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The doctor will see you...soon?
Facts at your Fingertips ... By Emily Margosian, assistant editor, July 1, 2019 As efforts to improve access to dermatologic care remain ongoing (Read ... Dermatology World ’s 2017 feature "Access Granted" at ... www.aad.org/dw/monthly/2017/october/access-granted for strategies to broaden patient access), how long can the average patient expect to wait
The expanding horizon of anti-IL-36 therapy
By Warren R. Heymann, MD, FAAD Sept. 25, 2024 Vol. 6, No. 39 An abridged version of this commentary was published in "A Clinician’s Perspective" in the April 2024 issue of the JAAD ... . We last explored the relationship between IL-36 and generalized pustular psoriasis (GPP) and the use
Solo practice
Best for: Dermatologists seeking full autonomy, long-term patient relationships, and entrepreneurial control. ... Quick summary: Own and operate your own dermatology clinic. You manage all clinical and business decisions — from services offered to staffing and office culture. Offers maximum independence and flexibility but comes with financial risk and administrative
Flying solo
Dermatologists share their experiences and tips for starting and operating a solo practice. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2025 Physicians are less likely to work in private practice today than 10 years ago due to economic, administrative, and regulatory burdens. According to a 2022
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
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
Where do Americans get pricing information for health care services?
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, November 1, 2022 New survey data released this year by Akasa, a health care AI developer, found that Americans most often turn to health insurers for pricing information over other sources, placing new emphasis on the need for price transparency
Small group practice (6-15 practitioners)
Best for: Dermatologists seeking clinical autonomy, peer collaboration, and work-life balance without solo ownership responsibilities. ... Quick summary: Join a privately owned dermatology group with a small number of physician partners. It offers more control than you’ll find in large settings, but also more help than a solo practice. A
Teledermatology workflow for small practices
Use the workflow below to help you implement or improve your teledermatology operations. This version is designed for solo or small practices. There is a distinct PDF guide for dermatologists who practice in an ... academic or multispecialty organization . ... 1. Technology setup ... Create a generic account on
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2026 Annual Meeting, Denver, CO, March 27-31, 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual
Get started as a practicing dermatologist
Starting your career as a dermatologist is exciting, but it’s also packed with many decisions. Should you join a group or go solo? What should you look for in a job offer? How do you even set up a practice? ... This guide provides AAD resources to help you get
Practice types in dermatology
Dermatologists can choose from a diversity of practice types, from independent to group and institutional. Each of these practice types comes with trade-offs between between autonomy and support, benefits and risks. There are also new practice models, meant to improve value and contain costs. Use the AAD resources below to
Patient education licensing opportunities
Written and vetted by dermatologists, the AAD’s patient education content is accurate, up-to-date, and most importantly easy to understand. ... Doctors are always looking for reliable and accurate patient education resources for their patients. And now, with your support, your company can use this tool to provide the doctors in
Are you at risk for pityriasis rubra type V? It’s in the cards!
By Warren R. Heymann, MD Feb. 1, 2017 Characteristic facial involvement in caspase recruitment domain family member 14 gene (CARD14)-associated papulosquamous eruption. Symmetric and geometric pink, scaly patches or plaques involving the cheeks, upper cutaneous lip, and chin with sparing of the infralabial region is highly characteristic of CARD14-associated papulosquamous
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
Secukinumab for pityriasis rubra pilaris: Tread lightly
By Warren R. Heymann, MD Nov. 17, 2016 Every dermatology resident preparing for their board examination can rattle off Griffiths’ classification of pityriasis rubra pilaris (PRP) — Type I (Classical Adult), Type II (Atypical Adult), Type III (Classic Juvenile), Type IV (Circumscribed Juvenile), and Type V (Atypical Juvenile). Type VI,
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.
IL-36 and generalized pustular psoriasis: L’chaim!
By Warren R. Heymann, MD, FAAD March 9, 2022 Vol. 4, No. 10 In 1910, Leo Ritter von Zumbusch meticulously detailed the clinical course of "psoriasis pustulosa generalisata" (referred to herein as generalized pustular psoriasis, GPP) in a brother and sister, pondering if this was a variant of psoriasis or
Managing patient inquiries after hours
Answers in Practice ... By Emily Margosian, Assistant Editor, May 1, 2022 DermWorld ... talks to Jennifer Goldwasser, MD, FAAD, from Goldwasser Dermatology in Hartsdale, New York, about how to manage after-hours patient communications while maintaining a good work-life balance. DermWorld: Tell us about your practice. Dr. Goldwasser: I think
August
Issue ... August January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... 2016 What’s hot ... This month’s news from across the specialty Clinical Applications ... Do acral biopsies in dermatomyositis patients have less-prominent histopathologic findings
Large group practice (16+ practitioners)
Best for: Dermatologists seeking stability, administrative support, and predicable income. ... Quick summary: Work as an employed physician within a large, multi-site dermatology organization. Focus on clinical care while administrative tasks are handled centrally. Ideal for those who want a structured environment with lower financial and operational risk. ... Large
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
Perspectives on peristomal pyoderma gangrenosum
By Warren R. Heymann, MD Oct. 28, 2016 Peristomal pyoderma gangrenosum (PPG) is a challenging problem, both physically and emotionally. The diagnosis may be delayed, often being mistaken for an irritant dermatitis or an infection. Barbosa et al have performed an extensive review of their experience in 44 patients
Getting to the heart of neonatal lupus erythematosus
By Warren R. Heymann, MD, FAAD July 21, 2021 Vol. 3, No. 29 I have found that rendering the diagnosis of neonatal lupus erythematosus (NLE) is fraught with emotional challenges. Not only are mothers concerned for their children, frequently they are unaware of the fact that they are also at
An incisive approach to chronic paronychia: The square flap technique
By Warren R. Heymann, MD Aug. 2, 2016 I cannot begin to guess how many patients I have seen with chronic paronychia (CP) since I started my residency 36 years ago. I know precisely how many patients I have referred for surgical correction of CP — zero! The reason for
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 ...
Member benefits — CME benefits are easier and more convenient than ever
The AAD offers a variety of options to earn CME. You can access more than 60 hours of convenient CME, simply by being a member of the Academy. You also have access to more than 110 hours of discounted CME through your Academy membership. ... Thousands of you have taken
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
I’ll have a necrobiotic xanthogranuloma to go – with mustard!
By Warren R. Heymann, MD May 11, 2016 Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma. He had 20% body surface area involvement, including
You’ve been using the AAD’s Diversity Toolkit
The AAD is continuing to expand on offerings in its ... Diversity Toolkit . If you don’t know about it, you should. ... The ... Skin of Color Curriculum is a complete, definitive inpatient and outpatient curriculum for the diagnosis and effective treatment of skin of color diseases and conditions
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
By Warren R. Heymann, MD Oct. 8, 2016 I thought it was my imagination, but apparently not — there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities. ... These patients are not
Your Academy CME roundup: Highlights from 2022
By now you know that the AAD offers its members a variety of options to earn CME. You can access more than 60 hours of convenient CME, simply by being a member of the Academy. You also have access to more than 110 hours of discounted CME through your Academy
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months
Revenue cycle best practices
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, CPCD, Analyst, Coding & Reimbursement, December 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . In today’s increasingly complex health care environment, dermatology practices, whether solo or
Decomplexing plexiform neurofibromas
By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse
Use of High-Risk Medications in Older Adults — Measure 238
Use of High-Risk Medications in Older Adults ... DESCRIPTION: Percentage of patients 65 years of age and older who were ordered at least two high-risk medications from the same drug class. ... ... MEASURE ID: ... 238 ... ... Type: Process ... ... CMS Derm Specialty
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
October 12, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 12, 2022 ... Type 2 diabetes and CCCA severity DermWorld Insights and Inquiries : Fixing the concept of the neutrophilic fixed drug eruption What’s the risk of IBD in patients
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
Filling in
In Practice ... Thomas Kruse, MD, is a dermatologist from Salem, Oregon. ... By Victoria Houghton, assistant managing editor, May 1, 2018 Dermatology World talks with Thomas Kruse, MD, from Salem, Oregon about locum tenens opportunities. ... Dermatology World: Why did you decide to switch from your full-time practice to
Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections
By Warren R. Heymann, MD Aug. 21, 2019 Vol. 1, No. 24 Dermatologists are keenly aware of immunosuppression’s profound biologic effects. Whether by disease or iatrogenic means, clinical vigilance is mandated because of an elevated risk of malignancy, infection, or inflammatory dermatoses. ... In a study of 177 organ transplant
Group practice without walls (GPWW)
Best for: Dermatologists who want to stay independent while sharing administrative and financial resources. ... Quick summary: Join a collaborative network of solo practices under one tax ID to reduce overhead, increase buying power, and access ancillary services — without giving up clinical autonomy. Ideal for those seeking balance between
Other emerging severe and resistant dermatophytes of concern
Overview ... Trichophyton mentagrophytes type VII (TMV ... II ... ) is a recently emerged dermatophyte that is closely related to ... T. indotineae (note: ... T. indotineae was previously called ... T. mentagrophytes type ... VIII ... ). ... 1-3 ... TMVII spreads between people and may be transmitted
September 25, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 25, 2024 ... Cyclosporine vs. dupilumab vs. methotrexate for patients with AD DermWorld Insights and Inquiries : The expanding horizon of anti-IL-36 therapy FDA approves new treatment for immune-mediated vasculitis
Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet
By Warren R. Heymann, MD Oct. 13, 2016 Café au lait spots (CALS) are extraordinarily common; six or more lesions (at least 0.5 cm prior to puberty or 1.5 cm post puberty) are considered one of the criteria for diagnosing neurofibromatosis type I (NF1), and are also seen in
AAD membership data reveal key specialty shifts
Facts at your fingertips ... By Emily Margosian, assistant editor, July 1, 2020 Much has changed over the past five years, and dermatology is no exception. AAD membership data, which represents approximately 92% of all board-certified dermatologists, helps lend some insight into which way the specially is currently trending. Regarding
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
Research grants from outside organizations
Numerous organizations offer funding to support research in dermatology. The AAD has collected the information below to help members who may seek financial support for their research efforts. ... American Skin Association (ASA) Established 36 years ago to serve the now more than 100 million Americans afflicted with skin disorders,
March 9, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 9, 2022 ... Eight misconceptions about photoprotection in skin of color DermWorld Insights and Inquiries : IL-36 and generalized pustular psoriasis — L’chaim! Derm Coding Consult : Novitas revises shave
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
June 22, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 22, 2022 ... Molluscum contagiosum: 35% trichloroacetic acid vs. autoinoculation DermWorld Insights and Inquiries : Is it a waste for dermatologists to order fecal calprotectin? Physician experience with virtual scribes
Plantar melanoma and mechanical stress
By Warren R. Heymann, MD June 15, 2016 Acral lentiginous melanoma (ALM) involves the palms, soles, and nail beds. It is the most common type of melanoma in patients of African or Asian descent. Delays in diagnosis result in more advanced disease at the time of diagnosis. Trauma or chronic
Keeping abreast of the expanding literature of implant-associated Anaplastic Large Cell Lymphoma (ALCL)
By Warren R. Heymann, MD July 6, 2016 Silicone gel implants were removed from the US market in 1992 because of health concerns, only to be reintroduced in 2006, with the provision for increased surveillance of health outcomes (1). I was under the (apparently mistaken) impression that the FDA put
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
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
Addressing systems and administrative challenges
Running a successful dermatology practice hinges not only on exceptional patient care but also on efficient administration. While challenges vary based on practice type and other factors, most practices face common administrative burdens. These burdens are a major driver of burnout. ... Surveys conducted among Academy members between 2016-2020 revealed
Top drivers of dermatologist happiness
Facts at your Fingertips ... By Emily Margosian, assistant editor, September 2, 2019 What do a solo practitioner and employee at a large health system have in common? The same things make them pretty happy. According to data from the AAD’s 2019 Life in Practice Study, dermatologists across all practice
Paycheck Protection Program loan forgiveness 101
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld ... spoke to Alexander Gross, MD, and Joanne Gross, from Georgia Dermatology Center in Cumming, Georgia, about their successful attempts to obtain Paycheck Protection Program (PPP) loan forgiveness. DermWorld : Tell us about your
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,
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.
