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Session handouts and meetings archive

Handouts ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023 Innovation Academy, Tampa, FL, August 10-13 2023 Annual Meeting, New Orleans, LA, March 17-21 Sessions ... 2025 Innovation

CME & session evaluation archive

Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023

Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?

By Warren R. Heymann, MD Sept. 18, 2019 Vol. 1, No. 28 Chatting with my chief resident, Tia Pyle, I was lamenting the recent comparative report that ingenol mebutate (and other treatments) did not fare as well as 5-fluorouracil (5-FU) for treating actinic keratoses (AKs). (1) (See previous ... Dermatology

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.

June 5

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 5, 2019 ... Self-injection of black market dermal fillers poses health concern DW Insights and Inquiries : Stress 2 ... + Hormones 2 ... = Acne 2 ... CMS/NCCI announce

September 5

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 5, 2018 ... CMS values virtual appointments AMA House of Delegates votes on critical health policy resolutions High drug costs send patients seeking foreign medications FDA approves tretinoin lotion for

December 5

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 5, 2018 ... USP update on access to buffered lidocaine Are you smarter than DataDerm™? What’s the latest on drug shortages? Identifying, treating rosacea in skin of color 2019 AAD

Prurigo pigmentosa as the “keto rash”: I’m a believer

By Warren R. Heymann, MD February 5, 2020 Vol. 2, No. 5 Patients are attuned to their diets — healthy, unhealthy, or trendy. Unquestionably, certain foods exacerbate specific dermatoses — just ask any dermatitis herpetiformis patient how they fare with a slice of Sicilian pizza. More often the situation is

An appealing step closer to targeted topical therapies

By Warren R. Heymann, MD, FAAD April 5, 2023 Vol. 5, No. 14 Although advances in molecular genetics have revolutionized our understanding of the pathogenesis of disease, the road to developing topical therapies based on these discoveries is in its infancy. ... Healthy maintenance of our stratum corneum is essential

June 5, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 5, 2024 ... Oral minoxidil vs. topical minoxidil for male androgenetic alopecia DermWorld Insights and Inquiries : Nailing the diagnosis of the BAP1 tumor predisposition syndrome Clotrimazole-betamethasone dipropionate for nonfungal

November 5, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 5, 2025 ... An OTC finasteride alternative? DermWorld Insights and Inquiries : Diagnosing the primary cutaneous SMARCA4 deficient cutaneous tumor — You don’t know what you got ‘til it’s gone

February 5, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 5, 2020 ... Legislators aim to prevent sunscreen bans DW Insights and Inquiries : Prurigo pigmentosa as the "keto rash": I’m a believer Correction issued to pediatric psoriasis treatment guidelines

February 5, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 5, 2025 ... PRP, microneedling, and topical minoxidil for refractory severe androgenetic alopecia DermWorld Insights and Inquiries : Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and

October 5, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 5, 2022 ... Is there an association between low-dose methotrexate and melanoma? DermWorld Insights and Inquiries : Optimizing the dermatologist-patient encounter FDA approves first treatment for prurigo nodularis Perioperative practices

Coming full circle (almost): Low dose oral minoxidil for alopecia

By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall

January 5, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 5, 2022 ... Cicatricial alopecia following ACD from hair dye DermWorld Insights and Inquiries : Coming full circle (almost) — Low dose oral minoxidil for alopecia FDA approves atopic dermatitis

March 5, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 5, 2025 ... Is there a link between oral minoxidil and pericardial effusion? DermWorld Insights and Inquiries : Giving a NOD2 to Yao syndrome Higher cumulative dose of isotretinoin tied

May 5, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 5, 2021 ... Is dutasteride an effective treatment for frontal fibrosing alopecia? DermWorld Insights and Inquiries : Digging deeper into lupus erythematosus panniculitis Which herbal supplements may affect autoimmune skin

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

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

Digging deeper into lupus erythematosus panniculitis

By Warren Heymann, MD May 5, 2021 Vol. 3, No. 18 Lupus erythematosus panniculitis (aka lupus erythematosus profundus, LEP) has a storied history. The famed clinician Harry Arnold noted that Kaposi (when he was Kohn) observed nodules in patients with lupus. (1) Debates and controversies ensued for decades, with many

Unmasking the complications of personal protective equipment

By Christen Mowad, MD August 5, 2020 Vol. 2, No. 31 Allergic contact dermatitis and irritant contact dermatitis have long been identified as potential adverse reactions to personal protective equipment (PPE) most commonly due to gloves. The global pandemic caused by COVID-19 has heightened the need to use PPE as

August 5, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 5, 2020 ... COVID-19 and employed physicians: Contracts, furloughs, and termination DW Insights and Inquiries: Unmasking the complications of personal protective equipment AAD-NPF release psoriasis guidelines on topical treatments Participate

Advocacy Update Aug 5, 2025

IN THIS ISSUE / August 5, 2025 AADA endorses sunscreen reform legislation AADA nominates dermatologists for FDA Advisory Committee Contribute to SkinPAC Legislative affairs AADA endorses sunscreen reform legislation ... The AADA recently joined members of the SUNucate Coalition in ... endorsing a bipartisan bill (PDF) that would streamline the

Understanding the risk of Wilms Tumor in hemihypertrophy: Are we halfway there?

By Warren R. Heymann, MD Nov. 16, 2017 ... Diffuse capillary malformation with overgrowth. A 2-month-old girl with ill-defined erythematous patches of the bilateral upper extremities, posterior trunk, and left lower extremity. There is also overgrowth of the left lower extremity. ... Credit: ... JAAD Wilms tumor (WT, nephroblastoma) is

The breathless complications of anti-MDA-5-positive dermatomyositis

By Warren R. Heymann, MD, FAAD Oct. 30, 2024 Vol. 6, No. 44 Dermatologists are familiar with the spectrum of dermatomyositis (DM) — classic DM, juvenile DM, amyopathic DM, and cancer-associated DM. Clinically, amyopathic DM is a form in which the patients typically develop characteristic cutaneous features of DM [heliotrope

February 26, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 26, 2025 ... 5-FU in patients with squamous cell carcinoma in situ DermWorld Insights and Inquiries : Living with trimethylaminuria — Research awaiting the smell of success Do topical corticosteroids

Optimizing the dermatologist-patient encounter

By Warren R. Heymann, MD, FAAD Oct. 5, 2022 Vol. 4, No. 40 My celebration of the USA bicentennial on July 4, 1976, was a glorious affair. I had taken my first plane flight at age 21 to visit Boston, culminating with Arthur Fieldler and the Boston Pops performing Tchaikovsky’s

December 20, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 20, 2023 ... Surgical excision vs. 5-FU vs. PDT in treating Bowen’s disease DermWorld Insights and Inquiries : Holiday Greeting 2023 Association between JAK inhibitors and acne Risk of mortality

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

Write this down if your patient has multiple PENS: Look further

By Warren R. Heymann, MD June 18, 2016 Papular Epidermal Nevus with Skyline Basal Cell Layer (PENS) was first described by Torrelo et al. They detailed 5 infants with solitary or multiple 1 to 7 mm congenital keratotic papules. Lesions were randomly distributed and did not follow Blaschko lines. They

Biotin supplementation for hair and nail health: Does it pass the test?

By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,

Advocacy Update Aug 19, 2025

IN THIS ISSUE / Aug. 19, 2025 Academy addresses Cigna’s new E/M billing policy AADA member selected for Partnership for Quality Measurement’s Pre-Rulemaking Measure Review Clinician Committee AADA presents at FDA Advisory Panel on dermal fillers Contribute to SkinPAC Payer Advocacy Academy addresses Cigna’s new E/M billing policy ... On

Dermatomyositis takes your breath away!

By Warren R. Heymann, MD Feb. 22, 2017 Anti-MDA5–associated DM. Eroded violaceous papules and plaques covered by scale and crust over the palmar joint creases and digital tips. ... Credit: ... JAAD The dermatopulmonary syndrome (DPS) is a newly recognized subset of dermatomyositis (DM) associated with anti-MDA5 (melanoma differentiation-associated gene

Public Health and Clinical Data Exchange objective bonus measures

Bonus measure scoring ... The maximum you can earn is 5 bonus points, and reporting more than one measure will not result in more than 5 bonus points. These measure have no exclusions. ... Measure: Public Health Registry Reporting (PI_PHCDRR_4) ... DESCRIPTION The MIPS eligible clinician is in active engagement

Is there a best approach to widespread actinic keratoses?

By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but

Public Health and Clinical Data Exchange objective bonus measures

Bonus measure scoring ... The maximum you can earn is 5 bonus points, and reporting more than one measure will not result in more than 5 bonus points. These measure have no exclusions. ... Measure: Public Health Registry Reporting (PI_PHCDRR_4) ... DESCRIPTION The MIPS eligible clinician is in active engagement

October 30, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2024 ... Breast health outcomes in women on oral 5-alpha reductase inhibitors D ermWorld Insights and Inquiries : The breathless complications of anti-MDA-5-positive dermatomyositis What symptoms are most significantly

After 23 years, a syndrome converted me into an eflornithine believer

By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.

This month’s news from across the specialty

What’s hot ... July 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD Is topical 5-fluorouracil toxic to our pets? The answer is yes, as explained by Young et al in their

More payers implementing evaluation and management code level reviews

Several insurance payers are expanding pre-payment claim reviews for higher-level evaluation and management (E/M) services. These reviews often target level 4 and 5 visits and may result in downcoding. ... UnitedHealthcare’s Smart Edit and Elevance Health’s (formerly Anthem) E/M Leveling program have been in place for several years. Now, additional

A surgical pearl (in waiting) for the medical dermatologist

By Warren R. Heymann, MD ... Oct. 21, 2016 ... I admit it — the surgical aspect of my practice is rudimentary. Honestly, any non-cosmetic procedure that takes me more than 5 minutes gets referred. It’s amazing how I can make a living with shave biopsies, tangential excisions, electrodesiccation

Yeast rising: Predicting the efficacy of candida antigen immunotherapy for warts

By Warren R. Heymann, MD Oct. 2, 2017 ... Numerous flat warts (verrucae plana) seen on upper extremities of patient with epidermodysplasia verruciformis. ... Credit: ... JAAD Perhaps I’m paranoid, but I always think that warts are laughing at me, or at least at whatever I throw at them —

March 20, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 20, 2024 ... Combination imiquimod and 5-FU for treating AKs DermWorld Insights and Inquiries : San Diego AAD musings Talking points: Benzene found in acne care products Safety of dermatologic

October 9, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 9, 2024 ... Topical 5-FU/calcipotriene cream for the treatment of squamous cell carcinoma in situ DermWorld Insights and Inquiries : Shedding light on tumoral melanosis FDA weighing approval of new

“Black dot” alopecia areata

By Warren R. Heymann, MD April 16, 2016 This week I had a 35 year old man present with a one month history of a round patch of alopecia. He was told by his PMD that he had tinea and was started on oral terbinafine (which he had been on

Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease

By Warren R. Heymann, MD, FAAD Nov. 1, 2023 Vol. 5, No. 44 Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are potentially life-threatening disorders demanding aggressive therapy with all the finesse and skill that dermatologists can muster. PV is characterized by IgG autoantibodies targeting desmoglein (Dsg)‐3, which is associated with

December 18, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 18, 2024 ... Combined topical 5-FU and calcipotriene for superficial keratinocyte carcinomas DermWorld Insights and Inquiries : Holiday greeting 2025 FDA approves tapinarof cream for atopic dermatitis Upadacitinib vs. dupilumab

2026 AAD Innovation Academy: Keynote and speaker preview

Keynote ... Thursday, July 16 | 5:00 p.m. - 5:45 p.m. ... Lisa Bodell – Global Leader in Simplification and Innovation ... Lisa Bodell is a globally recognized expert on simplification, collaboration, and innovation, helping organizations transform performance by redesigning the work itself. Founder and CEO of Future Think, and

Melanoma: A family affair

By Warren R. Heymann, MD Nov. 4, 2016 It has now been 5 years since I was diagnosed with melanoma. Six years ago, my wife Ronnie found a tick on my back; when she noted a lesion in the same region a year later, I remember asking her "What did

Playing the field: Introducing tirbanibulin for actinic keratosis therapy

By Warren R. Heymann, MD January 27, 2021 Vol. 3, No. 4 Field therapy is a cornerstone of actinic keratosis (AK) management. Two years ago, a ... New England Journal of Medicine article demonstrated that 5-fluorouracil (5-FU) was the best among inadequate therapies (compared to imiquimod, MAL-PDT, and ingenol mebutate).

September 7, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / S ept. 7, 2022 ... Are concentrations higher than 5% minoxidil of benefit for androgenic alopecia patients? DermWorld Insights and Inquiries : BASCULE syndrome: Is something brewing with Bier spots? Emollient

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

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

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

May 15, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 15, 2024 ... Sexual dysfunction with 5-alpha reductase inhibitors for androgenetic alopecia DermWorld Insights and Inquiries : Acne necrotica — A real head-scratcher Benzoyl peroxide in acne: Risk of acute

MIPS reporting in 2018

In Practice ... Rachna Chaudhari is the AAD's practice management manager. Her column offers tips in response to common member questions. ... By Rachna Chaudhari, MPH, director of practice management, February 1, 2018 After requiring dermatologists to report one measure one time in 2017 to avoid a 4% penalty in

Top pediatric allergens by age group

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, March 1, 2025 Allergic contact dermatitis (ACD) affects approximately 20% of children in the United States (doi: 10.1097/DER.0000000000000214). A 2023 multicenter ... study summarizing the results of the Pediatric Allergic Contact Dermatitis registry from 2016 to 2022 found top allergens

Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses

By Warren R. Heymann, MD, FAAD July 5, 2023 Vol. 5, No. 27 At the inception of my dermatology residency in July 1980 I read a brief article entitled "Benign Lichenoid Keratosis" (BLK) by Detlef Goette (1) and thought to myself "Remember this — I’ll probably see this lesion now

Can oral ivermectin cure pediatric periorificial dermatitis? It mite!

By Warren R. Heymann, MD March 5, 2017 A 13-year-old boy with severe rosacea before (A) and 1 month (B) and 4 months (C) after receiving oral therapy with a single dose of 250 μg/kg ivermectin (case 3). Note the facial desquamation after the first weeks of therapy, not attributable

Sézary syndrome and Shakespeare: What’s in a name?

By Warren R. Heymann, MD ... March 24, 2017 ... Initial clinical presentations of Sézary syndrome without erythroderma. Normal-appearing skin with moderate pigmentation on back of patient 2 (A), several seborrheic keratoses and a hematoma secondary to skin biopsy for patient 3 (B), no apparent lesion on back of

2026 AAD Annual Meeting: Resource Center

AAD Resource Center Booth 427 Resource Center Hours ... Date ... Time ... Friday, March 27 ... 10:00 a.m. - 5:00 p.m. ... Saturday, March 28 ... 10:00 a.m. - 5:00 p.m. ... Sunday, March 29 ... 10:00 a.m. - 3:00 p.m. ... Your AAD Membership. Elevated. ... Visit the

A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis

By Warren R. Heymann, MD, FAAD Feb. 1, 2023 Vol. 5, No. 5 It only takes a nanosecond for a dermatologist to recognize the "salt and pepper" dyspigmentation (SPD) of systemic sclerosis (SSc), but a lifetime to understand and manage it. Of all the cutaneous signs of SSc (sclerodactyly, telangiectasias,

Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and Carteaud

By Warren R. Heymann, MD, FAAD Feb. 5, 2025 Vol. 7, No. 5 Congratulations to Aaron Judge for setting the American League seasonal record in 2023 for the most home runs — 62 — a remarkable feat. I was only six years old when Roger Maris* slammed his 61st home

Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod

By Warren Heymann, MD June 2, 2021 Vol. 3, No. 22 Most astute medical dermatologists are aware of drug-induced pemphigus, but many (including myself) may not be as familiar with topical medications being the responsible culprits. This commentary will focus on imiquimod-induced pemphigus and pemphigus-like eruptions (PLE). ... My curiosity

Melanoma: Tracking and Evaluation of Recurrence — Measure 509

Melanoma: Tracking and Evaluation of Recurrence ... DESCRIPTION: Percentage of patients who had an excisional surgery for melanoma or melanoma in situ with initial American Joint Committee on Cancer (AJCC) staging of 0, I, or II, in the past 5 years in which the operating provider examines and/or diagnoses the

Melanoma: Tracking and Evaluation of Recurrence — Measure 509

Melanoma: Tracking and Evaluation of Recurrence ... DESCRIPTION: Percentage of patients who had an excisional surgery for melanoma or melanoma in situ with initial American Joint Committee on Cancer (AJCC) staging of 0, I, or II, in the past 5 years in which the operating provider examines and/or diagnoses the

Digital media kit: DermWorld editorial calendar

Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...

It’s your call. We answer it.

Your Academy Member Resource Center (MRC) receives thousands of inquiries via email, phone, and online chats. But we are always there to answer the call. ... Here are some of the highlights of the MRC’s member-focused activities in 2024: ... # of calls received: ... 9,359 # of voicemails handled:

APACHE no more

By Warren R. Heymann, MD Dec. 4, 2017 ... A, Dark red, linear plaque on posterior area of right lower leg. B, Slightly raised, scaly, undulating lesion measuring 50 × 12 mm. ... Credit: ... JAAD This commentary is about being DC (Dermatologically Correct), not PC (Politically Correct as in

January 29, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 29, 2025 ... Female pattern hair loss: Topical 17α-ethinyl estradiol with minoxidil vs. topical minoxidil DermWorld Insights and Inquiries : Necrotizing infundibular crystalline folliculitis — Not yet crystal clear Treatment

2018: Merit-based Incentive Payment System (MIPS)

Eligibility: Physicians, PAs, NPs, Clinical Nurse Specialists, and Certified Nurse Anesthetists who billed ≥ $90,000 in Medicare Part B allowed charges and saw more than 200 Medicare Part B patients ... Reporting year: January 1st, 2018 – December 31st, 2018 ... Data completeness: At least 60% of All Payer Data

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. ...

