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Session handouts and meetings archive
Handouts ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023 Innovation Academy, Tampa, FL, August 10-13 2023 Annual Meeting, New Orleans, LA, March 17-21 Sessions ... 2025 Innovation
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023
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.
Former officers of the AAD
This page provides a list of former officers of the AAD, including former presidents, vice presidents, and secretary-treasurers. ... * Indicates deceased members Former presidents ... 1938 ... Howard Fox, MD* ... 1984 ... Richard L. Dobson, MD* ... 1939 ... Paul A. O’Leary, MD* ... 1985 ... Clayton E.
August 24, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 24, 2022 ... Comparing efficacy and safety of laser treatments for tattoo removal DermWorld Insights and Inquiries : The pressure to prevent pressure ulcers Derm Coding Consult : AMA releases
July 9, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 9, 2025 ... Do at-home LED devices for acne work? DermWorld Insights and Inquiries : Standard postoperative wound care practice may be all wet Academy mourns the passing of Ronald
July 14, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 14, 2021 ... Acne scarring treatments: What’s most effective? DermWorld Insights and Inquiries : Assessing the significance of a L ong- D eveloped H abit — The role of LDH
What is the role of sentinel lymph node biopsy for primary cSCC of the head and neck?
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, September 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Christian L. Baum,
February 20
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 20, 2019 ... Biologics may help fight heart disease in psoriasis patients AAD mourns the passing of Richard L. Dobson, MD Feedback requested: AAD joint guideline for reconstruction after skin
Obituaries
Obituaries ... By Jerry Graff, MD, September 2, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JOHN L. AELING, MD, of Orlando, Florida, Oct. 26, 2018, at age 82. Trained at National Capital Area Consortium Dermatology Residency Program. ...
New insights on propranolol for hemangiomas
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, March 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jack L. Arbiser, MD, PhD,
Nails
Breaking the terbinafine laboratory habit for onychomycosis Biting my nails worrying about atypical presentations of nail unit melanomas Dyeing for a "new" topical agent for psoriasis? Think indigo Clawing to understand lichen nitidus Cutaneous green and E-A-G-L-E-S! Nailing the diagnosis of psoriatic arthritis ... All content found on Dermatology
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
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
What are the environmental effects of oxybenzone and other sunscreen ingredients?
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, October 1, 2018 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Henry W. Lim, MD, and
Telemedicine: Reimbursement liability patient consent and HIPAA
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Robert M. Portman, JD, MPP, Rebecca Burke, JD, and Christina L. Krysinski, JD, September 3, 2018 This month, we follow up on our May 2018 column
Prior authorization audits and innovations: Are we finally reducing the (PA)in?
By Lorraine L. Rosamilia, MD, FAAD Aug. 9, 2023 Vol. 5, No. 32 There is little utility in defining prior authorization (PA) for prescription medications as it relates to the practice of dermatology, as each of us navigates this process and its stagnation every day. There have been several studies
You suspect a colleague is committing health care fraud. What next?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Christina L. Krysinski, JD, and Robert M. Portman, JD, May 1, 2019 Fraudulent billing practices cause tens of billions of dollars in financial losses each year
Patients who lose their insurance: To treat or not to treat?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Robert M. Portman, JD, MPP, and Christina L. Krysinski, JD, January 1, 2018 Recent proposals in Congress to repeal the Affordable Care Act have raised the
Is your dermatology practice's website ADA compliant?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Christina L. Krysinski, JD, and Robert M. Portman, JD, September 2, 2019 The Americans with Disabilities Act of 1990 (ADA) is a comprehensive federal civil rights
Language assistance services for non-English-speaking patients
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Christina L. Krysinski, JD, and Robert M. Portman, JD, January 1, 2019 The ability to communicate effectively with patients is essential to providing quality care. If
A quiver full of fillers
Go to AAD Home ... Go to AAD Home ... Menu ... New approvals target specific anatomic locations ... New approvals target specific anatomic locations ... By Ruth Carol, contributing writer There has been an influx of dermal fillers approved by the Food and Drug Administration (FDA) in recent years.
Telehealth and state licensure: What you need to know
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Robert M. Portman, JD, MPP, Rebecca Burke, JD, and Christina L. Krysinski, JD, May 1, 2018 In the past 20 years, the practice of telehealth has
Immediate pathology report release to patients – Is the 21st Century CURES Act worse than the disease?
By Lorraine L. Rosamilia, MD, FAAD Staff Dermatologist, Geisinger Health System Aug. 25, 2021 Vol. 3, No. 34 The 21st Century Cures Act, signed into federal law in 2016, was enacted to optimize medical product development and advance patient access to medical innovations. Notable for inclusion of patient perspectives in
Dermatology residency memories
First Person ... By Arthur L. Norins, MD, July 1, 2021 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. A condensed version appeared in print. The American Academy of Dermatology meeting was scheduled in
Cutaneous green and E-A-G-L-E-S!
By Warren R. Heymann, MD Jan. 25, 2018 Dermatologists will be seeing a lot of green in their offices the next two weeks, especially here in the Delaware Valley, in anticipation of Super Bowl LII in Minneapolis on February 4th, 2018. ... May this serve as a reminder that some
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
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
PDF of Nominating Committee Member Rep. Regional Map
the PE WEST REGION OF THE UNITED STATES QC ON AND CANADIAN PROVINCES ONLY NS (Shown in Pink) ND WA
2026 AAD Innovation Academy Attendee Statistics
years: 2025 – Chicago, IL ....................................1,134 Age Range for 2024 – Seattle, WA
PDF of Board of Directors Regional Map
NL 9 BC 40 NL AB SK MB 9 47 4 12 PE QC 1 ON 64 NS 140 20 WA ND MT NB 333 46 22
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. ...
The nexus of VEXAS syndrome
By Warren R. Heymann, MD, FAAD December 1, 2021 Vol. 3, No. 47 You may not be familiar with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) syndrome, but it is conceivable that you have already unknowingly encountered patients with the disorder. ... To appreciate the clinical nuances of the VEXAS
PDF of Histiocytosis
Pretel M, Irarrazaval I, Lera M, Aguado L, Idoate MA.
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
2024 AAD Innovation Academy | Official exhibitor suppliers
Experient) is the official housing provider for the 2024 AAD Innovation Academy Meeting in Seattle, WA
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
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
PDF of BF transplant dermatology
Am J Transplant. 2017 Nov;17(11):2782-2789. doi: 10.1111/ajt.14337. Epub 2017 May 30.
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.
Biotin supplementation for hair and nail health: Does it pass the test?
By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,
Advocacy Update Feb. 4 2025
IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
Agenda for the Nov. 5, 2022 meeting of the AAD and AADA Board of Directors meetings.
Information Report: July 18, 24 and September 16, 2022 L.
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
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
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
Agenda of the July 23, 2022 AAD/A Board of Directors meeting.
Information Report: June 22, 2022 L. Investment Committee IO 78 1.
March 20, 2023 AAD/A Board of Directors agenda
Recommendation for Action – February 22, 2023 a. 2023 ILDS Certificate of Appreciation Nominees L.
PDF of Bugs and their vectors
Solky, MD, and Jennifer L. Jones, MD.
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
PDF of Parasites
aethiopia L. infantum Sand fly: Phlebotomus genus initial lesions heal.
2020 Legislative Conference Overview of Asks
Suzan DelBene, D-WA, Mike Kelly, R-PA, Ami Bera, MD, D-CA, and Roger Marshall, MD, R-KS.
