!
In a recent post advising to tread lightly before prescribing secukinumab for pityriasis rubra pilaris (PRP), I suggested that the Griffiths classification of PRP be expanded from types I –VI to include type VII (paraneoplastic) and type VIII (Sézary syndrome presenting as PRP). In my opinion, of all the types,
Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?
Worry comes with the territory of Neurofibromatosis Type I (NF-1). It often starts with the anxiety of determining if a child has enough criteria to confirm the diagnosis.
Secukinumab for pityriasis rubra pilaris: Tread lightly
Every dermatology resident preparing for their board examination can rattle off Griffiths’ classification of pityriasis rubra pilaris (PRP) – Type I (Classical Adult), Type II (Atypical Adult), Type III (Classic Juvenile), Type IV (Circumscribed Juvenile), and Type V (Atypical Juvenile). Type VI, associated with HIV infection was subsequently added to
An incisive approach to chronic paronychia: The square flap technique
I cannot begin to guess how many patients I have seen with chronic paronychia (CP) since I started my residency 36 years ago. I know precisely how many patients I have referred for surgical correction of CP – zero! The reason for that is that I never thought about this
American Academy of Dermatology Association Applauds Introduction of The Patients First Act Aimed at Medicare Physician Reform
Statement from Murad Alam, MD, MSCI, MBA, FAAD, President, American Academy of Dermatology Association ROSEMONT, Ill. (July 15, 2026) — The American Academy of Dermatology Association applauds Academy member Representative John Joyce, MD, FAAD (R-PA), for introducing bipartisan, comprehensive Medicare physician payment reform legislation, the Patients First Act. The Academy
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
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.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Access reporting information on measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Access reporting information on measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
Glomus tumors point a finger at neurofibromatosis
The correct diagnosis of the JAMA Dermatology Clinicopathological Correlation of a glomus tumor presenting as longitudinal erythronychia was straightforward – I was fascinated by this comment in the discussion: “The presence of multiple glomus tumors in the digits should raise suspicion for neurofibromatosis type I” (1).
Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet
Café au lait spots (CALS) are extraordinarily common; six or more lesions (at least 0.5 cm prior to puberty or 1.5 cm post puberty) are considered one of the criteria for diagnosing neurofibromatosis type I (NF1), and are also seen in a variety of other syndromes.
Other emerging severe and resistant dermatophytes of concern
Other emerging dermatophytes of concern include Trichophyton rubrum and Trichophyton mentagrophytes type VII. Learn about treatment and patient counseling.
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab
Anifrolumab, a monoclonal antibody that blocks type 1 interferon signaling, has been increasingly reported as an effective treatment in patients with recalcitrant chronic cutaneous lupus erythematosus.
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Access reporting information on measure 509: Melanoma: Tracking and Evaluation of Recurrence. Review the maximum points available, the measure type, measure specifications, and much more.
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Access reporting information on measure 509: Melanoma: Tracking and Evaluation of Recurrence. Review the maximum points available, the measure type, measure specifications, and much more.
October 12, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 12, 2022 ... Type 2 diabetes and CCCA severity DermWorld Insights and Inquiries : Fixing the concept of the neutrophilic fixed drug eruption What’s the risk of IBD in patients
Melanoma Reporting — Measure 397
Access reporting information on measure 397: Melanoma Reporting. Review the maximum points available, the measure type, measure specifications, and much more.
Melanoma Reporting — Measure 397
Access reporting information on measure 397: Melanoma Reporting. Review the maximum points available, the measure type, measure specifications, and much more.
Adult Immunization Status — Measure 493
Access reporting information on measure 493: Adult Immunization Status. Review the maximum points available, the measure type, measure specifications, and much more.
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Access reporting information on measure 358: Patient-Centered Surgical Risk Assessment and Communication. Review the maximum points available, the measure type, measure specifications, and much more.
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Access reporting information on measure 358: Patient-Centered Surgical Risk Assessment and Communication. Review the maximum points available, the measure type, measure specifications, and much more.
Connection to Community Service Provider — Measure 498
Access reporting information on measure 498: Connection to Community Service Provider. Review the maximum points available, the measure type, measure specifications, and much more.
Quality Resources Provided by the AAD
See a summary of quality resources provided by the Academy, grouped by type.
Advance Care Plan — Measure 47
Access reporting information for MIPS measure 47: Advance Care Plan. Review the maximum points available, the measure type, measure specifications, and more.
Adult Immunization Status — Measure 493
Access reporting information on measure 493: Adult Immunization Status. Review the maximum points available, the measure type, measure specifications, and much more.
Advance Care Plan — Measure 47
Access reporting information for MIPS measure 47: Advance Care Plan. Review the maximum points available, the measure type, measure specifications, and more.
Screening for Social Drivers of Health — Measure 487
Access reporting information on measure 487: Screening for Social Drivers of Health. Review the maximum points available, the measure type, measure specifications, and much more.
Controlling High Blood Pressure — Measure 236
Access reporting information on measure 236: Controlling High Blood Pressure. Review the maximum points available, the measure type, measure specifications, and much more.
Documentation of Current Medications in the Medical Record — Measure 130
Access reporting information on measure 130: Documentation of Current Medications in the Medical Record. Review the maximum points available, the measure type, measure specifications, and much more.
Documentation of Current Medications in the Medical Record — Measure 130
Access reporting information on measure 130: Documentation of Current Medications in the Medical Record. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Access reporting information for MIPS measure 410: Psoriasis: Clinical Response to Systemic Medications. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Access reporting information for MIPS measure 485: Psoriasis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Access reporting information for MIPS measure 486: Dermatitis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Access reporting information on measure 374: Closing the Referral Loop: Receipt of Specialist Report. Review the maximum points available, the measure type, measure specifications, and much more.
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Access reporting information on measure 374: Closing the Referral Loop: Receipt of Specialist Report. Review the maximum points available, the measure type, measure specifications, and much more.
Incretin-based therapy for diabetes and dermatology: Promise and peril
In a given day, how many of your patients are diabetic? According to the American Diabetes Association, in 2015, 9.4% of the US population (30.3 million) were diabetic; 29 million of this group had type 2 diabetes.
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Access reporting information for MIPS measure 485: Psoriasis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Access reporting information for MIPS measure 486: Dermatitis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Access reporting information for MIPS measure 410: Psoriasis: Clinical Response to Systemic Medications. Review the maximum points available, the measure type, measure specifications, and much more.
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Access reporting information for QCDR measure AAD8: Chronic Skin Conditions: Patient Reported Quality-of-Life. Review the maximum points available, the measure type, measure specifications, and much more.
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes — QCDR measure AAD 20
Access reporting information for QCDR measure AAD 20: Actinic Keratosis: Self-reported AK Treatment or Management Outcomes. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection — QCDR measure AAD 18
Access reporting information for QCDR measure AAD 18: Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection. Review the maximum points available, the measure type, measure specifications, and much more.
September 25, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 25, 2024 ... Cyclosporine vs. dupilumab vs. methotrexate for patients with AD DermWorld Insights and Inquiries : The expanding horizon of anti-IL-36 therapy FDA approves new treatment for immune-mediated vasculitis
The Term “Dermal Hyperneury” Hits a Nerve
I was intrigued by the title “Dermal hyperneury and multiple sclerotic fibromas in multiple endocrine neoplasia type 2A spectrum” by Alegría-Landa et al. (1) [Please see the addendum for the definition of the multiple endocrine neoplasia (MEN) syndromes.]
Use of High-Risk Medications in Older Adults — Measure 238
Access reporting information on measure 238: Use of High-Risk Medications in Older Adults. Review the maximum points available, the measure type, measure specifications, and much more.
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Access reporting information for QCDR measure AAD8: Chronic Skin Conditions: Patient Reported Quality-of-Life. Review the maximum points available, the measure type, measure specifications, and much more.
Plantar melanoma and mechanical stress
Acral lentiginous melanoma (ALM) involves the palms, soles, and nail beds. It is the most common type of melanoma in patients of African or Asian descent. Delays in diagnosis result in more advanced disease at the time of diagnosis.
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Access reporting information for QCDR measure AAD 12: Melanoma: Appropriate Surgical Margins. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Decomplexing plexiform neurofibromas
Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome.
March 9, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 9, 2022 ... Eight misconceptions about photoprotection in skin of color DermWorld Insights and Inquiries : IL-36 and generalized pustular psoriasis — L’chaim! Derm Coding Consult : Novitas revises shave
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Access reporting information for QCDR measure AAD 12: Melanoma: Appropriate Surgical Margins. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Access reporting information on measure 503: Gains in Patient Activation Measure (PAM) Scores at 12 Months. Review the maximum points available, the measure type, measure specifications, and much more.
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Access reporting information on measure 503: Gains in Patient Activation Measure (PAM) Scores at 12 Months. Review the maximum points available, the measure type, measure specifications, and much more.
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Access reporting information for MIPS measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
Treatments for renal IgA vasculitis are beginning to flow
Renal disease is the most severe complication of IgA vasculitis. New treatments such as iptacopan (an alternative complement inhibitor) and atrasentan (an endothelin type A receptor inhibitor) are promising novel therapies for this challenging disease.
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Access reporting information on QCDR measure AAD6: Skin Cancer: Biopsy Reporting Time — Clinician to Patient — Measure AAD 6. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Access reporting information on QCDR measure AAD6: Skin Cancer: Biopsy Reporting Time — Clinician to Patient — Measure AAD 6. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Access reporting information on measure 431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling. Review the maximum points available, the measure type, measure specifications, and much more.
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Access reporting information on measure 431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling. Review the maximum points available, the measure type, measure specifications, and much more.
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20
Access reporting information for QCDR measure AAD 20: Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Access reporting information for QCDR measure AAD 15:Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Access reporting information for QCDR measure AAD 15:Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Access reporting information for QCDR measure AAD16: Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures. Review the maximum points available, the measure type, measure specifications, and much more.
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Access reporting information for QCDR measure AAD16: Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures. Review the maximum points available, the measure type, measure specifications, and much more.
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD 17
Access reporting information for QCDR measure AAD 17: Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures. Review the maximum points available, the measure type, measure specifications, and much more.
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Access reporting information for MIPS measure 440: Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician. Review the maximum points available, the measure type, measure specifications, and much more.
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Access reporting information for MIPS measure 440: Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician. Review the maximum points available, the measure type, measure specifications, and much more.
Appropriate Documentation and Shared Decision Making of AK — QCDR measure AAD 21
Access reporting information for QCDR measure AAD 21: Appropriate Documentation and Shared Decision Making of AK. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Types of audits
There are four different types of Medicare contractors that are responsible for auditing records, claims, and payments. While each type of contractor can use different methods to conduct the appeals, they all must be compliant with Medicare guidelines for medical review, denials, appeals, and payment recovery.
Addressing systems and administrative challenges
Running a successful dermatology practice hinges not only on exceptional patient care but also on efficient administration. While challenges vary based on practice type and other factors, most practices face common administrative burdens. These burdens are a major driver of burnout.