Practical steps to an environmentally friendly office
Answers in Practice ... By Emily Margosian, assistant editor, March 1, 2021 DermWorld ... talks to David Fivenson, MD, — founder of Fivenson Dermatology in Ann Arbor, Michigan — about steps his practice has taken to reduce its carbon footprint. DermWorld: Tell us about your practice. Dr. Fivenson: I’ve been
What every dermatologist should know about practice finances
Dermatology is one of the most financially rewarding medical specialties but understanding how the money side of medicine works is what separates financially confident physicians from those who feel behind. Whether you’re an employed dermatologist, a partner, an academic, or a solo owner, you need more than medical knowledge. You
June 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 13, 2018 ... FDA approves first hyaluronic acid filler for hands Feedback requested: Primary cutaneous melanoma treatment draft guidelines After 60 years, a new treatment for pemphigus vulgaris Jack Resneck
Dermatology doubles media presence in 2020
Facts at your fingertips ... By Emily Margosian, assistant editor, August 1, 2021 Last year, dermatology-related topics generated a record-breaking 36 billion print, broadcast, and online media impressions — more than double the total coverage in 2019. This sharp increase is likely tied to COVID-19, specifically news items on COVID-related
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
Do skin cancer rates differ by transplanted organ type and patient age?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lee Wheless, MD,
Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?
By Warren R. Heymann, MD July 18, 2016 I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently
Prior authorization’s impact on patients
Facts at your fingertips ... By Emily Margosian, assistant editor, September 1, 2020 While prior authorizations are often applied to biologics, the process also includes less expensive medication options and procedures, with a profound impact on many dermatology patients. Results from the AAD’s 2020 Prior Authorization Survey reveal that about
Help needed
As rural America seeks dermatologists, increasing rural residency tracks may steer them there. ... Feature ... By Ruth Carol, Contributing Writer, May 1, 2023 Looking to treat grateful patients who present with a mix of diverse and challenging cases? Hoping to offer training opportunities for dermatology residents? Willing to work
BASCULE syndrome: Is something brewing with Bier spots?
By Warren R. Heymann, MD, FAAD Sept. 7, 2022 Vol. 4, No. 36 I have never paid too much attention to Bier spots, other than reassuring patients that they are of no concern. I may have been too cavalier by not probing further. ... Classical Bier spots (BS, also referred
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
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
Dermatomyositis oddities: Could one be responsible for the other?
By Warren R. Heymann, MD Sept. 19, 2016 So much about dermatomyositis (DM) has intrigued me since medical school. Over the years, I have probably read more about this disease than any other malady. I am always amazed how I much more there is to learn. ... There were two
Obituaries
Obituaries ... By Jerry Graff, MD, December 1, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... MARGARET C. DOUGLASS, MD, of Beverly Hills, Michigan, May 29, 2019, at age 75. Trained in dermatology at University of Chicago and practiced
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
In the event of an emergency: Be prepared
Answers in Practice ... By Emily Margosian, Assistant Editor, January 1, 2024 DermWorld ... talks to Kevin Crawford, MD, FAAD, from Forefront Dermatology in Seymour, Indiana, about office preparedness planning for emergency events. DermWorld: Tell us about your practice. Dr. Crawford: I practice medicine in the state of Indiana and
Screening for Social Drivers of Health — Measure 487
Screening for Social Drivers of Health ... DESCRIPTION: Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. ... ... MEASURE ID: ... 487 ... ... Type: Process ... ... CMS Derm Specialty Set: ...
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
Weighing in on glucagon-like peptide-1 receptor agonists in dermatology
By Warren R. Heymann, MD, FAAD April 17, 2024 Vol. 6, No. 16 Glucagon-like peptide-1 (GLP-1) receptor agonists — your patients are on them, and perhaps you are too (or at least have thought about it). In 2023, more than 500 million people worldwide were afflicted with obesity and type
ICD-10-CM diagnosis coding updates for 2025
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and
How to treat a sunburn
Board-certified dermatologist shares 5 tips for Skin Cancer Awareness Month ROSEMONT, Ill. (May 21, 2024) — Sunburns can be painful and damaging to your skin, while also increasing your risk of skin cancer, the most common cancer in the United States and one of the most preventable. A new survey
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Patient-Centered Surgical Risk Assessment and Communication ... DESCRIPTION: The percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed and discussed prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon. ...
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Patient-Centered Surgical Risk Assessment and Communication ... DESCRIPTION: The percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed and discussed prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon. ...
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; pneumococcal; and hepatitis B. ... ... MEASURE ID: ... 493 ... ...
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ... ... MEASURE ID: ... 374 ... ... Type: Process ... ... CMS Derm Specialty
Documentation of Current Medications in the Medical Record — Measure 130
Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ... ... MEASURE ID: ... 130 ...
Documentation of Current Medications in the Medical Record — Measure 130
Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ... ... MEASURE ID: ... 130 ...
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
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
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal. ... ... MEASURE ID: ... 493 ... ... Type: Process
Step therapy legislation
Fast facts ... Step therapy is a tool used by health plans to control spending on patients' medications. ... In 2010, nearly 60% of commercial insurers were using step therapy. As of 2014, 75% of large employers reported offering employees plans that use step therapy. ... Step therapy has been
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
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)
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ... ... MEASURE ID: ... 374 ... ... Type: Process ... ... CMS Derm Specialty
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 ...
October 7, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 7, 2020 ... The costs of prior authorizations in a dermatology department DermWorld Insights and Inquiries : Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
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:
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
Retaining the right staff
Answers in Practice ... By Megan Bennett, Staff Writer, May 1, 2026 DermWorld ... talks with Cyndi Yag-Howard, MD, FAAD, of Yag-Howard Cosmetic Dermatology in Naples, Florida, about staff retention strategies. DermWorld: Tell us about your practice. Dr. Yag-Howard: I started my practice nearly 30 years ago in Naples, Florida,
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
Screening firefighters for skin cancer
First Person ... By Christine Kannler, MD, FAAD, October 1, 2022 DermWorld’s ... First Person column offers Academy members the opportunity to share their personal reflections about how dermatology is changing and how they’ve adapted. Christine Kannler, MD, FAAD ... My brother was a firefighter in Chelsea, Massachusetts, an instructor
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
A Frank discussion about earlobe creases
By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
By Warren R. Heymann, MD, FAAD Sept. 8, 2021 Vol. 3, No. 36 "The patient, a fat baby thriving on its mother’s milk, was suddenly attacked by purpura, urticaria and localized edema, lasting about ten days. There were only systemic symptoms from the result of pain. At first the bowels
Advance Care Plan — Measure 47
Advance Care Plan ... DESCRIPTION: Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not
Advance Care Plan — Measure 47
Advance Care Plan ... DESCRIPTION: Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not
Despite concerns, dermatologists retain primary control of their practices
Facts at your Fingertips ... By Emily Margosian, assistant editor, June 3, 2019 Amid ongoing debate about the evolution of dermatology practice settings and the role of equity-backing in the specialty, new AAD survey data indicates that dermatologists have maintained both primary ownership and management of their practices. According to
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
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
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ... ... MEASURE
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ... ... MEASURE
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
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
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...
Are you part of our AAD Clinical Community?
Launched earlier this year, your new online ... AAD Clinical Community is living up to its name and growing into a large, vibrant community! This new member benefit provides AAD members a moderated space to collaborate on clinical cases, advance medical skills and knowledge, and participate in a forum to
Incident to: Old wine in modern bottles
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., March 1, 2021 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Alice G. Gosfield, Esq., is a health care attorney
Expanding your cosmetic services
In Practice ... Beth Santmyire-Rosenberger, MD, PhD, is the owner of Appalachian Spring Dermatology, PLLC, in Fairmont, West Virginia. ... By Victoria Houghton, managing editor, May 1, 2019 Dermatology World talks with Beth Santmyire-Rosenberger, MD, PhD, from Appalachian Spring Dermatology, PLLC, in Fairmont, West Virginia, about how to expand the
Practicing with a purpose
Answers in Practice ... By Emily Margosian, assistant editor, September 1, 2021 DermWorld ... talks to Vinh Chung, MD, FAAD, from Vanguard Skin Specialists in Colorado Springs, Colorado, about the value of promoting meaning and purpose at work. DermWorld: Tell us about your practice. Dr. Chung: Vanguard started out with
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection — QCDR measure AAD 18
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection ... DESCRIPTION: Percentage of procedures in patients, aged 18 and older with a diagnosis of skin cancer, who had intermediate layer and/or complex linear closures OR reconstruction after skin cancer resection where opioid/narcotic therapy was prescribed as first
Prior authorization’s impact during COVID-19
Facts at your fingertips ... By Emily Margosian, Assistant Editor, October 1, 2021 In December 2020, the American Medical Association (AMA) conducted a survey on the effects of prior authorization (PA) on physicians and patients in their care. The survey was administered to a sample of 1,000 practicing physicians, made
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD 17
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer, on prescribed anticoagulation therapy, who had intermediate layer and/or complex linear closures OR reconstruction after skin
Mentorship mentation: Bringing out the best of us!
By David A. Wetter, MD Sept. 9, 2020 Vol. 2, No. 36 I have been experiencing sports withdrawal during this COVID-19 life pause. I even (excitedly) gobbled up the recently televised NBA HORSE competition. Currently my family and I are enjoying ESPN’s 10-hour documentary ... The Last Dance , which
Twenty-first century pellagra
By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer who underwent intermediate layer, complex linear closure, or reconstruction after skin cancer resection in the office-based setting (not
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer who underwent intermediate layer, complex linear closure, or reconstruction after skin cancer resection in the office-based setting (not
The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears
By Lorraine L. Rosamilia, MD Nov. 13, 2019 Vol. 1, No. 36 In my last 13 years of immersion in dermatology, I have often asked this simple yet elusive question of my superiors, my colleagues, and myself: Which patients need skin checks? As I peruse my clinical schedule, in which
Compounding toolkit
Can you compound or prescribe it? ... Answer a few questions below to determine whether the type of compounding you are performing is in compliance with Food & Drug Administration (FDA) regulations and how to access the drug product if it cannot be compounded in your office. ... Are you
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
Voluntary repayments: Contractual clawbacks
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., November 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney
Member benefits
From residency to retirement, you can rely on us for premier educational opportunities, as a hub for innovation in patient care, and for the latest information impacting the specialty. ... Gold standard of education ... Created by dermatologists for dermatologists, our educational resources help you stay up to date on
Member benefits
From residency to retirement, you can rely on us for premier educational opportunities, as a hub for innovation in patient care, and for the latest information impacting the specialty. ... Gold standard of education ... Created by dermatologists for dermatologists, our educational resources help you stay up to date on
New treatments provide more options for people with alopecia areata
Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new
New study reveals that some children with common form of eczema should also be tested for allergic reactions
Study author highlights test used to differentiate between two types of eczema ROSEMONT, Ill. (September 26, 2023) — Eczema, which is a group of medical conditions that causes inflamed, irritated, and often itchy skin, affects millions of people worldwide. A new article published in the ... Journal of the American
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
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
By Warren R. Heymann, MD, FAAD February 16, 2022 Vol. 4, No. 7 If there was a statistic for a dermatological diagnostic impact factor, vascular Ehlers-Danlos syndrome (vEDS) would be at the top. Often undiagnosed until tragedy strikes, astute dermatologists who consider the diagnosis prior to an acute event may
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
Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow
By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought
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
Caveat mTOR revisited: Neurofibromatosis
By Warren R. Heymann, MD, FAAD Feb. 14, 2024 Vol. 6, No. 7 An abridged version of this commentary was published in "A Clinician's Perspective" in the April 2023 issue of the JAAD. ... It is understandable how dermatologists may forget about many details of rare genodermatoses after taking their
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 —
COVID-19 can nail you in so many ways
By Elizabeth Yim, MD, MPH, FAAD, and John Montgomery Yost, MD, MPH, FAAD July 13, 2022 Vol. 4, No. 28 Dr. Elizabeth Yim and Dr. John M. Yost. ... During these difficult and quite frankly, scary times, we have heard numerous reports of various cutaneous manifestations by the SARS-COV-2 infection
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,
Ustekinumab: A topic for atopics?