September 18

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 18, 2019 ... HPV vaccine to treat common warts? DW Insights and Inquiries : Calcipotriene and 5-fluorouracil — Dermatology’s new dynamic duo? Government green-lights co-pay accumulator programs for 2020 Howard

You had questions. Your Academy had answers.

Your Academy Member Resource Center (MRC) receives thousands of phone calls, emails, and online chats throughout the year. But it’s nothing we can’t handle! ... Here are some highlights of the MRC’s member-centric activities in 2023:  ... Total calls: 11,413  ... Voicemails handled: 512  ... Chats received: 1,656  ... Emails:

March 3, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 3, 2021 ... The latest on the association between diet and acne DermWorld Insights and Inquiries : Time to reassess messing around with steroids and psoriasis Is intralesional 5-FU effective

Keeping up is hard to do: The need for true grit

By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,

Tofacitinib: A JAK inhibitor of all trades

By Warren R. Heymann, MD April 3, 2019 Vol. 1, No. 4 The Janus kinase inhibitors are taking the dermatologic therapeutic world by storm — at least in the literature. By now, most dermatologists are familiar with studies that have demonstrated efficacy in alopecia areata, vitiligo, psoriasis, psoriatic arthritis, and

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

Twenty years of imiquimod taking its toll on lentigo maligna — Where are we?

By Warren R. Heymann, MD February 12, 2020 Vol. 2, No. 6 Although Y2K never amounted to much, a solitary case report that year changed the dynamic in treating a vexing problem — melanoma in situ of the lentigo maligna (LM) subtype. Ahmed and Berth Jones reported treating an 88-year

Academic Dermatology Leadership Program (mentee)

The Academic Dermatology Leadership Program (ADLP) is a comprehensive program that requires a full-year commitment. ... Applications for the 2027 Academic Dermatology Leadership Program will open July 2026 ... Please send me an email reminder when the application opens . ... By applying for this program, you are agreeing to

What's hot?

What's hot ... May 31, 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 ... There are several FDA-approved options available for field therapy for the treatment of multiple actinic keratoses, including

Becoming whipped up over flagellate dermatoses

By Warren R. Heymann, MD ... July 13, 2017 ... A, A 44-year-old male patient with characteristic flagellate dermatitis after ingestion of shiitake. B, Same patient 4 days after balneo PUVA therapy. ... Credit: ... JAAD The literature on flagellate dermatoses has been whipped into frenzy. The initial description

2025 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 24 - DWI&I Holiday greeting 2025 Dec. 17 - Long COVID has a lot of nerve Dec. 10 - The illusions of IgG4-related skin disease Dec. 3 - Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas

Asking psoriasis patients to open their mouths and say “Ahhh”

By Warren R. Heymann, MD March 5, 2018 Classification based on the pattern of tongue fissures. A, Central longitudinal pattern. B, Central transverse pattern. C, Lateral longitudinal pattern. D, Branching pattern. E, Diffuse pattern. ... Credit: ... JAAD A thorough cutaneous examination includes the hair, nails, and mucous membranes (lips,

Eyeing the use of cryotherapy for eyebrow alopecia areata

By Warren R. Heymann, MD April 5, 2017 I am always looking for alternatives to injecting eyebrow alopecia areata with triamcinolone acetonide (TAC). My protocol, based on the recommendation by Alkhalifah et al, is TAC 2.5 mg/mL, 0.5 mL to each eyebrow, every 4 to 6 weeks, as necessary (1).

January 25, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 25, 2023 ... Is topical spironolactone effective for acne? DermWorld Insights and Inquiries : The ironclad promise of ferroptosis Topical lidocaine-prilocaine vs. ice packs for laser hair removal Efficacy of

2026 AAD Innovation Academy: Schedule at-a-glance

Experience the energy of dermatology’s latest advancements in New York this summer! ... 2026 AAD Innovation Academy arrives in New York City with just as much momentum and energy as the city itself. Explore a future focused program featuring high-impact sessions, standout speakers, and immersive learning experiences designed to keep

2025 AADA Legislative Conference: Travel, hotel, and meals

The 2025 AADA Legislative Conference takes place Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott. The program is set to begin on Sunday no earlier than 4:00 p.m. ET and will adjourn by 5:00 p.m. ET on Tuesday, depending on individual Capitol Hill meeting schedules. The

Demodectic eruptions: More than you mite have imagined

By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the

Wolf’s isotopic response: Where and when

By Warren R. Heymann, MD, FAAD Oct. 18, 2023 Vol. 5, No. 42 Wolf’s isotopic response (WIR) has been a mysterious and controversial dermatological sign for almost 40 years. In 1984, the Doctors Wolf (Ronni and Danny) described two cases — a 52-year-old man and a 12-year-old girl — both

2025 AADA Legislative Conference: Program and agenda

Conference schedule ... The conference will take place on Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of

Reduce Drug Code Denials Related to Incomplete Claims Data

Claim denials for drug supplies are often the result of improper national drug codes (NDC) format or missing information related to the drug provided—vital information that is needed by the payer to appropriately adjudicate the claim. ... Physician claims for drugs supplied in the office must include the 11-character NDC

Nailing the diagnosis of the BAP1 tumor predisposition syndrome

By Warren R. Heymann, MD, FAAD June 5, 2024 Vol. 6, No. 23 I never imagined that I would be writing another commentary on onychopapillomas (Ops) so soon. The initial commentary was devoted to rare malignant Ops. (1) Unsurprisingly, additional reports of malignant Ops have been reported. (2) What else

Transplantation dermatology: Race matters

By Warren R. Heymann, MD June 21, 2017 African American man with generalized vitiligo. Medial aspect of foot before (A) and 5 months after (B) melanocyte-keratinocyte transplantation procedure. ... Credit: ... JAAD December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late

The rosy reality of coffee

Ronnie and me enjoying our rosacea prevention tour of Madrid in 2012 ... By Warren R. Heymann, MD Nov. 5, 2018 To paraphrase Justice Kavanaugh, I loved coffee. I still love coffee. I have probably been drinking coffee since my time in utero. My mother was a coffee addict; she

Skin cancer fact sheet

Incidence rates ... Skin cancer is the most common cancer in the United States. (1-3) ... Current estimates are that one in five Americans will develop skin cancer in their lifetime. (4) ... It is estimated that approximately 9,500 people in the U.S. are diagnosed with skin cancer every day.

No longer flailing with Flegel disease

By Warren R. Heymann, MD, FAAD April 19, 2023 Vol. 5, No. 16 I was a toddler in 1958 when Heinz Flegel described ... hyperkeratosis lenticularis perstans (HLP) a 50-year-old man with persistent lesions on his dorsal feet and lower extremities. (1) In the ensuing decades, other than the clinical

Proposed resolutions and Executive Committee and Nominating Committee Nominees

Submit resolutions anytime for board consideration. The next meeting for resolutions to be presented is the July 2026 Advisory Board Meeting. If you need assistance, email ... advisoryboard@aad.org . ... Innovation Academy resolutions timeline ... June 5: Resolutions due date. ... June 26: Resolutions posted online for all societies to

Taking the challenge: Social media, adolescents, and the skin

By Albert C. Yan, MD June 12, 2019 Vol. 1, No. 14 Patterned skin injury can raise the specter of non-accidental trauma. However, over the past decade or so, striking examples of patterned skin injury have emerged among adolescents and pre-teens that share certain features: these are self-induced voluntarily; the

June 16, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 16, 2021 ... Rituximab vs. mycophenolate mofetil for pemphigus vulgaris DermWorld Insights and Inquiries: Like the tumor itself, knowledge about DFSP is expanding wider and deeper Derm Coding Consult: Applying

Selling a practice resources

Valuing, selling, and closing a dermatology practice manual ... Purchase the ... Valuing, Selling, and Closing a Dermatology Practice, Second Edition Manual Related articles from  ... Dermatology World Private equity at a glance: June 2019 Pulling back the curtain on private equity: January 2018 Overview of dermatology practice ownership ...

A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn

By Warren R. Heymann, MD, FAAD Oct. 25, 2023 Vol. 5, No. 43 Any parent looking at their newborn child will wonder if the skin lesions they observe are worrisome. During the neonatal period, defined as the first four weeks of life, most cutaneous findings are transient and benign; occasionally,

2024 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future

2025 Skin Cancer Awareness Month a massive success

May was Skin Cancer Awareness Month, and the Academy was out in force with the media and on social media to educate the public about the risks and dangers of skin cancer. ... The AAD’s social media posts were extremely popular, garnering ... 16.1 million views and ... 2.1 million

For the win! Championing the use of the term “reactive granulomatous dermatitis” in clinical practice

By David A. Wetter, MD, FAAD March 8, 2023 Vol. 5, No. 10 Growing up in the 1980s in suburban St. Louis, Missouri, I spent many evenings listening to Cardinals’ baseball on the local AM radio station, KMOX 1120. After the final out of each Cardinals’ victory, the late Hall-of-Fame

Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab

By Warren R. Heymann, MD, FAAD Sept. 13, 2023 Vol. 5, No. 37 This is an exciting time for cutaneous lupus erythematosus (CLE). Recently published findings from three clinical trials show substantial progress in developing more targeted, efficacious, and better-tolerated medications for patients with CLE, particularly by inhibiting the production

NSA (neutrophilic sebaceous adenitis) secrets revealed

By Warren R. Heymann, MD, FAAD Nov. 8, 2023 Vol. 5, No. 45 If asked what the acronym NSA means, most of us — dermatologists included — would respond, "National Security Agency." News of security leaks (think Edward Snowden or Jack Teixeira) are in the headlines, but neutrophilic sebaceous adenitis

Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill

By Warren R. Heymann, MD, FAAD Aug. 23, 2023 Vol. 5, No. 34 If Winston Churchill were a dermatologist, he would say that frontal fibrosing alopecia (FFA) is "a riddle wrapped in a mystery inside an enigma" (which is how he viewed Russia). Almost 30 years have passed since Kossard

Diminishing diagnostic cognitive bias: Anchors away

By Warren R. Heymann, MD, FAAD Sept. 27, 2023 Vol. 5, No. 39 We have all been there, probably daily. You’re an hour behind schedule, and the patient in front of you has a laundry list of complaints demanding that you address them. You shift to autopilot, using your keen

Could human polyomaviruses cause grover disease?

By Warren R. Heymann, MD May 5, 2017 Clinical images of a man with Grover disease. A, papulovesicular rash on the trunk evolving to crusts and keratotic erosions. B, Zoomed-in image. ... Credit: ... JAAD My profound dermatologic experience in 1970 was the embarrassment I endured abruptly leaving Vincent Chiarello’s

Herpes zoster, immunosuppression, and vaccination: Far from a blistering pace

By Warren R. Heymann, MD July 5, 2016 Do you recognize the name Chris Gueffroy? He was the last person shot trying to escape from East Berlin, before the wall came down. I had long promised myself that I would get Zostavax when I turned 60. Now 61, I am

Labor Day thoughts on increasing dermatologist burnout

By Warren R. Heymann, MD Sept. 5, 2016 "Love and work…work and love. That’s all there is" – Sigmund Freud ... Today you probably received an email from ... Dermatology Times entitled "Tips for taking advantage of Labor Day 2016." A recent Mayo Clinic study was quoted, noting that between

Our videos for the public garner millions of views

As part of the Your Dermatologist Knows launch, the Videos of the Month were rebranded to align with the new strategy and are now known as Your Dermatologist Knows Videos. This change was in name only; the quality of the video information presented remains high and they are as popular

Olmsted syndrome patients can finally put their foot down

By Warren R. Heymann, MD January 20, 2021 Vol. 3, No. 3 Reading Olmsted’s seminal paper entitled "Keratodermia Palmaris et Plantaris Congenitalis" is captivating reading on multiple levels. In that era of descriptive dermatology, there is an allure in how he differentiates his patient from keratodermas described by the giants

The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma

By Warren R. Heymann, MD, FAAD July 19, 2023 Vol. 5, No. 29 I was aghast when I opened the PUVA unit when Joe told me that his mycosis fungoides (MF) was worsening — I understood why Alibert first described the disorder as resembling mushrooms in 1806. (1) His lesions

Juvenile lichen sclerosus: A loss of innocence

By Warren R. Heymann, MD August 19, 2020 Vol. 2, No. 33 Juvenile lichen sclerosus (LS) is a difficult disorder — symptomatically, emotionally, diagnostically, and therapeutically. During my residency it was "common knowledge" that juvenile LS would abate by adolescence. I am always curious how such perceptions become dogma, only

How can I get a receipt for payments made to the Academy?

Asked and Answered ... March 1, 2020 For all Academy-related payments — membership dues, past orders, a subscription to ... Dialogues in Dermatology — AAD members can access their receipts as follows: ... 1. Visit ... www.aad.org/members 2. Sign in to your member profile ... 3. Click the "Account" tab

2026 AAD Annual Meeting: Exhibit hall information

Connect with more than 350 exhibiting companies showcasing the latest in devices, pharmaceuticals, publishing, recruitment, and more. Experience the newest solutions firsthand in the Exhibit Hall through Exhibitor Product Theaters featuring live product demonstrations. ... Exhibit hall map ... View the exhibitor listing and floor plan . ... Exhibit hall

Taking it on the shin: Part two

By Warren R. Heymann, MD, FAAD June 7, 2023 Vol. 5, No. 23 Last week ... pretibial pruritic papular dermatitis was reviewed as an underrecognized entity on the shins. Today the focus is on obesity-associated lymphedematous mucinosis (OALM), another disorder that you have likely seen, but perhaps did not recognize.

Intermediate and complex repairs 2020: Part 1

Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2019 Test your knowledge: Intermediate and complex repairs 2020 — Part 1 ... Take the quiz to

An old dog with a new trick: High dose intralesional steroids in hidradenitis suppurativa

By Warren R. Heymann, MD, FAAD February 2, 2022 Vol. 4, No. 5 Hidradenitis suppurativa (HS) is hitting its stride academically — deservedly so. In 2000 there were 2 publications about HS in the ... Journal of the American Academy of Dermatology ; in 2010, 9 manuscripts; and, in 2020,

Sun exposure taking a toll: new AAD survey shows sharp increase in sun damage across the U.S.

Practice safe sun ahead of Melanoma Monday (May 5) ROSEMONT, Ill. (April 29, 2025) — A recent survey of more than 1,000 U.S. adults showed that nearly all Americans believe sun protection is important, with 1 in 4 citing the influence of a dermatologist as the reason. However, Americans have

The Venetian antithesis: Treating median canaliform nail dystrophy

By Warren R. Heymann, MD, FAAD Oct. 4, 2023 Vol. 5, No. 40 Tony Bennett may have left his heart in San Francisco, but mine remains in Venice. ... (The editorial staff of DWI&I offer our sincerest condolences to the families of those who perished, and our prayers for recovery

I'm retiring and want to sell my practice. Does the Academy have any resources to help?

Asked and Answered ... July 1, 2019 Yes! We offer the following resources to assist AAD members who are considering closing their practices: ...  ... The AADA’s Practice Management Center breaks down: ... How to value your practice, with a detailed explanation of how to calculate EBITDA (Earnings Before

2026 AAD Innovation Academy: Resource Center

Your one stop for all things AAD! ... Come to the AAD Resource Center during the 2026 AAD Innovation Academy and get exclusive meeting discounts on products for the entire practice and talk one-on-one with expert staff about the wealth of resources and perks available to you ... . Don’t

Clawing to understand lichen nitidus

By Warren R. Heymann, MD April 5, 2018 Lichen nitidus: dermoscopic images. A, In the first patient, dermoscopic findings of the left plantar lesions revealed that linear scales in parallel (thick arrows) were discontinued by oval, well-defined depressions surrounded by ring-shaped, silvery white scales (thin arrows). Long axis of the

Red alert: Avoid brimonidine and oxymetazoline as hemostatic agents

By Warren R. Heymann, MD June 19, 2017 Mohs micrographic surgery procedure including brimonidine treatment: skin before application (A), 5 minutes after application of brimonidine (B), and minimal intraoperative bleeding with pretreatment of brimonidine (C). ... Credit: ... JAAD As a youth, I recall that "rosy cheeks" were a sign

Topical amelioration of neuropathic pain and pruritus leading to painful consequences

By Warren R. Heymann, MD Dec. 26, 2016 Increasingly, compounded amitriptyline and ketamine have been utilized for the management of neuropathic pain and pruritus. A review of PubMed reveals its utility in erythomelalgia and diverse neuropathic disorders (peripheral neuropathy, radiation-induced neuropathy, chemotherapy-induced neuropathy, post-herpetic neuralgia, proctodynia, and pain associated with

Stop itchy skin in its tracks

5 tips for relief from a board-certified dermatologist ROSEMONT, Ill. (Sept. 24, 2024) — Itchy skin can be irritating, especially an itch that doesn’t go away. There are many potential causes for itchy skin like common skin conditions such as eczema, shingles, hives, psoriasis, or bug bites, or it could

Going green: The complexities of the green nail syndrome

By Warren R. Heymann, MD February 3, 2021 Vol. 3, No. 5 I find a unique satisfaction in diagnosing the green nail syndrome (GNS, aka chloronychia, Goldman-Fox syndrome) — it is easy to recognize and very reassuring to patients who were convinced they had a subungual melanoma. Based on new

A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis

By Ashley Decker, MD, FAAD, and Naomi Lawrence, MD, FAAD Feb. 8, 2023 Vol. 5, No. 6 Ashley Decker, MD, FAAD ... Naomi Lawrence, MD, FAAD ... A commonly held belief in dermatologic surgery is that second intention wounds have a lower risk of surgical site infection (SSI) than primary

Taking it on the shin: Part one

By Warren R. Heymann, MD, FAAD May 31, 2023 Vol. 5, No. 22 I am intentionally skeptical of medical literature that purports "new" entities. Are they novel and distinct or just minor variations of long-recognized dermatoses? This two-part commentary will focus on two disorders that involve the pretibial region —

2020 CPT Coding Updates

For 2020, the CPT code set has multiple changes. Although most of the changes do not specifically affect dermatology, there are notable changes that members need to be aware of starting on January 1, 2020. ... Non-Face-to-Face-Services: Telephone Services ... CPT code 99444 has been deleted and in its place,

Paraneoplastic Merkel cell carcinoma: Searchin’ for my lost shaker of salt

By Warren R. Heymann, MD, FAAD Sept. 6, 2023 Vol. 5, No. 36 By pure coincidence, Jimmy Buffett passed away from Merkel cell carcinoma (MCC) as I researched the topic of paraneoplastic MCC. Although I am no parrothead, every time I’d hear Margaritaville, I’d smile and fantasize about a lifestyle

Complications of silicone injections: persistence, stigma, and treatment

By Howa Yeung, MD, MSc, FAAD Jan. 18, 2023 Vol. 5, No. 3 Walking in with a cane and reporting his severe skin pain, a patient of mine recalled travelling with their friend to get buttock injections in a hotel room in another state over a decade ago. ... The

AAD | Tool Drugs and Diseases

See a list of available drugs and dermatologic conditions available in the tool. ... Drug name ... 4% minocycline foam (Amzeeq®) ... Class 1 steroid ... Infliximab (Remicade®) ... Spesolimab (Spevigo®) ... 5-fluorouracil (Efudex®) ... Class 2 steroid ... Isotretinoin ... Sulfacetamide sodium-sulfur ... Abrocitinib (Cibinqo®) ... Clobetasaol ... Isotretinoin

Resorcinol’s resourcefulness in hidradenitis suppurativa

By Warren R. Heymann, MD, FAAD March 22, 2023 Vol. 5, No. 12 Management of hidradenitis suppurativa (HS) is challenging, including medical and surgical approaches, which are often combined for best outcomes. Lifestyle changes, pain management, and emotional/psychiatric issues must be addressed. Therapeutic approaches include the use of topical therapies

Monitoring infantile hemangiomas: What’s the score?