Do skin cancer rates differ by transplanted organ type and patient age?
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, March 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lee Wheless, MD,
Dermatology doubles media presence in 2020
Facts at your fingertips ... By Emily Margosian, assistant editor, August 1, 2021 Last year, dermatology-related topics generated a record-breaking 36 billion print, broadcast, and online media impressions — more than double the total coverage in 2019. This sharp increase is likely tied to COVID-19, specifically news items on COVID-related
Where do Americans get pricing information for health care services?
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, November 1, 2022 New survey data released this year by Akasa, a health care AI developer, found that Americans most often turn to health insurers for pricing information over other sources, placing new emphasis on the need for price transparency
Prior authorization’s impact on patients
Facts at your fingertips ... By Emily Margosian, assistant editor, September 1, 2020 While prior authorizations are often applied to biologics, the process also includes less expensive medication options and procedures, with a profound impact on many dermatology patients. Results from the AAD’s 2020 Prior Authorization Survey reveal that about
Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?
I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently only a partial truth.
ICD-10-CM diagnosis coding updates for 2025
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and
How to treat a sunburn
Board-certified dermatologist shares 5 tips for Skin Cancer Awareness Month ROSEMONT, Ill. (May 21, 2024) — Sunburns can be painful and damaging to your skin, while also increasing your risk of skin cancer, the most common cancer in the United States and one of the most preventable. A new survey
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Access reporting information for MIPS measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
Screening firefighters for skin cancer
First Person ... By Christine Kannler, MD, FAAD, October 1, 2022 DermWorld’s ... First Person column offers Academy members the opportunity to share their personal reflections about how dermatology is changing and how they’ve adapted. Christine Kannler, MD, FAAD ... My brother was a firefighter in Chelsea, Massachusetts, an instructor
Ustekinumab: A topic for atopics?
If you’re like me, you have a cadre of patients with severe atopic dermatitis (AD) patients who are counting the minutes for the release of dupilimab (a human monoclonal antibody against interleukin-4 receptor alpha, that inhibits signaling of interleukin-4 and interleukin-13, type 2 cytokines that may be important drivers of
October 23, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2024 ... Botulinum toxin type A with topical minoxidil vs. topical minoxidil alone in males with androgenetic alopecia DermWorld Insights and Inquiries : Shocking news — Heat shock protein
New treatments provide more options for people with alopecia areata
Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new
New study reveals that some children with common form of eczema should also be tested for allergic reactions
Study author highlights test used to differentiate between two types of eczema ROSEMONT, Ill. (September 26, 2023) — Eczema, which is a group of medical conditions that causes inflamed, irritated, and often itchy skin, affects millions of people worldwide. A new article published in the ... Journal of the American
The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears
By Lorraine L. Rosamilia, MD Nov. 13, 2019 Vol. 1, No. 36 In my last 13 years of immersion in dermatology, I have often asked this simple yet elusive question of my superiors, my colleagues, and myself: Which patients need skin checks? As I peruse my clinical schedule, in which
Glucose monitors: Not as sweet as they seem
Learn more about Glucose monitors: Not as sweet as they seem at aad.org
Tressed to impress: tips for keeping your mane magnificent
6 tips for healthier looking and feeling hair from a board-certified dermatologist ROSEMONT, Ill. (Aug. 13, 2024) — Hair is as unique as its wearer, making care an important aspect in one’s overall health and wellness routine. From understanding your hair type to learning the best shampooing technique (yes, there
Session handouts and meetings archive
View previous AAD meeting sessions, handouts, poster exhibits, and floor plans.
Membership Committee portal
Welcome to the American Academy of Dermatology’s Membership Committee portal. The portal houses applications and their supporting documentation along with resources to help determine eligibility for membership. ... Applicant Name ... Type ... Category ... Country ... Status ... Review {{application.fullName}} ... {{application.pendingMemberType}} ... {{application.pendingMemberCategory}} ... {{application.businessAddressCountry}} ... {{application.status}} ...
Looking beyond ‘Ozempic face’
Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body
March
Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I always knew firefighting was a dangerous occupation What’s hot ... This month’s news from across the specialty Clinical Applications ... Do skin cancer
Malpractice insurance 101
Experts offer advice on navigating malpractice insurance policies. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2025 While medical malpractice suits first regularly appeared in the United States in the 1800s, the frequency of claims has only increased since the 1960s, with lawsuits relatively common today. Medical malpractice
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
The retiring type?
“Tell me, Dr. Heymann, when do you plan to retire?” Patients seem to ask me that every day. My usual response: “Why do you ask, do I look that bad?” “No, you look pretty good for your age.” (According to my rabbi, there are three stages of life – youth, middle age, and
November 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 18, 2020 ... Hydrogen peroxide and the common wart: Phase 2 results are in DermWorld Insights and Inquiries : Granulomatous slack skin — More than one type of mimicry FDA
Dermatology antibiotic prescription trends
Facts at your fingertips ... By Emily Margosian, assistant editor, November 1, 2019 As antibiotic resistance has increasingly captured the attention of the media and global health organizations, physicians have found themselves under more pressure to monitor their antibiotic prescription habits. Although overall antibiotic prescribing by dermatologists decreased by 36.6%
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
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
Ransomware attacks on U.S. health care double
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, February 1, 2024 Ransomware is on the rise. A recent ... JAMA Health Forum study found that the annual number of ransomware attacks on health care organizations more than doubled from 2016 to 2021, exposing the personal health information (PHI)
COVID’s impact on cosmetic procedures
Facts at your fingertips ... By Emily Margosian, Assistant Editor, April 1, 2022 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions throughout the year due to the ebb and flow in national and regional caseloads. The release
Medical research funding
Ask the Expert ... By Victoria Houghton, managing editor, August 1, 2021 DermWorld ... spoke to Jennifer Mangone, JD, manager of congressional policy for the American Academy of Dermatology Association (AADA), about the Academy’s advocacy efforts to support medical research funding. DermWorld: Advocating for medical research funding is a top
This month’s news from across the specialty
What’s hot ... August 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
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
4 cradle cap tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your
How to prevent keloid scars
Board-certified dermatologist shares tips to reduce your risk ROSEMONT, Ill. (Dec. 6, 2023) — Keloids are a type of raised scar that can occur after an injury, and over time they can grow much larger than the wound itself. Although keloids are not dangerous to a person’s health, they can
CME & session evaluation archive
Claim CME credit and submit session evaluations for attending previous Academy meetings.
Alleviate the ouch
Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology
Contract reimbursement review
When deciding whether to sign a contract with a payer, reimbursement is one of the most important considerations. Adequate reimbursement is critical to the viability of your practice. Therefore, be sure to review contract language on reimbursement carefully. ... Aspects of reimbursement are often negotiable, though the extent to which
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.
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.
Are teens tanning less?
Go to AAD Home ... Go to AAD Home ... Menu ... Signs point to progress, but work remains ... Signs point to progress, but work remains ... By Ruth Carol, contributing writer It appears that fewer teens are indoor tanning in recent years, but the data are sparse. Regulations
CBD: Potential or placebo?
Go to AAD Home ... Go to AAD Home ... Menu ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... By Emily Margosian, assistant editor This recent Mother’s Day holiday, shoppers may have observed
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
Read the June 17, 2020 DermWorld Insights and Inquiries on capillary malformation.
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
Recognizing Trichophyton indotineae
In the last decade, a recently emerged dermatophyte species, Trichophyton indotineae, has been causing major outbreaks of severe, difficult-to-treat, and frequently relapsing infections in South Asia among immunocompetent patients.
Key messages to communicate about Indoor tanning
By communicating these key messages on indoor tanning, you can help position the specialty while increasing your credibility and raising the profile of your practice.
Granulomatous slack skin: More than one type of mimicry
Read the November 18, 2020 DermWorld Insights and Inquiries on granulomatous slack skin.
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
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
Read the Aug. 17, 2022 DermWorld Insights and Inquiries on cutaneous lupus erythematosus and interferon.
Advocacy Update Feb. 4 2025
The AADA is pleased that physician champions in the U.S. House introduced a bipartisan bill to address the 2025 Medicare Physician Fee Schedule cut.
Advocacy Update May 5, 2026
In response to advocacy by the AADA and other specialty societies, UnitedHealth Care will delay any adverse payment decisions related to Medicare Advantage referral requirements starting on May 1.
Advocacy Update June 30, 2026
AADA President Murad Alam, MD, MSCI, MBA, FAAD, met with federal legislators on Medicare physician payment reform in Washington, DC.
Treating acrodermatitis continua of hallopeau in 2018? Try guselkumab!
Acrodermatitis continua of Hallopeau (ACH) is a disorder well known to dermatologists, but absolutely mysterious to everyone else. It is now considered a localized form of pustular psoriasis of the digits that may be accompanied by onychodystrophy and osteolysis.
Research grants from outside organizations
Access information on non-AAD research grants that may be of special interest to dermatologists. Many sources are included here, including the Dermatology Foundation, the Robert Wood Johnson Foundation, the National Cancer Institute, the Melanoma Research Foundation, and many more.
Why you should hear about the red ear syndrome
Read the July 22, 2020 DermWorld Insights and Inquiries on red ear syndrome.
Taking the challenge: Social media, adolescents, and the skin
Learn more about Taking the challenge: Social media, adolescents, and the skin at aad.org
Advocacy Update Dec 9, 2025
The AADA endorsed a House bill that would include an annual inflationary update to the Medicare physician fee schedule, the Academy’s top federal advocacy priority.
American Academy of Dermatology survey shows outdoor workers more at risk for skin cancer than average Americans
Board-certified dermatologist encourages those who work outside to utilize proper sun protection ROSEMONT, Ill. (May 7, 2024) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that outdoor workers — like those who work in construction, landscaping, emergency medical services, and postal delivery —
LIDA* rose the insulin requirement
Read the April 14, 2021 DermWorld Insights and Inquiries on localized insulin-derived amyloidosis.
Advocacy Update Feb. 18 2025
The AADA joined over 130 national and state physician organizations led by the AMA demanding Congress act to reform Medicare physician payment.
Advocacy Update July 21, 2026
New legislation introduced would modernize the Medicare physician payment system.
Advocacy Update July 28, 2026
President’s message on Academy’s efforts on fighting proposed Dermatology cuts.
Advocacy Update Mar. 18, 2025
The AADA is outraged that Congress once again passed a government funding bill that did not include relief to stop this year’s 2.8% Medicare physician payment cut.
The many uses of microneedling
Go to AAD Home ... Go to AAD Home ... Menu ... How it works, potential applications, and what patients should know ... How it works, potential applications, and what patients should know ... By Emily Margosian, assistant editor Once an experimental treatment pioneered through the use of tattoo pistols
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
Read the February 16, 2022 DermWorld Insights and Inquiries on Vascular Ehlers-Danlos syndrome.
Injecting ideas (and therapies) in digital mucous cysts
Digital mucous (myxoid) cysts are often associated with osteoarthritis. Multiple therapeutic maneuvers may be utilized, but the best results remain with surgical excision.