Our donors
We welcome this year's generous donors into the following giving societies and thank them for their commitment to advancing the programs and services of the Academy, especially those who have given consecutively for the past 5+ years. ... 1938 Legacy Society (Transformational gift) ... Bruce D. Glassman, MD, FAAD ...
AAD Innovation Academy 2020 Technical Exhibitor Prospectus
this designation. 2 | AMERICAN ACADEMY OF DERMATOLOGY ∙ AAD INNOVATION ACADEMY W , E L
PDF of Kircik CV and answers to ballot questions
PUBLICATIONS/PRESENTATIONS 150+ Publications 200+ Presentations Hashim P, Lebwohl M, Kircik L,
The first edition of the AAD/A Impact Report
Shapiro, MD, FAAD* Jorge L.
Leishmania episode 1a: attack of the clones
By Kiran Motaparthi, MD February 10, 2021 Vol. 3, No. 6 Cutaneous leishmaniasis (CL), although not life-threatening, can progress to a disfiguring disease with prominent scarring. Humans serve as reservoirs for > 20 species of ... Leishmania, which are transmitted as flagellate promastigotes by sandflies. Within humans, the organisms convert
2024 AAD Annual Meeting Sponsorship Prospectus
sponsorships are also available for the 2024 AAD Innovation Academy (formerly Summer Meeting) in Seattle, WA
2023 Global Education Day - AEDV agenda
INTERNATIONAL SYMPOSIUM CILAD & AEDV JOINT SESSION E D U C A T I O N A L G L O B A L D A Y ERNEST N
PDF of Historic Board 1967 - 2030
Cooper, MD 2014-2018, 2025 (VP) Raymond L.
PDF of 2023 MPFS dermatology codes
mal+mrg 0.5cm< 6.12 6.07 0.82% $210.06 $207.39 -1.27% 11641 Exc f/e/e/n/l mal+mrg 0.6-1 7.15 7.04
PDF of Derm Codes RVUs
mal+mrg 0.5cm< 6.12 6.07 0.82% $ 202.43 $210.06 -3.63% 11641 Exc f/e/e/n/l mal+mrg 0.6-1 7.15 7.04
The woolly culprit: Lanolin revealed as an uncommon cause of dermatitis on normal skin
By Christen Mowad, MD, FAAD Nov. 15, 2023 Vol. 5, No. 46 Excitement surrounding the "Allergen of the Year" may only be truly appreciated by those immersed in the field of contact dermatitis and patch testing, but each year the announcement is met with enthusiasm from the wider dermatology specialty.
PDF of AAD Atopic Dermatitis pediatric comorbid conditions guideline draft
Techasatian L , Kiatchoosakun P.
PDF of Cosmoceuticals
epithelial differentiation and Elisabeth Hurliman, keratinization MD, PhD, is a PGY-4 Vitamin C (L
PDF of Boards Fodder on Dermatofibrosarcoma protuberans
Lim, DO, Emily Chea McEldrew, DO, and Cynthia L.
PDF of overview of drug pricing
. & Caskey, L. (2015).
Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years
By Warren R. Heymann, MD, FAAD Dec. 6, 2023 Vol. 5, No. 48 It was thrilling to deliver the introductory dermatology lecture to our first-year medical students this year because most of the class was ... in person and fully engaged with the material. I am approaching the half-century mark
COVID-19 dermatology registry
Thank you for agreeing to take part in this important effort on behalf of the American Academy of Dermatology and the International League of Dermatologic Societies. Our hope is that information you and others provide will help us understand dermatologic manifestations of the COVID-19 virus, as well as skin reactions
PDF of Nominating Cmte Member List 2014-2024
Thiers, MD, FAAD (Ex-Officio) 2016 Ronald L. Moy, MD, FAAD (MBR) Chair 2022 Thomas E.
PDF of Current Officers and Directors
Laurin Council, MD, MBA, FAAD Carrie L. Davis, MD, FAAD Alexander S. Gross, MD, FAAD Howard W.
PDF of tribute to Academy members lost in 2021
Fusaro, MD, PhD January 15, 2020Richard L. Gardner, MD November 9, 2020Melanie C.
The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma
By Warren R. Heymann, MD, FAAD July 19, 2023 Vol. 5, No. 29 I was aghast when I opened the PUVA unit when Joe told me that his mycosis fungoides (MF) was worsening — I understood why Alibert first described the disorder as resembling mushrooms in 1806. (1) His lesions
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
PDF of Paraproteins and paraneoplastic syndromes
hypergammaglobulinemia Erythema elevatum diutinum (EED) IgA monoclonal gammopathy Lichen myxedema IgG l
The appropriate dermatologic response when considering the capillary malformation-arteriovenous malformation syndrome: Fast flow to referral
By Warren R. Heymann, MD, FAAD Sept. 18, 2024 Vol. 6, No. 38 I have had the privilege of contributing to Dr. Ronni Wolf’s outstanding AAD symposium devoted to Emergency Dermatology by presenting the lecture "Dermatological Urgent Care: When Banalities Surprise You," discussing several cutaneous disorders that could easily be
Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia
By Warren R. Heymann, MD, FAAD May 8, 2024 Vol. 6, No. 19 Neonatal dermatoses are anxiety-provoking for both physicians and parents because of crucial questions — Are there associated systemic problems? What are long-term sequelae? How should the infant be followed? One of the most striking neonatal disorders is
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
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 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.
PDF of draft atopic dermatitis comorbidities guideline
Pesce G, Marcon A, Carosso A, Antonicelli L, Cazzoletti L, Ferrari M et al.
Boards Fodder on genetic mutations
Bolognia, Jean L., Joseph L. Jorizzo, and Julie V. Schaffer. Dermatology.
PDF of 2022 RVUs
1.67 0.00% 4.19 4.19 0.00% 0.21 0.21 0.00% 6.07 6.07 0.00% $211.78 $203.95 -3.70% 11641 Exc f/e/e/n/l
Et tu, Ibrutinib?
By Warren R. Heymann, MD July 8, 2020 Vol. 2, No. 27 When it comes to medications that I never prescribe, I learn from my patients who present with findings that compel me to do my homework. Such was the case of a middle-aged woman with chronic lymphocytic leukemia (CLL)
Unrestricted fascination with restrictive dermopathy
By Warren R. Heymann, MD, FAAD Nov. 16, 2022 Vol. 4, No. 46 Barely a week into our fellowships at the University of Pennsylvania in 1984, my wife (a geneticist) asked her favorite dermatologist (me) if I had any thoughts about a neonate with skin that was thin, taut, and
The malignant risk in circumscribed palmar or plantar hypokeratosis: Summoning Charles Dickens and Freddie Mercury
By Warren R. Heymann, MD, FAAD May 14, 2025 Vol. 7, No. 19 Smitten by the seminal article in 2002 by Pérez et al. describing circumscribed palmar or plantar hypokeratosis (CPPH), I have diagnosed the disorder several times, reassuring patients that this oddity is of no concern. More than 100
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
PDF of Clinical Pearls on Inpatient dermatology
Ko LN, Garza-Mayers AC, St John J, Strazzula L, V edak P, Shah R, Dobry AS, Rao SR, Milne LW, Parry
PDF of Relative Value Units from the 2020 fee schedule final rule
Exc f/e/e/n/l mal+mrg 1.1-2 010 2.62 2.62 0.00% 4.70 11643 Exc f/e/e/n/l mal+mrg 2.1-3 010 3.42 3.42
PDF of Academy interim guidance on the use of biologics during the COVID-19 pandemic.