By Howard B. Pride, MD, FAAD Geisinger Medical Center, Department of Dermatology Aug. 11, 2021 Vol. 3, No. 32 Infantile hemangiomas (IH) are common vascular tumors that generally run a self-limited course of rapid growth in the first 2-3 months of life, slow growth for another 4-6 months, and then

A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma

By Warren R. Heymann, MD, FAAD Aug. 30, 2023 Vol. 5, No. 35 A personal joy of dermatology is rendering a diagnosis in a lesion or rash that I have only read about but never previously encountered in practice. Beyond being intellectually satisfying, having a precise diagnosis is reassuring, as

The ironclad promise of ferroptosis

By Warren R. Heymann, MD, FAAD Jan. 25, 2023 Vol. 5, No. 4 As checkpoint inhibition of programmed cell death protein 1 (PD1) has become standard oncologic therapy, it is easy to forget that this revolutionary therapy is barely a decade old. Until 1972, cell death was considered passive and

Sniffing out the meaning of perialar intertrigo

By Warren R. Heymann, MD, FAAD Jan. 4, 2023 Vol. 5, No. 1 The first sentence in the abstract by Sanchez et al intrigued me: "We observed isolated cases of perialar intertrigo in children and teenagers that did not appear to correspond to any known clinical entity." They further state:

Probing pediatric pigmented purpuras

By Warren R. Heymann, MD, FAAD October 20, 2021 Vol. 3, No. 42 Pigmented purpuric (PP) eruptions are often referred to as "benign" pigmented purpuras. Although that may be true in the medical sense, these dermatoses may be very distressing for patients (or their parents). Angst may be due to

Advocacy Update Jun 10, 2025

IN THIS ISSUE / June 10, 2025 AADA President advocates for Medicare payment reform at House Doctors Caucus Roundtable AADA continues advocating on CLIA lab director requirements Attention Residents: Scholarships available for 2025 Legislative Conference Join your colleagues and contribute to SkinPAC Medicare physician payment reform AADA President advocates for

Going green: Environmental cost savings of teledermatology

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, June 1, 2023 Research shows that health care is a major global driver of climate change, accounting for 5% of a country’s total environmental footprint. As medicine continues to look for ways to reduce its environmental impact, a recent ...

2026 AAD Annual Meeting: Opening ceremony and Keynote

Opening Ceremony ... Friday, March 27 | 5:00 p.m. - 6:30 p.m. ... Join us on Friday at Bellco Theatre for the Opening Ceremony of the 2026 AAD Annual Meeting, featuring opening remarks from AAD President Susan C. Taylor, MD, FAAD, president-elect candidate speeches, remarks from this year’s Gold Medal

2026 AAD Innovation Academy: Showcase your work

Be a part of Innovation Academy! ... Step into a forum designed for ideas that move dermatology forward. 2026 AAD Innovation Academy offers a unique opportunity to share your perspective, engage directly with leaders across the specialty, and help shape what comes next through open discussion and forward-thinking concepts. ...

What's hot?

What's hot ... November 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 ... On Oct. 5, the ... U.S. FDA approved the Gardasil 9 human papillomavirus (HPV) vaccine for men

Preferentially expressed antigen in melanoma (PRAME)

By Jason B. Lee, MD, FAAD May 10, 2023 Vol. 5, No. 19 In 1980, the discovery of S100 protein expression in cultured metastatic melanoma cell lines (1) stirred excitement in the pathology community for its potential role as a diagnostic marker for melanoma. The excitement was short-lived once it

Support Camp Discovery

AAD’s ... Camp Discovery gives kids with chronic skin conditions a life-changing summer camp experience. Campers make friends, find acceptance, and are free to be themselves. Camp Discovery provides these children a sense of community and fun, at no cost to their families. ... Learn more about how to get

Triskaidekaphobia legitimized: Fatal Factor XIII deficiency

By Warren R. Heymann, MD, FAAD April 12, 2023 Vol. 5, No. 15 I am not especially superstitious. The number 13 has never concerned me but acquired Factor XIII deficiency has now joined my ever-expanding pantheon of new complications to worry about. ... The article entitled "Association of lethal acquired

Collodion babies and endocrine disorders: Another concern

By Warren R. Heymann, MD June 23, 2017 Collodion baby. Tight, shiny film or dried collodion reminiscent of the skin of a sausage covers the entire surface of this 2-day-old neonate whose mother was treated with infliximab throughout her pregnancy. ... Credit: ... JAAD Collodion baby (CB) describes an infant

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

Sweet Sounds of the “SKINphony”: Incorporating Music into Daily Dermatologic Practice

By David A. Wetter, MD, FAAD Nov. 29, 2023 Vol. 5, No. 47 It is amazing how music instantaneously transports us back in time. For me, Kool & The Gang’s catchy tune " ... Celebration " ( ... "Celebrate good times, come on!") hearkens back to the 1980s when my

Teatime for radiation dermatitis (and beyond)

By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a

Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure

By Warren R. Heymann, MD, FAAD Jan. 31, 2024 Vol. 6, No. 5 The recent passing of Mikhail Gorbachev reminded me of the teaching value of his port wine stain. The following brief article published in the ... Washington Post in 1987 reflects the state of knowledge 36 years ago.

Stress^2 + Hormones^2 = Acne^2

By Warren R. Heymann, MD June 5, 2019 Vol. 1, Issue 13 I would wager that every human being has experienced at least one pimple attributed to stress. I recall a devastatingly embarrassing moment during 10th grade world history class at Martin Van Buren High School (Queens, New York), when

Study connects skin disease and sleep, mental health struggles in children

Facts at your Fingertips ... By Megan Bennett, Staff Writer, December 1, 2025 Kids with inflammatory skin conditions have increased risk of also developing sleep and psychological issues. A recent study in the ... Journal of the American Academy of Dermatology breaks down the risk by disease and their comorbidities

Tinea gone wild: The emergence of Trichophyton indotineae as a global phenomenon

By Warren R. Heymann, MD, FAAD May 24, 2023 Vol. 5, No. 21 "Well, Jane, it just goes to show you, it’s always something — if it’s not one thing, it’s another." – Gilda Radner (as Roseanne Roseannadanna) to Jane Curtin, ... Saturday Night Live Just as I quietly celebrated

Giving a NOD2 to Yao syndrome

By Warren R. Heymann, MD, FAAD March 5, 2025 Vol. 7, No. 9 The 21 ... st ... century has witnessed an expanding array of systemic autoinflammatory disorders (SAIDs) due to innate immunity dysfunction. SAIDs are characterized by recurrent attacks of fever, cutaneous signs, chest or abdominal pain, lymphadenopathy, vasculopathy,

Seeing red with dupilumab

By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used

Cycling back to doxycycline’s roots as therapy for bullous pemphigoid

By Warren R. Heymann, MD, FAAD July 26, 2023 Vol. 5, No. 30 Patients with moderate to severe bullous pemphigoid are usually treated with systemic corticosteroids. Four patients were treated with tetracycline hydrochloride and niacinamide because of the steroid-sparing anti-inflammatory properties of these agents. An excellent clinical response free of

Dermatologists should not be in the dark about kratom

By Warren R. Heymann, MD, FAAD Oct. 11, 2023 Vol. 5, No. 41 Dermatological sleuthing mandates an ever-expanding knowledge database. The correct diagnosis may prove elusive if you do not know the right questions to ask. Astute clinicians have a differential diagnosis of cutaneous and/or mucosal hyperpigmentation, including heavy metal

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

The AAD and the international arena

From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, October 1, 2021 The Academy is clearly a national organization, but it has appreciable international reach and influence in other countries. The Academy has more than 16,000 U.S.

What’s new and what can I expect from the 2025 Annual Meeting?

Asked and Answered ... December 1, 2024 Get ready to register for a magical experience in Orlando, Florida! ... 2025 AAD Annual Meeting attendees can expect some exciting new offerings alongside the top-tier education you expect from the AAD. ... What’s new ... Opening Ceremony, Friday, March 7 from 5:00

Re-examining physician mental health

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, September 1, 2022 According to the National Institute of Mental Health (NIMH), approximately 1 in 5 adults in the U.S. has experienced a mental illness in the past year, with an increase in observed prevalence over the last decade. Additional

Despite economic uncertainty, demand for minimally invasive cosmetic procedures rises among Gen X and Millennials

Facts at your Fingertips ... By Emily Margosian, Senior Editor, September 1, 2025 New data released by the American Society of Plastic Surgeons (ASPS) show a consistent demand for cosmetic procedures, with a growing preference for minimally invasive options. ... 2023 ASPS data highlight a 5% increase from 2022 in

Emerging diseases registry

Thank you for taking part in this important effort on behalf of the American Academy of Dermatology and the International League of Dermatologic Societies. Our hope is that the information you and others provide will help us understand the dermatologic manifestations of drug-resistant dermatophytes. This survey is for all health

Mpox dermatology registry

Thank you for taking part in this important effort on behalf of the American Academy of Dermatology and the International League of Dermatologic Societies. Our hope is that information you and others provide will help us understand dermatologic manifestations of the mpox (monkeypox) virus, as well as skin reactions to

Getting a handle on hirsutism

Dermatologists discuss the latest clinical guidance for managing hirsutism ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2022 Far from being simply protein filaments, hair can occupy a central role in a person’s identity, sense of well-being, and overall quality of life. Hirsutism — a condition in

Diagnosing nail unit melanomas at a faster clip

By Warren R. Heymann, MD, FAAD Aug. 16, 2023 Vol. 5, No. 33 Every dermatologist has examined a pigmented nail, wondering if the pathologic process reflects a nail unit melanoma (NUM) or subungual melanoma (SUM) versus a benign melanocytic lesion (melanocytic activation, lentigo, or nevus), pigmented onychomycosis, or hemorrhage. A

A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus

By Warren R. Heymann, MD, FAAD March 15, 2023 Vol. 5, No. 11 Keeping up with the expanding indications and adverse reactions to immune checkpoint inhibitors (ICIs) can be a full-time job. These drugs are anti-neoplastic because of cytotoxic T-cell activation. ICIs include the anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) agent ipilimumab,

Contact the Academy

We’re here for you — real people, ready to help ... When you contact the AAD’s Member Resource Center (MRC), you’ll connect with a friendly, knowledgeable AAD team member who’s here to support you. Whether you have a quick question or need assistance from an AAD staff expert, we’ve got

Patient preference in dermatologist attire: A lesson from “Annie”

By Warren R. Heymann, MD June 5, 2016 The physician-patient relationship is predicated on trust and confidence. Impressions form rapidly and physician attire is an important component on how patients perceive their physician(s). ... Fox et al surveyed 255 patients (with 63% from a medical dermatology clinic, 24% a dermatologic

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

Can we chat?

By Warren R. Heymann, MD, FAAD March 29, 2023 Vol. 5, No. 13 Flying back from the annual AAD meeting in New Orleans, I reflected on the past few days with newly acquired knowledge, joy (how wonderful it was to see my mentors, mentees, colleagues, and friends), pain (sore feet

Dermatologic ergonomics: Straighten up and fly right

By Warren R. Heymann, MD, FAAD June 28, 2023 Vol. 5, No. 26 My posture has never been proper, having a proclivity to slouch. "Stand up straight, son!" my father would admonish. When I was young and supple, I would half-listen to the advice, usually reverting to my standard (incorrect)

Can tocilizumab deep six recalcitrant morphea?

By Warren R. Heymann, MD, FAAD Sept. 20, 2023 Vol. 5, No. 38 Glenda’s middle-aged ankles still hurt badly. I have been treating morphea enveloping her ankles for several years. With therapies including methotrexate, mycophenolate mofetil, clobetasol, calcipotriene, and physical therapy, her tenderness has improved from exquisite to barely tolerable.

JAAD ranks no. 1 among dermatology journals

The Journal of the American Academy of Dermatology’s impact factor remains #1 in field ROSEMONT, Ill. (July 5, 2023) — The ... Journal of the American Academy of Dermatology remains the top peer-reviewed journal in its field, according to the 2022 journal impact factor rankings recently published by Clarivate’s Journal

Diagnosing the primary cutaneous SMARCA4-deficient cutaneous tumor: You don’t know what you got ‘til it’s gone

By Warren R. Heymann, MD, FAAD Nov. 5, 2025 Vol. 7, No. 44 Understandably, dermatologists are often surprised to receive a histopathologic diagnosis of Merkel cell carcinoma, given the relatively nondescript clinical features that suggest a basal cell carcinoma or inflamed cyst. The purpose of this commentary is to introduce

Prior authorization audits and innovations: Are we finally reducing the (PA)in?

By Lorraine L. Rosamilia, MD, FAAD Aug. 9, 2023 Vol. 5, No. 32 There is little utility in defining prior authorization (PA) for prescription medications as it relates to the practice of dermatology, as each of us navigates this process and its stagnation every day. There have been several studies

Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years

By Warren R. Heymann, MD, FAAD Dec. 6, 2023 Vol. 5, No. 48 It was thrilling to deliver the introductory dermatology lecture to our first-year medical students this year because most of the class was ... in person and fully engaged with the material. I am approaching the half-century mark

Dermatological Care MIPS Value Pathway (MVP)

2026 MVP registration is open ... Register for the 2026 MVP for Dermatological Care through the ... QPP website . Refer to the ... QPP Access User Guide (ZIP, 5 MB) for detailed information. Register by Nov. 30, 2026! ... The Dermatological Care MIPS Value Pathway (MVP) is a streamlined

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

CMS creates permanent drug code for treating molluscum contagiosum

Last updated: March 5, 2026 ... CMS has created a permanent drug code, J7354, for cantharidin, a drug used to treat molluscum contagiosum in adult and pediatric patients 2 years and older. The new J-code became effective on April 1, 2024. ... Cantharidin is the first ... FDA-approved topical treatment

FAQs - Coding for Intermediate and Complex Repairs in 2020 and beyond

Q: Are there any changes to the Simple Repair guidelines? A: No, the simple repair guidelines will remain unchanged for 2020 and beyond. ... Q: How should I code a nasal tip excision, for which the defect is repaired with a linear layered closure (3 cutaneous and 5 super-ficial sutures)

JAAD ranks no. 1 among dermatology journals

The Journal of the American Academy of Dermatology’s ... impact factor increases by 34% ROSEMONT, Ill. (July 5, 2022) — The ... Journal of the American Academy of Dermatology is the top peer-reviewed journal in its field, according to the 2021 journal impact factor rankings recently published by Clarivate’s Journal

October 8, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 8, 2025 ... KOH vs. diclofenac for the treatment of actinic keratosis DermWorld Insights and Inquiries : Injecting ideas (and therapies) in digital mucous cysts FDA approves remibrutinib for chronic

Holiday wishes, Darwin, and dermatology

By Warren R. Heymann, MD Dec. 21, 2018 In 1835, Charles Darwin visited the Galápagos Islands for only 5 weeks as a naturalist on the HMS Beagle; it was his perceptive assessment of finches that congealed his view of natural selection, which was published in 1859 in ... On the

AAD | Prior Authorization’s Impact on Dermatologists

The Academy surveyed dermatology practices on prior authorization in 2020, breaking out those working at a solo practice, dermatology group, academic medical center, or a multi-specialty group. The findings show that prior authorizations are a significant burden. ... The Academy surveyed dermatology practices in 2020. Did you know? ... Dermatologists

Say it ain’t so: Dark chocolate exacerbates acne!