The rosy reality of coffee
I have never discouraged caffeine in rosacea patients, because of a brilliant study by Jonathan Wilkin that I read early in my residency.
Caveat mTOR revisited: Neurofibromatosis
Targeting the MAPK/ERK and PI3K/AKT/mTOR pathway has led to the use of topical sirolimus for neurofibromas and oral selumetinib for children with plexiform neurofibromas.
2026 AADA Legislative Conference: Program and agenda
Learn more about the policy-focused sessions during the 2026 AADA Legislative Conference.
August 21
Learn more about August 21 at aad.org
March 6, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 6, 2024 ... Benzyl benzoate vs. permethrin in treating scabies DermWorld Insights and Inquiries : Hemochromatosis — Beyond 50 shades of gray Oral acitretin plus topical triamcinolone vs. topical triamcinolone
Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.
Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever having seen BCH.
Melanoma in situ: The power of one (centimeter)?
I remember Marie. She was a delightful elderly woman whom I would see for routine follow-up following an excision of her melanoma in situ (MIS) from her right arm. I will never forget my astonishment upon feeling the large lymph node in her right axilla, the first metastasis of her
Slammed by slime
Read the September 16, 2020 DWII on "slime" and its dermatological impacts.
2025 AADA Legislative Conference: Program and agenda
Learn more about the policy-focused sessions during the 2025 AADA Legislative Conference.
COVID-19 can nail you in so many ways
Read the July 13, 2022 DermWorld Insights and Inquiries on COVID-19 and nails.
Are you a rash whisperer?
Go to AAD Home ... Go to AAD Home ... Menu ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat patients with allergic contact dermatitis. ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat
DermWorld Weekly comparing efficacy of JAK inhibitors used in alopecia areata
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 22, 2023 ... Comparing efficacy of JAK inhibitors used in alopecia areata DermWorld Insights and Inquiries : Resorcinol’s resourcefulness in hidradenitis suppurativa Derm Coding Consult : CMS Targeted Probe and
Striving for hard facts about water softening in atopic dermatitis
Read the August 18, 2021 DermWorld Insights and Inquiries on water hardness and atopic dermatitis.
Weighing in on glucagon-like peptide-1 receptor agonists in dermatology
Glucagon-like peptide-1 (GLP-1) receptor agonists are now approved for weight loss, which may benefit dermatoses associated with excess weight. Dermatologists should be familiar with the potential adverse effects and benefits of these drugs.
A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma
he clinically distinctive medallion-like dermal dendrocyte hamartoma is a benign lesion that must be differentiated from congenital atrophic dermatofibrosarcoma protuberans, especially in patients with adenosine deaminase-deficient severe combined immunodeficiency.
Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure
Patients presenting with extensive capillary malformations (port wine stains) on the trunk and extremities should be routinely screened for early-onset hypertension.
Perspectives on peristomal pyoderma gangrenosum
Peristomal pyoderma gangrenosum (PPG) is a challenging problem, both physically and emotionally. The diagnosis may be delayed, often being mistaken for an irritant dermatitis or an infection.
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
September 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 6, 2023 ... Chemoprevention of keratinocyte carcinoma with imiquimod, 5-FU, and tretinoin DermWorld Insights and Inquiries : Paraneoplastic Merkel cell carcinoma: Searchin' for my lost shaker of salt Vitiligo patients
Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections
Learn more about Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections at aad.org
Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis
I was taken aback by the report of anhydramnios in two women with pemphigoid gestationis (PG) resulting in the death of the newborn babies within days of birth. Each child died of sepsis. (1)
Hair restoration taking root among young people, women
Facts at your Fingertips ... By Megan Bennett, Staff Writer, January 1, 2026 Interest in hair restoration is growing, with women and young adults seeking hair loss surgery at higher rates, according to a member survey from the ... International Society of Hair Restoration Surgery . ... ISHRS — which
February 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant
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
January 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 24, 2024 ... Micrographic vs. conventional excision: Reducing rates of BCC, SCC DermWorld Insights and Inquiries : Senile gluteal dermatosis — The term ‘senile’ is getting old and should be
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
Clear cell papulosis: Clearly distinctive, clearly underrecognized
Read the June 3, 2020 DermWorld Insights and Inquiries on clear cell papulosis.
Educating the public — 2020 snapshot
Six months into 2021, we continue to track promising analytics that reassure us we’re reaching the public and educating them on the importance of seeking care from a board-certified dermatologist for their skin, hair, and nail conditions.
July 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 5, 2023 ... Petroleum jelly: Safety, myths, and misconceptions DermWorld Insights and Inquiries : Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses Managing CLE with JAK inhibitors Homelessness
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
Case reports and retrospective studies have demonstrated dupilumab’s efficacy in treating bullous pemphigoid. Preliminary data from a prospective trial confirms dupilumab’s therapeutic value. Perhaps approval of dupilumab for bullous pemphigoid is on the horizon.
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
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
This month’s news from across the specialty
What’s hot ... February 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 ChatGPT is a readily accessible and widely available artificial intelligence tool mainly used by physicians for administrative
Changing a long-standing habit
Topical corticosteroid has no influence has no influence on inflammation or efficacy after ingenol mebutate treatment of grade I to III actinic keratosis (AK).
Support the AAD Teledermatology Program
Learn about supporting the AAD’s philanthropic teledermatology program, designed to deliver dermatologic expertise to underserved populations.
1984: Dermatologically revisited
George Orwell published Nineteen Eighty-Four in 1949. I started my dermatopathology fellowship at the University of Pennsylvania in 1984. I decided to review Archives of Dermatology (now JAMA Dermatology), looking back 34 years to see how the dermatologic world has changed as depicted in a major dermatology journal.
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
Isotretinoin and diabetes: Of familiarity and surprise
Read the July 6, 2022 DermWorld Insights and Inquiries on isotretinoin and diabetes.
Eosinophilic pustular folliculitis: Six decades of progress
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Vol. 8, No. 3 Eosinophilic pustular folliculitis (EPF) is a quizzical disorder. In 1965, Ise and Ofuji described the case of a 42-year-old woman who "repeatedly developed crops of small pustules on the face, the trunk,
Hantavirus for the Dermatologist
Hantaviruses are enveloped RNA viruses of the Bunyaviridae family. They are found worldwide and are carried by specific rodent species (mice, rats, and voles,) in each endemic geographic region.
May 10, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 10, 2023 ... Is spironolactone use for acne associated with increased risk for venous thromboembolism? DermWorld Insights and Inquiries : PRAME sets its eyes on the road to fame How
This month’s news from across the specialty
What’s hot ... March 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Harry Dao Jr., MD, FAAD Injectable biologics remain the gold standard for achieving optimal clinical responses in psoriasis, but fear of injections leads many
This month's news from across the specialty
What's hot ... July 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD The FDA has approved the first treatment for progeria (Hutchinson-Gilford progeria syndrome). As we all know, progeria is a rare
A niche within NICH
Read the February 26, 2020 DermWorld Insight and Inquiries on noninvoluting congenital hemangioma (NICH).
Avoid the opioid
Experts offer advice on effective pain management in dermatology. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2026 Many dermatoses and dermatologic procedures are painful, but consensus on pain management in dermatology is limited, and complicated not only by the individual and varied experience of pain, but also
Taking it on the shin: Part two
Obesity-associated lymphedematous mucinosis and stasis mucinosis can be differentiated from euthyroid pretibial myxedema. Weight reduction and compression may improve these disorders.
This month’s news from across the specialty
What’s hot ... June 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 A recent study compared lipidomes and transcriptomes of single cell dermal fibroblasts to explore the determinants of cell
Biotin supplementation for hair and nail health: Does it pass the test?
Read the November 17, 2021 DermWorld Insights and Inquiries on biotin supplementation for hair and nail health.
After 23 years, a syndrome converted me into an eflornithine believer
Polyamines are integrally involved with the hair cycle. The Bachmann-Bupp syndrome has shed new light on the role of ornithine decarboxylase, and how it’s inhibition by eflornithine can be used as an advantage to either slow or stimulate hair growth.
Resorcinol’s resourcefulness in hidradenitis suppurativa
Read the March 22, 2023 DermWorld Insights and Inquiries on resorcinol’s resourcefulness in hidradenitis suppurativa.
Positively perplexing: Determining the meaning of CD30 positivity
Read the September 29, 2021 DermWorld Insights and Inquiries on determining the meaning of CD30 positivity
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
Read the January 27, 2021 DermWorld Insights and Inquiries on tirbanibulin for actinic keratosis therapy.
Impact Report — Spring 2021
In this edition we’ll update the top-level items that affect you and improve your practice in several areas including advocacy for you, our public efforts, and our member benefits.
The likely Lilliputian meaning of eosinophils in psoriasis
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, August 1, 2026 Vol. 8, No. 8 "Drugs and bugs" are the default responses of dermatopathologists when eosinophils are observed on histopathological sections. That may be correct in many circumstances, but not all. This commentary focuses on newer literature
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,
Keeping a cool head in July
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, July 1, 2026 While July is typically the hottest month of the year, there are other issues that can make a dermatologist hot under the collar, such as delayed
Talk of the town: JAK inhibitors in dermatology
Dermatologists discuss the influx of new JAK inhibitors in dermatology and how they are breaking new ground for the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2024 Over the last decade, research and development of Janus kinase (JAK) inhibitors have exploded. Three years ago, JAK
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
2022 DW Insights and Inquiries archive
Explore past issues of DW Insights and Inquiries that were published in 2022.
Prognosticating folliculotropic mycosis fungoides: Everything old is new again
I was dermatology resident in 1980 learning about mycosis fungoides when the late Peter Allen was in his glory singing “Everything Old is New Again”. The universe of cutaneous T cell lymphoma was simultaneously more confusing (how would you differentiate poikiloderma atrophicans vasculare from xanthoerythrodermia perstans?) and easier (there were
What’s up in Down syndrome?
Read the October 13, 2021 DermWorld Insights and Inquiries on developments in Down syndrome.
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
Paraneoplastic Merkel cell carcinoma: Searchin’ for my lost shaker of salt
Merkel cell carcinoma may be associated with several paraneoplastic phenomena, including the syndrome of inappropriate anti-diuretic hormone secretion, ectopic Cushing syndrome, and others.
2024 DW Insights and Inquiries archive
Explore past issues of DW Insights and Inquiries that were published in 2024.
February 11, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 11, 2026 ... Excision vs. topical 5-FU and photodynamic therapy in Bowen’s disease DermWorld What’s Hot: Sunscreen doping FDA confirms iPLEDGE changes Surgical interventions for hidradenitis suppurativa Is dual biologic
Rapalogs for vascular lesions: Caveat mTOR
Rapalogs are drugs that inhibit the mTOR pathway and include sirolimus (rapamycin), temsirolimus, everolimus, and deforolimus. All are immunosuppressive and have antineoplastic/antiproliferative effects.
A big, fat lie
The statistics on obesity are staggering. According to the CDC, the percent of adults aged 20 and over with obesity is 39.8% (2015-2016).