Fang L, Karakiulakis G, Roth M.
PDF of member ethics resources
Yang CS, Kroumpouzos G, Bercovitch L.
Professionalism and Ethics
Ethics and medicine have been intertwined since the dawn of our profession. From the ancient Hippocratic Oath to the principle of ... primum non nocere to modern-day principlism, medical ethics have evolved over time. ... As public and professional interest in medical ethics increases, it is important for clinicians, researchers,
Teatime for radiation dermatitis (and beyond)
By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a
PDF of Stars of the Academy 2021
Shadi Kourosh, MD, MPH, FAAD Alexander Miller MD, FAAD Carrie L.
August 4, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 4, 2021 ... Probiotic supplements improve atopic dermatitis symptoms DermWorld Insights and Inquiries : Keeping abreast of drug-induced cutaneous lupus From mentoring LGBT dermatologists, to caring for HIV patients, GALDA
PDF of the supplement to the draft atopic dermatitis comorbidities guideline
Pesce G, Marcon A, Carosso A, Antonicelli L, Cazzoletti L, Ferrari M et al.
Digging deeper into lupus erythematosus panniculitis
By Warren Heymann, MD May 5, 2021 Vol. 3, No. 18 Lupus erythematosus panniculitis (aka lupus erythematosus profundus, LEP) has a storied history. The famed clinician Harry Arnold noted that Kaposi (when he was Kohn) observed nodules in patients with lupus. (1) Debates and controversies ensued for decades, with many
Board of Directors
The Academy’s officers and board members lead the world’s largest dermatologic society, representing more than 20,000 physicians specializing in the diagnosis and medical, surgical, and cosmetic treatment of skin, hair, and nail conditions. ... Email the ... Board of Directors . ... Please note: The Academy cannot provide personalized medical
One Toker over the line: Clarifying Toker cell hyperplasia in Zuska disease and its relationship to hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD April 20, 2022 Vol. 4, No. 16 Don’t fret. I had never heard of Zuska disease (ZD) either until I read the article by Torre-Castro et al discussing the "tricky association" of Toker cell hyperplasia (TCH) in ZD. (1) Why should you care? Because
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,
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
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
Reflections on infantile perianal pyramidal protrusion and Hippocrates
By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as
Tarrying for tapinarof
By Warren R. Heymann, MD, FAAD January 12, 2022 Vol. 4, No. 2 Today we held our first round of interviews for our dermatology residency program for 2023. Meeting dermatology resident applicants is a delight — they are brilliant, engaging, and a source of pride for our discipline. We started
Increasing evidence for the use of topical timolol for pyogenic granulomas
By Warren R. Heymann, MD May 16, 2016 There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion. Certainly there are times when that approach may not be optimal, such as a PG the face of
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).
Nailing the diagnosis of the BAP1 tumor predisposition syndrome
By Warren R. Heymann, MD, FAAD June 5, 2024 Vol. 6, No. 23 I never imagined that I would be writing another commentary on onychopapillomas (Ops) so soon. The initial commentary was devoted to rare malignant Ops. (1) Unsurprisingly, additional reports of malignant Ops have been reported. (2) What else
PDF of Mohs surgery AUC
Brewer, MD, Wendy Smith Begolka, MBS j,y k,y l,y Ratings Panel: Timothy G.
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
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
PDF of gross and micro abstract programs
Andrew L et al.
Tinea gone wild: The emergence of Trichophyton indotineae as a global phenomenon
By Warren R. Heymann, MD, FAAD May 24, 2023 Vol. 5, No. 21 "Well, Jane, it just goes to show you, it’s always something — if it’s not one thing, it’s another." – Gilda Radner (as Roseanne Roseannadanna) to Jane Curtin, ... Saturday Night Live Just as I quietly celebrated
Telangiectasia macularis eruptiva perstans revisited
By Warren R. Heymann, MD April 29, 2016 I have always struggled with the diagnosis of telangiectasia macularis eruptive perstans (TMEP). Aside from taking the first 6 months of my residency to remember how to say it, I have never been confident of securing the diagnosis. It would always enter
PDF of proposed guidelines on AD and phototherapy
Paller, MD , Kathryn Schwarzenberger, k l m 9 MD , Jonathan I.
Eccrine syringofibroadenoma: Sweating over the details
By Warren R. Heymann, MD, FAAD January 26, 2022 Vol. 4, No. 4 While learning about rare entities during our training, we may wonder if we will ever encounter the disorders in "real life." Eccrine syringofibroadenoma (ESFA), first described in 1963 by Mascaro, was considered a relatively "new" lesion when
PDF of Flaps
L-plasty Incision at base of defect made only on Ideal for locations where limb (O-to-L plasty) ONE
PDF of Dermatopathologic external agents and artifacts
numerous red blood cells Center in Florida. pH < 6 Keratin granuloma -Small fragments of keratin Poly-L-lactic
PDF of Bones, eyes, nails
Solky, MD, and Jennifer L. Jones, MD.
The treatment of systemic juvenile xanthogranulomas matures
By Warren R. Heymann, MD, FAAD Jan. 8, 2025 Vol. 7, No. 1 Diagnosing juvenile xanthogranulomas (JXG) is simultaneously satisfying and slightly disconcerting. JXG’s clinical yellow appearance, the "setting sun" on dermoscopy, or the recognition of Touton giant cells histologically allows dermatologists to be reasonably confident of the diagnosis. It
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
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
Sniffing out the meaning of perialar intertrigo
By Warren R. Heymann, MD, FAAD Jan. 4, 2023 Vol. 5, No. 1 The first sentence in the abstract by Sanchez et al intrigued me: "We observed isolated cases of perialar intertrigo in children and teenagers that did not appear to correspond to any known clinical entity." They further state:
Granulomatous cheilitis: Back to the Future
By Warren R. Heymann, MD, FAAD June 1, 2022 Vol. 4, No. 22 I opened my dermatology practice in 1985 — looking retrospectively, life was then both simpler and more complicated. It was the pre-computer era when patients paid their fee at the time of their visit, utilizing a peg-board
Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —
Long COVID has a lot of nerve
By Warren R. Heymann, MD, FAAD Dec. 17, 2025 Vol. 7, No. 49 The profound medical and socioeconomic trauma of the COVID-19 pandemic may seem as though it is in the rearview mirror, but it is not. As of April 15, 2025, the CDC estimated that COVID-19 infections are growing
Making a pitch for the C-reactive protein/albumin ratio
By Warren R. Heymann, MD, FAAD Feb. 12, 2025 Vol. 7, No. 6 Studying the PhanaVision jumbotron at Citizens Bank Park on a warm Friday evening in June, I realized that when analyzing baseball data, I am "old school." In my youth, the critical measure of a pitcher’s success was
The breathless complications of anti-MDA-5-positive dermatomyositis
By Warren R. Heymann, MD, FAAD Oct. 30, 2024 Vol. 6, No. 44 Dermatologists are familiar with the spectrum of dermatomyositis (DM) — classic DM, juvenile DM, amyopathic DM, and cancer-associated DM. Clinically, amyopathic DM is a form in which the patients typically develop characteristic cutaneous features of DM [heliotrope
PDF of proposed guidelines on hidradenitis suppurativa
Lapins J, Marcusson JA , Emtestam L.