By Warren R. Heymann, MD Jan. 9, 2017 Atopic dermatitis patient shows drastic improvement at week 19 of ustekinumab treatment. ... Credit: ... JAAD If you’re like me, you have a cadre of patients with severe atopic dermatitis (AD) patients who are counting the minutes for the release of
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,
New data to recall when considering radiation recall dermatitis
By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For
Metformin mania: Is it an adequate chemopreventive agent for skin cancer?
By Warren R. Heymann, MD, FAAD Aug. 31, 2022 Vol. 4, No. 35 Precisely a century ago (in 1922) metformin was synthesized, based on the folk knowledge that the active, but toxic constituent guanidine galegine, (derived from French lilac, ... Galega officinalis ) could treat "sweet urine." Metformin is now
Tressed to impress: tips for keeping your mane magnificent
6 tips for healthier looking and feeling hair from a board-certified dermatologist ROSEMONT, Ill. (Aug. 13, 2024) — Hair is as unique as its wearer, making care an important aspect in one’s overall health and wellness routine. From understanding your hair type to learning the best shampooing technique (yes, there
Reporting Quality for MIPS
The tracking of quality measures and the implementation of improvement activities can help to lead to improved outcomes in patient care and care processes. ... Quality measures ... AAD continues to expand the number and type of dermatology-specific measures for reporting to CMS. Access a complete list of MIPS measures
Tennessee legislation increases transparency
Tennessee Gov. Bill Lee (R) signed legislation limiting the use of medical specialty titles in advertisements. ... The new state law requires any advertisement for health care services to include the name of a health care practitioner and the type of licensure or profession held. The AADA believes that all
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
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
Looking beyond ‘Ozempic face’
Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body
Waiting for Wong
By Warren R. Heymann, MD ... Oct. 6, 2016 ... The Wong variant of dermatomyositis was originally described by O’Leary during the Eisenhower administration (1953) and named for Wong during Nixon’s tenure (1969). I have been involved with dermatology since Carter’s term in office (1979). Since that time (Reagan,
Membership Committee portal
Welcome to the American Academy of Dermatology’s Membership Committee portal. The portal houses applications and their supporting documentation along with resources to help determine eligibility for membership. ... Applicant Name ... Type ... Category ... Country ... Status ... Review {{application.fullName}} ... {{application.pendingMemberType}} ... {{application.pendingMemberCategory}} ... {{application.businessAddressCountry}} ... {{application.status}} ...
Learning module: Genetic skin diseases
Goals and objectives ... The purpose of this module is to help develop a clinical approach to the evaluation and initial management of patients presenting with genodermatoses. ... By completing this module, the learner will be able to: ... Identify and describe the morphology of skin lesions typical of tuberous
Alleviate the ouch
Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology
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
March
Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I always knew firefighting was a dangerous occupation What’s hot ... This month’s news from across the specialty Clinical Applications ... Do skin cancer
Malpractice insurance 101
Experts offer advice on navigating malpractice insurance policies. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2025 While medical malpractice suits first regularly appeared in the United States in the 1800s, the frequency of claims has only increased since the 1960s, with lawsuits relatively common today. Medical malpractice
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month
Mohs Surgery Appropriate Use Criteria (AUC) app
There are many considerations when determining whether to use Mohs surgery for the treatment of skin cancer, such as the cancer type, location, and whether it is new or recurring, as well as the health profile of the patient. ... With the Academy's complimentary Mohs Surgery Appropriate Use Criteria (AUC)
November 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 18, 2020 ... Hydrogen peroxide and the common wart: Phase 2 results are in DermWorld Insights and Inquiries : Granulomatous slack skin — More than one type of mimicry FDA
Dermatology antibiotic prescription trends
Facts at your fingertips ... By Emily Margosian, assistant editor, November 1, 2019 As antibiotic resistance has increasingly captured the attention of the media and global health organizations, physicians have found themselves under more pressure to monitor their antibiotic prescription habits. Although overall antibiotic prescribing by dermatologists decreased by 36.6%
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
Private payer appeal letter tool
How can I appeal insurance denials? ... Use the tool below to generate letters from automated templates. These letter templates are intended to help dermatologists appeal to private payers when payments are inappropriately reduced. They may be modified to specifically address your circumstances and those of your patients. ... {{
Ransomware attacks on U.S. health care double
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, February 1, 2024 Ransomware is on the rise. A recent ... JAMA Health Forum study found that the annual number of ransomware attacks on health care organizations more than doubled from 2016 to 2021, exposing the personal health information (PHI)
Melanoma incidence rising, deaths decreasing
Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2019 According to data from the National Institutes of Health (NIH) Surveillance, Epidemiology, and End Results Program (SEER), there were an estimated 96,480 new cases of melanoma of the skin in 2019 — making it the fifth most
Demand for cosmetic procedures resumes after COVID
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2023 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions due to the ebb and flow in national and regional caseloads. ... The release of new
COVID’s impact on cosmetic procedures
Facts at your fingertips ... By Emily Margosian, Assistant Editor, April 1, 2022 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions throughout the year due to the ebb and flow in national and regional caseloads. The release
January 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 30, 2019 ... Dermatologists prescribe fewer antibiotics overall, but use increased with surgery CMS updates Open Payments data What causes allergic responses in patients with atopic dermatitis? YouTube videos about
Medical research funding
Ask the Expert ... By Victoria Houghton, managing editor, August 1, 2021 DermWorld ... spoke to Jennifer Mangone, JD, manager of congressional policy for the American Academy of Dermatology Association (AADA), about the Academy’s advocacy efforts to support medical research funding. DermWorld: Advocating for medical research funding is a top
Will PD-1 inhibitors be msed for Mastocytosis?
By Warren R. Heymann, MD May 8, 2016 Kuklinski L, Kim J. Expression of PD-L1 in mastocytosis. J Am Acad Dermatol 2016; 74: 1010-2. ... The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens. Of the12
This month’s news from across the specialty
What’s hot ... August 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to
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
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
Reporting excimer laser therapy: When to use 96999 vs 9692x
As a result of a code descriptor change for CPT codes 96920-96922 effective Jan. 1, 2024, these codes are now to be used only for excimer laser treatment of psoriasis. This change was made by the AMA CPT to better align with the intended use of these services exclusively for
Chanarin-Dorfman syndrome: Shifting out of neutral
By Warren R. Heymann, MD, FAAD Aug. 27, 2025 Vol. 7, No. 34 In nearly all neutrophil, eosinophil and basophil leukocytes and in the monocytes, several clear vacuoles of varying size were observed in the cytoplasm, which after vital staining…revealed a red colour, i.e. contained a fatty substance. The erythrocytes
Studying skin aging never gets old: The potential role of oxytocin
By Warren R. Heymann, MD Oct. 14, 2020 Vol. 2, No. 41 Every day, dermatologists address patient concerns about their aging skin — whether they are presenting for medical, surgical, or cosmetic problems. Extrinsic factors such as ultraviolet light and smoking resulting in a leathery, coarsely wrinkled appearance are well
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
What's hot?
What's hot ... February 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Isn’t it interesting how some common warts that we treat seem to go away almost instantly but others persist
Advocacy Update Feb 3, 2026
IN THIS ISSUE / Feb. 3, 2026 Dermatologists urged Washington state to support truth in advertising Humana corrects destruction code denials Academy asks CMS to reduce regulatory burdens on dermatology Contribute to SkinPAC Truth in Advertising Dermatologists urged Washington state to support truth in advertising ... The AADA ... urged
Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying
By Warren R. Heymann, MD April 12, 2017 In the entry "Atrophic Tinea Versicolor: More Than a Mirage" (April 22, 2016), I learned that the atrophic appearance of some cases of tinea versicolor is not just an optical illusion. The case of a 35-year-old man with depressed brown lesions on
4 cradle cap tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your
AAD's guidance on resources related to workplace violence
Unfortunately, violence in the workplace has become more common in health care and incidences are slowly rising. Has someone at your dermatology practice ever experienced any type of violence at work? Is your practice equipped or prepared to handle violence, if it were to occur? Dermatologists are not always trained
How to prevent keloid scars
Board-certified dermatologist shares tips to reduce your risk ROSEMONT, Ill. (Dec. 6, 2023) — Keloids are a type of raised scar that can occur after an injury, and over time they can grow much larger than the wound itself. Although keloids are not dangerous to a person’s health, they can
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
The retiring type?
By Warren R. Heymann, MD April 23, 2017 "Tell me, Dr. Heymann, when do you plan to retire?" ... Patients seem to ask me that every day. ... My usual response: "Why do you ask, do I look that bad?" ... "No, you look pretty good for your age." (According
Granulomatous slack skin: More than one type of mimicry
By Warren R. Heymann, MD November 18, 2020 Vol. 2, No. 46 My chief resident presented a case to me enamored with his clinical diagnosis of granulomatous slack skin (GSS). Although I was delighted that he considered the disorder, I explained why I thought these inguinal and submammary pink-white subtly
A dermatologic riddle: How is IgG4-related ophthalmic disease parliamentary?