By Warren R. Heymann, MD May 5, 2016 Diet and acne has always been controversial. When I was a child I heard that pizza and chocolate could lead to break-outs; over time that was relegated to be a myth (thank goodness). ... The latest foods that have may possibly lead

Saving face: The importance of recognizing facial discoid dermatosis

By Warren R. Heymann, MD, FAAD Feb. 22, 2023 Vol. 5, No. 8 I get excited when astute dermatologists describe and label dermatoses that I have seen but could not adequately diagnose. Two recent examples include acute inflammatory edema and alpha-gal syndrome. I (and presumably you too) have encountered patients

Trichobacteriosis: A salute to the Shelleys

By Warren R. Heymann, MD, FAAD Sept. 3, 2025 Vol. 7, No. 35 Indelible memories form in youth. I couldn’t wait to get my New York driver’s license — within a year of that milestone the 1973 oil embargo hit, and most drives were limited to the gas station to

One Toker over the line: Clarifying Toker cell hyperplasia in Zuska disease and its relationship to hidradenitis suppurativa

By Warren R. Heymann, MD, FAAD April 20, 2022 Vol. 4, No. 16 Don’t fret. I had never heard of Zuska disease (ZD) either until I read the article by Torre-Castro et al discussing the "tricky association" of Toker cell hyperplasia (TCH) in ZD. (1) Why should you care? Because

Home at last

​ ... By Warren R. Heymann, MD Jan. 20, 2018 (This is a continuation of posts about my mother. Please see "Happy 95th Birthday Mom! A Birthday Wish in the Era of ‘Value-Based’ Healthcare" June 5, 2016 and "Medical Ego Inflation and a Lesson from Mom" October 31, 2016) ...

Spot on! Lentigines in resolved psoriatic plaques

By Warren R. Heymann, MD Nov. 30, 2016 Having treated psoriatic patients throughout my career, there have been innumerable occasions where patients were concerned about pigmentary changes following successful treatment of the plaques. I have usually reassured them that these are postinflammatory pigmentary alterations that should abate with time. Recently,

FDA Implements AADA’s iPLEDGE recommendations

Changes alleviate administrative burdens for dermatologists and their patients WASHINGTON (Dec. 5, 2023) — The FDA agreed to require important American Academy of Dermatology’s (AAD) recommended changes to the iPLEDGE program that will alleviate administrative burdens for dermatologists. ... "Because of the AAD’s relentless advocacy over two years, the FDA has

The profound dermatological manifestations of COVID-19: Part III

By Warren R. Heymann, MD April 8, 2020 Vol. 2, No. 14 Disclaimers: This commentary was written on April 5, 2020 for a publication date of April 8, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer

The woolly culprit: Lanolin revealed as an uncommon cause of dermatitis on normal skin

By Christen Mowad, MD, FAAD Nov. 15, 2023 Vol. 5, No. 46 Excitement surrounding the "Allergen of the Year" may only be truly appreciated by those immersed in the field of contact dermatitis and patch testing, but each year the announcement is met with enthusiasm from the wider dermatology specialty.

A nail-biting commentary

By Warren R. Heymann, MD, FAAD Feb. 15, 2023 Vol. 5, No. 7 Reading advice columns has been a lifelong habit, having been enamored as a youth by the practical wisdom offered by "Dear Abby" (Pauline Esther Friedman Phillips) and her twin sister "Ann Landers" (Esther Pauline Friedman Lederer). Another

Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa

By Warren R. Heymann, MD, FAAD December 15, 2021 Vol. 3, No. 49 For inexplicable reasons, there are certain differential diagnoses that I find particularly satisfying, one being disorders responsible for facial follicular spicules: follicular mucinosis (1), pityriasis folliculorum ... (Demodex folliculorum) (2), follicular hyperkeratotic spicules (myeloma immunoglobulin or cryoglobulin)

Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr., MD

By Warren R. Heymann, MD, FAAD Aug. 2, 2023 Vol. 5, No. 31 The profound sense of loss prompting people to endure waiting over 24 hours in a queue to pay their final respect to Queen Elizabeth II at Westminster Hall was an astonishing sight last year. The overwhelming majority

Granular C3 dermatosis in granular detail

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, May 1, 2026 Vol. 8, No. 5 Except for straightforward cases of bullous pemphigoid, my ability to predict direct immunofluorescence (DIF) results in cases of presumed autoimmune blistering diseases leaves much to be desired. Recently, my humility in this

DWI&I Holiday Greeting 2023

By Warren R. Heymann, MD, FAAD Dec. 20, 2023 Vol. 5, No. 50 Dear ... DWI&I Devotee: ... I always look forward to writing my annual holiday greeting, but admittedly, doing so this year has been a source of angst and consternation. The past few years have been about the

Turning a blind eye on second opinions

By Warren R. Heymann, MD, FAAD June 21, 2023 Vol. 5, No. 25 Whenever I encounter patients who ask for, or are being seen for, second opinions, I silently chuckle at Henny Youngman’s timeless one-liner about the subject (you can Google it). The fact is that second opinions are no

Necrobiosis lipoidica in a Wink

By Warren R. Heymann, MD, FAAD May 3, 2023 Vol. 5, No. 18 Ninety years have transpired since Urbach coined the term ... necrobiosis lipoidica diabeticorum (NLD) for the granulomatous disorder first described by Oppenheim in 1929 as ... dermatitis atrophicans lipoidica diabetica . (1) Early authors observed sclerotic plaques

Appropriate Documentation and Shared Decision Making of AK — QCDR measure AAD 21

Actinic Keratosis: Appropriate Documentation and Shared Decision Making of AK ... DESCRIPTION: Percentage of adult patients (18 years old and older) diagnosed with Actinic Keratosis (AK) whose healthcare provider has recorded the following information in the patient’s medical record 1) documentation of the number or range of AKs, 2) location(s)

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

Pathways: Inclusivity in Dermatology to increase number of Black, Latino, and Indigenous physicians in dermatology

American Academy of Dermatology collaboration with Johnson & Johnson Consumer Health and the Janssen Pharmaceutical Companies of Johnson & Johnson will double representation in next 5 years. ROSEMONT, Ill. (March 23, 2022) — People of color often face unequal access to health care and experience poorer outcomes across the health

Does your dermatopathologist recommend treatment suggestions for melanocytic lesions? My two cents (and sense)

My dermatopathology fellowship photo from 1985 at the University of Pennsylvania: Standing Left to Right: Myself, Wallace H. Clark, Jr, and Margaret Freeman (co-fellow); Seated: Bernett Johnson, Jr and Margaret Gray Wood. I learned from the best! While they (the professors) are no longer with us, somehow I hope they

Pathways: College students

Join our 5-day summer program for dermatology ... The AAD’s Dermatology Career Prep program is an immersive experience that equips you with the skills and knowledge needed to advance in dermatology. This program is designed for pre-med and postbaccalaureate students. ... Dermatology Career Prep supports college students with workshops, mentorship,

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

Happy 95th birthday, Mom! A Birthday vish in the Era of “Value-based” healthcare

By Warren R. Heymann, MD ... June 5, 2016 ... I am blessed that my mother is in reasonable health with a keen intellect. She’s a prolific reader, politically engaged, and still independent in mind, body, and spirit. ... She has fought medical ageism on several occasions. At age 88,

MIPS 2025 FAQs

MIPS & MACRA glossary ... APM  = (Advanced) Alternative Payment Model. A payment approach that gives additional incentive payments to professionals under ACO models, or those that bear more than the nominal amount of financial risk. Most dermatologists will not be eligible for this track. There are two types of

MIPS 2026 FAQs

MIPS & MACRA glossary ... APM  = (Advanced) Alternative Payment Model. A payment approach that gives additional incentive payments to professionals under ACO models, or those that bear more than the nominal amount of financial risk. Most dermatologists will not be eligible for this track. There are two types of

This month's news from across the specialty

What's hot ... February 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Food portion sizes are getting bigger and so are Americans. Obesity is associated with many dermatologic diseases

Leadership succession: Sunrise, sunset

Please note that next week DermWorld Insights & Inquiries will be discussing the terbinafine-resistant infections that have now come to the United States . By Warren R. Heymann, MD, FAAD May 17, 2023 Vol. 5, No. 20 Topol’s recent passing unleashed an avalanche of emotion. I watched ... Fiddler on

Workplace violence

Legally Speaking ... Clifford Warren Lober, MD, JD, presents legal dilemmas in dermatology every other month. He is a dermatologist in practice in Florida and a partner in the law firm Lober, Brown, and Lober. ... By Clifford Warren Lober, MD, JD, June 3, 2019 Question: What is workplace violence?

Documenting encounters when you suspect trafficking

The ICD-10 was the first edition to publish diagnostic codes for suspected and known human trafficking, including commercial sexual exploitation. On December 5, 2019, HEAL Trafficking and the International Center for Missing and Exploited Children convened national experts to develop draft guidelines and training requirements to inform the safe and

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

Sparking the interest in Spark nevus

By Jason B. Lee, MD, FAAD Dec. 13, 2023 Vol. 5, No. 49 The late A. Bernard Ackerman has described and named a variety of dermatologic entities, expanding the lexicon of dermatology over his career. He has been known to come up with catchy and playful names for dermatologic entities

FAQs: Interoperability and patient access

What is the information blocking rule? ... On April 5, 2021, HHS issued regulations through the Office of the National Coordinator for Health Information Technology (ONC) that prohibit information blocking. Information blocking refers to actions by an "actor" that could interfere with the access, exchange, or use of electronic health

Dermatology issues in the news

Talking points: FDA proposal on new sunscreen ingredient ... The American Academy of Dermatology Association applauds the Food and Drug Administration (FDA) for taking the first steps in more than two decades to provide more safe and effective sunscreen options to the American public. ... The agency announced that they

Acquisition and loss: A tribute to Jouni Uitto, MD, PhD

By Warren R. Heymann, MD, FAAD Jan. 11, 2023 Vol. 5, No. 2 I was stunned and frozen in time and thought when Dr. Sylvia Hsu informed me that Dr. Jouni Uitto had passed away — a similar reaction as I experienced when hearing of President Kennedy’s or John Lennon’s

Our donors

We welcome this year's generous donors into the following giving societies and thank them for their commitment to advancing the programs and services of the Academy, especially those who have given consecutively for the past 5+ years. ... 1938 Legacy Society (Transformational gift) ... Bruce D. Glassman, MD, FAAD ...

Medical dermatology

Topical retinoid therapy for acanthosis nigricans: In the thick of it Rituximab and dermatomyositis: Dr. Samitz would be proud The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears Getting the gist of GIST cutaneous hyperpigmentation disease I never wanted chaperones — until now

Advocacy Update March 10, 2026

IN THIS ISSUE / March 10, 2026 AADA, DermCAC urge targeted revisions to allergy diagnostic testing Dermatology hammers to stop SRT LCD policy Academy advocates against scope expansion, for sunscreen access in New Hampshire Contribute to SkinPAC Regulatory Advocacy AADA, DermCAC urge targeted revisions to allergy diagnostic testing ... The

Mpox: Treating severe lesions

Wound care ... Accurate diagnosis of lesions is crucial and should start with an assessment of the patient and potential risk factors for mpox (monkeypox), disease severity, and complications. Risk factors for mpox include history of known or possible exposure, relevant travel and sexual behaviors (e.g., sex associated with commercial

Sunscreen highlights

DermWorld offers updates on efficacy, regulations, and controversies. ... Feature ... By Megan Bennett, Staff Writer, March 1, 2026 As skin cancer diagnoses steadily rise in the U.S., the need for regularly applied, adequately protective sunscreen (along with other sun-safe practices) is more important than ever. ... Data on Americans’

Glucose monitors: Not as sweet as they seem

By Christen M. Mowad, MD Oct. 9, 2019 Vol. 1, No. 31 ... The next contact allergen of the year has been announced early by the American Contact Dermatitis Society and it is an acrylate, isobornyl acrylate. (1) This chemical is a photopolymerizable monomer that has been used in industrial

Key messages to communicate about Indoor tanning

Key messages ... Using indoor tanning beds can increase your risk of skin cancer, including melanoma, the deadliest form of skin cancer. (1-15) ... Using tanning beds before age 20 can increase your chances of developing melanoma by 47%, and the risk increases with each use. (16) ... Women younger

Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome

By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was

Advocacy Update Feb. 4 2025

IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC

Advocacy Update Dec 9, 2025

IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,

Taking a hard look at eosinophilic fasciitis on its golden anniversary

By Warren R. Heymann, MD, FAAD Aug. 14, 2024 Vol. 6, No. 33 In 1974, Dr. Lawrence E. Shulman identified two male patients (aged 53 and 19 years old) with a scleroderma-like illness that he subsequently published as "Diffuse fasciitis with hyperglobulinemia and eosinophilia: A new syndrome?" Both had a

Advocacy Update Feb. 18 2025

IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to

Advocacy Update Mar. 18, 2025

IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key

PDF of Anti-racist guide 5

Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon

By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive

Impact Report — Vol 5, Issue 2

In a time of shifting health care policy, workforce challenges, and evolving public expectations, your Academy’s commitment to protecting and advancing our specialty has never been more critical. ... From Congress to state legislatures, we’ve led focused efforts to advocate for fair payment policies and protections against inappropriate scope of

Impact Report — Vol 5, Issue 3

Your Academy continues to protect and advance our specialty where it matters most. We advocated for fair payment, defended against inappropriate step therapy protocols, raised the visibility of dermatology, expanded CME access, and strengthened our member community. ... This issue of the ... Impact Report highlights the measurable results of

Impact Report — Vol 5, Issue 1

Reiterating the value of membership It’s time once again for the Academy’s ... Impact Report to reveal its 2024 advocacy and patient education activities and remind you of your meaningful member benefits from last year. ... Read the latest on how we are advocating for you on Capitol Hill and

The nexus of VEXAS syndrome

By Warren R. Heymann, MD, FAAD December 1, 2021 Vol. 3, No. 47 You may not be familiar with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) syndrome, but it is conceivable that you have already unknowingly encountered patients with the disorder. ... To appreciate the clinical nuances of the VEXAS

PDF of President-elect 5-Minute Video Speech Specifications

Agenda for the Nov. 5, 2022 meeting of the AAD and AADA Board of Directors meetings.

Applying the 2021 E/M coding concepts in everyday practice – Part 5

Part five of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how data ordered outside or between encounters contributes to the Data to be Reviewed or Analyzed MDM element in the next encounter. Missed the previous articles? Review them

Proliferating tests for proliferative nodules of congenital melanocytic nevi

By Warren R. Heymann, MD Oct. 19, 2016 Proliferative nodules (PN) arising in congenital melanocytic nevi (CMN) require differentiation from melanoma. These are disconcerting, if not frightening, lesions to contend with. Do new techniques help in differential process? ... The standard assessment involves clinical-pathologic correlation. PNs far more commonly arise

What’s new in treating actinic keratosis?

Dermatologists discuss how to balance the latest evidence, patient preferences, and clinical experience when treating AKs ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2022 Actinic keratoses (AKs) are commonly diagnosed and treated by dermatologists. In fact, the National Ambulatory Medical Care Survey on outpatient medical care

Time for a Churchillian approach to idiopathic guttate hypomelanosis?

By Warren R. Heymann, MD Jan. 22, 2018 Limbs of patient with idiopathic guttate hypomelanosis lesions. ... Credit: ... JAAD I was only 10 years old when Winston Churchill died, but even as a child I was aware of his inspirational abilities. I was reminded his gift watching Gary

2026 Annual Meeting: Mobile app

The 2026 Annual Meeting app is now available for download! ... Gear up for the meeting with the official AAD meeting app. View the complete event schedule, build a list of favorites, search our helpful knowledge-base, and much more. Now available on both iOS and Android. ... Access the Web

May 8, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 8, 2024 ... A review of topical treatments for AK field therapy DermWorld Insights and Inquiries : Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia Derm Coding

December 4, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 4, 2024 ... What’s the best treatment for squamous cell carcinoma in situ? DermWorld Insights and Inquiries : Darier disease is rough clinically and therapeutically. MEK inhibition may offer a

Frontal fibrosing alopecia: Bewitched, bothered, and bewildered

By Warren R. Heymann, MD Feb. 13, 2017 Women given the diagnosis of frontal fibrosing alopecia (FFA) with different severity grades. A, FFA grade I/V in a premenopausal 30-year-old woman, with a less than 1-cm wide area of cicatricial skin produced by the recession of the frontal and temporal hairline.

Key messages in social media about eczema

Key messages ... Eczema refers to a group of conditions that lead to inflamed skin. Signs of inflamed skin include a rash, itchiness, and excessive dryness. (1) ... There are several types of eczema. Atopic dermatitis is the most common type. ... Eczema is a complex condition. Your genes, immune

February 22, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 22, 2023 ... How effective are field treatments for actinic keratosis? DermWorld Insights and Inquiries : Saving face — The importance of recognizing facial discoid dermatosis A systematic review of

Itching to prescribe the right treatment for scabies: Topical permethrin or oral ivermectin?

By Warren R. Heymann, MD ... Feb. 1, 2018 ... Scabies burrow via high-resolution digital photography (4 megapixels). ... Credit: ... JAAD Three weeks after confirming the diagnosis of crusted scabies on an HIV-positive patient, I started to scratch while driving in the parking lot at Cooper University Hospital.

Joining the “fold”: Squamous cell carcinoma complicating porokeratosis ptychotropica

By Warren R. Heymann, MD June 26, 2017 Coalescent erythematous papules involving bilateral buttocks. ... Credit: ... JAAD I know the variants of porokeratoses and can recite them as though I am the very model of a modern major general — Mibelli, linear, punctate, palmoplantar, DSAP, superficial disseminated, immunosuppression-related, and

Excision and biopsy of soft tissue tumors: Coding, payment, and site-of-service considerations

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, February 1, 2026 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Accurate coding and understanding of payment implications

Melanoma in situ: The power of one (centimeter)?