The “rope” sign is knot pathognomonic: Autoimmunity ties the etiologies together
The “rope” sign is a dramatic finding presenting as a linear to curvilinear cords (“cordonifom”) on the lateral chest. It was originally described as an uncommon, but specific feature of Interstitial Granulomatous Dermatitis with Arthritis (IGDA), and has been considered pathognomonic for that disorder. That perspective is no longer tenable.
My core incompetencies
It is time for our semiannual ritual – the meeting of our Clinical Competency Committee (CCC). Our dermatology program is small, having twice as many faculty members as residents, so everyone serves on the committee. The process has changed dramatically from the time I was our program director (which ended
October 6, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 6, 2021 ... A review of oral nail growth supplements DermWorld Insights and Inquiries : Granular detail on granular parakeratosis Coding guidance on reporting lesion services Implementation of COVID-19 phototherapy
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
Keeping abreast of the expanding literature of implant-associated Anaplastic Large Cell Lymphoma (ALCL)
Silicone gel implants were removed from the US market in 1992 because of health concerns, only to be reintroduced in 2006, with the provision for increased surveillance of health outcomes. I was under the (apparently mistaken) impression that the FDA put the brouhaha of a potential association of silicone
June 17, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 17, 2026 ... P ractical recommendations for seborrheic dermatitis: An expert consensus DermWorld What’s Hot: Rituximab and concurrent IVIG treatment What therapies show best long-term effectiveness for psoriasis? Long-term efficacy,
August 5, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 5, 2026 ... Spironolactone for female pattern hair loss in younger women DermWorld Insights and Inquiries : The likely Lilliputian meaning of eosinophils in psoriasis Join AADA President Murad Alam
October 15, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 15, 2025 ... Do new psoriasis biologics have better safety profiles than adalimumab? DermWorld Insights and Inquiries : Erectile dysfunction in dermatology — A silent epidemic AAD seeks member comments
November 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 19, 2025 ... Benefits and harms of 42 chronic urticaria interventions DermWorld Insights and Inquiries : The aryl hydrocarbon receptor — Tapinarof is taking off Switching biologics in patients with
Advocating on behalf of dermatology is an enduring obligation
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, December 1, 2019 The year is winding down, and as usual I find myself reminiscing about the last 12 months — thinking about all of the patients I
This month’s news from across the specialty
What’s hot ... September 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD, FAAD News flash: As of June 20, 2025, ... dupilumab is officially FDA-approved as the first targeted treatment for
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,
Desquamative gingivitis: Sinking your teeth in miagnosis and management
Patients presenting with desquamative gingivitis (DG) are typically some of the most frustrated, aggravated patients I encounter. Frequently, they have not been adequately evaluated, are in pain, and are desperate for help.
Elmer Fudd beware: Tularemia’s re-emergence
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 face, trunk, and extremities (diagnosed as erythema multiforme minor).
Danger in the workplace
Occupational associations of skin cancer ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2023 In 1775, English physician Sir Percivall Pott made history, publishing the first report of cancer caused by occupational exposure. Pott had noted an unusually high incidence of skin sores on men working as chimney
Intermediate and complex repair
Access valuable Academy update on codes that have been revised for 2020, particularly those associated with intermediate and complex repairs.
Eruptive nevi: Trying to connect the dots
Eruptive nevi are striking – they may appear after a variety of disorders, including Stevens-Johnson/toxic epidermal necrolysis, primary blistering diseases, trauma, immunosuppression (from disease or iatrogenically-induced), PUVA therapy, or idiopathically. There are also several reports in the literature for eruptive Spitz nevi and blue nevi.
The nexus of VEXAS syndrome
Read the December 1, 2021 DermWorld Insights and Inquiries on VEXAS syndrome.
Acquisition and loss: A tribute to Jouni Uitto, MD, PhD
Read the Jan. 11, 2023 DermWorld Insights and Inquiries on acquisition and loss, a tribute to Jouni Uitto, MD, PhD.
Eruptive pseudoangiomatosis is real
Read the May 4, 2022 DermWorld Insights and Inquiries on eruptive pseudoangiomatosis.
The alphabetization of lymphomatoid papulosis: Focus on “F”
The 50th anniversary of Warren Macaulay’s seminal description of lymphomatoid papulosis (LyP) is approaching.
February 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 23, 2022 ... Frontal fibrosing alopecia: The effects of sunscreens and moisturizers DermWorld Insights and Inquiries : The vexing verruciform xanthoma DermWorld Young Physician Focus : The patient experience —
April 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 13, 2022 ... Is there an association between isotretinoin and adverse neuropsychiatric outcomes? DermWorld Insights and Inquiries : Early recognition of rituximab-induced late onset neutropenia is essential 2022 Academy election
April 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 20, 2022 ... Which biologics are most effective for psoriasis? DermWorld Insights and Inquiries : One Toker over the line — Clarifying Toker cell hyperplasia in Zuska disease and its
September 11, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 11, 2024 ... Safety of low-dose oral minoxidil for hair loss in patients receiving antihypertensive medications DermWorld Insights and Inquiries : Atopic dermatitis hide and seek — The impending role
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
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
January 14, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 14, 2026 ... Are light-based therapies effective for hair loss? DermWorld What’s hot : Local recurrence and survival in patients with melanoma in situ Strategies to reduce the risk of
Checking in on the adverse reactions to checkpoint inhibitors
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 August 25th). Do further studies corroborate these studies?
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,
Debunking the myth of the aggressive nature of acantholytic squamous cell carcinomas
For years, I have taught my residents that acantholytic squamous cell carcinomas (aSCCs, aka “pseudoglandular” SCCs) were more aggressive than typical SCCs. Two recent studies suggest otherwise. In medicine (and life) there should be no room for “post-truths” – we need facts to confirm or refute long-standing assumptions.
Diagnosing infectious diseases in 2028: Let the good times roll
You may be overwhelmed by the “omics” – genomics, epigenomics, transcriptomics, proteomics, metabolomics, with good reason. “Big Data” are changing the diagnostic landscape in infectious diseases and oncology at breakneck speed. Warning: By the time this is posted, it may be obsolete!
Teatime for radiation dermatitis (and beyond)
Epigallocatechin-3-gallate, derived from green tea, has many properties with the potential for multiple uses in dermatology when used topically. It may prove especially useful for patients with radiation-induced dermatitis.
An old dog with a new trick: High dose intralesional steroids in hidradenitis suppurativa
Read the February 2, 2022 DermWorld Insights and Inquiries on high dose intralesional steroids in hidradenitis suppurativa.
Periocular hypopigmentation of the elderly: A new POTUS dermatosis?
Periocular hypopigmentation of the elderly (POHE) is a diagnosis of exclusion after vitiligo, post-inflammatory hypopigmentation to due contact dermatitis, or medication-induced hypopigmentation are ruled out. POHE is likely due to a combination of actinic damage and intrinsic ageing in those with lighter complexions.
April 25
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July 24
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November 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 1, 2023 ... Can oral nutraceuticals reduce isotretinoin side effects? DermWorld Insights and Inquiries : Exchanging plasma exchange for a novel approach — The potential of FcRn antagonists in dermatologic
February 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 15, 2023 ... AADA addresses lidocaine shortage with manufacturers DermWorld Insights and Inquiries : A nail-biting commentary Risk of rebound psoriasis flare from systemic corticosteroids DermWorld Young Physician Focus :
January 31, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 31, 2024 ... Dupilumab vs. upadacitinib for atopic dermatitis DermWorld Insights and Inquiries : Early-onset hypertension associated with extensive capillary malformations — A new worry to raise dermatologists’ blood pressure
June 11, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 11, 2025 ... Combination oral minoxidil and bicalutamide for the treatment of female pattern hair loss in adolescents DermWorld Insights and Inquiries : From Down Under to all over —
What's hot?
What's hot ... June 27, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Many dermatologists initiate a test dose of methotrexate, followed by laboratory evaluation prior to prescribing the second dose. However,
This month’s news from across the specialty
What’s hot ... November 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Bryan Carroll, MD, PhD, FAAD I don’t see an important word — ‘teledermatology’ — in the title of a recent publication about 3D total-body
Methotrexate toxicity: What’s in a name?
I was called to the ICU to assess the dramatic presentation of a woman with hemorrhagic labial crusting and erosive psoriatic plaques. Despite my long-standing familiarity with methotrexate (MTX) I had never encountered a patient with flagrant MTX toxicity.
ALDY and the redemptive power of “I don’t know”
When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the patient), hope that either the disease will manifest recognizable features,
Malassezia folliculitis: Simultaneously seen and invisible
If a rash could commiserate with Amos, the accused murderess Roxie Hart’s husband in the musical Chicago, Pityrosporum folliculitis (PF) would be a leading candidate. I have diagnosed it, but how many times have I missed it?
Psoriasin: Its other meaning and implications
Biologic processes are akin to world-class orchestras requiring precise coordination between the conductor and musicians. One miscue by either can spoil the performance.
Triskaidekaphobia legitimized: Fatal Factor XIII deficiency
Read the April 12, 2023 DermWorld Insights and Inquiries on triskaidekaphobia legitimized and fatal factor XIII deficiency.
The appeal of molecular medicine for the peeling skin syndrome
This may not be the most appropriate dermatologic admission, but as a child, I really enjoyed peeling away my post-sunburn desquamation. What joy ensued when it came off with glistening new skin underneath! Of course, I’m from the “now we know better” generation – this should never happen in 2018
A string of (clinical) pearls about drug-induced linear IgA disease
The late sage Wallace Clark taught me that once a diagnosis is secured, thinking ceases. Admittedly in cases of drug-induced linear IgA dermatosis (DI-LAD) that I have encountered (due to vancomycin), once the diagnosis was suspected and confirmed, I never gave it too much thought. Recent findings in the DI-LAD
Research suggests connection between hair loss in women and other diseases
Board-certified dermatologist discusses common types of hair loss seen in women with darker skin tones NEW ORLEANS (March 17, 2023) — Hair loss in women can be emotionally devastating and may negatively impact quality of life, and new research suggests that it can also be associated with having other common
Social media skin care trends: Dermatologists reveal the facts
Board-certified dermatologists provide tips for healthy skin ROSEMONT, Ill. (Oct. 29, 2024) — With the growing popularity of beauty influencers and viral skin care routines, social media is playing an integral role in shaping how people care for their skin. Popular trends like the glass-skin look, the Russian manicure, and
Taking woolly hair to heart
Read the October 27, 2021 DermWorld Insights and Inquiries on woolly hair.
I never wanted chaperones — until now
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Reporting Quality for MIPS
The tracking of quality measures and the performance of improvement activities can help to lead to improved outcomes in patient care.
Mpox: Treating severe lesions
Access the Academy's guidance on mpox severe lesions. Learn about wound care, coinfections, and other important considerations in treating patients with severe lesions associated with mpox.