By Warren R. Heymann, MD March 22, 2017 Immunostains of infiltrate. A, Immunostain shows an infiltrate rich in IgG4+ plasma cells. The infiltrate had an IgG4+ cell count of 80 per HPF and an IgG4+/IgG+ ratio of 80%. B, IgG immunostain shown for comparison. (A and B, original magnifications:
RAC audits: Target areas
This page has quick tips, facts, and links for you to keep on hand so that you can stay on top of the audit game. ... Where a RAC will catch you ... It goes without saying that you must be careful about many procedures when you’re a physician. However,
My fair-weather therapeutic friends for alopecia areata
By Warren R. Heymann, MD April 25, 2017 Type C clinical pattern of alopecia. A, Patchy hair loss on a background of a diffuse hair loss with (B) occipital involvement in an ophiasis-like pattern. C, Biopsy specimen obtained from the vertex of the scalp. Histopathology of vertical sections shows an
CMS Targeted Probe and Educate (TPE) reviews are now in full swing
What is a Targeted Probe and Educate program? ... A Targeted Probe and Educate (TPE) program is a claim review process utilized by the Medicare Administrative Contractor (MACs) designed to help dermatologists reduce claim and billing denials as well as appeals through "one-on-one" corrective action assistance and is overseen by
Go your own way
Dermatologists share experiences and considerations practicing in a variety of practice models. ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2025 Whether you’re embarking on your career path, or you’re simply ready for a reset, there are a multitude of practice models to investigate. Each path offers
Dermatology resident develops face masks from recycled medical supplies
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld Weekly talks with Aditi Sharma, MD, a third-year resident in the department of dermatology at the University of California, Irvine, about how she produced a new type of protective face mask made from recycled
Contract reimbursement review
When deciding whether to sign a contract with a payer, reimbursement is one of the most important considerations. Adequate reimbursement is critical to the viability of your practice. Therefore, be sure to review contract language on reimbursement carefully. ... Aspects of reimbursement are often negotiable, though the extent to which
Types of audits
RAC audits: In a nutshell ... There are four different types of Medicare contractors that are responsible for auditing records, claims, and payments. ... You need to notify your MAC if you notice errors during a self-audit. ... It doesn’t matter whether you are being audited for the first time
Are teens tanning less?
Go to AAD Home ... Go to AAD Home ... Menu ... Signs point to progress, but work remains ... Signs point to progress, but work remains ... By Ruth Carol, contributing writer It appears that fewer teens are indoor tanning in recent years, but the data are sparse. Regulations
CBD: Potential or placebo?
Go to AAD Home ... Go to AAD Home ... Menu ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... By Emily Margosian, assistant editor This recent Mother’s Day holiday, shoppers may have observed
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. ...
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,
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
LIDA* rose the insulin requirement
By Warren R. Heymann, MD April 14, 2021 Vol. 3, No. 15 * Localized insulin-derived amyloidosis ... Amyloidosis, I thought I knew ye. But alas, you fooled me again. ... Amyloid is an insoluble protein folded in ... β -pleated sheets that is deposited extracellularly. Amyloid can accumulate in one
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
August 21
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 21, 2019 ... FDA grants breakthrough therapy designation to advanced melanoma treatment DW Insights and Inquiries : Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections Quality
March 6, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 6, 2024 ... Benzyl benzoate vs. permethrin in treating scabies DermWorld Insights and Inquiries : Hemochromatosis — Beyond 50 shades of gray Oral acitretin plus topical triamcinolone vs. topical triamcinolone
Support the AAD Teledermatology Program
Throughout the U.S., there are many underserved areas where primary care physicians do not have easy access to dermatologists. Through the ... AAD Teledermatology Program , these physicians can easily consult with volunteer dermatologists and better serve patients in need. As more clinics sign up and physicians become trained to
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
February 16, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 16, 2022 ... A review of calcipotriol plus 5-fluorouracil for actinic keratosis DermWorld Insights and Inquiries : Vascular Ehlers-Danlos syndrome: From rupture to rapture? Delayed complications for FDA-approved HA dermal
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
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
October 14, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 14, 2020 ... OTC scar treatments: What does the evidence say about efficacy? DermWorld Insights and Inquiries : Studying skin aging never gets old — The potential role of oxytocin
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
Nonepidemic Kaposi sarcoma: The fifth dimension
By Warren R. Heymann, MD Oct. 16, 2019 Vol. 1, No. 32 ... For more than a century, since first described in 1872 by Moritz Kaposi* as "idiopathic multiple pigmented sarcoma," dermatologists focused on classical Kaposi sarcoma (KS) — violaceous patches, plaques, and tumors on the lower extremities of
Career launch
Moving from residency into full-time practice is a critical phase in a young dermatologist’s career. While your clinical skills are sharp, success in today’s environment demands mastery of a complex set of non-clinical responsibilities, from practice management and finance to regulatory compliance and team leadership. ... This definitive AAD guide
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
This month's news from across the specialty
What's hot ... July 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD The FDA has approved the first treatment for progeria (Hutchinson-Gilford progeria syndrome). As we all know, progeria is a rare
May 10, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 10, 2023 ... Is spironolactone use for acne associated with increased risk for venous thromboembolism? DermWorld Insights and Inquiries : PRAME sets its eyes on the road to fame How
2016
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, August 1, 2025 This was the year I first lectured on measles. Fueled by a growing trend of "vaccine hesitancy," several outbreaks of measles had been observed across the U.S. in
Advocacy Update Feb. 4 2025
IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC
Advocacy Update May 5, 2026
IN THIS ISSUE / May 5, 2026 Advocacy win: United Healthcare delays referral program penalties Dr. Gross attends political event on behalf of SkinPAC New Medicare physician payment reform legislative efforts AADA presents at FDA nonprescription drugs access public meeting Payer Advocacy Advocacy win: United Healthcare delays referral program penalties
Advocating on behalf of dermatology is an enduring obligation
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, December 1, 2019 The year is winding down, and as usual I find myself reminiscing about the last 12 months — thinking about all of the patients I
Hiring high-quality clinical and non-clinical staff
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, August 1, 2018 Every aspect of a physician practice is important to delivering the highest quality of care to
Teledermatology practice
Best for: Dermatologists aiming to expand access, reduce no-shows, and offer flexible care to patients beyond their immediate location. ... Quick summary: Use secure digital platforms to deliver remote dermatologic care, triaging patients efficiently and increasing reach. Ideal for those seeking to improve access, streamline follow-ups, and enhance work-life balance
Getting started resources
Telemedicine allows dermatologists to deliver care to patients remotely using technology. For years, dermatologists have used telemedicine to evaluate patients in remote areas, where a trip to the practice may have taken hours. Now, dermatologists and patients alike are discovering the benefits of teledermatology, even for those with easy access
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
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).
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
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,
February 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 23, 2022 ... Frontal fibrosing alopecia: The effects of sunscreens and moisturizers DermWorld Insights and Inquiries : The vexing verruciform xanthoma DermWorld Young Physician Focus : The patient experience —
April 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 20, 2022 ... Which biologics are most effective for psoriasis? DermWorld Insights and Inquiries : One Toker over the line — Clarifying Toker cell hyperplasia in Zuska disease and its
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),
Business valuation: How much is my practice worth?
You’ve spent years building your dermatology practice, and you consider it one of your most rewarding accomplishments. Now, you’re ready to retire. And you’re wondering how, when, and where to sell. Perhaps most importantly, you're wondering how to set the right price. ... Business valuation is both an art and
Treating acrodermatitis continua of hallopeau in 2018? Try guselkumab!
By Warren R. Heymann, MD April 21, 2017 Acrodermatitis continua of Hallopeau (ACH) is a disorder well known to dermatologists, but absolutely mysterious to everyone else. It is now considered a localized form of pustular psoriasis of the digits that may be accompanied by onychodystrophy and osteolysis. ... In my
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
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,
Treatments for renal IgA vasculitis are beginning to flow
By Warren R. Heymann, MD, FAAD Feb. 19, 2025 Vol. 7, No. 7 The alliterative phrase "palpable purpura" will instantly conjure the diagnosis of leukocytoclastic vasculitis (LCV) for dermatologists. IgA vasculitis (IgAV, aka Henoch-Schönlein purpura [HSP]) is the most common vasculitis in children but is much less frequent in adults.
This month’s news from across the specialty
What’s hot ... November 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Bryan Carroll, MD, PhD, FAAD I don’t see an important word — ‘teledermatology’ — in the title of a recent publication about 3D total-body
Methotrexate toxicity: What’s in a name?
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
December 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 2, 2020 ... Surgical vs non-surgical interventions for basal cell carcinoma DermWorld Insights and Inquiries : Pigmented onychomatricoma — Avoid getting nailed by misdiagnosis Derm Coding Consult : Coding for
The odd couples
Unlikely partners fuel new consolidation trends ... Feature ... By Ruth Carol, contributing writer, June 1, 2021 While the number of physicians becoming hospital employees and the number of hospitals merging into health systems continue to grow, some unlikely players are changing the consolidation landscape. Pharmacy benefits managers are merging
Estate planning 101
Experts offer tips on what to do and when to do it. ... Feature ... By Ruth Carol, Contributing Writer, March 1, 2023 They are two of the most difficult decisions to make: who should be your child’s guardian and who should get your assets if something happens to you.
February 24, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 24, 2021 ... COVID-19 vaccination for patients on immunotherapies: An evidence-based guide DermWorld Insights and Inquiries : Multiple pilomatricomas by the numbers DermWorld Young Physician Focus : Do you take
Why you should hear about the red ear syndrome
By Warren R. Heymann, MD July 22, 2020 Vol. 2, No. 29 Is it my imagination that the "by the way" comments at the presumed end of a patient encounter cause the most angst? Usually, it’s something like "Oh, I forgot to mention that I’m losing my hair!" Recently, at
The evolution of practice settings
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, April 2, 2018 In my ... introductory column as your Academy President, I addressed the many changes facing dermatology and medicine. Over time we have found ourselves adapting to
Cash-only practice
Best for: Mid-to-late career dermatologists seeking autonomy and lower administrative burden. ... Quick summary: Patients pay you directly — no insurance billing involved. ... Cash-only practice overview ... A cash-only practice is a patient self-pay model where dermatologic services are provided without billing insurance. Patients pay directly at the time
How should I prepare for a CLIA inspection?
CLIA inspections are performed every two years if you are in a moderate- or high-complexity lab. The top 10 deficiencies found in CLIA inspections among all labs over the past several years have been: ... Director qualifications ... Test reports missing ... General systems/written policies incomplete ... Director not following
Midsize group practice (6-15 practitioners)
Best for: Early-career dermatologists, or those seeking support, structure, and teamwork. ... Quick summary: You join a team of dermatologists in a shared business structure — administration is centralized, and referrals are built-in. ... Midsize group practice overview ... Group practices consist of multiple dermatologists working together within a shared
American Academy of Dermatology survey shows outdoor workers more at risk for skin cancer than average Americans
Board-certified dermatologist encourages those who work outside to utilize proper sun protection ROSEMONT, Ill. (May 7, 2024) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that outdoor workers — like those who work in construction, landscaping, emergency medical services, and postal delivery —
How do I change my contact information on file at the AAD?