By Warren R. Heymann, MD Sept. 10, 2016 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

The mysteries of malakoplakia

By Warren R. Heymann, MD May 24, 2017 A, Dermal nodule with confluent sheets of histiocytes containing abundant granular amphophilic cytoplasm (arrows) admixed with an inflammatory infiltrate and scattered collection of neutrophils. B, Histiocytic inclusions staining positively for calcium on a von Kossa stain. These findings were consistent with malakoplakia.

Perianal dermatologic exams are looking up

By Warren R. Heymann, MD Nov. 14, 2016 Every dermatologist confronts how to ask a person to disrobe for a full body skin examination. Ultimately, I came up with the following line when asked what should be exposed: "The more of you I see, the better off you are —

Sirolimus for microcystic lymphatic malformations: Caviar for frog spawn

By Warren R. Heymann, MD Jan. 23, 2017 Recently, our understanding of lymphatic malformations (LMs) has vastly expanded. Genetic advances have focused on the PI3K/AKT/mTOR pathway allowing the use of mTOR inhibitors for those lesions involved in this pathway. As noted in a previous post (Rapalogs for vascular lesions: Caveat

The congenital perineal groove: Defective recognition of a dermal defect

By Warren R. Heymann, MD ... Feb. 28, 2018 ... It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features: (1) a wet groove in the midperineum between the fourchette and the anus; (2) normal formation of

A presidential viewpoint: “Nobody knew that benign vascular lesions of the lip could be so complicated”

By Warren R. Heymann, MD April 14, 2017 Well, maybe not as befuddling as replacing Obamacare, but there may be occasional difficulties in diagnosing benign vascular lesions of the lip, with implications for appropriate therapy. ... Tobouti et al, in a study from an oral pathology service, found that of

This month’s news from across the specialty

What’s hot ... August 1, 2025 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the Clear Clinical Communications group at the University of Minnesota ... studied children’s understanding of

The “rope” sign is knot pathognomonic: Autoimmunity ties the etiologies together

By Warren R. Heymann, MD July 8, 2016 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

MIPS 2022 program highlights

Eligible clinicians ... Revised the definition of a MIPS eligible clinician to include: ... Clinical social workers ... Certified nurse mid-wives ... Eligibility criteria ... The low volume threshold remains the same as 2021 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients

Parabens — A common allergen with lots of hype and no real harm

By Christen M. Mowad, MD Sept. 4, 2019 Vol. 1, No. 26 Every year for the past 20 years, the American Contact Dermatitis Society (ACDS) has highlighted an allergen. Most often the particular allergen is selected because it is new and emerging, such as methylisothiazolinone in 2013. (1) Sometimes, it

June 26, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 26, 2024 ... Finasteride vs. minoxidil for female pattern hair loss DermWorld Insights and Inquiries : Pathway to reducing medical errors Cutaneous drug reactions to psychedelics and hallucinogens Trichophyton indotineae

“Brain fog” and mastocytosis: In patients and me

By Warren R. Heymann, MD Dec. 4, 2016 When following patients with mastocytosis — whether classical urticaria pigmentosa in children or adult mastocytosis — I usually ask a directed review of systems, focusing on flushing, palpitations, and gastrointestinal symptoms. I am always concerned about the possibility of systemic disease,

The heartrending aspects of incontinentia pigmenti

By Warren R. Heymann, MD March 12, 2018 Incontinentia pigmenti (IP, aka Bloch-Sulzberger syndrome) provides lessons in genetics, immunology, and neuroectodermal development. Frankly, I have never given much (if any) thought about its cardiovascular manifestations. Albeit rare, they are part of the spectrum of IP. ... IP is a rare

Of every possible solution for elastosis perforans serpiginosa, fractional carbon dioxide laser may be the best

By Warren R. Heymann, MD Nov. 13, 2017 ... Elastosis perforans serpiginosa. Clinical presentation. ... Credit: ... JAAD My initial attraction to dermatology, which still offers great appeal, is the challenge and joy of differential diagnosis and clinical-pathologic correlation. I learned quickly, however, that patients don’t want to be interesting

Of strife and SDRIFE

By Warren R. Heymann, MD May 17, 2017 Patient 3. SDRIFE. Frontal view (A) and right lateral view (B) with erythema and blanching papules coalescing into plaques with vesicles on back, abdomen, and bilateral inframammary and inguinal folds. ... Credit: ... JAAD A conceivable Yelp review: I was so uncomfortable

Psoriasis: Clinical Response to Systemic Medications — Measure 410

Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ...  ... MEASURE ID:  ... 410 ...  ... Type: Outcome ...  ... CMS Derm Specialty Set:  ... Yes ...

Brentuximab vedotin update and the #MeToo saga of the Reed-Sternberg cell

By Warren R. Heymann, MD Jan. 1, 2018 Myxoinflammatory fibroblastic sarcoma. High-power view showing large Reed-Sternberg–like cells (A) and mitotic figures (B). ... Credit: ... JAAD There has been increasing dermatological literature about the use of brentuximab vedotin (BV) for a variety of CD30+ cutaneous lymphomas. The thrust of this

This month’s news from across the specialty

What’s hot ... August 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 You have likely noticed an increase in online reviews of yourself and your practice over the last

Difficulty differentiating palmar psoriasis from eczema: Can dermatopathologists lend a Hand?

By Warren R. Heymann, MD July 2, 2017 Clinical manifestations of palmar skin lesions. A, Palmar psoriasis appeared as scattered hyperkeratotic scaly round patches over the entire palm. B, Hand eczema appeared as scaly patches on the palm and phalanges. C, Hyperkeratotic hand dermatitis appeared as sharply demarcated areas of

Clinical information

1. How contagious is measles? ... Measles is a highly contagious virus, much more contagious than the common cold and even more contagious than other outbreaks like smallpox or Ebola. ... 1 ... Measles is potentially transmissible even after brief exposures and at distances up to 30 meters. ... 2

October 4, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 4, 2023 ... Dermoscopic predictors of melanoma in small-diameter melanocytic lesions DermWorld Insights and Inquiries : The Venetian antithesis – Treating median canaliform nail dystrophy Risk between history of rosacea

April 30, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 30, 2025 Efficacy of spironolactone in treating patients with acne DermWorld Insights and Inquiries : A tale of two disorders of hypopigmentation — The potential role of Cutibacterium acnes dysbiosis

Nailing the diagnosis of psoriatic arthritis

By Warren R. Heymann, MD Oct. 30, 2017 ... A to E, Patient with psoriatic arthritis. A, Dactylitis of 4th toe. B, Enthesitis of Achilles tendon. C, X-Ray of dactylitis of 4th toe. D, Severe nail dystrophy. E, Large discoid plaques on elbows. ... Credit: ... JAAD Nail psoriasis (NP)

A potentially life-threatening association of autoimmune blistering disease we bloody well need to be aware of: Acquired hemophilia A

By Warren R. Heymann, MD Oct. 29, 2018 I have been treating patients with autoimmune bullous disorders for nearly four decades. The diseases’ vagaries and associations always astound me. I have never encountered (nor have been aware of) acquired hemophilia A (AHA) in the context autoimmune bullous diseases (ABD), until

Psoriasis: Clinical Response to Systemic Medications — Measure 410

Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ...  ... MEASURE ID:  ... 410 ...  ... Type: Intermediate outcome ...  ... CMS Derm Specialty Set:  ... Yes

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes — QCDR measure AAD 20

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes ... DESCRIPTION: Percentage of adult patients (18 years old and older) who self-report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis (AK) and who self-report satisfaction with the treatment or management of AK. Patients provide a global

Professionalism and Ethics

Ethics and medicine have been intertwined since the dawn of our profession. From the ancient Hippocratic Oath to the principle of ... primum non nocere to modern-day principlism, medical ethics have evolved over time. ... As public and professional interest in medical ethics increases, it is important for clinicians, researchers,

Which treatment modality of pyogenic granuloma is worth its weight in salt?

By Warren R. Heymann, MD, FAAD July 31, 2024 Vol. 6, No. 31 I get palpitations with every pyogenic granuloma (PG) I encounter. Even though the clinical diagnosis is instant, my personal Jiminy Cricket dermatologist reminds me not to miss an amelanotic melanoma, squamous cell carcinoma, or cutaneous metastasis. If

Office preparedness

The information below is provided for informational purposes only and is not an AAD guideline. Please refer to your local, state, or national guidelines for infection control regulations. ... 1. How can I prepare my practice for a patient with suspected measles? ... If your office does not have an

July 6, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 6, 2022 ... Long-term recurrence rates of actinic keratoses DermWorld Insights and Inquiries : Isotretinoin and diabetes — Of familiarity and surprise What physicians should know about monkeypox Anti-PD-1 therapy

Shingles and the battle of the bulge

By Warren R. Heymann, MD Sept. 11, 2019 Vol. 1, No. 27 I thought I knew herpes zoster (HZ, shingles) inside and out — from patients’ experiences, my late mother’s herpes zoster ophthalmicus (I could not believe how devastatingly awful she appeared arriving back from Europe!), to my recent vaccination

Softening the blow of calcinosis cutis: The promise of intralesional sodium thiosulfate

By Warren R. Heymann, MD Oct. 12, 2017 ... Calcinosis cutis and pseudoxanthoma elasticum of central abdomen. Firm, erythematous nodules with focal areas of yellow chalky material centrally. ... Credit: ... JAAD I’m not sure what’s harder about calcinosis cutis (CC), the lesion itself or treating it. ... Calcinosis cutis

Your Dermatologist Knows has hot summer on social media

You’re the experts and millions of people know it. ... The Your Dermatologist Knows strategy involves a robust social media presence that includes AAD Social Media Correspondents, partnerships with AAD member social media influencers, and paid and organic placements of Your Dermatologist Knows content. ... This summer, Your Dermatologist Knows-related

Telemedicine coding basics: What you need to know now

Teledermatology visits ... Teledermatology services are used in lieu of an in-person visit when medically appropriate to address the care of the patient and when the patient and/or family/caregiver agree to this format of care. Teledermatology services are performed using virtual technology in one of the two ways: ... Live-interactive

Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.

By Warren R. Heymann, MD Sept. 4, 2017 Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever

Parvovirus infections: What’s relevant?

By Warren R. Heymann, MD Nov. 24, 2017 ... Parvovirus B19 infection. Purpuric rash on the legs (A) and hands (B) in a patient with a gloves-and-socks syndrome. ... Credit: ... JAAD It seems as though the expression "It could be Parvovirus" has entered our differential diagnostic discussions with increasing

Key messages for social media about hair loss

Key messages ... Many conditions and diseases can result in hair loss, as can improper hair care. ... The most common cause of hair loss is hereditary thinning or baldness, also known as androgenetic alopecia. (1) This condition affects an estimated 80 million Americans — 50 million men and 30

2026 AAD Annual Meeting: Networking and special events

The 2026 AAD Annual Meeting in Denver is the top gathering of dermatology professionals and industry leaders, offering countless ways to connect and collaborate. From spontaneous post session conversations to affiliate meetings, reunions, and special events, every moment is designed to take your network to the next level. ... Join

Thinking of discontinuing the PD-1 inhibitor because of a lichenoid eruption? Don’t do it!

By Warren R. Heymann, MD May 21, 2016 Immune checkpoint inhibitors have been the proverbial "game changers" in oncology, and offer hope (and a chance of survival) where none existed just a few years ago. ... Cutaneous manifestations are the most common adverse reactions to these drugs. Indeed, more than

What's hot?

What's hot ... September 18, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The clock is TICKing on emerging vectorborne diseases. Lyme disease, famously named for its endemicity in Old

Skin conditions by the numbers

Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A

Psoriasis

Key messages ... Psoriasis is a chronic inflammatory disease of the immune system that develops when the body makes skin cells too quickly, causing skin cells to pile up and form visible patches or spots on the skin. (1-6) ... Psoriasis and psoriatic arthritis can be associated with other diseases

March 30, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 30, 2022 ... The rankings are in: Minoxidil, finasteride, and dutasteride for male androgenetic alopecia DermWorld Insights and Inquiries : Bowel-associated dermatosis-arthritis syndrome (BADAS) — The story behind the acronym

May 7, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 7, 2025 ... Low-dose oral minoxidil vs. combination therapy with dutasteride or finasteride DermWorld Insights and Inquiries : Getting a head up on cutaneous scalp malignancies Academy mourns the passing

The alphabetization of lymphomatoid papulosis: Focus on “F”

By Warren R. Heymann, MD April 3, 2017 Follicular lymphomatoid papulosis. Recurrent papulonodular lesions on face (A to C). Patient had similar lesions on extremities. ... Credit: ... JAAD Seven years ago, today (April 3rd, 2010) my wife purchased an iPad on its inaugural release date. The only choices to

Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”

By Warren R. Heymann, MD June 18, 2018 ... A 45-year-old woman with cutaneous sarcoidosis at (A) baseline before treatment and (B) with koebnerization after BBLT (560 nm filter at 20 J/cm2, pulse width 30 msec, 20°C cooling, 7-mm square spot size, repetition rate 10 Hz). ... Credit: ... JAAD

Aha! The iodide paradox now makes sense!

By Warren R. Heymann, MD Oct. 1, 2018 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD In the pre-direct immunofluorescence days of yore (before my time in dermatology), the exacerbation of dermatitis herpetiformis (DH) by oral or topical iodides could be

Red genitals: New roads to recovery

By Warren R. Heymann, MD July 23, 2018 ... Red scrotum syndrome. Sharp border between the erythematous skin and the normal scrotum skin in a 65-year-old male patient. ... Credit: ... JAAD I searched PubMed for Quality of Life (QoL) studies on the Red Scrotum Syndrome (RSS) and Red Vulva

An acne vaccine to make patients happy CAMPers?

By Warren R. Heymann, MD Nov. 12, 2018 When walking back to my office after receiving my flu shot, I thought about how wonderful it be to have a preventive therapy for common dermatologic disorders such as acne. That may not be so far-fetched. ... Acne vulgaris (referred to as

Promoting interoperability (25%)

The Promoting Interoperability (PI) category focuses on interoperability and is worth 25% of the overall MIPS score. To participate, you must use a certified Electronic Health Record (EHR) listed at the  ... Certified Health IT Product List (CHPL) . ... You cannot satisfy the PI category requirements without having an EHR or getting

Promoting interoperability (25%)

The Promoting Interoperability (PI) category focuses on interoperability and is worth 25% of the overall MIPS score. To participate, you must use a certified Electronic Health Record (EHR) listed at the  ... Certified Health IT Product List (CHPL) . ... You cannot satisfy the PI category requirements without having an EHR or getting

Oncolytic virotherapy and the dermatologist

By Warren R. Heymann, MD March 8, 2018 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),

Keeping an eye on retinoids as treatment for the ectropion of lamellar ichthyosis

By Warren R. Heymann, MD Nov. 9, 2017 ... Clinical examples of autosomal recessive congenital ichthyosis: harlequin ichthyosis (HI) at birth (A); HI evolves into generalized exfoliating erythrodermic ichthyosis (B and C) (reprinted from "Menschen mit Ichthyose - ein Bildband 2003" courtesy of Selbsthilfe Ichthyose e. V.); collodion membrane with

Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503

Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one

Metastatic uveal melanoma: Tebentafusp unobfuscated

By Warren R. Heymann, MD, FAAD June 25, 2025 Vol. 7, No. 25 Oncodermatology is a full-time occupation comprised of two major components — novel therapies for cutaneous malignancies and adverse reactions to treatments for diverse cancers. A novel class of anticancer agents is termed ImmTACs — immune mobilizing monoclonal

Erectile dysfunction in dermatology: A silent epidemic

By Warren R. Heymann, MD, FAAD Oct. 15, 2025 Vol. 7, No. 41 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . A privilege of being a physician is having intimate conversations with patients that would never occur in any other circumstances.

January 8, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 8, 2025 ... Topical finasteride with minoxidil vs. topical minoxidil alone for male-pattern androgenic alopecia DermWorld Insights and Inquiries : The treatment of systemic juvenile xanthogranulomas matures Academy mourns the

August 27, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 27, 2025 ... A tool to assess patients at high-risk for cutaneous squamous cell carcinoma DermWorld Insights and Inquiries : Chanarin-Dorfman syndrome — Shifting out of neutral Carbon dioxide laser

The appeal of molecular medicine for the peeling skin syndrome

By Warren R. Heymann, MD April 17, 2018 A, After soaking his foot in warm water for 30 minutes, the patient could peel superficial layers of skin. B, After the peeling, erythematous base is revealed. C, Healed area with slight thickening and pigmentation. ... Credit: ... JAAD This may not

The concept of atrophoderma of pasini and pierini as morphea may be falling off a cliff

By Warren R. Heymann, MD Nov. 6, 2017 ... Clinical photos of idiopathic atrophoderma of Pierini and Pasini. ... Credit: ... JAAD Diagnosing Atrophoderma of Pasini and Pierini (APP) is reasonably straightforward — it usually presents in adolescents and young adults, more often in females, with sharply defined, single or

As molecular knowledge of PROS expands, lesions contract

By Warren R. Heymann, MD April 19, 2018 PIK3CA patient showing hemifacial hypertrophy. ... Credit: ... JAAD Somatic activating mutations in the phosphatidylinositol-3-kinase/AKT/mTOR pathway manifest as heterogeneous segmental overgrowth phenotypes Historically, the clinical diagnoses in patients with PIK3CA activating mutations have included Fibroadipose Hyperplasia or Overgrowth (FAO), Hemihyperplasia Multiple Lipomatosis

DI&I encore: Better than a back scratcher?