PDF of Clinical Peals Alopecia areata
Strazzulla LC, W ang EHC, Avila L, Lo Sicco K, Brinster with light hair pull tests.
PDF of Biopsy techniques
Bolognia, Jean L., Jorizzo, Joseph L., Schaffer J V. Dermatology. Third.
PDF of Viruses
Solky, MD, Jennifer L. Jones, MD, and Clare Pipkin, MD.
Cutaneous tuberculosis (caused by mycobacterium tuberculosis)
Often on b/l posterior calves of women References: 1. Bolognia J, Schaffer J, Cerroni L, et al.
Thyroid hormone, mitochondria, photoaging and April 7, 2017
By Warren R. Heymann, MD Sept. 24, 2016 On April 7, 1997 I filed a patent entitled "Method for the treatment of dry skin," utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017. ... Some of you
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
PDF of Granulomas
illis are other manifestations of tertiary syphilis Cutaneous leish- ‘Old World’: Middle ‘Old World’: L.
Tofacitinib: A JAK inhibitor of all trades
By Warren R. Heymann, MD April 3, 2019 Vol. 1, No. 4 The Janus kinase inhibitors are taking the dermatologic therapeutic world by storm — at least in the literature. By now, most dermatologists are familiar with studies that have demonstrated efficacy in alopecia areata, vitiligo, psoriasis, psoriatic arthritis, and
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,
July 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2024 ... Efficacy of probiotics in the treatment of patients with acne DermWorld Insights and Inquiries : Vasculitis on the run Cosmetic tattoos, permanent makeup may cause allergic contact
PDF of the Academy position on reflectance confocal microscopy.
Alarcon I, Carrera C, Palou J, Alos L, Malvehy J, Puig S.
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:
Striving to alleviate the physical and emotional scars of central centrifugal cicatricial alopecia
By Warren R. Heymann, MD November 4, 2020 Vol. 2, No. 44 More than half a century ago, Drs. Lopresti, Papa, and Kligman coined the term "hot comb alopecia," asserting: "The cause is unmistakable, namely the practice of straightening the hair with a hot comb…" (1). Now known as central
Topical isotretinoin for ichthyoses: Striving for an “A” grade
By Warren R. Heymann, MD, FAAD Nov. 20, 2024 Vol. 6, No. 47 Two meaningful events changed my life in 1982 — my marriage and the introduction of isotretinoin. Forty-two years later, both remain front and center. Attending the focus session "Think like an expert about ichthyosis" at the AAD
Rounds on pityriasis rotunda
By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and
Mogamulizumab for CTCL: Targeted therapy and immunotherapy crossing paths
By Ellen Kim , MD August 12, 2020 Vol. 2, No. 32 Preserving the host-immune system for as long as possible has been one of the guiding principles for me in treating patients with mycosis fungoides/Sezary Syndrome (MF/SS) subtypes of CTCL. As a CTCL clinical trial researcher, it has been
Demodectic eruptions: More than you mite have imagined
By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the
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,
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, and
Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
By Warren R. Heymann, MD, FAAD Dec. 4, 2024 Vol. 6, No. 48 Consultative medical dermatology is stressful because challenging patients come with high hopes. Usually, the referring dermatologist is thorough, thoughtful, and on-target diagnostically and therapeutically. The key is setting expectations — if the dermatosis is easily manageable, they
Obituaries
Obituaries ... By Jerry Graff, MD, June 3, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JON GARRY BEIDLER, MD, of Chambersburg, Pennsylvania, Dec. 30, 2018, at age 82. Trained in dermatology at University of Pennsylvania and practiced in
PDF of head and neck lesions of the infant
Bolognia, Jean L., Joseph L. Jorizzo, and Julie V. Schaffer. Dermatology.
January 6, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 6, 2021 ... Managing pain in hidradenitis suppurativa patients: A proposed algorithm DermWorld Insights and Inquiries : Itching to see if polymerase chain reaction mite be the future of diagnosing
Directions in Residency cover
Bolognia, Jean L., Joseph L. Jorizzo, and Julie V. Schaffer. Dermatology.
Winter 2019 Directions PDF
Bolognia, Jean L., Joseph L. Jorizzo, and Julie V. Schaffer. Dermatology.
PDF of the Academy position on electronic surface brachytherapy
Lansbury L, Bath-Hextall F, Perkins W, Stanton W, Leonardi-Bee J.
Unmasking the complications of personal protective equipment
By Christen Mowad, MD August 5, 2020 Vol. 2, No. 31 Allergic contact dermatitis and irritant contact dermatitis have long been identified as potential adverse reactions to personal protective equipment (PPE) most commonly due to gloves. The global pandemic caused by COVID-19 has heightened the need to use PPE as
Get your KICS on Route IL-6
By Warren R. Heymann, MD March 1, 2018 Hemophagocytic lymphohistiocytosis (HLH) is a syndrome caused by hypercytokinemia (notably Th1 cytokines — interferon-gamma, tumor necrosis factor-alpha, and IL-6). Clinical manifestations are dramatic, presenting as fever, hepatosplenomegaly, hemophagocytosis, and cytopenias. (See the addendum for diagnostic criteria of HLH). Primary forms of HLH
The opioid epidemic: Coma blisters and beyond
By Warren R. Heymann, MD Aug. 4, 2017 The opioid crisis in the United States is responsible for at least 90 fatalities every day. This dire situation has been aggravated by the increased availability of very potent synthetic opioids such as fentanyl and carfentanil, which are 50 and 5000 times
American Academy of Dermatology elects new officers, board members
Rosemont, Ill. (April 10, 2023) – The American Academy of Dermatology has announced the results of its annual election. The Academy’s new officers and board members will lead the world’s largest dermatologic society, representing more than 20,800 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment of
Fighting to mitigate Medicare cuts
Advocating to avert impending Medicare cuts is the Academy’s number one legislative priority this year. The AADA continues this fight by supporting House legislation H.R. 2474, the Strengthening Medicare for Patients and Providers Act, which would provide an inflationary update under the Medicare physician fee schedule tied to the Medicare
The pressure to prevent pressure ulcers
By Warren R. Heymann, MD, FAAD Aug. 24, 2022 Vol. 4, No. 34 Pressure ulcers (PUs, aka decubitus ulcers, pressure sores, bed sores) are due to prolonged pressure, characteristically over bony prominences such as the sacrum, occiput, ischial tuberosities, greater trochanters, heels, and lateral malleoli. (1,2) Interestingly, in the COVID-19
Lagging ahead: LAG-3 checkpoint inhibition for advanced melanoma
By Warren R. Heymann, MD, FAAD May 11, 2022 Vol. 4, No. 19 Checkpoint inhibition has revolutionized the treatment of advanced melanoma over the past decade, beginning with the release of the anti-CTLA4 checkpoint inhibitor ipilimumab (Yervoy). This was followed by the development of the anti-PD-1 inhibitors pembrolizumab (Keytruda) and
Atopic dermatitis hide and seek: The impending role of OX40 inhibition
By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE
PDF of AAD Atopic Dermatitis pediatric comorbid conditions supplement draft
Techasatian L , Kiatchoosakun P.
A new wrinkle in the diagnosis of cystic fibrosis?