Asked and Answered ... August 1, 2025 If you’ve recently moved or simply changed your email address, members can update their own account by ... logging into the account page . ... For additional assistance, please contact the Member Resource Center at ... mrc@aad.org or visit the ... AAD Help
Selecting an EHR
If you are part of a paper-based practice that has not adopted an electronic health record (EHR), it is time to adopt one. CMS has made it difficult to participate in the ... Merit-based Incentive Payment System (MIPS) program without an EHR. ... Dermatologists can still report quality data through
DataDerm delivers: Platform growth fuels dermatology science and quality
Facts at your Fingertips ... By Emily Margosian, Senior Editor, August 1, 2025 Nearly a decade after its launch, the Academy’s DataDerm is the largest clinical registry of dermatologic patients in the world, containing data from over 15.2 million unique patients as of Dec. 31, 2023 (doi: 10.1016/j.jaad.2025.03.083). ... Each
The many uses of microneedling
Go to AAD Home ... Go to AAD Home ... Menu ... How it works, potential applications, and what patients should know ... How it works, potential applications, and what patients should know ... By Emily Margosian, assistant editor Once an experimental treatment pioneered through the use of tattoo pistols
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)
Avoid the opioid
Experts offer advice on effective pain management in dermatology. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2026 Many dermatoses and dermatologic procedures are painful, but consensus on pain management in dermatology is limited, and complicated not only by the individual and varied experience of pain, but also
Spotlight on dermatology demographics
Facts at your fingertips ... By Emily Margosian, Assistant Editor, February 1, 2022 Every year, the AAD collects a snapshot of official membership data, giving insight into wider specialty trends. The Academy represents 91% of practicing board-certified dermatologists, with an overall membership of 20,648. According to AAD survey data, in
Digging into dermatologist demographics
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, June 1, 2025 Each year, the Academy releases a snapshot of official membership facts and figures. In 2025, AAD total membership includes 21,400+ dermatologists, representing 96.3% of U.S. American Board of Dermatology-certified dermatologists. ... AAD dermatologists work in all 50
Misinformation puts over 16 million Americans at an increased risk for skin cancer
New data from the American Academy of Dermatology reveals misinformation drives adults to cut back or stop using sunscreen Survey data show influence of social media, misconceptions, and gaps in sun safety knowledge – especially among Gen Z Gen Z is flunking sun safety, with one-third scoring a D or
Piecemeal policy
Go to AAD Home ... Go to AAD Home ... Menu ... Trump administration addresses health care policies in small bites ... Trump administration addresses health care policies in small bites ... By Ruth Carol, contributing writer While the Trump administration has raced to eliminate the Affordable Care Act (ACA),
Employee voices
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists offer first-person perspectives on life as an employed physician ... Dermatologists offer first-person perspectives on life as an employed physician ... By Emily Margosian, assistant editor For the average dermatologist 20 years ago, starting a career also
CLIA in 2025: What dermatology practices need to know now about the updated laboratory requirements
Answers in Practice ... By Faiza Wasif, MPH, Associate Director, Practice Management, August 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss what dermatology practices need to know about the updated laboratory requirements. Whether your office does potassium hydroxide (KOH) preps,
Unity in dermatology starts with putting patients first
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Unity of the specialty , an AAD strategic goal challenging all dermatologists to work together as one voice impacting all of dermatology, can only be achieved when patients are at the center. Seemal R. Desai,
Injecting ideas (and therapies) in digital mucous cysts
By Warren R. Heymann, MD, FAAD Oct. 8, 2025 Vol. 7, No. 40 I am almost embarrassed to admit it, but I go on clinical autopilot when it comes to digital mucous (myxoid) cysts (DMCs). I offer a brief explanation, reassure the patient that the lesion is benign, refer the
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.
October 9, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 9, 2019 ... Topical calcineurin inhibitors vs. topical corticosteroids for vitiligo DW Insights and Inquiries : Glucose monitors — Not as sweet as they seem American Board of Dermatology announces
Managing melasma
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... By Jan Bowers, contributing writer The emotional toll of melasma on patients
Cocaine-associated plasma cell orificial mucositis: Anything goes
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, April 1, 2026 Vol. 8, No. 4 Dermatologists will never be bored by cocaine. The mucocutaneous manifestations are so vast that one can almost say that "anything goes," but there are clinical scenarios where clinicians should suspect cocaine use
Teledermatology after COVID-19
Answers in Practice ... By Swapna Pachauri, MPH, Manager, Health Technology & Informatics, April 1, 2022 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff offer tips on clinical photography in dermatology. Since the public health emergency (PHE) began two years ago, telemedicine has
Coding and documentation for hyperhidrosis
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Clear and concise documentation is essential
Systemic amyloidosis presenting as nail dystrophy (and inducing onychophagia in the reviewer)
By Warren R. Heymann, MD June 20, 2016 I admit it — I am plagued with onychophagia (nail biting). It is a life-long habit, and now that I’m 61, I presume that this foible will remain with me to the end. It is worse with anxiety — after reviewing the
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. —
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
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
December 18, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 18, 2019 ... Which physicians were sued most in 2019? DW Insights and Inquiries: Holiday greeting 2020 — eyeing dermatology’s future New DW Academy Insider coming in 2020 Does teledermatology
Knuckling down on knuckle pads
By Warren R. Heymann, MD April 1, 2020 Vol. 2, No. 13 Today is April Fools’ Day. Thus far, 2020 has felt like April Fools’ Year. All of us are dealing with COVID-19, 24/7. During World War II, morale was lifted by the song "There’ll be bluebirds over the White
Protect your ability to practice
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, June 3, 2019 For
The profound dermatological manifestations of COVID-19: Part II
By Warren R. Heymann, MD March 25, 2020 Vol. 2, No. 12 Disclaimers: This commentary was written on March 17, 2020 for a publication date of March 25, 2020. The issues related to the COVID-19 pandemic are changing like lightning. The content included in this commentary may no longer be
Slammed by slime
By Warren R. Heymann, MD Sept. 16, 2020 Vol. 2, No. 37 Visiting Nickelodeon Studios in Orlando, Florida in the early 1990s was a religious experience for my family. Watching a live recording of ... Double Dare, my daughters were fervently praying to be among the chosen few to be
November 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 17, 2021 ... Intralesional acyclovir for cutaneous warts DermWorld Insights and Inquiries : Biotin supplementation for hair and nail health — Does it pass the test? DermWorld Young Physician Focus
Quality Resources Provided by the AAD
Quality Measures ... AAD continues to develop ... dermatology-specific measures available to dermatologists . Dermatology measures are needed to meet CMS reporting requirements, can be used to drive quality improvement, and may be required by additional organizations. ... Learn more about quality measures available for reporting, a ... measure selection
June 3, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 3, 2026 ... Risk of cardiovascular events with 5-alpha-reductase inhibitors in androgenetic alopecia DermWorld Insights and Inquiries : A potential roadMAP for treating malignant atrophic papulosis Yellow nail syndrome: Diagnosis
Are you a rash whisperer?
Go to AAD Home ... Go to AAD Home ... Menu ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat patients with allergic contact dermatitis. ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat
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
DermWorld Weekly comparing efficacy of JAK inhibitors used in alopecia areata
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 22, 2023 ... Comparing efficacy of JAK inhibitors used in alopecia areata DermWorld Insights and Inquiries : Resorcinol’s resourcefulness in hidradenitis suppurativa Derm Coding Consult : CMS Targeted Probe and
Striving for hard facts about water softening in atopic dermatitis
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
RAC audits: An overview
RAC audits: In a nutshell ... Recovery audit contractors (RACs) look for improper payments that have already been made and identify areas where payment errors are most likely. ... A RAC may perform an audit if they find that you billed for non-covered services or did not code correctly. ...
June 24, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 24, 2020 ... Derm Coding Consult : Are you ready for E/M coding changes? DW Insights and Inquiries : Phacing the future — When patients with PHACE syndrome grow up
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
Appealing an audit
Appealing an audit: In a nutshell ... If you disagree with an audit decision, you can discuss it with your recovery audit contractor (RAC), rebut it, and file an appeal ... There are five levels of an appeal ... Make sure that your appeal letters include all the necessary information
Striae due to bartonella is a stretch
By Warren R. Heymann, MD May 1, 2018 ... A, Localized striae distensae on the left upper limb (flexor aspect). B, Clinical improvement 9 weeks after treatment. ... Credit: ... JAAD I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections
This month's news from across the specialty
What's hot ... March 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS The American Journal of Public Health published a series of analyses on wasteful spending in United States health
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
May 3, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 3, 2023 ... Oral oxybutyloride for hidradenitis suppurativa patients? DermWorld Insights and Inquiries : Necrobiosis lipoidica in a Wink Exposure to anesthesia and alopecia areata Do study authors accurately report
Dermatology dress codes loosen their ties
From business casual to scrubs, post-pandemic dermatology offices embrace new standards in professional attire. ... Feature ... By Emily Margosian, Senior Editor, August 1, 2025 The physician’s white coat: iconic and instantly recognizable as a symbol of authority and professionalism. Like a judge’s robe or firefighter’s uniform, it signals a
Finding your fit
Answers in Practice ... By Faiza Wasif, MPH, Associate Director, Practice Management, December 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss how to find the right practice model for you. How your dermatology practice is structured and operates can shape
The H syndrome – Understanding Y
By Warren R. Heymann, MD April 15, 2020 Vol. 2, No. 15 It has been more than a decade since the H syndrome was described by Molho-Pessach et al, in their report of 10 patients from 6 Arab consanguineous families. (1) More than 100 cases have now been reported worldwide.
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:
Hair restoration taking root among young people, women
Facts at your Fingertips ... By Megan Bennett, Staff Writer, January 1, 2026 Interest in hair restoration is growing, with women and young adults seeking hair loss surgery at higher rates, according to a member survey from the ... International Society of Hair Restoration Surgery . ... ISHRS — which
Prolactin and its role in stress-induced psoriasis: Milking the data
By Warren R. Heymann, MD Jan. 18, 2018 Patients will readily acknowledge that stress worsens their psoriasis. When asked how this happens, I respond by mentioning the "mind-body connection" using the term "psychoneuroimmunology;" patients nod in agreement, feigning understanding; appropriately so, because frankly, I don’t understand it either. ... The
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
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
Viva ex vivo dermoscopy?
By Warren R. Heymann, MD March 12, 2017 Evaluation of dermoscopic features on a formalin-fixed specimen (ex vivo dermoscopy) using a smartphone attached to a dermoscope. ... Credit: ... JAAD It has been said that the best "special stain" is a deeper section — wise words indeed. While always gratifying
The Academy has something for everyone
From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, January 1, 2021 Welcome, 2021! January always brings the inevitable questions about New Year’s resolutions and change, so what’s in store for you this year? Are you considering retirement?
OIG Report Finds MA Claim Denials Are Rarely Appealed
A common complaint we hear from our members concerns Medicare Advantage (MA) claim denials, with or without a preauthorization. This same issue has been addressed in a recent report "Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns about Service and Payment Denials" from the Office of Inspector General’s (OIG’s),
Protecting patient privacy
DermWorld offers six key tips for cultivating habits to improve cybersecurity in your practice. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2024 Viruses, infections, safety plans: these days health care workers not only use these words to discuss patient wellness but also to protect patient privacy. Protected
Healthcare consolidation
As health entities combine, what is the impact on dermatology? ... Feature ... By Ruth Carol, Contributing Writer, June 1, 2026 Healthcare is in a consolidation mode; it has been for some time. Increasingly, more physicians are being employed by hospitals and health systems, health insurers, and private equity firms.