By Warren R. Heymann, MD March 30, 2017 The potential toxicity of the combination of topical ketamine/amitriptyline/lidocaine (TKAL) was discussed in a recent entry detailing the encephalopathic findings in an octogenarian Parkinsonian man with atopic dermatitis who was treated with the compound. I concluded: "As our therapeutic options for recalcitrant

Of sirolimus, shagreen, and chagrin

By Warren R. Heymann, MD July 24, 2017 Shagreen patch is a connective tissue hamartoma composed of excess collagen and elastic tissue. ... Credit: ... JAAD By the time I left the superlative World Congress of Pediatric Dermatology in Chicago I wanted to add sirolimus to the water supply. The

Old stains leaving new marks in dermatology

 ... By Warren R. Heymann, MD Oct. 15, 2018 A new blue-gray papule was noted on the left side of the neck and was excised as outlined by gentian violet surgical marker. ... Credit: ... JAAD Periodically I will pull an ancient tie from my rack. I’m delighted if

The ultimate prognosis of eosinophilic fasciitis may not be groovy

By Warren R. Heymann, MD Sept. 18, 2017 Presentation in March 2017 with diffuse hyperpigmented sclerodermoid lesions of the bilateral upper extremities with palpable fasciitis and tightening of the distal forearm muscles. ... Credit: ... JAAD My patients with eosinophilic fasciitis (EF, Shulman syndrome) have been fortunate. They have been

We’ve gotta recognize GATA2 deficiency

Cutaneous findings in GATA2 deficiency. (A) Extensive human papillomavirus infection with vulvar and anal intraepithelial neoplasia, (B) cutaneous mycobacterial infection, and (C) erythema nodosum–like panniculitis in a 40-year-old woman with GATA2 deficiency. ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 26, 2018 I’ll begin with my conclusion —

2026 AAD Innovation Academy: Childcare

Balance learning and family time in New York ... Childcare ... We are pleased to offer childcare services at 2026 AAD Innovation Academy in New York this summer. Our childcare service offers a safe and entertaining environment for children ages 6 months to 12 years. ... In partnership with KiddieCorp,

Expert dermatologists present latest information at 2022 AAD Annual Meeting

ROSEMONT, Ill. (March 23, 2022) — The 2022 American Academy of Dermatology Annual Meeting is back. The meeting will take place March 25-29 at the Boston Convention and Exhibition Center in Boston. The meeting will feature 300 educational sessions on the latest information on skin, hair and nails, presented by

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.

Reporting Evaluation and Management (E/M) Codes by Time

Can time alone be used to select an E/M code? ... In certain circumstances, time can be used as the key or controlling factor for determining the correct E/M code. When counseling and/or coordination of care dominates (e.g., more than 50%) the physician/patient encounter (e.g., face-to-face time in the office

PDT for erosive pustular dermatitis of the scalp: Seeing the light (but reaching a different conclusion)

By Warren R. Heymann, MD June 9, 2016 Erosive Pustular Dermatitis of the Scalp (EPDS) is a relative common condition, typically seen on the actinically damaged scalps of the elderly men. Lesions characteristically present as hyperkeratotic, crusted erosions with varying degrees of pustulation. Lesions may become secondarily infected. The etiology

Deep penetrating thoughts about deep penetrating nevi

By Warren R. Heymann, MD Jan. 14, 2019 Histopathological features of deep penetrating nevus (DPN). A, At low power, the punch biopsy specimen demonstrates a well-circumscribed, wedge-shaped, pigmented dermal lesion, tapering toward the subcutaneous fat. B, DPN typically track along adnexal structures and neurovascular bundles, as shown on this high-power

Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication

By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain

Lightening the cutaneous and emotional burden of melasma: Cysteamine’s role

By Warren R. Heymann, MD, FAAD February 9, 2022 Vol. 4, No. 6 Melasma is a frustrating disorder for patients and practitioners alike. Facial gray-brown patches may cause psychosocial distress and embarrassment, thereby diminishing quality of life. (1) Melasma most frequently occurs in women with Fitzpatrick skin types III-VI with

Incysting on understanding pilar cysts

By Warren R. Heymann, MD July 15, 2020 Vol. 2, No. 28 Chances are you will see patients with at least one pilar cyst today. You will reassure them of their benignity, stating that the risk of their becoming cancerous is infinitesimal, and perhaps you will excise some lesions. Inquisitive

Striving for hard facts about water softening in atopic dermatitis

By Warren R. Heymann, MD, FAAD Aug. 18, 2021 Vol. 3, No. 33 With the success of dupilumab in managing atopic dermatitis (AD), and new agents on the horizon (IL-13 inhibitors lebrikizumab and tralokinumab; the IL-31 inhibitor nemolizumab; targeted anti IL-17, IL-22, and TSLP inhibitors; JAK inhibitors; and the PDE4

Key messages for social media about aging skin

Key messages ... Exposure to ultraviolet radiation from the sun and indoor tanning beds is the most preventable cause of early skin aging. (1-3) ... The most effective ways to prevent wrinkles and sun damage are to protect yourself from the sun by seeking shade, wearing protective clothing and applying

Radical chik: Chikungunya fever presenting as a toxic epidermal necrolysis-like eruption

By Warren R. Heymann, MD June 25, 2018 ... Chikungunya fever: morbilliform rash with islands of sparing. Photograph courtesy of Zawar Vijay, MD, Nashik, India. ... Credit: ... JAAD I have seen only one documented case of Chikungunya fever (CF), in a young woman who returned from Puerto Rico, presenting

My diagnostic blind spot: Erythema elevatum diutinum

By Warren R. Heymann, MD Feb. 15, 2018 Erythema elevatum diutinum depicted by erythematous-to-violaceous papules and plaques affecting the extensor surfaces of the patient's arms, legs, and buttocks. ... Credit: ... JAAD I’m certain that every dermatologist — myself included — has a diagnostic blind spot. I came to this

Merkel cell carcinoma in situ: Begin the beguine?

By Warren R. Heymann, MD May 26, 2017 I have to admit, the concept of Merkel cell carcinoma in situ (MCCIS) was "below my radar screen," until I read the intriguing article, from Jason Lee’s group, questioning whether an intraepidermal proliferation of Merkel cells (MC) within a seborrheic keratosis is

Re-excising severely atypical nevi: A signature issue?

By Warren R. Heymann, MD Feb. 10, 2017 Clark (dysplastic) nevus with atypical features. A, Low magnification demonstrates a broad compound melanocytic neoplasm with architectural asymmetry. B and C, Higher power reveals elongated rete ridges, subepidermal fibroplasia, parakeratosis, and marked variability in size and shape of melanocytes and their

Glomus tumors point a finger at neurofibromatosis

By Warren R. Heymann, MD ... Nov. 21, 2016 ... 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

Acquaint Yourself with the MPFSDB Indicators

The MPFSDB provides more than just a list of carrier-specific maximum fees per procedural code. The MPFSDB is the national database used by MACs to ensure that claims processing is consistent nationally. Medicare uses this fee schedule when paying for the following services: ... Professional services of physicians and other

Academy culture and benefits

You’re going to love it here! ... The AAD is proud to work with a supportive staff that creates a purpose-driven and growth-oriented environment that values integrity and fosters creativity. Our management style promotes open communication and collaboration while providing teams with the guidance needed to ensure everyone’s success. You’ll

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience ... DESCRIPTION: Percentage of adult patients (age 18 years and older) who report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis. Patients provide a global assessment of the perceived effectiveness

Summary of MIPS 2021 changes

Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Faiza Wasif, MPH, the Academy’s Practice Management manager, offers a summary of MIPS changes in 2021. CMS released the final Quality Payment Program (QPP)

Humbled again: Alopecic and aseptic nodules of the scalp

By Warren R. Heymann, MD, FAAD November 3, 2021 Vol. 3, No. 44 "To confess ignorance is often wiser than to beat about the bush with a hypothetical diagnosis." - Sir William Osler I confess. I had never heard of alopecic and aseptic nodules of the scalp (AANS) and have

Does the JAK inhibitor baricitinib raise the bar on treating lupus?

By Warren R. Heymann, MD Aug. 20, 2018 Cutaneous lupus in dermatomal distribution. Erythematous papules in a dermatomal distribution along the patient's left lower extremity. ... Credit: ... JAAD Undeniably, the JAK inhibitors have been at the forefront of advances in immunologically-based diseases, including alopecia areata, vitiligo, psoriasis, rheumatoid arthritis,

2026 AAD Annual Meeting: Childcare

Bring the family for the adventure with our convenient childcare service! ... We are pleased to offer childcare services at the 2026 AAD Annual Meeting in Denver, Colorado. Our childcare service offers a safe and entertaining environment for children ages 6 months to 12 years. ... In partnership with KiddieCorp,

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

Fixing the concept of the neutrophilic fixed drug eruption

By Warren R. Heymann, MD, FAAD Oct. 12, 2022 Vol. 4, No. 41 Can anyone other than your mother recognize you from your baby photograph? The concept that lesions have lives is nothing new — clinical and histopathological changes vary from lesional inception to involution. Despite this truism, confusion about

Taking woolly hair to heart

By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch

Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is

By Warren R. Heymann, MD, FAAD Aug. 28, 2024 Vol. 6, No. 35 Part of the folklore at the Albert Einstein College of Medicine when I rotated as a fourth-year medical student in dermatology was that a prior resident made the correct diagnosis of Cronkhite-Canada syndrome (CCS). The constellation of

Atopic dermatitis hide and seek: The impending role of OX40 inhibition

By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside

Living with trimethylaminuria: Research awaiting the smell of success

By Warren R. Heymann, MD, FAAD Feb. 26, 2025 Vol. 7, No. 8 I was mesmerized watching (and listening to) the PBS episode of ... Great Performances devoted to Rodgers and Hammerstein’s 80th anniversary. Rodgers’ melodious scores and Hammerstein’s poignant lyrics remain the ultimate standard of the musical theatre genre.

2025 AADA Legislative Conference: FAQs

When and where will the conference take place? ... The 2025 AADA Legislative Conference will take place September 7-9, 2025, at the ... J.W. Marriott Hotel , in Washington, D.C. ... What is the AADA Legislative Conference? ... The AADA Legislative Conference is the specialty’s foremost meeting focused on legislative,

MIPS Highlights for 2021

CMS announces automatic exemption for MIPS 2020 performance period & extended deadline for COVID relief ... In response to the ongoing COVID-19 public health emergency, CMS recently announced that it will apply an automatic extreme and uncontrollable circumstance (EUC) policy for all eligible clinicians for the MIPS program for the

Oral tranexamic acid to treat melasma: Are you bloody kidding me?

By Warren R. Heymann, MD Aug. 1, 2016 Tranexamic acid (TA) is a synthetic derivative of lysine utilized as an antifibrinolytic agent to prevent bleeding (for dental surgery in patients with hemophilia, post-cardiac bypass surgery patients, or in women with menorrhagia) and as a treatment option for hereditary angioedema.

Idiopathic facial aseptic granuloma — Have we met?

By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise

Diagnosing atypical hand, foot, and mouth disease by routine microscopy

By Warren R. Heymann, MD Dec. 15, 2016 Hand, foot, and mouth (HFM) disease is childhood exanthem usually caused by Coxsackie A16; enterovirus 71 has been implicated in cases of HFM complicated by encephalitis, flaccid paralysis, myocarditis and pulmonary edema. Coxsackie A6 has recently been associated with severe, atypical episodes

Preventing hair loss in breast cancer patients is very cool

By Warren R. Heymann, MD Feb. 15, 2017 Dramatic change in physical appearance before (A) and 1 month after (B) treatment with paclitaxel and carboplatin. ... Credit: ... JAAD The loss of my late aunt Millie to breast cancer was devastating; it was even harder to bear after learning that

The prescience of Bernie Ackerman: The road from “pseudoleukemia cutis” to “intralymphatic proliferation of T-cell lymphoid blasts (IPTCLBs)”

By Warren R. Heymann, MD Dec. 13, 2016 Hand, foot, and mouth (HFM) disease is childhood exanthem usually caused by Coxsackie A16; enterovirus 71 has been implicated in cases of HFM complicated by encephalitis, flaccid paralysis, myocarditis and pulmonary edema. Coxsackie A6 has recently been associated with severe, atypical episodes

Antihypertensive agents and eczema: New data for older patients

By Warren R. Heymann, MD, FAAD March 12, 2025 Vol. 7, No. 10 "Anyone who recalls the 1971 Loving Care commercial exclaiming, ‘You’re not getting older. You’re getting better!’ is getting older. America is graying — in 2019, people older than 65 years accounted for 16% of the population; in

Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma

By Warren R. Heymann, MD, FAAD Aug. 13, 2025 Vol. 7, No. 32 A highlight of my week is leisurely reading the ... Philadelphia Inquirer on quiet Sunday mornings, skimming over the troubling headlines, and concentrating on positive happenings in the Delaware Valley. My bliss was rudely interrupted by a

Eruptive pseudoangiomatosis is real

By Warren R. Heymann, MD, FAAD May 4, 2022 Vol. 4, No. 18 The term "pseudo" (defined as false, fake, or unreal) is used liberally in dermatology, much to the chagrin of students of the discipline and non-dermatologists. There are dozens of examples (pseudofolliculitis barbae, pseudo-Kaposi sarcoma, pseudolymphoma, etc. —

The emergence of rituximab-induced pyoderma gangrenosum: An alert to dermatologists

By Warren R. Heymann, MD, FAAD Sept. 21, 2022 Vol. 4, No. 38 Recognizing cutaneous adverse drug reactions is medical dermatologist’s forte. This commentary will focus on rituximab-induced pyoderma gangrenosum (RIPG) that characteristically presents as vulvovaginal pyoderma gangrenosum (VVPG) — a condition that I have not encountered (and hope that

Key messages about rosacea for social media

Key messages ... Rosacea is a common skin condition that mainly affects the face. You may see flushing, lasting color (red, violet, or brown), acne-like breakouts, or visible blood vessels. Some people develop irritated eyes or thickening skin. (1,2) ... Although there is no cure for rosacea, proper treatment can

Dermatologists cannot be lax about acquired cutis laxa

By Warren R. Heymann, MD Jan. 28, 2019 Acral localized acquired cutis laxa. Loose, redundant skin on the volar finger pads bilaterally that gave them a flat, rounded appearance. ... Credit: ... JAAD From the time I was a medical student, I have always been fascinated by the "little old

Elmer Fudd beware: Tularemia’s re-emergence

By Warren R. Heymann, MD Sept. 24, 2018 Ulcer on left thumb of patient with ulceroglandular tularemia. ... Credit: ... JAAD Practicing dermatology is humbling business. I tip my hat to Polat et al, who diagnosed tularemia in an 11 year-old girl presenting with targetoid papules and plaques of her

Teprotumumab: An eye-opening advance for pretibial myxedema?

By Warren R. Heymann, MD May 8, 2017 Histologic images of PME. (A, Hematoxylin-eosin stain; original magnification, ×40. B, Colloidal iron stain; original magnification, ×100.) ... Credit: ... JAAD Having just completed the chapter on the treatment of pretibial myxedema (PTM, also known as thyroid dermopathy) for the upcoming

More than fibrofolliculomas: A novel angiomatous lesion enters the Birt-Hogg-Dubé realm

By Warren R. Heymann, MD Dec. 9, 2016 I distinctly remember the first time I saw a case of the Birt-Hogg-Dubé (BHD) syndrome. I was attending the dermatology clinic at the University of Pennsylvania, when Julia Haimowitz and Allan Halpern asked for my opinion about a patient with dome-shaped

Yom Kippur and the physician payment Sunshine Act

By Warren R. Heymann, MD Oct. 9, 2016 Yom Kippur, the Jewish day of atonement, is upon us. It is Judaism’s most sacred holiday. It is a day of fasting and prayer to atone for sins of the past year. According to traditional teachings, a person’s fate is written in

Netherton syndrome: From apex to nether

By Warren R. Heymann, MD March 31, 2021 Vol. 3, No. 13 If you are a dermatologist preparing for your board exam, I’ll wager that you can rattle off the classical features of Netherton syndrome (NS, aka Comel-Netherton syndrome) in a heartbeat. The more important question — would you recognize

Recognizing Trichophyton indotineae

Reporting to health departments ... Physicians who suspect antimicrobial-resistant dermatophytosis can also contact ... their state or local health departments for assistance . Public health officials who are concerned about potential cases or clusters of drug-resistant tinea infections can email ... fungaloutbreaks@cdc.gov for assistance with recommendations and testing. ... Overview

My core incompetencies

By Warren R. Heymann, MD May 19, 2017 It is time for our semiannual ritual — the meeting of our Clinical Competency Committee (CCC). Our dermatology program is small, having twice as many faculty members as residents, so everyone serves on the committee. The process has changed dramatically from the

e-Prescribing Objective

Measure: e-Prescribing (PI_EP_1) ... DESCRIPTION At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT. ...  ... MAXIMUM POINTS 10 points ...  ... REPORTING REQUIREMENTS NUMERATOR/DENOMINATOR  ... NUMERATOR: Number of prescriptions in the denominator generated and transmitted electronically using CEHRT. ...

e-Prescribing Objective

Measure: e-Prescribing (PI_EP_1) ... DESCRIPTION At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT. ...  ... MAXIMUM POINTS 10 points ...  ... REPORTING REQUIREMENTS NUMERATOR/DENOMINATOR  ... NUMERATOR: Number of prescriptions in the denominator generated and transmitted electronically using CEHRT. ...