By Warren R. Heymann, MD, FAAD March 23, 2022 Vol. 4, No. 12 Sir, - I have observed that the skin of children with cystic fibrosis wrinkles excessively early when soaked with tap water. The physical sign is highly reliable irrespective of the degree of nutrition of the patient…It is
Sebaceous carcinoma — Double trouble
By Warren R. Heymann, MD, FAAD July 23, 2025 Vol. 7, No. 29 Sebaceous carcinoma (SC, aka sebaceous gland carcinoma) is double trouble — the cancer itself and its potential association with the Muir-Torre syndrome (MTS). ... SC is an aggressive malignancy that develops from the sebaceous glands. SC is
PDF of AAD Atopic Dermatitis diagnostic testing guideline draft
Paller, MD , l m 7 Kathryn Schwarzenberger, MD , Jonathan I.
PDF of Soft tissue fillers, non-biodegradable pt 2
placement of • Contraindicated in lips product • Radiopaque • Surgical excision Sculptra® (Poly-L-lactic
PDF of Board Fodder Infantile hemangioma
abnormalities: retinal vascular anomalies, optic nerve hypoplasia S Sternal defects & supraumbilical raphe L
Clinical pearls: DRESS syndrome
10.1016/j.jaad.2021.04.020 Choudhary, R., Vinay, K., Srivastava, N., Bishnoi, A., Kamat, D., Parsad, mg/L,
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
American Academy of Dermatology elects new officers, board members
Rosemont, Ill. (April 1, 2024) – The American Academy of Dermatology has announced the results of its annual election. The Academy’s new officers and board members will lead the world’s largest dermatologic society, representing more than 20,800 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment 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)
A ioint ACR, AAD, RDS, and AAO statement on hydroxychloroquine use with respect to retinal toxicity
Mittal L, Zhang L, Feng R, Werth VP.
We’re in hot water! Vibrio vulnificus infections are heading north
By Warren R. Heymann, MD Dec. 16, 2020 Vol. 2, No. 49 When driving to work, I usually listen to our local 24-hour news station, paying half-attention as I’m mentally sorting out the upcoming day’s agenda. Upon hearing a report of several cases ... Vibrio vulnificus (Vv) at my hospital
The ironclad promise of ferroptosis
By Warren R. Heymann, MD, FAAD Jan. 25, 2023 Vol. 5, No. 4 As checkpoint inhibition of programmed cell death protein 1 (PD1) has become standard oncologic therapy, it is easy to forget that this revolutionary therapy is barely a decade old. Until 1972, cell death was considered passive and
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
Hair straightening and acute renal injury: The latest data straight up
By Warren R. Heymann, MD, FAAD April 3, 2024 Vol. 6, No. 14 The global hair straightener market has experienced significant growth, with a market size of US$ 587.9 million in 2022, projected to be US$ 759.9 million by 2028. (1) I expected the market to already be in the
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
This infographic explains how to perform a skin exam from head to toe and what signs to look for on the skin.
Y R T R G E E N R T M I E RR E V D M OO L M Check Your Partner. Check Yourself.
This month’s news from across the specialty
What’s hot ... March 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD New, but not new, but maybe new, but not good = ... Candida auris is looking worse with
Going green: The complexities of the green nail syndrome
By Warren R. Heymann, MD February 3, 2021 Vol. 3, No. 5 I find a unique satisfaction in diagnosing the green nail syndrome (GNS, aka chloronychia, Goldman-Fox syndrome) — it is easy to recognize and very reassuring to patients who were convinced they had a subungual melanoma. Based on new
PDF of Nail disease
matrix proximal nail fold, systemic Amy Reinstadler, MD and Nazanin Saedi, MD Blue lunula Distal L
High-dose vitamin D may be a ray of sunshine for treating sunburn
By Warren R. Heymann, MD, FAAD June 4, 2025 Vol. 7, No. 22 Rightly or wrongly, I attribute my melanoma to a blistering sunburn at the Sahara Hotel in Miami Beach in 1958. I recall my mother shmearing Noxzema on my back — the distinctive smell of Noxzema (from eucalyptus,
Support international grant
Dermatology care is global and the need is vital. Our members are making an impact in Botswana, Cambodia, and around the world. Take that journey with us. Support or volunteer today. ... Learn more about volunteering Support International Grants ... Donate to support programs that help ensure the future of
PDF of Teeth
palpebral fissures, scrotal tongue, simian crease, mental retardation, heart disease Hurler syndrome α-L-iduronidase
PDF of Board Fodder on primary cutaneous T-cell lymphomas
In: Bolognia J, Schaffer J, and Cerroni L, eds. Dermatology. 4th ed.
Honing in on diffuse dermal angiomatosis
By Warren R. Heymann, MD February 17, 2021 Vol. 3, No. 7 Diffuse dermal angiomatosis (DDA) was conceptualized as a variant of reactive angioendothelimatosis (RA) in 1994 by Krell et al, reporting on two women, both with severe peripheral vascular disease requiring bypass grafts, presenting with ulcerated, violaceous plaques on
Key messages for social media about nails and nail health
Key messages ... Our nails often reflect our general state of health. Changes such as discoloration or thickening can signal health problems, including liver and kidney disease, heart and lung conditions, anemia, and diabetes. ... Changes in color, shape, and/or thickness, swelling of the skin around the nails, bleeding or
A guide to preventing and treating occupationally induced dermatologic conditions during COVID-19
Ghadially R, Halkier-Sorensen L, Elias PM.
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
The vexing verruciform xanthoma
By Warren R. Heymann, MD, FAAD February 23, 2022 Vol. 4, No. 8 Verruciform xanthomas (VX) were first described 50 years ago, and they are still a source of debate. Only the most astute dermatologists will make the diagnosis clinically, with the possible exception of recognizing such lesions in patients
Metastatic uveal melanoma: Tebentafusp unobfuscated
By Warren R. Heymann, MD, FAAD June 25, 2025 Vol. 7, No. 25 Oncodermatology is a full-time occupation comprised of two major components — novel therapies for cutaneous malignancies and adverse reactions to treatments for diverse cancers. A novel class of anticancer agents is termed ImmTACs — immune mobilizing monoclonal
Striving to avoid an amebic nightmare: Recognizing cutaneous Balamuthia mandrillaris infection
By Warren R. Heymann, MD, FAAD May 22, 2024 Vol. 6, No. 21 Having received the worry gene from my mother, I have nightmares about missing diagnoses that have potentially devastating outcomes. My anxiety level reached new heights over 20 years ago, listening to a presentation by Dr. Amit Pandya
PDF of AAD Atopic Dermatitis pediatric guideline draft
Bakaa L, Pernica JM, Couban RJ, et al.
PDF of BF HA gel technology
RHA® 3 distribution by Revance RHA® 4 NASHA™ (Non-animal stabilized HA) Galderma Restylane®-L Restylane
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.