Clear cell papulosis: Clearly distinctive, clearly underrecognized
By Warren R. Heymann, MD June 3, 2020 Vol. 2, No. 22 One of my greatest joys in dermatology is diagnosing a disease that I have only read about, but then encounter in life. That "aha moment" is exhilarating! When attending patient presentations at dermatology conferences, I encourage my residents
February 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant
June 1, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 1, 2022 ... What’s new in adult acne over the last two years? DermWorld Insights and Inquiries : Granulomatous cheilitis — Back to the Future Derm Coding Consult : Cigna’s
January 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 24, 2024 ... Micrographic vs. conventional excision: Reducing rates of BCC, SCC DermWorld Insights and Inquiries : Senile gluteal dermatosis — The term ‘senile’ is getting old and should be
September 14, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 14, 2022 ... Real-world methotrexate use in pediatric patients with plaque psoriasis DermWorld Insights and Inquiries : The ever-changing world of nevus sebaceus New anti-wrinkle injection receives FDA approval FDA
Educating the public — 2020 snapshot
In 2020, we pivoted our communications efforts to better respond to the real-time needs of the public brought on by the pandemic. While we shifted our efforts, our goal of positioning dermatologists as the experts — even during unprecedented times — never changed. By adapting our traditional messaging to resonate
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
The pregnant pause in cutaneous lymphoma
By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12
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
November 20, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 20, 2019 ... Which types of dermal fillers are associated with increased complications? DW Insights and Inquiries: Rituximab and dermatomyositis — Dr. Samitz would be proud An ode to the
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
The AAD’s unwavering commitment to expanding access to care
From the President ... Dr. Taylor is the Academy’s former president. ... By Susan C. Taylor, MD, FAAD, August 1, 2025 Taking care of dermatologists so that they can take care of their patients...and their practices Dear members, ... As physicians, our foremost priority is helping patients. Many patients struggle
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, August 1, 2018 Don't miss this edition of ... Dermatology World . Summer is almost over and, hopefully, you are taking a little time for yourselves and family before the long days
Dermatology is bustin’ out all over
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, June 1, 2026 " ... June is Bustin’ Out All Over ", the spirited ensemble song embracing summer’s onset from Rogers and Hammerstein’s ... Carousel , is an appropriate
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
By Warren R. Heymann, MD, FAAD Jan. 15, 2025 Vol. 7, No. 2 Perhaps dupilumab won’t be the game-changing biologic that patients are pining for. At the least, it represents the dawn of the biologic era for AD [atopic dermatitis] ... . That alone offers hope for our long-suffering patients,
Becoming “sensitized” to the clinical utility of the term “urticarial dermatitis” (a subtype of the dermal hypersensitivity reaction pattern)
By David A. Wetter, MD, FAAD April 2, 2025 Vol. 7, No. 13 I suspect many of us have been confounded when confronted with a patient presenting with cutaneous findings suggestive of a "dermal hypersensitivity reaction." What is the cause? How should it be evaluated and treated? What do we
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,
Something from nothing: The role of random skin biopsies
By Warren R. Heymann, MD Sept. 22, 2017 There are a few reports suggesting the usefulness of the random or blind skin biopsy from normal-appearing skin for diagnosis of intravascular lymphoma. Punch biopsy results from the abdomen. A, Intravascular large lymphoid cells. B, CD20+ tumor cells. (A, Hematoxylin-eosin stain; B,
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
How can functionality assessments help determine appropriate treatment for NMSCs in elderly patients?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, September 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Michael Renzi, MD, and Naomi
Joint venture practice
Best for: Dermatologists looking to collaborate closely with other physicians to share resources, increase buying power, and unify patient care under a jointly owned entity. ... Quick summary: Partner with other practices as co-owners to streamline operations, negotiate contracts together, and present a seamless patient experience while sharing profits and
Coding and reimbursement for teledermatology
Telehealth flexibilities extended through Dec. 31, 2027 ... CMS will continue reimbursing eligible Medicare clinicians for covered telehealth services through Dec. 31, 2027. These flexibilities apply retroactively, as though there had been no interruption. ... Originating site/geographic location and audio-only ... Patients may receive telehealth services anywhere in the U.S.
Caring for patients with disabilities
Go to AAD Home ... Go to AAD Home ... Menu ... How to stay compliant with ADA guidelines while treating patients with disabilities ... How to stay compliant with ADA guidelines while treating patients with disabilities ... By Emily Margosian, assistant editor In July 2020, the Americans with Disabilities
The nerve of Zika!
By Warren R. Heymann, MD April 17, 2017 Zika virus–associated skin exanthem. Peripheral edema of bilateral hands (A) and feet (B). Generalized lymphadenopathy was also present. ... Credit: ... JAAD Zika virus infections have dominated the headlines, most notably because of its association with microcephaly. According to the valuable CDC
Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma
By Warren R. Heymann, MD, FAAD Aug. 20, 2025 Vol. 7, No. 33 As I write this commentary, March Madness is underway. According to the NCAA, the odds of predicting all 63 NCAA tournament games correctly are approximately 1 in 9.2 quintillion (a quintillion is 10 to the 18th power).
Side gig
Go to AAD Home ... Go to AAD Home ... Menu ... What can physicians do in addition to clinical services, and how do you get started? ... What can physicians do in addition to clinical services, and how do you get started? ... By Emily Margosian, assistant editor While
This month’s news from across the specialty
What’s hot ... February 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD ChatGPT is a readily accessible and widely available artificial intelligence tool mainly used by physicians for administrative
March 27, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 27, 2024 ... Spironolactone: Risk of breast, gynecologic malignancies? DermWorld Insights and Inquiries : Always another worry for patients with hidradenitis suppurativa — Amyloid A amyloidosis FDA approves spesolimab for
Accountable care organization (ACO)
Best for: Dermatologists focused on value-based care, quality improvement, and data-driven practice. ... Quick summary: Practice in a system that rewards quality and outcomes with strong support for data collection, prevention initiatives, and financial flexibility. Ideal for those who want to innovate and showcase measurable results. ... ACO overview ...
Independent practice association (IPA)
Best for: Dermatologists who want to stay fully independent but benefit from shared payer negotiations and reduced administrative burden. ... Quick summary: Join a contracting network while maintaining full clinical autonomy. Ideal for those seeking better reimbursement rates and back-office support without merging or sharing clinical operations. ... IPA overview
Merged practice
Best for: Dermatologists looking to expand geographic reach, diversify services, and increase access to capital by combining practices. ... Quick summary: Merge your practice with another to achieve economies of scale, expand your service offerings, and access greater financial resources. Ideal for those ready to grow or transition while managing
Private equity ownership
Best for: Dermatologists looking to offload administrative burdens, access capital, and join larger practice groups with streamlined operations and stronger payer leverage. ... Quick summary: Join a private equity-backed dermatology group to gain financial incentives, reduce business management duties, and access better infrastructure. Ideal for those nearing retirement or seeking
Academic medical center practice
Best for: Dermatologists passionate about teaching, research, and complex care. ... Quick summary: Work within a university or teaching hospital setting. Divide time between patient care, education, research, and administration. ... Academic medical center overview ... An academic dermatology position is based within a university or teaching hospital. Physicians in
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
What's hot?
What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,
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.
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
Coming to grips with lymphocytic thrombophilic arteritis
By Warren R. Heymann, MD, FAAD May 18, 2022 Vol. 4, No. 20 As a medical student, I was introduced to the concept that bilaterally symmetrical palpable purpura is leukocytoclastic vasculitis until proven otherwise. Although that bromide has served me well over the years, with experience, vasculitis perpetually befuddles me.
1984: Dermatologically revisited
By Warren R. Heymann, MD Aug. 22, 2018 George Orwell published ... Nineteen Eighty-Four in 1949. I started my dermatopathology fellowship at the University of Pennsylvania in 1984. I decided to review ... Archives of Dermatology (now ... JAMA Dermatology ), looking back 34 years to see how the dermatologic
Shedding light on treatments for female pattern hair loss
Dermatologist hair experts discuss the efficacy and safety considerations of off-label treatments for female pattern hair loss. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2025 A female patient presents with thinning hair and a reduction in hair density at the top of the scalp. Is it
Isotretinoin and diabetes: Of familiarity and surprise
By Warren R. Heymann, MD, FAAD July 6, 2022 Vol. 4, No. 27 On a gloriously sparkling, warm spring afternoon in 2009 I sat with my family in the right field bleachers of the new Yankee Stadium as the Bronx Bombers took on the Phillies. I relished the expansive majesty
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,
This month’s news from across the specialty
What’s hot ... March 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Harry Dao Jr., MD, FAAD Injectable biologics remain the gold standard for achieving optimal clinical responses in psoriasis, but fear of injections leads many
A niche within NICH
By Warren R. Heymann, MD February 26, 2020 Vol. 2, No. 8 Just when I thought I grasped the concept of congenital hemangiomas, new data raises novel questions. ... Compared to infantile hemangiomas that grow rapidly after birth and then involute, congenital hemangiomas arise and proliferate in utero. Although two
Disaster strikes. Are you prepared?
Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer advice on emergency preparedness planning. ... Experts offer advice on emergency preparedness planning. ... By Allison Evans, assistant managing editor “We went through hell after Hurricane Katrina. It was pandemonium. Talk about getting caught without any
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
Pediatric melanoma: A wolf in sheep’s clothing
By Warren R. Heymann, MD ... Sept. 27, 2016 ... Despite its rarity, the incidence of pediatric melanoma (PM) has been increasing. Every practicing dermatologist, past or present, has been humbled or fooled by the clinical appearance of melanomas, examples being amelanotic or desmoplastic variants. ... The A (asymmetry),
Understanding the National Practitioner Data Bank
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, February 1, 2018 Anita: I recently spoke with
AAD 2019 Strategic Plan: Our vision for the future
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... The Academy Board of Directors and President Suzanne Olbricht, MD, convened during a special three-day working event to imagine what the organization should look like a decade from now. What they outlined and documented as
Veterans Administration practice
Best for: Dermatologists who value service to veterans, research opportunities, and a structured work environment ... Quick summary: Practice in a federally run health system serving U.S. military veterans. Focus on medically necessary care with strong infrastructure for research, teledermatology, and team-based coordination. Offers predictable hours, generous benefits, and meaningful
Military practice
Best for: Dermatologists interested in public service, global opportunities, and structured career paths. ... Quick summary: Serve as a commissioned medical officer in the U.S. military, providing dermatologic care to service members and their families. Offers stable government employment, comprehensive benefits, and a mission-driven environment with minimal business responsibilities. ...
This month’s news from across the specialty
What’s hot ... July 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Social media can be a very useful tool for practices to grow their practice population, and has become a
This month’s news from across the specialty
What’s hot ... December 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Our surgical prep may benefit non-surgical elderly patients. A study of extended bacterial decolonization in 28,956 nursing home
A metabolic pathway that may allow dermatologists to run rings around porokeratoses
By Warren R. Heymann, MD July 31, 2019 Vol. 1, No. 21 "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 [disseminated superficial actinic porokeratosis], superficial disseminated, immunosuppression-related, and porokeratosis ptychotropica.
This month’s news from across the specialty
What’s hot ... June 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD A recent study compared lipidomes and transcriptomes of single cell dermal fibroblasts to explore the determinants of cell
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.
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
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
The illusions of IgG4-related skin disease
By Warren R. Heymann, MD, FAAD Dec. 10, 2025 Vol. 7, No. 48 "The greatest enemy of knowledge is not ignorance; it is the illusion of knowledge." – Stephen Hawking Prior to researching this commentary, I had illusions that I grasped the fundamental concepts of IgG4-related disease (IgG4-RD); after writing
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
Positively perplexing: Determining the meaning of CD30 positivity
By Warren R. Heymann, MD, FAAD Sept. 29, 2021 Vol. 3, No. 39 I’ll wager that most readers of DWI&I have experienced receiving a biopsy report, obtained from an inflammatory lesion, stating "scattered CD30+ cells were observed," accompanied by a comment that "clinicopathologic correlation is necessary to rule out the
Impact Report — Spring 2021
Our focus is on supporting members, and we want to be sure to tell you what we are doing for you. So, in addition to the annual printed Impact Report that we sent you in April, we’re going to continue to check in with you through quarterly updates online. Welcome
Responding to a breach
HIPAA requires security measures primarily to prevent breaches of protected health information (PHI). A breach is the theft, loss, or unauthorized access of PHI. When clinicians breach PHI, the law requires notification of both patients and HHS. ... What causes breaches ... Most breaches are caused by human error and
Advocacy Update Mar. 11, 2025
IN THIS ISSUE / Mar. 11, 2025 Academy, physician community demand that Congressional funding includes Medicare cut — contact your legislator now Academy opposes HIPAA security rule changes Dermatologists urged Utah Senate to oppose dental hygienist use of Botox Academy, AMA urge NIH to repeal indirect grant cost cap Rachel
Negotiating fee schedules
When negotiating with private payers, knowing your worth can pay off. ... Feature ... By Ruth Carol, contributing writer, November 1, 2020 If you think medical school and residency were difficult, wait until you try to negotiate a higher fee schedule with a payer. ... "My experience has been that,
Navigating drug shortages and more: Strategies and solutions
Answers in Practice ... By Olivia Barry, Manager, Practice Management, February 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains how to navigate drugs shortages and more. Prescription drug shortages are a persistent and complex challenge across dermatology. What is the
This month’s news from across the specialty
What’s hot ... January 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ (MIS) has risen sharply in the U.S., surpassing invasive melanoma in 2025 ( ...