The globalization of monkeypox

By Warren R. Heymann, MD, FAAD May 25, 2022 Vol. 4, No. 21 Disclaimers: This commentary was written on May 22 for a publication date of May 25, 2022. The issues related to the increasing number of reported monkeypox cases are changing rapidly. The content included in this commentary may

Indoor tanning fact sheet

Indoor tanning use  ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in

Always another worry for patients with hidradenitis suppurativa: Amyloid A amyloidosis

By Warren R. Heymann, MD, FAAD March 27, 2024 Vol. 6, No. 13 My introduction to hidradenitis suppurativa (HS) was as a first-year dermatology resident on the inpatient dermatology service at Van Etten Hospital in the Bronx, caring for a most unfortunate woman with HS; she had secondarily infected pyoderma

PRIDE without prejudice

By Warren R. Heymann, MD, FAAD July 30, 2025 Vol. 7, No. 30 As the years march on, I am bemused by having witnessed once-novel findings become mainstream affairs. I recall my excitement describing the development of paronychia in a 76-year-old woman with metastatic colon carcinoma who was participating in

Further dermatologic observations in cystic fibrosis

By Warren R. Heymann, MD, FAAD Aug. 6, 2025 Vol. 7, No. 31 Watson: And yet I believe that my eyes are as good as yours. Holmes: Quite so. You see, but you do not observe... – Sherlock Holmes in "A Scandal in Bohemia" (1891, written by Sir Arthur Conan

Applying the 2021 E/M coding concepts in everyday practice – Part 8

Part eight of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes continue those of part 7 in this series, demonstrating how a common dermatologic condition, actinic keratosis, can be classified under different categories of problem addressed during the encounter depending

What's hot?

What's hot ... October 30, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you familiar with "fish pedicures" and their risks? Fish pedicures are pedicures in which the feet are immersed

Rounds on pityriasis rotunda

By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and

A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?

By Warren R. Heymann, MD, FAAD Aug. 3, 2022 Vol. 4, No. 31 In 1965, Reye described 18 small, fibrous tumors from 12 children submitted to his laboratory for histological examination, that he had accumulated over two decades. Initially, these lesions were tentatively classified as well-differentiated fibrosarcomas. His seminal observation

2026 AAD Annual Meeting: Media resources

The American Academy of Dermatology is pleased to welcome media to the 2026 AAD Annual Meeting from Friday, March 27, through Tuesday, March 31, in Denver, Colorado. ... Important dates ... Advance press registration closed on Wednesday, Feb. 25, 2026, at 12 p.m. CT. If you are still interested in

Eosinophilic dermatosis of hematologic malignancy: Reality bites

By Warren R. Heymann, MD July 24, 2019 Vol. 1, No. 20 Our new gazebo’s screening beckons! Finally completed late last fall, I have longingly stared at it, waiting for spring’s warm embrace to invite me in. I cherish being outside, but in the shade and protected from the annoyance

Leishmania episode 1a: attack of the clones

By Kiran Motaparthi, MD February 10, 2021 Vol. 3, No. 6 Cutaneous leishmaniasis (CL), although not life-threatening, can progress to a disfiguring disease with prominent scarring. Humans serve as reservoirs for > 20 species of ... Leishmania, which are transmitted as flagellate promastigotes by sandflies. Within humans, the organisms convert

The pachydermoperiostosis prostaglandin paradigm

By Warren R. Heymann, MD July 10, 2019 Vol. 1, No. 18 Prostaglandins were the rage when I started medical school in 1975; their role in inflammatory dermatoses was considered of paramount importance throughout my residency in the early 1980s. Hours were spent studying the transformation of arachidoinic acid to

What are keratoacanthomatous lesions of the legs in mature women?

By Warren R. Heymann, MD Dec. 11, 2017 ... Right thigh, keratoacanthomatous atypical squamous proliferation. (Hematoxylin-eosin stain; original magnification: ×10.) ... Credit: ... JAAD I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. "Why am I getting these? Are they cancer? Why

A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo

... By Warren R. Heymann, MD April 17, 2019 Vol. 1, No. 6 ... Vitiligo affects approximately 1% of the worldwide population of all racial/ethnic groups, equally affecting male and female patients. As neither immune nor non-immune mechanisms in isolation can sufficiently explain all parts of this complex disease,

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

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

Mucho de Mucha-Habermann

By Warren R. Heymann, MD Dec. 19, 2016 As we approach interview season for our residency program, I try to think of some questions I haven’t asked before. I usually do not discuss dermatologic disorders per se, as I am more concerned about the interviewee as a person knowing how

How dry I am: The white scale sign of xerosis

By Warren R. Heymann, MD Dec. 22, 2016 When winter approaches my skin dries out. Fortunately, it doesn’t bother me at all. For others, especially in the elderly, xerosis be a predisposing factor for asteototic eczema, nummular dermatitis or dyshidrotic eczema (1). With so many people presenting with dry

Koebnerization in Henoch-Schönlein purpura: How does it line up with prognosis?

By Warren R. Heymann, MD Nov. 20, 2017 ... Urticarial hemorrhagic lesions of Henoch-Schönlein purpura in characteristic distribution. Note Koebner phenomenon in lines of scratch. ... Credit: ... JAAD Heinrich Koebner is eponymically known for having first described the phenomenon of developing an existing dermatosis in previously normal skin following

Cannabinoids may elevate therapy for connective tissue diseases to a higher level

By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of

Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?

By Warren R. Heymann, MD May 22, 2017 A clinically pigmented neurofibroma associated with underlying café au lait macule. ... Credit: ... JAAD Worry comes with the territory of Neurofibromatosis Type I (NF-1). It often starts with the anxiety of determining if a child has enough criteria to confirm the

Desquamative gingivitis: Sinking your teeth in miagnosis and management

By Warren R. Heymann, MD Jan. 7, 2017 Cycle of oral hygiene in desquamative gingivitis. ... Credit: ... JAAD Patients presenting with desquamative gingivitis (DG) are typically some of the most frustrated, aggravated patients I encounter. Frequently, they have not been adequately evaluated, are in pain, and are desperate for

Incretin-based therapy for diabetes and dermatology: Promise and peril

By Warren R. Heymann, MD Oct. 23, 2017 In a given day, how many of your patients are diabetic? According to the American Diabetes Association, in 2015, 9.4% of the US population (30.3 million) were diabetic; 29 million of this group had type 2 diabetes. ... Incretin hormones refer to

Rituximab therapy for recalcitrant dermatitis herpetiformis: A gut feeling

By Warren R. Heymann, MD March 20, 2017 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD Recently I "accidentally" diagnosed a severely pruritic man with dermatitis herpetiformis (DH). He had seen leading authorities for his life-altering pruritic dermatosis, that clinically and

Laboratory testing for syphilitic alopecia: Time to renew old habits?

By Warren R. Heymann, MD June 4, 2018 I’m not sure how this happened. I used to check several laboratory studies in patients presenting with alopecia, including a rapid plasma reagin (RPR) for syphilis (in addition to a CBC, TSH, iron binding studies, ANA and vitamin D; testosterone and DHEAS

Becker’s nevus: Mutations that shoulder responsibility

By Warren R. Heymann, MD Aug. 31, 2017 Systematized, bilateral Becker nevus with hypoplasia of left areola in 19-year-old man (Courtesy of Dr Carlos de la Torre, Pontevedra, Spain). ... Credit: ... JAAD My wife insisted I take a break from studying for the dermatology boards. ... "Warren, give it

Quality (30%)

The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures. ... Reporting quality measures ... In 2025, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting

Changing a long-standing habit

By Warren R. Heymann, MD April 16, 2016 Topical corticosteroid has no influence has no influence on inflammation or efficacy after ingenol mebutate treatment of grade I to III actinic keratosis (AK): A randomized clinical trial. ... This is a randomized controlled clinical trial of patients with multiple AK and

Vaccines, maintenance, and PEP

The information below is provided for informational purposes only and does not represent treatment or vaccine guidelines from the AAD. Please refer to your local, state, or national guidelines for treatment and vaccine guidelines. ... 1. What are the guidelines for routine MMR vaccination? ... 1,2 ... The routine vaccination

October 28, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 28, 2020 ... Drug may offer prolonged improvement in chronic spontaneous urticaria DermWorld Insights and Inquiries : Looking into the whites of the mouth Why will dermatology experience a 2%

Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum

By Warren R. Heymann, MD April 12, 2018 The front (A1) and back (A2) portions of his upper thigh show signs of severe Erythema Annulare Centrifugum. ... Credit: ... JAAD When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting

Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis

By Warren R. Heymann, MD April 26, 2018 ... Pemphigoid gestationis in 34-year-old primigravida at 28 weeks gestation. A, Urticated erythema with multiple tense blisters on both thighs. B, Histopathologic findings reveal subepidermal blister formation with abundant eosinophils, accompanied by superficial and middermal perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin stain; original magnification:

Getting the GIST cutaneous hyperpigmentation disease

By Warren R. Heymann, MD Nov. 6, 2019 Vol. 1, No. 35 Gastrointestinal stromal tumors (GISTs) are mesenchymal malignancies arising from the interstitial cells of Cajal (cells that create bioelectrical slow wave potential, leading to smooth muscle contraction, thereby aiding peristalsis). GISTs were initially recognized by identification of KIT (CD117)

Terra Firma-Forme Dermatosis

By Warren R. Heymann, MD, FAAD Nov. 13, 2024 Vol. 6, No. 46 The renowned gastroenterologist was rounding with his fellows when he summoned me to his patient’s bedside to impress me with his astute diagnosis of malignant acanthosis nigricans, having admitted his patient for an extensive endoscopic work-up for

Eccrine syringofibroadenoma: Sweating over the details

By Warren R. Heymann, MD, FAAD January 26, 2022 Vol. 4, No. 4 While learning about rare entities during our training, we may wonder if we will ever encounter the disorders in "real life." Eccrine syringofibroadenoma (ESFA), first described in 1963 by Mascaro, was considered a relatively "new" lesion when

Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis

By Warren R. Heymann, MD April 23, 2018 Dermatomyositis. Erythematous papules overlying the metacarpal and interphalangeal joints (Gottron papules). ... Credit: ... JAAD Of all the cutaneous manifestations of dermatomyositis (DM) — the heliotrope rash, Gottron’s papules, Gottron’s sign, shawl sign, holster sign, flagellate erythema, photosensitivity, poikiloderma, periungual erythema, periungual

The Term “Dermal Hyperneury” Hits a Nerve

By Warren R. Heymann, MD Dec. 21, 2017 ... A, On hematoxylin-eosin stain, the borders of this nerve bundle are sharply demarcated from the surrounding connective tissue with no associated inflammation or fibrosis. A thin layer of epithelium can be seen encapsulating the intersecting fascicles of nerve fibers. Within the

Till death do you part: Love, marriage, melanoma, and more

By Warren R. Heymann, MD May 21, 2018 ... "What brings you to the office today"? ... "My wife wanted me to get my skin checked." ... If it wasn’t for wives, I wouldn’t have any male patients. ... Seven years ago, my wife noted a lesion on my back,

Fever, rash, and lymphadenopathy may be wearing more than one DRESS

By Warren R. Heymann, MD April 24, 2019 Vol. 1, No. 7 As a dermatology resident, I was mesmerized by the concept of "angioimmunoblastic lymphadenopathy with dysproteinemia" (AILD) after seeing a patient presented at our weekly conference at the Albert Einstein College of Medicine. I was perplexed as to how

Sirolumus’s merit for the Kasabach-Merritt phenomenon

By Warren R. Heymann, MD Oct. 8, 2018 KHE patient after 15 months of sirolimus therapy. ... Credit: ... JAAD Thrombopenic purpura associated with benign hemangioma is rare. In fact, we have not been able to find a record of a combination of these two conditions in the medical literature.

Naltrexone therapy for Hailey-Hailey disease: Confirming my addiction to evidence-based medicine

By Warren R. Heymann, MD Aug. 28, 2017 Hailey-Hailey disease. Patient 1: erythematous-crusted plaques on the lower midback before radiation treatment. ... Credit: ... JAAD I was fascinated by a presentation at the recent World Congress of Pediatric Dermatology discussing improvement of epidermolysis bullosa wounds with topical CBD (cannabis) oil.

Learning about proton pump inhibitor-induced dermatologic adverse reactions is ulcerogenic

By Warren R. Heymann, MD June 7, 2016 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 PPIs? ... Alkeraye et al reported two

2026 AAD Innovation Academy: Networking and special events

Experience Hub ... The unique energy of 2026 AAD Innovation Academy comes to life in the Experience Hub. Designed as the pulse of the meeting, it brings together exhibits, scientific posters, additional learning, and dedicated networking opportunities that spark conversation and new ideas. From the Welcome Reception to informal meetups

Dermatofibrosarcoma protuberans recurrence: Size matters

By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered

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,

When ads subtract

By Warren R. Heymann, MD Aug. 2, 2018 "Could the skin lesion you’re seeing…actually be a deadly blood cancer?….Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is an aggressive and deadly hematologic cancer with skin lesions that may be mistaken for other skin disorders…When biopsying skin lesions, ask your pathologist to test

Hidden in plain sight: Satoyoshi syndrome

By Warren R. Heymann, MD Feb. 19, 2018 I was inspired by the conclusion of a report detailing an 11 year-old boy from India diagnosed Satoyoshi syndrome: "We present this case to emphasize the importance of recognizing Satoyoshi syndrome, which could go unnoticed if not suspected." (1) ... I have

October 1, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 1, 2025 ... Antiandrogen therapy for the treatment of female pattern hair loss DermWorld Insights and Inquiries : Lupus miliaris disseminatus faciei — A Simon and Garfunkel playlist Academy mourns

Trial balloons of gene expression profiles of calloon cell melanoma predict the future

By Warren R. Heymann, MD Jan. 29, 2018 Satellite metastasis of balloon cell melanoma. Graft scar of melanoma and satellite bluish skin–colored indurated papules with pseudovesiculation (black arrow points to the papule examined with dermoscopy). ... Credit: ... JAAD The site of balloons is joyous; however, I am always nervous

Focusing attention on X-linked ichthyosis

Ichthyosis vulgaris ... Credit: ... JAAD By Warren R. Heymann, MD Jan. 2, 2019 I thought it was me. Like every dermatologist, I learned the classical appearance of the ichthyoses, and wonder why I’m not sure if I am looking at a patient with ichthyosis vulgaris (IV) or X-linked ichthyosis

Platelet rich plasma: Good for whatever ails you?

By Warren R. Heymann, MD Jan. 13, 2017 Hair regrowth in ophiasis-type alopecia areata after platelet-rich plasma (PRP) injection. Occipital hair loss before treatment (A) and occipital hair regrowth 3 months after administration of PRP at a concentration 3.5 times above baseline (B). ... Credit: ... JAAD Okay, okay, I

Slivers of skin may diagnose silver hair syndromes

By Warren R. Heymann, MD Jan. 7, 2019 As my hair gets progressively grayer trying to keep up with molecular advances in dermatology, it is refreshing to read how simple tests may help distinguish the rare silver hair syndromes (SHS): Chediak-Higashi (CHS) and Griscelli (GS). ... CHS is an autosomal

Countering corticophobia

By Warren R. Heymann, MD Oct. 19, 2017 "I don’t want to use steroids on my baby! I’m really afraid of the side effects! I see what they’ve done to athletes. Can’t you prescribe something natural?" ... I am amazed people think that applying 2.5% hydrocortisone cream can pump up

Thoughts about genital melanosis on Melanoma Monday

By Warren R. Heymann, MD May 1, 2017 Vulvar genital melanosis. The lesions on the posterior fourchette are dark brown to black in color while other superior macules in the labia minora and vagina are lighter brown. Additively, the lesions are more than 2 cm in diameter. The lesions are

The medical word to watch in 2018: Dysbiosis

By Warren R. Heymann, MD Jan. 4, 2018 With increasing rapidity, new words enter the dermatological lexicon, reflecting concepts that change our perceptions of disease and treatment. Recent examples include "comorbidities," "programmed cell death inhibition," and "teledermatology". The word to watch in 2018 is "dysbiosis." ... The microbiome has been

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented ... DESCRIPTION: Percentage of adult patients who were screened for high blood pressure and received a follow-up plan where indicated. ...  ... MEASURE ID:  ... 317 ...  ... Type: Process ...  ... CMS Derm

Quality (30%)

The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures. ... Reporting quality measures ... In 2026, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting

Lending a helping hand to our patients with Dupuytren’s disease

By Warren R. Heymann, MD, FAAD Oct. 26, 2022 Vol. 4, No. 43 When patients trust you, they want your opinion, even if the disorder in question is out of your bailiwick. Although likely to refer patients with Dupuytren’s disease (DD, aka Dupuytren’s contracture, DC) directly to an orthopedic (hand)

Senile gluteal dermatosis: The term “senile” is getting old and should be retired

By Warren R. Heymann, MD, FAAD Jan. 24, 2024 Vol. 6, No. 4 As my patients and I get older, inevitably I think more about geriatric dermatology. (1) There is a disorder I have seen on the gluteal region in mostly thin, older, sedentary patients — my recommendations of off-loading

Hemochromatosis: Beyond 50 shades of gray

By Warren R. Heymann, MD, FAAD March 6, 2024 Vol. 6, No. 10 As a medical student, I was enamored by the term "bronze diabetes" as a depiction of hemochromatosis; ever since I have been magnetically attracted to the disease. Hereditary (primary) hemochromatosis is a common autosomal-recessive disorder, with a

Acne necrotica: A real head-scratcher

By Warren R. Heymann, MD, FAAD May 15, 2024 Vol. 6, No. 20 I sympathize with new residents in dermatology coming to grips with difficult terms and concepts that are essential in practice. As a novice, I recall struggling with the concept of acne necrotica (AN), dreading that I would

December 7, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 7, 2022 ... Recommendations for follow-up of patients with nonmelanoma skin cancer DermWorld Insights and Inquiries : Xylazine ("Tranq") — The potential for loss of life and limb Using apremilast

May 28, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 28, 2025 ... Efficacy of combination topical finasteride and minoxidil in male androgenetic alopecia DermWorld Insights and Inquiries : Loss and legacy — A tribute to Robert F. Duffy, MD

Early recognition of Rituximab-induced late onset neutropenia is essential

By Warren R. Heymann, MD, FAAD April 13, 2022 Vol. 4, No. 15 Rituximab is an anti-CD20 chimeric antibody directed against a surface transmembrane protein marker (CD20) expressed on B-cells during differentiation from pre B-cell until the plasma cell stage, involved in the maturation and activation of B cells. Approved

Connection to Community Service Provider — Measure 498

Connection to Community Service Provider ... DESCRIPTION: Percent of patients 18 years and older who screened positive for one or more of the following health-related social needs: food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety and had contact with a Community Service Provider for at least one

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ...  ... MEASURE ID:

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ...  ... MEASURE ID:

Periocular hypopigmentation of the elderly: A new POTUS dermatosis?