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
By Warren R. Heymann, MD, FAAD Sept. 8, 2021 Vol. 3, No. 36 "The patient, a fat baby thriving on its mother’s milk, was suddenly attacked by purpura, urticaria and localized edema, lasting about ten days. There were only systemic symptoms from the result of pain. At first the bowels
Probing pediatric pigmented purpuras
By Warren R. Heymann, MD, FAAD October 20, 2021 Vol. 3, No. 42 Pigmented purpuric (PP) eruptions are often referred to as "benign" pigmented purpuras. Although that may be true in the medical sense, these dermatoses may be very distressing for patients (or their parents). Angst may be due to
PDF of Inborn errors of metabolism
hypohIdrosis - Maltese cross in urine A lysosomal storage disease - Enzyme replacement available Fucosidosis α-L-
Psoriasis
Key messages ... Psoriasis is a chronic inflammatory disease of the immune system that develops when the body makes skin cells too quickly, causing skin cells to pile up and form visible patches or spots on the skin. (1-6) ... Psoriasis and psoriatic arthritis can be associated with other diseases
Cycling back to doxycycline’s roots as therapy for bullous pemphigoid
By Warren R. Heymann, MD, FAAD July 26, 2023 Vol. 5, No. 30 Patients with moderate to severe bullous pemphigoid are usually treated with systemic corticosteroids. Four patients were treated with tetracycline hydrochloride and niacinamide because of the steroid-sparing anti-inflammatory properties of these agents. An excellent clinical response free of
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,
Always another worry for patients with hidradenitis suppurativa: Amyloid A amyloidosis
By Warren R. Heymann, MD, FAAD March 27, 2024 Vol. 6, No. 13 My introduction to hidradenitis suppurativa (HS) was as a first-year dermatology resident on the inpatient dermatology service at Van Etten Hospital in the Bronx, caring for a most unfortunate woman with HS; she had secondarily infected pyoderma
PDF of Piliang CV
Purdue University B.S. 1997 Sun L, Arbesman J, Piliang M.
“Black dot” alopecia areata
By Warren R. Heymann, MD April 16, 2016 This week I had a 35 year old man present with a one month history of a round patch of alopecia. He was told by his PMD that he had tinea and was started on oral terbinafine (which he had been on
Iododerma from contrast material or Sweet syndrome?
By Warren R. Heymann, MD June 23, 2016 Take a look at "Images in Clinical Medicine" in the June 23rd issue of the ... New England Journal of Medicine (1). ... The authors present the case of a 57 year-old man who presented with a 12 hour history of hematuria.
Create your legacy at the AAD - Make a planned gift
The future of dermatology depends on you ... Establish your legacy by including the AAD in your will, life insurance, or other estate planning documents. This gift does not cost you anything during your lifetime, yet it allows you to ensure the AAD continues to provide a lifetime of benefits
PDF of biodegradeable part 1
in lip injection Restylane®/ 20 mg/mL 30 G Moderate to severe facial wrinkles • NASHA™ Restylane®-L
Netherton syndrome: From apex to nether
By Warren R. Heymann, MD March 31, 2021 Vol. 3, No. 13 If you are a dermatologist preparing for your board exam, I’ll wager that you can rattle off the classical features of Netherton syndrome (NS, aka Comel-Netherton syndrome) in a heartbeat. The more important question — would you recognize
PDF of Soft tissue fillers, part 1: Biodegradable
in lip injection Restylane®/ 20 mg/mL 30 G Moderate to severe facial wrinkles • NASHA™ Restylane®-L
PDF of Dermoscopy buzzwords and phrases
Bugatti L, Filosa G.
PDF of the Academy position on Vitamin D
Rockville, MD:Agency for Healthcare Research and Quality. 8 Cranney A, Horsley S, O’Donnell HA, Weiler L,
Getting a head up on cutaneous scalp malignancies
By Warren R. Heymann, MD, FAAD May 7, 2025 Vol. 7, No. 18 I’m confident that your alopecic patients with a suspected keratinocyte carcinoma or melanoma of the scalp jokingly ask you to be careful with your biopsy procedure so they do not lose any more hair. While patients and
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).
The emergence of rituximab-induced pyoderma gangrenosum: An alert to dermatologists
By Warren R. Heymann, MD, FAAD Sept. 21, 2022 Vol. 4, No. 38 Recognizing cutaneous adverse drug reactions is medical dermatologist’s forte. This commentary will focus on rituximab-induced pyoderma gangrenosum (RIPG) that characteristically presents as vulvovaginal pyoderma gangrenosum (VVPG) — a condition that I have not encountered (and hope that
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
Dermatofibrosarcoma protuberans recurrence: Size matters
By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered
The brave new world of melanoma gene expression markers
By Warren R. Heymann, MD May 14, 2016 Epidermolysis bullosa nevi (EBN) are clinically alarming lesions that may display "pseudomelanoma" features histologically. Changes within these lesions may be disconcerting, necessitating repeated biopsies. Any advances to predict biologic behavior would be welcome. ... Ahn et al report the case of a
PDF of Drug interactions in dermatology, part 2
Bolognia JA, Schaffer JV, Cerroni L. Dermatology, 4 ed. Elsevier. 2018. 2.
Say it ain’t so: Dark chocolate exacerbates acne!
By Warren R. Heymann, MD May 5, 2016 Diet and acne has always been controversial. When I was a child I heard that pizza and chocolate could lead to break-outs; over time that was relegated to be a myth (thank goodness). ... The latest foods that have may possibly lead
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
PDF of AD guidelines on phototherapy supplement
Ferguson L, Futamura M, Vakirlis E, et al. Leukotriene receptor antagonists for eczema.
PDF of AAD Atopic Dermatitis diagnostic testing supplement draft
Mougel F, Dalle S, Balme B, Houot R , Thomas L.
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
Xylazine (“Tranq”): The potential for loss of life and limb
By Warren R. Heymann, MD, FAAD Dec. 7, 2022 Vol. 4, No. 48 The U.S. overdose crisis continues its exponential growth, although the landscape of responsible substances has changed over the past two decades — cocaine (2000-2006) to prescription opioids (2007-2013), heroin (2014-2015), and illicitly-manufactured fentanyl (2016-present). (1) ... Xylazine
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD Aug. 3, 2022 Vol. 4, No. 31 In 1965, Reye described 18 small, fibrous tumors from 12 children submitted to his laboratory for histological examination, that he had accumulated over two decades. Initially, these lesions were tentatively classified as well-differentiated fibrosarcomas. His seminal observation
PDF of Acquired keratodermas
Bolognia J, Schaffer J, Cerroni L, et al. Dermatology.
JAK inhibitors battle in the heavyweight class
By Warren R. Heymann, MD, FAAD Nov. 12, 2025 Vol. 7, No. 45 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . JAK inhibitors (JAKi) have catapulted to such prominence in dermatologic therapeutics that I could write a weekly commentary about them.
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have
Homing in on hornerin: Breaking down the barrier to understand its crucial role in atopic dermatitis
By Warren R. Heymann, MD, FAAD Oct. 16, 2024 Vol. 6, No. 42 Atopic dermatitis (AD) is characterized by skin barrier dysfunction, inflammation, and chronic pruritus. The etiology of AD, however, is complicated and incompletely understood, with genetic, environmental (soaps, surfactants, stress), and immunological factors causing skin barrier abnormalities and
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
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
Multiple pilomatricomas by the numbers
By Warren R. Heymann, MD February 24, 2021 Vol. 3, No. 8 I have always been beguiled by pilomatricomas (PM). From the time I first heard the term "calcifying epithelioma of Mahlerbe" or pondering "is it pilomaticoma or pilomatrixoma?" this benign lesion has been a source of wonder. There is
Dermatopathology’s taste of honey
By Warren R. Heymann, MD September 2, 2020 Vol. 2, No. 35 Recently, on our consult service, my resident and I were assessing a patient with a potential autoimmune bullous disease; we concurred that a skin biopsy for routine microscopy and direct immunofluorescence (DIF) was warranted. "I’ll have to come
Topical tacrolimus topics
By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors
Cutting giant congenital nevi down to size molecularly
By Warren R. Heymann, MD Oct. 2, 2019 Vol. 1, No. 30 Personally, I find giant congenital melanocytic nevi (GCMN) to be among the most unnerving skin lesions imaginable. The risk of melanoma, leptomeningeal melanocytosis, and psychosocial stresses are profoundly burdensome to patients, their families, and health care professionals. With
A sweeter approach to treating scleroderma?