June 15, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 15, 2022 ... FDA approves first systemic treatment for alopecia areata DermWorld Insights and Inquiries : Aluminum can cause allergic contact dermatitis — Allergen of the Year 2022 DermWorld Young
This month’s news from across the specialty
What’s hot ... July 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Need a refresher on optimizing CPT coding and documentation? At this year’s AAD Annual Meeting lecture on Coding and
This month’s news from across the specialty
What’s hot ... August 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD SARMs is a growing and dangerous social media trend. ... The U.S. Food and Drug Administration (FDA)
May 6, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 6, 2026 ... Nutritional, light-based, and lifestyle interventions for androgenetic alopecia DermWorld Insights and Inquiries : Granular C3 dermatosis in granular detail Risk of infection with JAK inhibitors Oral vs.
Becoming pro-geriatric by understanding progeria
I have never seen a case of Hutchinson-Gilford progeria syndrome (HGPS). You probably haven’t either, given its incidence of 1 in 4 million. Why comment on a disease that will likely only be seen in a texbook?
Melanoma clinical guideline
Access information on the Academy's guidelines of care for melanoma. This page provides convenient, at-a-glance highlights from the full guidelines, providing dermatologists with the most important clinical information.
Slivers of skin may diagnose silver hair syndromes
Simple tests may help distinguish the rare silver hair syndromes (SHS): Chediak-Higashi (CHS) and Griscelli (GS).
Waiting for Wong
The Wong variant of dermatomyositis was originally described by O’Leary during the Eisenhower administration (1953) and named for Wong during Nixon’s tenure (1969). I have been involved with dermatology since Carter’s term in office (1979). Since that time (Reagan, Bush, Clinton, Bush, Obama) I have yet to see a case
Improvement activities (15%)
Access Academy resources on the Improvement Activities reporting category, which makes up 15% of a dermatologist's MIPS score. Learn about the reporting requirements and the distinction between medium- and high-weighted activities. Clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety.
July 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 24, 2024 ... Is there an association between benzoyl peroxide use and increased blood benzene levels? DermWorld Insights and Inquiries : Pancreatic panniculitis — Getting spooked by ghost cells AADA
August 7, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 7, 2024 ... Is oral minoxidil safe for pediatric patients? DermWorld Insights and Inquiries : Rounds on pityriasis rotunda Contact allergens in ‘clean’ children’s products Is cumulative methotrexate associated with
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
March 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 19, 2025 ... Association between actinic keratosis treatments and use of antihypertensives? DermWorld Insights and Inquiries : Mastering dermatology Laser and energy treatments for acne scarring Efficacy of upadacitinib vs.
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
Coughing up a new warning for ustekinumab
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Guidelines for the management of hidradenitis suppurativa
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, August 1, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Christopher Sayed, MD, about his
This month’s news from across the specialty
What’s hot ... May 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 Prior authorization (PA) is purportedly designed to promote evidence-based care and prevent overuse of health services that
Misinformation puts over 16 million Americans at an increased risk for skin cancer
New data from the American Academy of Dermatology reveals misinformation drives adults to cut back or stop using sunscreen Survey data show influence of social media, misconceptions, and gaps in sun safety knowledge – especially among Gen Z Gen Z is flunking sun safety, with one-third scoring a D or
Truth in advertising
... Alabama Licensure identification Board certification (BC) Derm-specific BC Misleading advertising Licensees are prohibited from using a title in which in any way represents such person as engaged in the practice of any branch of the healing arts for which such person holds no license. ... n/a ... n/a
Emerging diseases registry
This survey is for all health care professionals taking care of patients with either (a) suspected or (b) confirmed drug-resistant dermatophytosis that you wish to report.
Differentiating lichen planopilaris from chronic cutaneous lupus may be as easy as 1,2,3 (actually CD123)
My last dermatopathology case of the week was that of a woman with scarring alopecia, which was clearly well advanced. Hardly any follicles remained, and on one section there was a small follicular unit with a peri-infundibular mononuclear infiltrate and slight vacuolar alteration of the follicular epithelium. I signed the
A potential roadMAP for treating malignant atrophic papulosis
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, June 1, 2026 Vol. 8, No. 6 Certain skin lesions evoke dread in the dermatologist who encounters them, fearing a poor prognosis for their patient. Examples include a Sister Mary Joseph nodule, a thick melanoma, or rhinocerebral mucormycosis, among
Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease
FcRn antagonists, currently approved for treating myasthenia gravis, show potential for treating pemphigus and other autoimmune diseases.
Dermatologists cannot be lax about acquired cutis laxa
From the time I was a medical student, I have always been fascinated by the “little old man” appearance of patient with cutis laxa (CL).
New CDC treatment guidelines for sexually transmitted infections
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, May 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Kimberly A. Workowski,
2025 MIPS and telehealth highlights
The 2025 MIPS program features some changes, including the introduction of a MIPS value pathway for dermatology. See our highlights on what dermatologists need to know about participating in MIPS.
Coding and documentation — Your best defense
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, October 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Accurate and thorough documentation in the medical
Getting to the heart of neonatal lupus erythematosus
Read the July 21, 2021 DermWorld Insights and Inquiries on getting to the heart of neonatal lupus erythematosus.
What are keratoacanthomatous lesions of the legs in mature women?
I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. “Why am I getting these? Are they cancer? Why do more of them appear after surgery?”
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
Medical “reefer madness” is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of medical cannabis. (1)
Pediatric dermatology
Finding Joy in pediatric phototherapy Congenital Juvenile Xanthogranulomas: Born To Be Wild (But Ultimately Mild) Sophie’s choice: Assessing atypical Spitz tumors in the molecular era The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy Sirolumus’s merit for the Kasabach-Merritt phenomenon A future therapeutic Harlequin Romance?
Trichophyton rubrum resistant to terbinafine
T. rubrum, a dermatophyte fungus, is the most common cause of dermatophytosis worldwide. Cases of terbinafine-resistant T. rubrum are increasingly being reported worldwide and in the United States.
Improvement activities (15%)
Access Academy resources on the Improvement Activities reporting category, which makes up 15% of a dermatologist's MIPS score. Learn about the reporting requirements and the distinction between medium- and high-weighted activities. Clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety.
August 16, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 16, 2023 ... Off-label use of calcineurin inhibitors for dermatologic conditions DermWorld Insights and Inquiries : Diagnosing nail unit melanomas at a faster clip What are risk factors for developing
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
June 29, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 29, 2022 ... Psoriasis treatment adherence: Adalimumab vs. ixekizumab DermWorld Insights and Inquiries : When to see red in linear erythronychia — Malignant onychopapilloma Dermatologist Jack Resneck Jr., MD, FAAD,
Eccrine syringofibroadenoma: Sweating over the details
Read the January 26, 2022 DermWorld Insights and Inquiries on eccrine syringofibroadenoma.
What's hot?
What's hot ... July 25, 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 ... In a recent study published in the ... Journal of the American Medical Association , investigators at
Should merkel cell carcinoma patients receive adjuvant radiation following excision? My personal parallel story
I was 34 years old when I was diagnosed with a stage I seminoma. Following an orchiectomy, I was instructed to see the radiation oncologist (at the same institution) for adjuvant radiation.
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
Compounding toolkit
Learn about compounding and use the Academy's free tool to determine whether particular medicines can be compounded. Due to a 2016 FDA rule, medicines that may have been compounded by a compounding pharmacy in the past for office stock may no longer be available. Dermatologists should seek to understand the
Problematic in pregnancy?
Dermatologists discuss the safety of common dermatologic drugs in pregnant patients. ... Feature ... By Jan Bowers, Contributing Writer, June 1, 2023 Few mourned the end of the FDA’s pregnancy risk letter categories for prescription and biologic drug labeling in 2015. In addition to being an oversimplified distillation of available
Taking notes
Go to AAD Home ... Go to AAD Home ... Menu ... Can scribes or dictation achieve the speed and simplicity of handwritten notes — and give doctors their nights back? ... Can scribes or dictation achieve the speed and simplicity of handwritten notes — and give doctors their nights
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
Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018
As a first-year dermatology resident in 1980, I struggled with the concept of parapsoriasis. In trying to conceptualize the process, I recall being distressed after seeing Louis Brocq’s diagram from his classic paper, “Les parapsoriasis,” published in 1902 — Would I ever understand this? What is the relationship to
This month's news from across the specialty
What's hot ... October 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... ED COWEN, MD Why do a small percentage of young and apparently healthy patients with COVID-19 develop life-threatening infection or a Kawasaki syndrome-like
Keeping dermatologists in the driver’s seat with step therapy reform
Moving the needle ... By Victoria Houghton, Managing Editor, March 1, 2023 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. Step therapy protocols interfere with patient care and create unwanted burdens on dermatology practices. Thanks to the AADA’s
So many questions. So little time.
Experts offer best practices on efficiently addressing patients’ questions about sunscreen. ... Feature ... By Andrea Niermeier, April 1, 2023 Aisles of products, numerous social media top 10 lists, and abundant information on the internet: Consumers can be quickly overwhelmed with sunscreen questions related to types, usage, and safety —
Tennessee legislation increases transparency
Tennessee Gov. Bill Lee (R) signed legislation limiting the use of medical specialty titles in advertisements.
A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn
Pediatric dermatologists must carefully assess any neonate with dermatologic findings. Many are benign and transient. A new neonatal entity has been described — transient abdominal telangiectasia of the newborn (TANT). TANT is a benign disorder. Ultrasound imaging to rule out intrabdominal pathology is indicated if abdominal distention is observed.
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
December 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 6, 2023 ... iPLEDGE wins: FDA to implement AADA’s recommendations DermWorld Insights and Inquiries : Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years Treatment access
Topical retinoid therapy for acanthosis nigricans: In the thick of it
Read the December 11, 2019 DWII on topical retinoid therapy for acanthosis nigricans.
Biting my nails worrying about atypical presentations of nail unit melanomas
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Knuckling down on knuckle pads
Read the April 1, 2020 DermWorld Insight and Inquiries on knuckle pads.
Say “Cheese!” Three reasons why EMR photography makes me smile
It is difficult to recall medical photography (or life itself) in the pre-smartphone/pre-electronic medical record (EMR) era, even though it has only been ten years since the inception of the iPhone, and just four years since our practice transitioned to an EMR.
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
Read the September 8, 2021 DermWorld Insights and Inquiries on acute hemorrhagic edema of infancy.
October 27, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 27, 2021 ... COVID-19 and nails: A review of clinical findings DermWorld Insights and Inquiries : Taking woolly hair to heart Derm Coding Consult : CMS revises Advance Beneficiary Notice
Teledermatology workflow for small practices
Use the workflow below to help you implement or improve your teledermatology operations. This version is designed for solo or small practices.
Peace of mind
Finding the right insurance coverage to protect your practice. ... Feature ... By Andrea Niermeier, Contributing Writer, September 1, 2024 While the adage goes, "By failing to prepare, you are preparing to fail," this simple witticism has grown complicated for dermatologists looking to protect themselves, their practices, and their patients.
2024 Allergen of the year: Sulfites
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, April 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Erin
Key messaging in social media about acne
By communicating these key messages on acne, you can help position the specialty while increasing your credibility and raising the profile of your practice. These include the causes of acne, how to care for it, and treatment options.