This month’s news from across the specialty
What’s hot ... May 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ has increased to epidemic proportions, rising 50-fold since 1975. Lentigo maligna is the most
Voluntary repayments and false claims liability
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., March 1, 2026 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author Daniel F. Shay, Esq., is a health care attorney
Truth in advertising
... Alabama Licensure identification Board certification (BC) Derm-specific BC Misleading advertising Licensees are prohibited from using a title in which in any way represents such person as engaged in the practice of any branch of the healing arts for which such person holds no license. ... n/a ... n/a
Shocking news: Heat shock protein inhibition finally enters the realm of dermatologic therapy
By Warren R. Heymann, MD, FAAD Oct. 23, 2024 Vol. 6, No. 43 Heat shock proteins (HSP) were serendipitously discovered by the brilliant Professor Ferruccio Ritossa in 1962 while studying nucleic acid synthesis in chromosomal puffs of ... Drosophila salivary glands. De Maio states, "Ritossa noticed something unexpected when cells
Checking in on immune checkpoint inhibitors
Immune checkpoint inhibitors offer hope for non-melanoma skin cancer patients ... Feature ... By Heidi Splete, Contributing Writer, July 1, 2022 Patients with advanced non-melanoma skin cancer see new hope on the horizon, thanks to recent developments in the number and effectiveness of new drugs to improve survival. ... "Patients
What's hot?
What's hot ... January 29, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Many of us struggle with patients with refractory pruritus who have tried many combinations of antihistamine, tricyclic,
Talk of the town: JAK inhibitors in dermatology
Dermatologists discuss the influx of new JAK inhibitors in dermatology and how they are breaking new ground for the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2024 Over the last decade, research and development of Janus kinase (JAK) inhibitors have exploded. Three years ago, JAK
Do not take a pass on the PAS stain
By Warren R. Heymann, MD Nov. 7, 2016 My threshold for obtaining a Periodic acid-Schiff (PAS) on inflammatory lesions rivals the opinion of most Americans’ opinion of tomorrow’s election as reported in the New York Times — very low. ... When I read the article by Elbendary et al I
More than just avocado toast
Go to AAD Home ... Go to AAD Home ... Menu ... How to recruit and retain millennial doctors ... How to recruit and retain millennial doctors ... By Emily Margosian, content specialist Rose gold iPhones aside, millennials are making waves in health care. Currently the largest living generation —
Do acral biopsies in dermatomyositis patients have less-prominent histopathologic findings than biopsies from other anatomic locations?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, August 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Anthony Patrick Fernandez, MD, PhD, FAAD, about his recent Journal of Cutaneous Pathology ... article, ‘ Histopathologic Features of Acral Skin Biopsies in Dermatomyositis Patients
Navigating a new path
Answers in Practice ... By Faiza Wasif, Associate Director, Practice Management, August 1, 2023 Changing your practice setting or model. ... Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains how to change your practice setting or model. Dermatology is a dynamic specialty
June 4, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 4, 2025 ... Are nail products safe? DermWorld Insights and Inquiries : High-dose vitamin D may be a ray of sunshine for treating sunburn Fatty acid supplements and atopic dermatitis?
Prognosticating folliculotropic mycosis fungoides: Everything old is new again
By Warren R. Heymann, MD Sept. 16, 2016 I was dermatology resident in 1980 learning about mycosis fungoides when the late Peter Allen was in his glory singing "Everything Old is New Again". The universe of cutaneous T cell lymphoma was simultaneously more confusing (how would you differentiate poikiloderma
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
COVID rules of the road
What do dermatologists need to know about new practice regulations — and how have they adapted? ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2022 As the COVID-19 pandemic passes the two-year mark, lawmakers have begun proposing new regulations to promote public health and safety, giving shape to
The ACA: 10 years later...during a pandemic
Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10
Alopecia areata incognita in Cronkhite-Canada syndrome suggests an autoimmune etiology – and that’s the way it is.
By Warren R. Heymann, MD Sept. 14, 2017 Cronkhite–Canada syndrome. A, Onycholysis. B, Alopecia. ... Credit: ... JAAD I have always been intrigued by the mysterious nature of the Cronkhite-Canada syndrome (CCS) — although I have considered the disorder in my differential diagnosis, I have never seen a case. ...
Coming clean on bleach baths for atopic dermatitis
By Warren R. Heymann, MD Oct. 23, 2019 Vol. 1, No. 33 ... Bleach baths have become popularized over the past decade in managing atopic dermatitis (AD). I have been a strong proponent, often telling patients (and their parents) that the procedure would help decolonize the skin and prevent
What’s up in Down syndrome?
By Warren R. Heymann, MD, FAAD October 13, 2021 Vol. 3, No. 41 Being married to a geneticist has served me well as a dermatologist. Just as dermatologists can instantly diagnose many dermatoses based on pattern recognition, geneticists skilled in dysmorphology can identify many syndromes in a heartbeat. Physicians of
A big, fat lie
By Warren R. Heymann, MD Feb. 17, 2019 At my heaviest, circa 1997, with my daughters Andrea, Deborah, and our (sorely missed) late puppy Heidi. ... "Packing on the pounds, aren’t you, doc?" ... What a lovely greeting that patient gave me that morning more than twenty years ago.
Rapalogs for vascular lesions: Caveat mTOR
By Warren R. Heymann, MD Sept. 21, 2016 Rapalogs are drugs that inhibit the mTOR pathway and include sirolimus (rapamycin), temsirolimus, everolimus, and deforolimus. All are immunosuppressive and have antineoplastic/antiproliferative effects. The mTOR protein is a serine-threonine kinase involved in complex intracellular signaling pathways affecting the key processes of cell
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
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
The role of GLP-1s in dermatology
Dermatologists discuss how the use of GLP-1s has offered potential new avenues for patients with chronic inflammatory skin diseases. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2026 Over the past five years, the approvals of glucagon-like peptide-1 receptor agonists (GLP-1s), particularly semaglutide and tirzepatide, have sparked
This month’s news from across the specialty
What’s hot ... April 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate,MD, FAAD Melasma is a phenotype of photodamage with a complex and multifaceted etiology involving UV radiation, visible light, hormones, and genetics,
The evolution of telehealth beyond the pandemic
Answers in Practice ... By Olivia Barry, Manager, Practice Management, June 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explain changes to telemedicine after COVID-19. It has been more than a year since the end of the COVID-19 public health emergency
June 19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 19, 2019 ... Do hidradenitis suppurativa patients have a greater comorbidity burden than psoriasis patients? DW Insights and Inquiries : The newest frontier for biologics and psoriasis may be adherence
A burning question: Should patients receive the zoster vaccine after an episode of shingles?
By Warren R. Heymann, MD Oct. 26, 2016 The question as to whether a patient should receive the vaccine after having had herpes zoster (HZ) has been asked since the initial release of the vaccine. There has been remarkably little data to help guide the clinician. ... The importance of
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
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
These codes are no secret
The Academy’s ... DermWorld is committed to developing robust resources to help you navigate your practice and patient care. ... In recognition of the high-quality content that’s a must-read for the specialty, ... DermWorld received awards from four different organizations in five categories this year, including: ... Folio – Folio
The billing company relationship: A most significant ‘other’
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., July 1, 2025 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is a health care attorney at Alice G. Gosfield
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,
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
This month’s news from across the specialty
What’s hot ... September 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD, FAAD News flash: As of June 20, 2025, ... dupilumab is officially FDA-approved as the first targeted treatment for
Happy November!
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, November 1, 2021 When I write my column each month, I try to highlight the most interesting themes. I was struck this month by the diversity of the topics we covered,
Desquamative gingivitis: Sinking your teeth in miagnosis and management
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
October 6, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 6, 2021 ... A review of oral nail growth supplements DermWorld Insights and Inquiries : Granular detail on granular parakeratosis Coding guidance on reporting lesion services Implementation of COVID-19 phototherapy
March 25, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 25, 2026 ... Finasteride and dutasteride: Depression, suicidal ideation DermWorld What’s Hot: Need for expanded patch testing FDA approves icotrokinra for plaque psoriasis Cutaneous malignancy after biologic therapy Adverse events
October 15, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 15, 2025 ... Do new psoriasis biologics have better safety profiles than adalimumab? DermWorld Insights and Inquiries : Erectile dysfunction in dermatology — A silent epidemic AAD seeks member comments
November 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 19, 2025 ... Benefits and harms of 42 chronic urticaria interventions DermWorld Insights and Inquiries : The aryl hydrocarbon receptor — Tapinarof is taking off Switching biologics in patients with
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
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
My Green Doctor to add environmental sustainability to your offices
The Academy is pleased to offer a valuable membership benefit: ... My Green Doctor . This free program shows how to add environmental sustainability to your offices. It requires adding only five minutes of Green Team to each staff meeting. You will save money — as much as $2000 per
AADA Congressional Advocacy Agenda
The American Academy of Dermatology Association advocates on issues and prioritizes work on those that are most pressing and impactful for our membership. ... 2026 Sole Federal Congressional Advocacy Priority: Protecting Medicare Access to Physicians. ... To establish a positive annual inflation adjustment. ... To replace or eliminate budget neutrality
Finding Zen in medicine
Balance in practice ... By Emily Margosian, assistant editor, May 1, 2020 "It’s something I would have never thought I’d do," recalls Adam Rotunda, MD, assistant clinical professor of dermatology at the University of California, Irvine and a Mohs surgeon in private practice, in Newport Beach, California. Several years prior,
A lifetime of leadership in the house of medicine
Ask the Expert ... By Georgia Tuttle, MD, FAAD, June 1, 2023 In this special edition of Ask the Expert, DermWorld ... asked Georgia Tuttle, MD, FAAD, to discuss her involvement in medical leadership, including her service on the AMA Board of Trustees. Georgia Tuttle, MD, FAAD ... The flame
Examining the monograph
Dissecting the FDA’s proposed rule on the over-the-counter sunscreen monograph and what dermatologists might expect in the coming years. ... Feature ... By Allison Evans, assistant managing editor, November 1, 2020 The U.S. Food and Drug Administration (FDA) has been regulating sunscreen since the beginning of the monograph system in
July 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2019 ... Academy comments on FDA sunscreen proposal DW Insights and Inquiries : Oy, another "Oid" to worry about — cryptococcoid lesions VA launches Community Care Network to provide
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
Danger in the workplace
Occupational associations of skin cancer ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2023 In 1775, English physician Sir Percivall Pott made history, publishing the first report of cancer caused by occupational exposure. Pott had noted an unusually high incidence of skin sores on men working as chimney
Intermediate and complex repair
Use the Academy’s intermediate and complex repair (ICR) tool to find the proper code and ease reimbursement. Coding guidance for two integumentary system repair procedures provides a clear distinction between intermediate and complex repair classifications. The guidelines require dermatologists to capture relevant distinctions within their documentation when performing intermediate and
Eruptive nevi: Trying to connect the dots
By Warren R. Heymann, MD Sept. 15, 2016 Eruptive nevi are striking — they may appear after a variety of disorders, including Stevens-Johnson/toxic epidermal necrolysis, primary blistering diseases, trauma, immunosuppression (from disease or iatrogenically-induced), PUVA therapy, or idiopathically. There are also several reports in the literature for eruptive Spitz nevi
Preparing for a successful HIPAA audit
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, April 1, 2019 Typically, when the word audit’ comes up, it brings feelings of anxiety and fear. However, it
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
September 10, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 10, 2025 ... Most effective monotherapy for androgenetic alopecia DermWorld Insights and Inquiries : Twenty-first century pellagra Is there an association between JAKis and malignancy risk in alopecia areata? PRP
Links in the care chain
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... By Jan Bowers, contributing writer A diagnosis of advanced melanoma marks the
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 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
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
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
April 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2019 ... Having trouble accessing compounded quinacrine tablets? Here’s why. DW Insights and Inquiries : A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Lessons
Postmortem: AADA Legislative Conference
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, November 1, 2021 Postmortem : "examination of a dead body," or "process of evaluating success (or failure) of a project’s ability to meet its goals." Given that definition,
Debunking the myth of the aggressive nature of acantholytic squamous cell carcinomas
By Warren R. Heymann, MD ... Feb. 6, 2017 ... Acantholytic squamous cell carcinoma (aSCC), follicular pattern. The tumor is centered upon follicular epithelium but also involves epidermis. Some features of actinic keratosis (parakeratosis, basilar epidermal atypia) are present; by our definition, this example did not qualify for aSCC
Diagnosing infectious diseases in 2028: Let the good times roll
By Warren R. Heymann, MD Aug. 27, 2018 You may be overwhelmed by the "omics" — genomics, epigenomics, transcriptomics, proteomics, metabolomics, with good reason. "Big Data" are changing the diagnostic landscape in infectious diseases and oncology at breakneck speed. Warning: By the time this is posted, it may be obsolete!