By Warren R. Heymann, MD March 14, 2017 Scleroderma fingernail changes. A, Longitudinal ridging and pitting. B, Brachyonychia. C, Trachyonychia. D, Thickened and enlarged cuticles. E, Thickened, enlarged, and irregular cuticles. F, Nailfold capillaroscopy: presence of enlarged and giant capillaries. G, Nailfold capillaroscopy: presence of enlarged and giant capillaries,
Can proteasome inhibitors effectively treat rosacea?
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, October 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Jack Arbiser, MD,
PDF of Surgical instruments
Hocker, Thomas L. H., and Ali Alikhan. Review of Dermatology. Elsevier - Health Sciences Div, 2016.
Joining the bullae pulpit: PD-1 inhibitors
By Warren R. Heymann, MD Aug. 25, 2016 As the use of immune checkpoint inhibitors has increased, so have the number of severe immunotherapy-related adverse events (irAEs). Although discontinuation of therapy may result in resolution of these untoward reactions, long-term sequelae and death have been reported. In a recently published
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,
Standard postoperative wound care practice may be all wet
By Warren R. Heymann, MD, FAAD July 9, 2025 Vol. 7, No. 27 Dermatologists perform procedures throughout the day, including straightforward skin biopsies, electrodesiccation, curettage, cryosurgery, laser treatments, etc. Postoperatively, many of these wounds are dressed, and patients are given instructions for caring for them. ... The following, entitled "After
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
PDF of late-breaking research abstracts
L. (2015).
PDF of Addressing the Elephant in the Room: Microaggressions in Medicine
Osseo-Asare A, Balasuriya L, Huot SJ, et al.
All you need is love.
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, February 1, 2026 In February 1979, the month before my match in internal medicine, I was struck by Cupid’s arrow during my dermatology elective, which changed the trajectory of
The congenital perineal groove: Defective recognition of a dermal defect
By Warren R. Heymann, MD ... Feb. 28, 2018 ... It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features: (1) a wet groove in the midperineum between the fourchette and the anus; (2) normal formation of
Fifty shades of black salve
By Warren R. Heymann, MD May 4, 2016 Diet and acne has always been controversial. When I was a child I heard that pizza and chocolate could lead to break-outs; over time that was relegated to be a myth (thank goodness). ... The latest foods that have may possibly lead
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
Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses
By Warren R. Heymann, MD, FAAD July 5, 2023 Vol. 5, No. 27 At the inception of my dermatology residency in July 1980 I read a brief article entitled "Benign Lichenoid Keratosis" (BLK) by Detlef Goette (1) and thought to myself "Remember this — I’ll probably see this lesion now
Complications of silicone injections: persistence, stigma, and treatment
By Howa Yeung, MD, MSc, FAAD Jan. 18, 2023 Vol. 5, No. 3 Walking in with a cane and reporting his severe skin pain, a patient of mine recalled travelling with their friend to get buttock injections in a hotel room in another state over a decade ago. ... The
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD July 20, 2022 Vol. 4, No. 29 One of the joys of practicing in the Delaware Valley is participating in the Philadelphia Dermatological Society (PDS). The local institutions each provide superlative patient presentations and lectures — the range of case presentations is stunning. For
Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder
By Warren R. Heymann, MD, FAAD Sept. 1, 2021 Vol. 3, No. 35 Hydroa vacciniforme (HV) has always mystified me in every respect — its clinical presentation, pathophysiology, prognosis, and even its name. I understand "vacciniforme" because residual scars may resemble those of smallpox. I was surprised to learn that
The ever-changing world of nevus sebaceus
By Warren R. Heymann, MD, FAAD Sept. 14, 2022 Vol. 4, No. 37 The aphorism in medical education that half of what you learn in medical school will prove to be wrong could use the nevus sebaceus (sebaceous) of Jadassohn as its poster child. ... First described by Jadassohn in
Bowel-associated dermatosis-arthritis syndrome (BADAS): The story behind the acronym
By Warren R. Heymann, MD, FAAD March 30, 2022 Vol. 4, No. 13 Justifiably, the COVID-19 pandemic has focused the world’s attention, however, another global pandemic threatens us — obesity. According to the World Health Organization, in 2016, more than 1.9 billion people are overweight (BMI > 25) and 650
PDF of Vaccines in dermatology
Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018. 2.
Living with trimethylaminuria: Research awaiting the smell of success
By Warren R. Heymann, MD, FAAD Feb. 26, 2025 Vol. 7, No. 8 I was mesmerized watching (and listening to) the PBS episode of ... Great Performances devoted to Rodgers and Hammerstein’s 80th anniversary. Rodgers’ melodious scores and Hammerstein’s poignant lyrics remain the ultimate standard of the musical theatre genre.
Juvenile lichen sclerosus: A loss of innocence
By Warren R. Heymann, MD August 19, 2020 Vol. 2, No. 33 Juvenile lichen sclerosus (LS) is a difficult disorder — symptomatically, emotionally, diagnostically, and therapeutically. During my residency it was "common knowledge" that juvenile LS would abate by adolescence. I am always curious how such perceptions become dogma, only
CXCR4 antagonist therapy based on a WHIM syndrome
By Warren R. Heymann, MD, FAAD June 12, 2024 Vol. 6, No. 24 Emelio* had a delightfully whimsical personality that matched his syndrome’s acronym — WHIM ( ... W arts, ... H ypogammaglobulinemia, ... I nfections, and ... M yelokathexis). His smile was as infectious as his verrucae, and he
PS-Vitamin D
Gou X, Pan L, Tang F, Gao H, Xiao D.
PDF of Cysts
has imaging granular layer) & with adnexal structures w/in cyst wall Preauricular Preauricular (R>L)
PDF of Nominating Cmte Member List 2016-2025
, FAAD (MBR) Phoebe Rich, MD, FAAD (BOD) 2021 2016 Mark Lebwohl, MD, FAAD (MBR) (Chair) Ronald L.
PDF of Board Fodder on Procedural dermatology>Procedural modalities for scar revision
Xiao A, Ettefagh L. Laser Revision of Scars. In: StatPearls.
PDF of AADA letter in support of MA H1862 team based care
Hruza, MD, MBA, FAAD President American Academy of Dermatology Association Ira L.
Inclusivity champions: Presentations and resources
The resources below support dermatologists, educators, and institutions working to expand access to dermatology education, strengthen mentorship, and improve patient care through unbiased, evidence-based practices. ... Presentations ... Download presentations for students, staff, and community audiences developed by Nkanyezi Ferguson, MD, FAAD, Assistant Professor, Dermatology Department, University of Iowa. These materials
PDF of draft guideline on AD topical therapies
Drake L, Prendergast M, Maher R, et al.
PDF of Spring 2020 issue of DW Directions in Residency
Bolognia, Jean L., Joseph L. Jorizzo, and Julie V. Schaffer. Dermatology.
PDF of DIR spring 2023
Chapter 138 In Bolognia JL, Schaffer JV, Cerroni L eds. Dermatology. 4th Ed.