A sweeter approach to treating scleroderma?
We’re like licorice. Not everybody likes licorice, but the people who like licorice really like licorice – Jerry Garcia. Patients with scleroderma may learn to love licorice.
Ergonomics in dermatology
Neck, back, shoulder pain? It could be your exam table. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2025 After investing an average of 12 years of education and training, the last thing a dermatologist wants is to have their career cut short by musculoskeletal disorders (MSDs). However,
Skin cancer fact sheet
Find facts and statistics for reporting about skin cancer.
Scar solutions
Experts discuss current approaches to scar management. ... Feature ... By Emily Margosian, Assistant Editor, January 1, 2025 Every scar has a story. However, for millions of people worldwide, scars may negatively impact their quality of life, causing psychological distress along with physical discomfort. ... While therapeutic approaches to treat
A shot in the dark
Read the March 10, 2021 DermWorld Insights and Inquiries on COVID arm.
April 26, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 26, 2023 ... Paroxetine for refractory erythema of rosacea? DermWorld Insights and Inquiries : Demodectic eruptions — More than you mite have imagined Nonthermal atmospheric plasma for molluscum and verruca
Myths and facts about human trafficking
There are many misconceptions about the nature of human trafficking which can compromise a dermatologist’s ability to recognize it during a patient visit.
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
Read the Feb. 8, 2023 DermWorld Insights and Inquiries on surgeons' primary intention to reduce secondary infection.
Learning module: Genetic skin diseases
The purpose of the genetic skin diseases learning module is to help develop a clinical approach to the evaluation and initial management of patients presenting with genodermatoses.
Mohs Surgery Appropriate Use Criteria (AUC) app
Learn about the Academy's Mohs Surgery Appropriate Use Criteria (AUC) app. With the app, you can easily and systematically determine when Mohs surgery is most appropriate for your patients from your mobile device, right at the point of care.
Selling a practice resources
Explore these related resources for selling a practice. These include a variety of articles from Dermatology World, an overview of the types of dermatology practice ownership, and the five largest private equity-backed groups.
October 24
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Unrestricted fascination with restrictive dermopathy
Read the Nov. 16, 2022 DermWorld Insights and Inquiries on restrictive dermopathy.
Preventing and treating Trichophyton indotineae
Because confirmatory testing may take weeks, it is reasonable to empirically start treatment for T. indotineae based on patient epidemiologic and clinical features while awaiting confirmatory testing. Potassium hydroxide (KOH) preparation of skin scrapings should be performed in clinic, whenever possible, to confirm fungal infections.
Pathway to reducing medical errors
Although the overall error rate may be low, there are specific areas and opportunities to further reduce errors in the diagnostic pathway. Being vigilant and recognizing steps prone to errors facilitates detecting errors before any potential harm comes to the patient.
Key messages for social media about hair loss
By communicating these key messages on hair loss, you can help position the specialty while increasing your credibility and raising the profile of your practice. Review key messages on causes of hair loss, the psychosocial impacts, and treatment options.
NSA (neutrophilic sebaceous adenitis) secrets revealed
Neutrophilic sebaceous adenitis (NSA) usually manifests as arciform lesions of the face and upper trunk, most frequently in younger men, and often photo-induced. Occasionally there are systemic symptoms. Further research is warranted to understand this possibly underrecognized disorder.
Brentuximab vedotin update and the #MeToo saga of the Reed-Sternberg cell
There has been increasing dermatological literature about the use of brentuximab vedotin (BV) for a variety of CD30+ cutaneous lymphomas. The thrust of this commentary is to examine the current reports about BV.
This month's news from across the specialty
What's hot ... March 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 The American Journal of Public Health published a series of analyses on wasteful spending in United States health
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
Phacing the future: When patients with PHACE syndrome grow up
Read the June 24, 2020 DermWorld Insights and Inquiries on PHACE syndrome.
Topical tacrolimus topics
Read the August 26, 2020 DermWorld Insights and Inquiries on topical tacrolimus.
Dermatopathology’s taste of honey
Read the September 2, 2020 DermWorld Insights and Inquiries on dermatopathology’s taste of honey
The profound dermatological manifestations of COVID-19: Part VII — Who was that masked man?
Read the September 23, 2020 Derm World Insights and Inquiries on COVID-19 and masks.
I have moved. How do I update my contact information with the Academy?
Asked and Answered ... March 1, 2023 AAD members can conveniently update their contact information at any time by visiting account.aad.org and selecting the ‘My Profile’ tab from the menu below. ... For additional assistance, please contact the Member Resource Center at ... mrc@aad.org or 866-503-7546. ... Looking for more
FAQs: Interoperability and patient access
Get your questions on the information blocking rule answered in this FAQ. Info blocking is a complex subject, but this page answers the most commonly asked questions.
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Congenital juvenile xanthogranulomas usually appear early in life, although they may occur in adults.
Key messages when communicating about skin cancer
By communicating these key messages on skin cancer, you can help position the specialty while increasing your credibility and raising the profile of your practice. Skin cancer is the most common cancer in the United States. These are core messages to urge patients to seek screening.
August 17, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 17, 2022 ... Do dietary exclusions improve atopic dermatitis? DermWorld Insights and Inquiries : Promising therapeutic developments for cutaneous lupus erythematosus — Interfering with interferon Derm Coding Consult : Dermatology
A novel sebum inhibitor for acne vulgaris: A slick maneuver
What a pleasure it is to think about a novel treatment for acne! Honestly, have you gotten excited learning that the “same old, same old” is now available in a cloth or foam?
Of every possible solution for elastosis perforans serpiginosa, fractional carbon dioxide laser may be the best
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 – they want a specific diagnosis for one reason only – to get the right treatment, preferably curative.
Payer advocacy: Prior authorization
The Academy advocates that prior authorization determinations should be standardized, and the speed of determination should be quantified and minimized. Unduly delays and poorly designed prior authorization protocols can cause irreparable harm to patients.
Submit CMS template letter
See our instructions for downloading a CMS template letter you can use to voice your opposition to Medicare physician fee schedule cuts.
Breaking through
Go to AAD Home ... Go to AAD Home ... Menu ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... By Allison Evans, assistant managing editor
Medical vs. cosmetic dermatology: Who is doing what?
Facts at your Fingertips ... By Emily Margosian, assistant editor, January 1, 2019 Despite ongoing discussion about the role of cosmetics in the specialty, data from the 2017 AAD Practice Profile Survey indicate that medical dermatology remains the primary focus of dermatology practitioners across all types. However, dermatologists spend the
March 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 17, 2021 ... COVID-19 in melanoma patients DermWorld Insights and Inquiries : Hoops and happiness — Having the courage to take a shot DermWorld Young Physician Focus : Forging ahead
What's hot?
What's hot ... August 27, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD ... Identifying the origin of head and neck squamous cell carcinoma of an unknown primary can inform prognosis and
Life insurance 102: Five success factors when using permanent life insurance
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 In
Tofacitinib: A JAK inhibitor of all trades
Learn more about Tofacitinib: A JAK inhibitor of all trades at aad.org
Skin conditions by the numbers
Find facts and statistics for reporting about dermatology and dermatologic conditions.
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
The human (and skin) microbiome is intricately involved in health and disease. Recent studies suggest that dysbiosis may be pathogenic in disorders of hypopigmentation, such as progressive macular hypomelanosis and lichen striatus.
January 17, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 17, 2024 ... Risk of skin cancers in patients with actinic keratoses DermWorld Insights and Inquiries : A cold abscess remains a cold case — Multiple neonatal staphylococcal cold abscesses
March 26, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 26, 2025 ... What’s the best way to dissolve fillers with hyaluronidase? DermWorld Insights and Inquiries : Propranolol for infantile hemangiomas — Start to finish 2025 Allergen of the Year
Focusing attention on X-linked ichthyosis
This commentary focuses on some new literature about XLI that demands our attention.
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
How to examine your skin for skin cancer
Board-certified dermatologist shares 5 skin cancer exam tips ROSEMONT, Ill. (May 31, 2023) — Last year, 69-year-old Isabel Lievano's board-certified dermatologist diagnosed the persistent black spot under her nail as melanoma, the deadliest form of skin cancer. Though she lost her nail, she was thrilled that her dermatologist was able
Protecting patients one state at a time
The AADA advocates for a physician-led, team-based approach to care that ensures both safety and best outcomes for each patient and against state legislation that weakens the quality and safety of specialty care.
What is being recommended to patients on social media?
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, October 1, 2023 Social media is abundant with skin care advice. A recent ... JAAD cross-sectional analysis of acne treatments on YouTube found that up to 91% of teens report using social media to access health information. However, who is
Atrophic tinea versicolor: More than a mirage?
On occasion I would examine a patient with tinea versicolor and wonder if the finely scaly patches were atrophic. Somehow, I figured (possibly mistakenly) that it was more of an optical illusion than genuine atrophy.
Drug pricing and prior authorization
Access the Academy's resources and tools on drug pricing and prior authorization. Use an automated letter generator to ease the burden of seeking prior authorizations, or learn about the pitfalls of step therapy. Find drug prices in real time or access educational materials that you can share with your patients.
Striving to alleviate the physical and emotional scars of central centrifugal cicatricial alopecia
Read the November 4, 2020 DermWorld Insights and Inquiries on central centrifugal cicatricial alopecia.
Dupilumab: The first year
When introduced as dermatologist to a new acquaintance, I’m sure you have heard: “Dermatology is a great field – you don’t cure anybody, so they keep coming back!” Trust me. It’s no joy to see patients with recalcitrant, severe, life-altering, debilitating diseases such as atopic dermatitis, psoriasis, recalcitrant mycosis fungoides, et
Homing in on hornerin: Breaking down the barrier to understand its crucial role in atopic dermatitis
Maintaining the skin barrier is crucial in managing patients with atopic dermatitis. The pathomechanism(s) of barrier impairment is complex and integrally associated with immune dysregulation. Research on newly discovered proteins in the stratum corneum, such as hornerin, may lead to novel therapeutic interventions.
Rounds on pityriasis rotunda
Pityriasis rotunda is a striking dermatosis with many reported associations, most notably as a paraneoplastic process in some cases.
What's hot?
What's hot ... May 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... You may be surprised to learn that a ... new organ’ in the skin was recently identified.
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
What dermatology practices need to know about laws protecting pregnant and lactating employees
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, LLM, Jason Qu, JD, and Rob Portman, JD, MPP, September 1, 2024 Every month , DermWorld ... covers legal issues in "Legally Speaking."
Employee voices
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists offer first-person perspectives on life as an employed physician ... Dermatologists offer first-person perspectives on life as an employed physician ... By Emily Margosian, assistant editor For the average dermatologist 20 years ago, starting a career also
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
Rarely, life-threatening squamous cell carcinomas may complicate discoid lupus erythematosus (DLE). Securing the diagnosis of keratinocyte carcinoma (squamous cell carcinoma more likely than basal cell carcinoma) within DLE may be challenging. Preliminary evidence suggests that treating DLE may decrease the risk of malignancy.