By Warren R. Heymann, MD, FAAD Sept. 4, 2024 Vol. 6, No. 36 Editorial Note: DermWorld Insights and Inquiries provides commentaries on issues in dermatology. This editorial was composed before the assassination attempt of former President Trump, President Biden’s decision not to seek a second term, and the nomination of

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,

July 19, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 19, 2023 ... Use of hair oils to treat androgenetic alopecia DermWorld Insights and Inquiries : The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma Imiquimod for management of

Crystallizing thoughts about crystalglobulinemia

By Warren R. Heymann, MD Dec. 14, 2017 ... A, Necrotic purpuric lesions on the dorsum of the foot in a patient with crystalglobulinemia. The thumb had been previously amputated because of necrotic gangrene secondary to occluded vessels. B, Histopathologic features in cutaneous lesions of crystalglobulinemia. Scanning power showing a

Methotrexate toxicity: What’s in a name?

By Warren R. Heymann, MD Aug. 24, 2017 Methotrexate-induced skin toxicity: photographs of 4 illustrative cases. A, Erosions in psoriatic plaques over the torso (patient 1). B and C, Ulcerated and reticulated psoriatic plaques over the arms (patient 2). D, Small shallow cutaneous erosions (patient 4). E, Mucosal erosions over

Lichenoid and granulomatous dermatitis: Points to ponder

By Kiran Motaparthi, MD June 10, 2020 Vol. 2, No. 23 Clinical-pathologic correlation is the foundation of dermatologic diagnosis; often this is straightforward, but on occasion, getting to the precise diagnosis requires great thought and sleuthing. If you receive a report from your dermatopathologist with a descriptive diagnosis of "lichenoid

ALDY and the redemptive power of “I don’t know”

... By Warren R. Heymann, MD Jan. 28, 2017 When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the

Get your KICS on Route IL-6

By Warren R. Heymann, MD March 1, 2018 Hemophagocytic lymphohistiocytosis (HLH) is a syndrome caused by hypercytokinemia (notably Th1 cytokines — interferon-gamma, tumor necrosis factor-alpha, and IL-6). Clinical manifestations are dramatic, presenting as fever, hepatosplenomegaly, hemophagocytosis, and cytopenias. (See the addendum for diagnostic criteria of HLH). Primary forms of HLH

Malassezia folliculitis: Simultaneously seen and invisible

By Warren R. Heymann, MD March 19, 2018 Cellophane, Mister Cellophane ... Should have been my name, Mister Cellophane ... ‘Cause you can look right through me ... Walk right by me and never know I’m there ... If a rash could commiserate with Amos, the accused murderess Roxie Hart’s

Cyclosporine reaches the top of the SJS/TEN leaderboard

By Warren R. Heymann, MD Oct. 16, 2017 ... A, Sheet-like detachment, blisters, and raw erosions on back of patient with Stevens-Johnson syndrome/toxic epidermal necrolysis. B, Postinflammatory hyperpigmentation accentuated in areas where detached epidermis was not left in situ. ... Credit: ... JAAD The first commentary in DI&I for 2017

Not just for boys: X-linked erythropoietic protoporphyria

By Warren R. Heymann, MD Sept. 7, 2017 I was anxiously awaiting the results of erythrocyte protoporphyrin levels obtained from a 4 year-old boy who avoids sunlight because his "skin hurts" when not in the shade. Until I read the article by Balwani, et al (1), I was unaware of

Is dyshidrosiform pemphigoid really anti-p200 pemphigoid?

By Warren R. Heymann, MD Aug. 20, 2016 Dyshidrosiform pemphigoid (DP) was initially reported in a 72 year-old man with large, tense bullae on the plantar aspect of his feet, with some lesions on an erythematous base. He also had an "ill-defined papular eruption" of the trunk and an erosion

Cutaneous green and E-A-G-L-E-S!

By Warren R. Heymann, MD Jan. 25, 2018 Dermatologists will be seeing a lot of green in their offices the next two weeks, especially here in the Delaware Valley, in anticipation of Super Bowl LII in Minneapolis on February 4th, 2018. ... May this serve as a reminder that some

Coming to an ICU Near You — Candida auris

By Warren R. Heymann, MD ... Nov. 30, 2017 ... I first became aware of Candida auris (C. auris) during my 96-year-old mother’s most recent hospitalization in New York for congestive heart failure. The infectious disease epidemiologist called to ask permission to swab my mother’s skin for the yeast,

Getting a head up on cutaneous scalp malignancies

By Warren R. Heymann, MD, FAAD May 7, 2025 Vol. 7, No. 18 I’m confident that your alopecic patients with a suspected keratinocyte carcinoma or melanoma of the scalp jokingly ask you to be careful with your biopsy procedure so they do not lose any more hair. While patients and

February 7, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 7, 2024 ... Androgenetic alopecia: topical minoxidil vs. low-dose oral minoxidil DermWorld Insights and Inquiries : Short anagen syndrome — The long and short of it Skin cancer incidence in

Vitamin D and UV exposure

Key messages ... The American Academy of Dermatology recommends that healthy adults should obtain an adequate amount of Vitamin D from a diet that includes foods naturally rich in vitamin D and/or foods/beverages fortified with vitamin D. (1) ... Because ultraviolet rays from the sun and tanning beds can cause

2019 DW Insights and Inquiries archive

Explore Dermatology World Insights and Inquiries articles by publication date. ... December ... December 18 - DWI&I holiday greeting 2020: Eyeing dermatology’s future December 11 - Topical retinoid therapy for acanthosis nigricans: In the thick of it December 4 - Beware: Discordance abounds among pathologists in the diagnosis of melanocytic

Pineapple and cicatricial pemphigoid: A need to dole out more studies

By Warren R. Heymann, MD Oct. 4, 2016 The benefits of pineapples have been touted in folk medicine for years. Increasing knowledge of its active ingredient bromelain has lead to a therapeutic pineapple renaissance. Bromelain is a complex natural mixture of proteolytic enzymes derived from pineapple (Ananas cosmosus) and possesses

Lipodystrophia semicircularis: A lipoatrophy not to get depressed about

By Warren R. Heymann, MD, FAAD Nov. 2, 2022 Vol. 4, No. 44 A colleague asked me if I could evaluate his 26-year-old daughter while she was briefly on break from her graduate studies in Barcelona. He was concerned that she had developed lipodystrophy. Of course, I agreed, without his

AESOP: The ants and the grasshopper

By Warren R. Heymann, MD, FAAD Aug. 21, 2024 Vol. 6, No. 34 Unquestionably, AESOP ( ... A denopathy and ... E xtensive ... S kin patch ... O verlying a ... P lasmactyoma) is rare — to date, fewer than 25 cases have been reported. (1) Why write (or

Moving target

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...

High-dose vitamin D may be a ray of sunshine for treating sunburn

By Warren R. Heymann, MD, FAAD June 4, 2025 Vol. 7, No. 22 Rightly or wrongly, I attribute my melanoma to a blistering sunburn at the Sahara Hotel in Miami Beach in 1958. I recall my mother shmearing Noxzema on my back — the distinctive smell of Noxzema (from eucalyptus,

Sebaceous carcinoma — Double trouble

By Warren R. Heymann, MD, FAAD July 23, 2025 Vol. 7, No. 29 Sebaceous carcinoma (SC, aka sebaceous gland carcinoma) is double trouble — the cancer itself and its potential association with the Muir-Torre syndrome (MTS). ... SC is an aggressive malignancy that develops from the sebaceous glands. SC is

Deeper thoughts about acne keloidalis nuchae

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, February 1, 2026 Vol. 8, No. 2 Wallace Clark taught me the truism that thinking often ceases when a diagnosis is rendered. The clinical diagnosis of acne keloidalis nuchae (AKN) is straightforward. Embarrassingly, I had not given much thought

Melanoma fact sheet | AAD

Q. What is melanoma? A. Melanoma, the most serious form of skin cancer, is characterized by the uncontrolled growth of pigment-producing cells. Melanoma may appear on the skin suddenly without warning but also can develop within an existing mole. The overall incidence of melanoma continues to rise. (1,2) ... Q.

Adding protothecosis to the protocol

By Warren R. Heymann, MD, FAAD April 23, 2025 Vol. 7, No. 16 As a dermatology resident at the outset of the AIDS epidemic, I quickly learned that all bets are off when diagnosing infectious diseases in immunocompromised hosts. That experience taught me to culture broadly for bacterial, atypical mycobacterial,

Reassuring patients with sclerosing lymphangitis of the penis that they will not get shafted

By Warren R. Heymann, MD, FAAD July 17, 2024 Vol. 6, No. 29 Over the past decade of using our electronic medical record, I must have clicked on the word "reassurance" thousands of times for anxious patients with lesions of no biological concern. Today you will calm patients who are

JAK inhibitors battle in the heavyweight class

By Warren R. Heymann, MD, FAAD Nov. 12, 2025 Vol. 7, No. 45 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . JAK inhibitors (JAKi) have catapulted to such prominence in dermatologic therapeutics that I could write a weekly commentary about them.

San Diego AAD musings

By Warren R. Heymann, MD, FAAD March 20, 2024 Vol. 6, No. 12 Pre-AAD  ... Carlos Vieira, our second-year resident, was too polite to ask directly, so he sent our faculty an email stating the time and place of his first AAD presentation ("Tapinarof-induced acute generalized exanthematous pustulosis" at the

Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid

By Warren R. Heymann, MD Oct. 7, 2020 Vol. 2, No. 40 It is not my imagination — I have been seeing more cases of bullous pemphigoid (BP) than ever. This is likely a function of an aging population in concert with an increase of drug-induced cases, notably with dipeptidyl

Applying the 2021 E/M coding concepts in everyday practice – Part 7

Part seven of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how, a common dermatologic condition, actinic keratosis in these examples, can be categorized under different categories of problem addressed during the encounter depending on disease severity and patient

Key messaging in social media about acne

Key messages ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (1)

Predicting malignancies in Sweet syndrome has become sweeter

By Warren R. Heymann, MD Feb. 8, 2018 Histiocytoid Sweet syndrome. A, Multiple round erythematous papules and plaques on trunk and upper limbs. B, Multiple erythematous papules and plaques grouped in figurate pattern on the right thigh of a pediatric patient. C, Erythematous figurate annular plaques with erythematous elevated borders

Moving in to first place: Antimalarials for treating generalized granuloma annulare

... By Warren R. Heymann, MD March 26, 2017 Localized granuloma annulare. Erythematous annular plaques may be singular (A) or multiple (B). Localized granuloma annulare may also present as papules coalescing into circular plaques (C). ... Credit: ... JAAD At a University of Pennsylvania Duhring Conference years ago, an

Contemplating the association of hydrochlorothiazide to nonmelanoma skin cancer raises my blood pressure

By Warren R. Heymann, MD March 29, 2018 Photosensitivity secondary to hydrochlorothiazide (HCTZ) use. Well-demarcated erythema on sun-exposed region of the forearm of this patient who was taking HCTZ. ... Credit: ... JAAD If you asked me to name the most important cutaneous adverse reactions to the thiazide diuretic hydrochlorothiazide

Order from chaos: Conceptualizing atypical fibroxanthomas, pleomorphic dermal sarcomas, and undifferentiated pleomorphic dermal sarcomas

By Warren R. Heymann, MD June 26, 2019 Vol. 1, No. 16 The classification of fibrohistiocytic tumors is ambiguous and controversial. This has been compounded by the evolving nomenclature as understanding of the genetic and molecular basis of these tumors improved. Previously, fibrohistiocytic tumors encompassed the superficial AFX [atypical fibroxanthoma]

Becoming pro-geriatric by understanding progeria

By Warren R. Heymann, MD Aug. 13, 2018 A fifteen-year-old boy with Hutchinson-Gilford progeria syndrome. ... Credit: ... JAAD 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

Comprehending the association of orofacial granulomatosis and Crohn disease would be swell

By Warren R. Heymann, MD Sept. 25, 2017 Orofacial granulomatosis. A, Initial presentation with erythema and swelling of the upper lip, extending to the right oral commissure and lower lip. B, Complete resolution of erythema, swelling, and induration after 6 months of mycophenolate mofetil monotherapy (1000 mg/day). Only a small

Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons

By Warren R. Heymann, MD April 10, 2017 Histopathologic features of Kimura's disease. A, Scanning view shows prominent germinal center formation. B, Higher magnification of a germinal center with abundant number of eosinophils. C, Focally, blood vessels may show prominent endothelial cells with vacuolated cytoplasm. (A-C, Hematoxylin-eosin stain; original magnifications:

Linear and whorled nevoid hypermelanosis: Past reflections and future directions

By Warren R. Heymann, MD July 4, 2017 Linear or circular arrangement of pigmented macules along the lines of Blaschko. ... Credit: ... JAAD I recall meeting Debra Chester Kalter as a young, remarkable dermatologist, chatting annually with her at the AAD meeting. She was my wife’s classmate at the

2017’s management of Stevens-Johnson/toxic epidermal necrolysis: The pendulum is swinging

By Warren R. Heymann, MD Jan. 1, 2017 A, Sheet-like detachment, blisters, and raw erosions on back of patient with Stevens-Johnson syndrome/toxic epidermal necrolysis. B, Postinflammatory hyperpigmentation accentuated in areas where detached epidermis was not left in situ. ... Credit: ... JAAD As in any controversial subject, it is essential

Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503

Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one

Controlling High Blood Pressure — Measure 236

Controlling High Blood Pressure ... DESCRIPTION: Percentage of patients 18–85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement

Race for the Case Answers

Diagnose this new case by Haowei Han, DO, and Aysham Chaudry, DO ... A 64-year-old woman presented to the dermatology clinic with a two-year history of a widespread rash involving the scalp and left ear. She reported associated joint pain but denied fevers, fatigue, weight loss, oral ulcers, photosensitivity, or

Digital media kit: DermWorld classified rates

Reach over 16,000 U.S. dermatologists with your recruitment ad. Classified advertising is restricted to professional opportunities available, professional opportunities wanted, practices for sale, office space available, and equipment available. ... Download a PDF of the 2026 DermWorld classified advertising rate card. Line ads (cost per line) ... 1x ... 2x

Paraneoplastic syndromes (PNS) associated with merkel cell carcinoma are analogous to small cell cung Cancer: A comparison to other lung cancers

By Warren R. Heymann, MD Sept. 2, 2016 Merkel cell carcinomas (MCC) are neuroendocrine tumors associated with the Merkel cell carcinoma polyomavirus in >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

Stiff skin syndrome: Hard in many ways

By Warren R. Heymann, MD July 4, 2016 Stiff skin syndrome (SSS) is a noninflammatory, fibrosing condition of the skin and fascia, often affecting the limb girdle region, notably the buttock and thighs, resulting in a lordotic posture. It may be accompanied by subtle hypertrichosis and hyperpigmentation. The course tends

Short duration cyclosporine may undress DRESS

By Warren R. Heymann, MD July 22, 2016 DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) is a severe drug-induced hypersensitivity syndrome (DIHS) that may affect adults and children. The eruption of DRESS usually appears 3 weeks to 2 months after introduction of the drug. The rash is primarily morbilliform,

Joining the bullae pulpit: PD-1 inhibitors

By Warren R. Heymann, MD Aug. 25, 2016 As the use of immune checkpoint inhibitors has increased, so have the number of severe immunotherapy-related adverse events (irAEs). Although discontinuation of therapy may result in resolution of these untoward reactions, long-term sequelae and death have been reported. In a recently published

How to care for dry, cracked heels

Tips from board-certified dermatologists ROSEMONT, Ill. (Feb. 1, 2022) — With the winter in full swing and the cold nipping at your skin, it’s easy for your feet to become dry and cracked. While this may seem like something you have to live with until spring, dermatologists from the American

Academy protects revelers’ skin at White House Fourth of July celebration

The AADA joined the White House’s Fourth of July Celebration and partnered with the White House Cancer Moonshot team to distribute AAD-branded sunscreen, lip balm, and informational flyers on sun safety and skin cancer to guests. Attendees were eager to receive sunscreen on the 90-plus degree and sunny day in

Keeping abreast of drug-induced cutaneous lupus

By Warren R. Heymann, MD, FAAD Aug. 4, 2021 Vol. 3, No. 31 Tom Hanks, as Commander Jim Lovell in the movie ... Apollo 13, lamented that the world was not watching their onboard video, compared to Neil Armstrong’s moon landing a year earlier. Reality dictates that the seminal breakthroughs

2021: Best of DermWorld Insights and Inquiries

December 30, 2021 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2021 — starting with the most popular issue of the year. ... 1. Biotin supplementation for hair

2022 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 28 - 2022: Best of DermWorld Insights and Inquiries Dec. 21 - Holiday Greeting 2022 Dec. 14 - A Frank discussion about earlobe creases Dec. 7 - Xylazine ("Tranq"): The potential for loss of life and

2020 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... December 23 - 2020 holiday greeting December 16 - We’re in hot water! Vibrio vulnificus infections are heading north December 9 - Much ado about nothing in dermatopathology December 2 - Pigmented onychomatricoma: Avoid getting nailed by