September 11, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 11, 2024 ... Safety of low-dose oral minoxidil for hair loss in patients receiving antihypertensive medications DermWorld Insights and Inquiries : Atopic dermatitis hide and seek — The impending role
April 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 13, 2022 ... Is there an association between isotretinoin and adverse neuropsychiatric outcomes? DermWorld Insights and Inquiries : Early recognition of rituximab-induced late onset neutropenia is essential 2022 Academy election
January 14, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 14, 2026 ... Are light-based therapies effective for hair loss? DermWorld What’s hot : Local recurrence and survival in patients with melanoma in situ Strategies to reduce the risk of
Checking in on the adverse reactions to checkpoint inhibitors
By Warren R. Heymann, MD Oct. 17, 2016 Earlier this year there have been two posts devoted to adverse reactions of checkpoint inhibitors ("Thinking of Discontinuing the PD-1 Inhibitor Because of a Lichenoid Eruption? Don’t do it!" published on May 21st and "Joining the Bullae Pulpit: PD-1 inhibitors" posted on
Skin cancer snapshot: National rates fall, men remain vulnerable
Facts at your fingertips ... By Emily Margosian, assistant editor, May 1, 2020 The results of the American Cancer Society’s (ACS) 2020 projections are in. Each year, the ACS estimates the number of new cancer cases and deaths in the United States by compiling the most recent data on population-based
Tips for avoiding fraud and abuse liability – Part II
Legally Speaking ... By Christina A. Hughes, JD, MPH, Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, February 1, 2022 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, D.C. Portman
2023 skin cancer projections: Amid a decreasing caseload, deaths creep higher
Facts at your Fingertips ... By Emily Margosian, Assistant Editor , September 1, 2023 The latest data from the American Cancer Society (ACS) are in — and offer new insight into the impact of skin cancer on U.S. public health. Each year, the ACS estimates the number of new cancer
The not-so-full body skin examination
By Warren R. Heymann, MD, FAAD April 16, 2025 Vol. 7, No. 15 It is not my imagination. With every passing year, an increasing number of new patients schedule an appointment for a full (or total) body skin examination (FBSE, TBSE) to be checked (or, as some patients say, "scanned")
What's hot?
What's hot ... March 28, 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 ... The title says it all: ... Lack of a U.S. Food and Drug Administration indication should not
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 ... Measure calculation example ... Dr. Taylor saw 221 adult patients during the reporting period. Three patients are excluded from the denominator because they have an active diagnosis of hypertension. After the exclusion, the denominator is 218. ...
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
AAD Licensing program
High quality content that can't be found elsewhere ... An unbiased source of scientifically accurate, reliable and up-to-date content from respected experts in the dermatology field, as well as clinical and market data representing 93% of all U.S. dermatologists. ... Need the AAD's expertise? No problem. ... Launch your dermatological
AAD builds strong relationships with dermatologist social media influencers
Part of the Your Dermatologist Knows strategy involves collaborating with social media influencers to help spread the Academy’s message beyond the reaches of AAD social media accounts. The Academy engaged in a series of influencer engagement activities in 2023 to help build and maintain those important relationships. ... At the
Emergency supply drive for front line COVID-19 workers
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... ... Dermatology World Weekly talked to Ronda Farah, MD, assistant professor in the department of dermatology at the University of Minnesota Medical School, about her efforts to collect emergency supplies for front line workers.
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,
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
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
Psoriasin: Its other meaning and implications
By Warren R. Heymann, MD May 28, 2018 Biologic processes are akin to world-class orchestras requiring precise coordination between the conductor and musicians. One miscue by either can spoil the performance. I am awed by how our bodies function magnificently in health. The orchestration of the panoply of proteins, enzymes,
April 25
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / APRIL 25, 2018 ... Who’s better at diagnosing skin cancer: PAs or dermatologists? How is MIPS affecting you? CMS wants to know. New physician compensation report: How does dermatology fare? Medicare
July 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Wound care after dermatologic procedures lacks uniformity In a recently published study in ... Dermatologic Surgery , investigators performed an assessment of postoperative dermatology handouts that shows high variability in patient instructions for wound care.
November 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 1, 2023 ... Can oral nutraceuticals reduce isotretinoin side effects? DermWorld Insights and Inquiries : Exchanging plasma exchange for a novel approach — The potential of FcRn antagonists in dermatologic
February 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 15, 2023 ... AADA addresses lidocaine shortage with manufacturers DermWorld Insights and Inquiries : A nail-biting commentary Risk of rebound psoriasis flare from systemic corticosteroids DermWorld Young Physician Focus :
January 31, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 31, 2024 ... Dupilumab vs. upadacitinib for atopic dermatitis DermWorld Insights and Inquiries : Early-onset hypertension associated with extensive capillary malformations — A new worry to raise dermatologists’ blood pressure
June 11, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 11, 2025 ... Combination oral minoxidil and bicalutamide for the treatment of female pattern hair loss in adolescents DermWorld Insights and Inquiries : From Down Under to all over —
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
A string of (clinical) pearls about drug-induced linear IgA disease
By Warren R. Heymann, MD Aug. 6, 2018 Linear IgA dermatosis patient with urticarial eruption of the trunk. ... Credit: ... JAAD The late sage Wallace Clark taught me that once a diagnosis is secured, thinking ceases. Admittedly in cases of drug-induced linear IgA dermatosis (DI-LAD) that I have encountered
Research suggests connection between hair loss in women and other diseases
Board-certified dermatologist discusses common types of hair loss seen in women with darker skin tones NEW ORLEANS (March 17, 2023) — Hair loss in women can be emotionally devastating and may negatively impact quality of life, and new research suggests that it can also be associated with having other common
Social media skin care trends: Dermatologists reveal the facts
Board-certified dermatologists provide tips for healthy skin ROSEMONT, Ill. (Oct. 29, 2024) — With the growing popularity of beauty influencers and viral skin care routines, social media is playing an integral role in shaping how people care for their skin. Popular trends like the glass-skin look, the Russian manicure, and
Taking woolly hair to heart
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
Progress for progressive multifocal leukoencephalopathy
By Warren R. Heymann, MD May 8, 2019 Vol. 1, No.9 Progressive multifocal leukoencephalopathy (PML) is a nightmare. For any dermatologist seeing patients with autoimmune diseases, HIV, lymphoproliferative disorders, or who are on immunosuppressive medications (azathioprine, chlorambucil, cyclophosphamide, glucocorticoids methotrexate, TNF inhibitors, and rituximab), PML is a "sword of Damocles,"
July 21, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 21, 2021 ... AADA secures iPLEDGE win DermWorld Insights and Inquiries : Getting to the heart of neonatal lupus erythematosus DermWorld Young Physician Focus : Advancing the cause Cutaneous reactions
Obituaries
Obituaries ... By Jerry Graff, MD, June 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ROBERT AUERBACH, MD, of New York, Nov. 1, 2017, at age 85. Trained in dermatology at University of Chicago. Was a well-known expert
Not just another cog in the wheel
Dermatologists and experts in concierge and cash-only practice models discuss how it can be a game-changer for the right physician. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2023 Imagine a world without rushed appointments, insurance denials, and ever-diminishing reimbursement. While this may seem like Tolkien fantasy,
New pitfalls in the diagnosis of Kaposi sarcoma
By Warren R. Heymann, MD June 16, 2016 Human Herpes Virus-8 (HHV-8) is the common denominator in all forms of Kaposi sarcoma (KS) — classic, endemic, post-transplant/immunosuppressive, and epidemic/HIV. Virtually all cases will demonstrate HHV-8 by immunohistochemistry in all types. ... Manuraj et al present the instructive case of a
Educating our public — Educating patients through social media
Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on our @AADskin Twitter, Facebook, and Instagram platforms. ... Your patients = our followers ... Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on
Claim CME and view transcript
Use the American Academy of Dermatology's (AAD) online Continuing Professional Development Transcript (CPD) Program to document your CME to send to a licensing body. This service is a member benefit at no additional fee.* ... With the CPD Transcript Program you can: ... Access and review ... AMA PRA Category
CMS announces new Place of Service code for telehealth services provided to patients in their homes
CMS has announced a new Place of Service code, POS 10, for use in reporting telehealth services provided to patients who are in their own homes. Additionally, CMS has revised POS 02 for reporting telehealth services provided to patients not located in their own homes. ... Place of Service 02
From mentor to mentee: Two perspectives on overcoming imposter syndrome
Answers in Practice ... By Emily Margosian, Assistant Editor, September 1, 2024 DermWorld ... talks to William James, MD, FAAD, and Paige Porter, MD, about what drives imposter syndrome in medicine and how to implement mentoring strategies to overcome it. DermWorld: Tell us about your practice. William D. James, MD,
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
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
I never wanted chaperones — until now
By Warren R. Heymann, MD Sept. 25, 2019 Vol. 1, No. 29 My oldest brother George had just gotten his driver’s license — under no circumstances would my mother allow him to drive his date Ruth to the movies. George protested vehemently, but ultimately relented, with my mother sitting in
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
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
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
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
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
Short anagen syndrome: The long and short of it
By Warren R. Heymann, MD, FAAD Feb. 7, 2024 Vol. 6, No. 6 Have you ever encountered a patient who says that their hair does not grow very much and that they rarely need to cut their hair? I have, and I suppose you have, too. Although considered uncommon, short