Senile gluteal dermatosis: The term “senile” is getting old and should be retired
Senile gluteal dermatosis is an underrecognized frictional dermatosis seen mostly in thin, elderly patients.
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
Acne necrotica: A real head-scratcher
Acne necrotica is a puzzling, under-recognized disorder that may be very distressing for afflicted patients. Further research into the pathogenesis of this lymphocytic folliculitis is warranted so that more specific therapies can be developed.
Nailing the diagnosis of the BAP1 tumor predisposition syndrome
Patients with polydactylous onychopapillomas mandate evaluation for the BAP1-tumor predisposition syndrome.
The pregnant pause in cutaneous lymphoma
Cutaneous T-cell lymphoma during pregnancy presents unique challenges in preventing disease progression and maintaining fetal viability. Many standard therapies used in the non-gravid state are contraindicated; topical steroids, phototherapy, and interferon are considered safe options. A multidisciplinary approach is necessary for optimal management.
Diagnosing nail unit melanomas at a faster clip
Nail clippings demonstrating melanocyte remnants serve as a triage for those patients who should have a nail matrix biopsy performed to evaluate for a nail unit melanoma.
Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod
Read the June 2, 2021 DermWorld Insights and Inquiries on contact pemphigus and pemphigus-like eruptions due to imiquimod.
October 3
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Disaster relief preparedness
Answers in Practice ... By Swapna Pachauri, MPH, manager, Health Technology & Informatics, June 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Swapna Pachauri, MPH, the Academy’s Health Technology & Informatics manager, offers a summary of disaster relief preparedness. Disasters and emergencies can happen
New American Academy of Dermatology survey: increasing number of Americans at risk of skin cancer despite knowing how to protect themselves
Board-certified dermatologist urges public to practice safe sun ROSEMONT, Ill. (April 30, 2024) — Abby Weiner knew the dangers of unprotected sun exposure long before she was diagnosed with skin cancer. As someone with fair skin and freckles, the 43-year-old mother of three says she has always been diligent about
Americans lack basic health insurance literacy
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, March 1, 2023 A recent Forbes Advisor survey of 2,000 Americans who have health insurance found that while most policyholders report they’re happy with their coverage, many don’t understand it.According to the survey, over three-quarters of participants were unable to
Trichophyton indotineae infections and other severe or antifungal-resistant dermatophytoses
Dermatophytosis (ringworm, tinea, jock itch, athlete’s foot) is a very common and typically minor infection of the skin caused by dermatophyte fungi. In the past decade, severe or antifungal-resistant dermatophytoses have become a global public health concern, including in the United States.
The AADA advocates for truth in advertising
The AADA advocates for increased transparency in healthcare, supporting policies for disclosure of qualifications, visible identification, and public education campaigns. They also endorse truth in healthcare marketing legislation to protect patients from misleading advertising.
AADA fights unsafe scope expansions and misleading advertising
In 2025, the Academy took on several scope expansion and truth-in-advertising bills in partnership with state dermatology and medical societies. The AADA advocates for a physician-led, team-based approach to care that ensures the safety and best outcomes for each patient. We fight against state legislation that weakens the quality and
Will PD-1 inhibitors be msed for Mastocytosis?
The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens.
Documenting the specificity of ICD-10-CM
Access guidance on documenting specificity in ICD-10-CM. To ensure timely reimbursement, dermatologists should document to the required level of specificity in the medical record.
An encapsulation of palisaded encapsulated neuromas
Case reports and retrospective studies have demonstrated dupilumab’s efficacy in treating bullous pemphigoid. Preliminary data from a prospective trial confirms dupilumab’s therapeutic value. Perhaps approval of dupilumab for bullous pemphigoid is on the horizon.
Measuring a lesion and choosing the appropriate excision code
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, June 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Benign and malignant lesions present significant
What are the updated guidelines of care for the management of primary cutaneous melanoma?
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, December 3, 2018 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Susan M. Swetter, MD, and
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
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
Questions and answers: Evaluation and management (E/M) guidelines
Working with the AMA, the AAD’s coding experts are here to provide you with insightful solutions to your most common inquiries. In this informative question-and-answer article previously published in AMA CPT Assistant FAQ of August 2023, our coding team delves into the intricacies of coding for the repair of contiguous
Think that DIY acne trick is helping? Here’s what dermatologists want you to know
Board-certified dermatologist provides tips for clearer skin ahead of Acne Awareness Month ROSEMONT, Ill. (May 27, 2025) — Acne is one of the most common skin conditions, affecting nearly 85% of people at some point in their lives. With people increasingly turning to social media for skin care advice, at-home
Once I receive a CLIA certificate, how do I comply?
Learn how to comply with CLIA once you've received a certificate. This page describes for main steps for complying, which include developing a lab procedures manual, implementing a quality assessment program, potentially enrolling in a proficiency testing program for some practices, and preparing for a CLIA inspection, if applicable.
What is a quality measure?
Learn about the different types of quality measures and how dermatologists can use them to improve care and maximize reimbursement. Quality measures are valuable for reasons apart from reimbursement, and quality improvement programs can contribute to significant improvements in care.
Skin cancer/ melanoma
Cutting giant congenital nevi down to size molecularly Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo? Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections Biting my nails worrying about atypical presentations of nail unit melanomas 41’s gracious contribution to skin cancer awareness Dermatopathology reports about basal cell
Not otherwise specified or not elsewhere classifiable
Learn about the differences in Not Other Specified (NOS) and Not Elsewhere Classifiable (NEC) codes. Understand why you should use one code versus the other in a given scenario.
Mailing lists
The Academy's membership list is more current and accurate than any other dermatology list available in the market.
How should I prepare for a CLIA inspection?
Learn how to prepare for a CLIA inspection and avoid common deficiencies. Ensure your lab has proper procedures and documentation to pass the assessment. Get tips for common CLIA deficiencies found in dermatology practices.
Optimizing melasma management
Experts discuss treatment strategy, new insights into pathogenesis, and emerging therapies. ... Feature ... By Emily Margosian, Senior Editor, March 1, 2026 Pigmentary disorders represent some of the most common cutaneous concerns globally. In the U.S. alone, melasma affects more than 5 million people (doi:10.1016/j.jaad.2010.12.046). ... While primarily a cosmetic
The role of GLP-1s in dermatology
Dermatologists discuss how the use of GLP-1s has offered potential new avenues for patients with chronic inflammatory skin diseases. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2026 Over the past five years, the approvals of glucagon-like peptide-1 receptor agonists (GLP-1s), particularly semaglutide and tirzepatide, have sparked
Cover your assets
Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer tips on getting the most out of malpractice insurance ... Experts offer tips on getting the most out of malpractice insurance ... By Ruth Carol, contributing writer You may not be paying for your medical malpractice
Tarrying for tapinarof
Read the January 12, 2022 DermWorld Insights and Inquiries on tapinarof.
Tackling itch
Understanding and treating chronic itch ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2022 Itch, or pruritus, is a common symptom (and condition) that is considered one of the 50 most prevalent conditions worldwide — an estimated 15% of the population suffers from chronic pruritus. Speak to
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
Read the Nov. 2, 2022 DermWorld Insights and Inquiries on lipodystrophia semicircularis.
Coming to grips with lymphocytic thrombophilic arteritis
Read the May 18, 2022 DermWorld Insights and Inquiries on lymphocytic thrombophilic arteritis.
The aryl hydrocarbon receptor: Tapinarof is taking off
The aryl hydrocarbon receptor plays a key role in inflammation. Understanding its pathophysiology has led to new therapeutic agents such as tapinarof, which is approved for psoriasis and atopic dermatitis, and used off-label in lupus, vitiligo, ichthyotic diseases, and perioral dermatitis.
Wolf’s isotopic response: Where and when
Although the nature of Wolf’s isotopic response may be debated among dermatologists, clinicians must recognize that new rashes and tumors may appear in sites of previously healed sites from other disorders, most frequently herpes zoster.
Fighting for truth in advertising in Indiana
Ask the Expert ... By Victoria Houghton, Managing Editor, August 1, 2022 DermWorld ... spoke to Carrie Davis, MD, FAAD, former chair of the Government Affairs and Advocacy Committee at the Indiana Academy of Dermatology, about efforts with the American Academy of Dermatology Association (AADA) to advocate for truth in
October 31
Learn more about October 31 at aad.org
The journey of focal dermal hypoplasia: From description to inspired therapy
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 basal cell carcinoma syndrome (with his good friend
Striae due to bartonella is a stretch
I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections with multiple courses of antibiotics. During my examination, I noted several old white atrophic striae on her hip and leg. Her mother, who was accompanying her, stated matter-of-factly, “Those are due
Reporting Mohs micrographic surgery with a simple repair
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, February 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The Integumentary System, Repair (Closure) guidelines were recently
Additional Reasons Payers Request Records
Learn about additional reasons why payers request records.
Giving thanks
From the President ... Dr. Desai served as Academy president from March 2024 to March 2025. ... By Seemal R. Desai, MD, FAAD, November 1, 2024 Dear members, ... I hope everyone is enjoying their autumn so far! ... Last month kept me busy doing one of my favorite things:
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
Oncolytic virotherapy and the dermatologist
My late British cousin Tim, a brilliant, kind, benevolent husband, father, gastroenterologist, and MBA, lost his battle with glioblastoma in 2016 at age 55.* I was hoping that he might be able to get into a trial using an oncolytic virus (OV), but that was not possible.
Transplantation dermatology: Race matters
December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late South African cardiothoracic surgeon, Christaan Barnard.
A dermatologist’s guide to skincare from growing up to glowing up
Board-certified dermatologist (and mom) shares holiday shopping tips for teens and tweens. ROSEMONT, Ill. (Oct. 28, 2025) — As online skincare trends continue to capture the attention of tweens and teens (and major retailers roll out early holiday promotions), an AAD board-certified dermatologist offers guidance to help families cut through
BASCULE syndrome: Is something brewing with Bier spots?
Read the Sept. 7, 2022 DermWorld Insights and Inquiries on BASCULE syndrome.
Twenty-first century pellagra
Pellagra due to niacin deficiency still exists as a primary disorder in less developed countries and as a secondary disorder in industrialized countries.
Do not get burned by missing Staphylococcal scalded skin syndrome
Read the April 28, 2021 DermWorld Insights and Inquiries on Staphylococcal scalded skin syndrome.
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
Mentorship mentation: Bringing out the best of us!
Read the September 9, 2020 DWII on mentorship mentation.
Reporting excimer laser therapy: When to use 96999 vs 9692x
As a result of a code descriptor change for CPT codes 96920-96922 effective Jan. 1, 2024, these codes are now to be used only for excimer laser treatment of psoriasis.
Support system
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... By Ruth
March 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 1, 2023 ... Isotretinoin: Risk of IBS, ulcerative colitis, and Crohn’s disease? DermWorld Insights and Inquiries : Seeing red with dupilumab IL-17 inhibitors in psoriasis patients in the real world
April 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 5, 2023 ... What’s the effect of probiotics on skin photoaging? DermWorld Insights and Inquiries : An appealing step closer to targeted topical therapies Does nicotinamide prevent keratinocyte cancers in
This month's news from across the specialty
What's hot ... January 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Sylvia Hsu, MD, FAAD Diagnostic conundrums are often presented at dermatology teaching conferences in which the presenter asks the audience for a differential
This month’s news from across the specialty
What’s hot ... October 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Rosalie Elenitsas, MD, FAAD Pathologists and dermatopathologists frequently encounter poorly differentiated tumors that fail to reveal a defined lineage. In cutaneous specimens, these are
Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis
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 telangiectasis, Samitz sign, pruritic erythema of the scalp, and panniculitis – none has perplexed me more than mechanic’s hands (MH).
The H syndrome – Understanding Y
Read the April 15, 2020 DermWorld Insight and Inquiries on H syndrome.
Sirolumus’s merit for the Kasabach-Merritt phenomenon
We wish to report the following case of an extensive hemangioma of the skin associated with diffuse purpuric manifestations. The course and management of the condition, we believe, are of unusual interest.
Learning about proton pump inhibitor-induced dermatologic adverse reactions is ulcerogenic
How many of your patients are on protein pump inhibitors (PPI) such as Nexium [esomeprazole], Prevacid [lansoprazole], or Prilosec [omeprazole] for GERD? Let me rephrase the question. How many of your patients are NOT on PPI’s?
Scratching from A Hard Day’s Night? Meet the beetles!
One of my least favorite encounters in dermatology is telling patients that it looks like they have insect bites.
Review of systems (ROS)
Review of Systems (ROS) is an inventory of body systems that you get from asking patients about their symptoms. If you don’t code the ROS correctly, you can end up down-coding, which isn’t good for your patient’s outcome or your bottom line.
Americans with Disabilities Act issues in dermatology
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 Robert M. Portman, JD, MPP, January 1, 2021 Every month, DermWorld ... covers legal issues in "Legally
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
March 24, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 24, 2021 ... Derm Coding Consult : Applying 2021 E/M coding concepts in everyday practice — Part 1 DermWorld Insights and Inquiries : Lipschütz ulcers — Not only for women
January 30
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Humbled again: Alopecic and aseptic nodules of the scalp
Read the November 3, 2021 DermWorld Insights and Inquiries on alopecic and aseptic nodules of the scalp.
Paradoxical biological reactions and Grandma Dora’s waterbed
Read the January 22, 2020 DWII on paradoxical biological reactions.
It's time for a CLIA refresher!
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, August 1, 2019 What comes to mind when you hear CLIA? Probably that it’s just another burdensome federal regulation
Using trusts to shield assets from potential liability
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 3, 2018 Given
This month's news from across the specialty
What's hot ... December 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD Choice and transparency dominate our landscape. It is hard to believe that it was only 2013 when the FDA
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
What to consider before selling your practice to a private-equity-backed group?
Considering selling your dermatology practice to a private equity-backed group? Learn about the pros and cons, including potential financial risks, and what corporate dermatology groups look for in a practice. Discover how to get the best offer for your practice and find resources for preparing a practice sale contract, valuing
Protecting privacy
Protecting patient privacy is at the heart of HIPAA. Find out what you have to do to comply.
Cosmetic treatments
By communicating these key messages on cosmetic treatments, you can help position the specialty while increasing your credibility and raising the profile of your practice. Review key messages tailored to the different kinds of cosmetic treatments, including fillers, botulinum treatment, liposuction, and more.
JAKne is on the horizon
Read the July 27, 2022 DermWorld Insights and Inquiries on JAK and acne.
Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma
Squamoid eccrine ductal carcinomas may be highly aggressive malignancies characteristically observed on the head and neck of older men. Biopsies must be deep enough to ensure that these lesions are not diagnosed as squamous cell carcinomas.
The illusions of IgG4-related skin disease
The diagnosis of IgG4-related skin disease requires careful clinical-pathological correlation because of its varied cutaneous presentations. B-cell depletion therapy with biologic agents such as inebilizumab or obexelimab is promising a future surpassing steroid therapy for this disease.
Keeping abreast of drug-induced cutaneous lupus
Read the August 4, 2021 DermWorld Insights and Inquiries on drug-induced cutaneous lupus.
A second set of eyes
As states consider new chaperone rules for skin checks, what do they mean for your patients and practice? ... Feature ... By Emily Margosian, Senior Editor, July 1, 2025 In dermatology, the physical exam is a core part of nearly every patient encounter, requiring mutual trust between patient and physician.
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
Entering a golden age of toxins
Go to AAD Home ... Go to AAD Home ... Menu ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ...
ECHO on the front lines of COVID-19
Karen Edison, MD, senior medical director for the Missouri Telehealth Network & Show-Me ECHO, discusses the use of the Extension for Community Healthcare Outcomes (ECHO) Project during the COVID-19 pandemic.
Studying skin aging never gets old: The potential role of oxytocin
Read the October 14, 2020 DermWorld Insights and Inquiries on oxytocin and aging skin.
JAAD
Putting muscle into isotretinoin laboratory testing isn’t chopped liver! The newest frontier for biologics and psoriasis may be adherence Progress for progressive multifocal leukoencephalopathy A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Dermatologists cannot be lax about acquired cutis laxa Congenital juvenile xanthogranulomas: Born to
Time to reassess messing around with steroids and psoriasis
Read the March 3, 2021 DermWorld Insights and Inquiries on reassessing steroids and psoriasis.
Netherton syndrome: From apex to nether
Read the March 31, 2021 DermWorld Insights and Inquiries on Netherton syndrome.
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
Primer on payer contract issues
Answers in Practice ... By Lou Terranova, Associate Director, Practice and Payment Policy, and Teresa Salaway, Senior Manager, Practice and Payment Policy, October 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, AADA regulatory and payment policy staff highlight critical elements of payer contracts for
Cosmetic or not, will this be covered?
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, February 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Dermatologists play a crucial role in
Telemedicine coding basics: What you need to know now
Learn the proper telemedicine codes for a variety of services.
Pineapple and cicatricial pemphigoid: A need to dole out more studies
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.
Interfering with interferon Gamma: The mechanisms behind acquired resistance to PD-1 inhibitors for melanoma
Astounding major advances in targeted therapies for melanoma, most notably by PD-1 blockade, have given hope and life to patients with metastatic melanoma. Approximately 30 % of advanced melanoma patients experience tumor responses from checkpoint blockade monotherapy, with better clinical responses seen with the combination of anti-PD-1 and anti-CTLA-4 antibodies.
Practice types in dermatology
Dermatologists can choose from a diversity of practice types, from independent to group and institutional. Each of these practice types comes with trade-offs between between autonomy and support, benefits and risks. There are also new practice models, meant to improve value and contain costs.
International Associate membership | AAD
Information about International Associate membership in the American Academy of Dermatology. Learn about eligibility, the timeline, documentation, dues and fees, and how to apply.
Managing hair loss
What has research revealed about the pathogenesis of androgenetic alopecia, alopecia areata, and central centrifugal cicatricial alopecia as well as new potential therapeutics? ... Feature ... By Allison Evans, assistant managing editor, September 1, 2021 To those outside the world of dermatology, hair is sometimes perceived to be a cosmetic
Metformin mania: Is it an adequate chemopreventive agent for skin cancer?
Read the Aug. 31, 2022 DermWorld Insights and Inquiries on metformin as a chemopreventive agent for skin cancer.
The treatment of systemic juvenile xanthogranulomas matures
Advances in genetics and molecular biology have identified pathways confirming the usefulness of targeted therapies such as dabrafenib and alectinib in those patients with systemic juvenile xanthogranulomas harboring specific mutations in BRAF or ALK translocations, respectively.
Sparking the interest in Spark nevus
For the clinician, a Spark nevus may have been encountered under different designations such as Clark/dysplastic nevus and Spitz nevus assigned with varying degree of atypia. The designation Spark nevus accounts for a combination of histopathologic findings present in Spitz and Clark nevus long observed by pathologists. Though the nevus
Dermatopathology
Cutting giant congenital nevi down to size molecularly Eosinophilic dermatosis of hematologic malignancy: Reality bites Oy, another "Oid" to worry about: Cryptococcoid lesions Biting my nails worrying about atypical presentations of nail unit melanomas Deep penetrating thoughts about deep penetrating nevi Sophie’s choice: Assessing atypical Spitz tumors in the molecular
An appealing step closer to targeted topical therapies
Read the April 5, 2023 DermWorld Insights and Inquiries on an appealing step closer to targeted topical therapies.
Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill
Dilated, depressed frontal veins are a clinical sign of frontal fibrosing alopecia.
What's hot?
What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,
Is your dermatology practice's website ADA compliant?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Christina L. Krysinski, JD, and Robert M. Portman, JD, September 2, 2019 The Americans with Disabilities Act of 1990 (ADA) is a comprehensive federal civil rights
Modifier madness
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 1, 2019 Test your knowledge: Modifier madness ... Take the quiz to see if you're up to date.
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:
Coding and documentation for hyperhidrosis
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Clear and concise documentation is essential
Stress^2 + Hormones^2 = Acne^2
Learn more about Stress + Hormones = Acne at aad.org
For better or worse technology is changing medicine.
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, September 3, 2018 When is the last time you looked at a paper map or met with a travel agent to book your next adventure? Advances in technology have
They never taught us how to fail
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, December 1, 2019 Physicians are high performers and success is the norm. In our safety-conscious world of medicine, we learn about errors and are given tools to analyze the root cause in
Intralesional triamcinolone for hidradenitis suppurativa and thoughts on confirmation bias
Anyone who has treated the scourge of hidradenitis suppurativa (HS) has probably injected inflamed nodules and cysts with triamcinolone (TAC) successfully, resulting in very grateful patients.
Systemic amyloidosis presenting as nail dystrophy (and inducing onychophagia in the reviewer)
I admit it – I am plagued with onychophagia (nail biting). It is a life-long habit, and now that I’m 61, I presume that this foible will remain with me to the end. It is worse with anxiety – after reviewing the following articles, I’m down to the hyponychium!
Paraneoplastic syndromes (PNS) associated with merkel cell carcinoma are analogous to small cell cung Cancer: A comparison to other lung cancers
Merkel cell carcinomas (MCC) are neuroendocrine tumors associated with the Merkel cell carcinoma polyomavirus in greater than 80% of tumors (1). Small cell lung cancer, another neuroendocrine tumor, is associated with paraneoplastic syndromes (PNS) in up to 20% of cases, notably the syndrome of inappropriate antidiuretic hormone (SIADH) and Lambert-Eaton
Getting a toehold on subungual tumors: Aneurysmal bone cysts join the club
Subungual tumors make me nervous. I realize that most are benign (subungual exostosis, osteochondroma, onycholemmal cyst, glomus tumor, pyogenic granuloma, wart, fibroma, acral fibromyxoma), however subungual malignant lesions (squamous cell carcinoma, keratoacanthoma, melanoma) occur. A delayed diagnosis can result in a profoundly adverse outcome.