PDF of claims specs for MIPS 397
A., Haydu, L. E., Eggermont, A. M. M., Flaherty, K. T., Balch, C. M., Thompson, J. F.
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, April 1, 2019 A lot has changed in medicine over the past 20 years. We have new diseases, new understanding of old diseases, and innumerable new medications with which to practice our
PDF of BF on nail anatomy
In Bolognia JL, Schaffer JV, Cerroni L eds. Dermatology. 4th Ed. Elsevier; 2018: 2531-2541. 3.
AADA letter MAD support of H 1861
Hruza, MD, MBA, FAAD President American Academy of Dermatology Association Ira L.
Becoming whipped up over flagellate dermatoses
By Warren R. Heymann, MD ... July 13, 2017 ... A, A 44-year-old male patient with characteristic flagellate dermatitis after ingestion of shiitake. B, Same patient 4 days after balneo PUVA therapy. ... Credit: ... JAAD The literature on flagellate dermatoses has been whipped into frenzy. The initial description
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
Here’s looking at you, KID
By Warren R. Heymann, MD April 7, 2017 Late skin findings in lethal keratitis-ichthyosis-deafness syndrome. Intertriginous hyperkeratosis and denudation in a patient with GJB2 p.A88V mutation. ... Credit: ... JAAD Keratitis, ichthyosis, and deafness (KID) syndrome is a rare genodermatosis associated with mutations in the GJB2 gene, which encodes connexin
Necrobiosis lipoidica in a Wink
By Warren R. Heymann, MD, FAAD May 3, 2023 Vol. 5, No. 18 Ninety years have transpired since Urbach coined the term ... necrobiosis lipoidica diabeticorum (NLD) for the granulomatous disorder first described by Oppenheim in 1929 as ... dermatitis atrophicans lipoidica diabetica . (1) Early authors observed sclerotic plaques
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
The aryl hydrocarbon receptor: Tapinarof is taking off
By Warren R. Heymann, MD, FAAD Nov. 19, 2025 Vol. 7, No. 46 In his outstanding lecture identifying drivers of lupus, presented at the 2025 meeting of the Medical Dermatology Society, Jaehyuk Choi MD, PhD, explained that interferon — the well-known nemesis of lupus — controls the production of T
Which treatment modality of pyogenic granuloma is worth its weight in salt?
By Warren R. Heymann, MD, FAAD July 31, 2024 Vol. 6, No. 31 I get palpitations with every pyogenic granuloma (PG) I encounter. Even though the clinical diagnosis is instant, my personal Jiminy Cricket dermatologist reminds me not to miss an amelanotic melanoma, squamous cell carcinoma, or cutaneous metastasis. If
Pancreatic panniculitis: Getting spooked by ghost cells
By Warren R. Heymann, MD, FAAD July 24, 2024 Vol. 6, No. 30 I am at the age where the diagnosis of pancreatic cancer is a looming fear, punctuated by the loss of my dear aunt Helen and two friends who have succumbed to the ravages of this vicious malignancy.
Can tocilizumab deep six recalcitrant morphea?
By Warren R. Heymann, MD, FAAD Sept. 20, 2023 Vol. 5, No. 38 Glenda’s middle-aged ankles still hurt badly. I have been treating morphea enveloping her ankles for several years. With therapies including methotrexate, mycophenolate mofetil, clobetasol, calcipotriene, and physical therapy, her tenderness has improved from exquisite to barely tolerable.
2023 Allergen of the year: Lanolin
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, June 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Blair A. Jenkins,
PDF of Histologic bodies
Solky, M.D., Jennifer L. Jones, M.D., and Clare Pipkin, M.D.
July 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 13, 2022 ... Androgenic skin conditions and hormonal IUDs DermWorld Insights and Inquiries : COVID-19 can nail you in so many ways What does Europe’s tattoo ingredient ban mean for
PDF of optimizing the genital exam
Develop a systematic approach Edwards L., Vulvar diseases: Approach to the patient.
Laboratory testing for syphilitic alopecia: Time to renew old habits?
By Warren R. Heymann, MD June 4, 2018 I’m not sure how this happened. I used to check several laboratory studies in patients presenting with alopecia, including a rapid plasma reagin (RPR) for syphilis (in addition to a CBC, TSH, iron binding studies, ANA and vitamin D; testosterone and DHEAS
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
Can oral ivermectin cure pediatric periorificial dermatitis? It mite!
By Warren R. Heymann, MD March 5, 2017 A 13-year-old boy with severe rosacea before (A) and 1 month (B) and 4 months (C) after receiving oral therapy with a single dose of 250 μg/kg ivermectin (case 3). Note the facial desquamation after the first weeks of therapy, not attributable
Blasé about the acronym BLAISE (Blaschko Linear Acquired Inflammatory Skin Eruptions)
By Warren R. Heymann, MD April 29, 2017 Lichen striatus. A, Erythematous, scaly, papular eruption following the lines of Blaschko on the right leg. B, Detail of lichenoid lymphocytic interface dermatitis. C, Lymphocytic infiltrate involving eccrine gland coils (B and C, Hematoxylin-eosin stain; original magnifications: ×100). ... Credit: ... JAAD
PDF of summer 2021 DIR
numerous red blood cells Center in Florida. pH < 6 Keratin granuloma -Small fragments of keratin Poly-L-lactic
PDF of AAD Atopic Dermatitis pediatric supplement draft
Alexopoulos A, Dakoutrou M, Nasi L, Thanopoulou I, Kakourou T, Kontara L et al.
Telangiectasias: When is it TEMPI time?
By Warren R. Heymann, MD, FAAD Oct. 19, 2022 Vol. 4, No. 42 For the medical dermatologist, telangiectasis requires a thoughtful approach to diagnosis. Where are the lesions distributed (generalized, mucosal, periungual)? Are they linear or mat-like? Are they associated with other lesions (pigmented macules, spider angiomas)? Is the patient
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. —
Erectile dysfunction in dermatology: A silent epidemic
By Warren R. Heymann, MD, FAAD Oct. 15, 2025 Vol. 7, No. 41 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . A privilege of being a physician is having intimate conversations with patients that would never occur in any other circumstances.
Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma
By Warren R. Heymann, MD, FAAD Aug. 13, 2025 Vol. 7, No. 32 A highlight of my week is leisurely reading the ... Philadelphia Inquirer on quiet Sunday mornings, skimming over the troubling headlines, and concentrating on positive happenings in the Delaware Valley. My bliss was rudely interrupted by a
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the
A shot in the dark
By Danielle M. DeHoratius, MD March 10, 2021 Vol. 3, No. 10 Danielle DeHoratius, MD ... For the past few Mondays, I have been asked to see the following "emergency" patients who called in with the diagnosis of cellulitis after the COVID-19 vaccination. Typically, these patients were seen in urgent
Olmsted syndrome patients can finally put their foot down
By Warren R. Heymann, MD January 20, 2021 Vol. 3, No. 3 Reading Olmsted’s seminal paper entitled "Keratodermia Palmaris et Plantaris Congenitalis" is captivating reading on multiple levels. In that era of descriptive dermatology, there is an allure in how he differentiates his patient from keratodermas described by the giants
April 1, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 1, 2026 ... Aesthetic treatment considerations for perimenopausal, menopausal patients DermWorld Insights and Inquiries : Cocaine-associated plasma cell orificial mucositis — Anything goes Effects of PRP, minoxidil in patients with
PDF of Merkel Cell
Kathleen Coggshall, Tiffany L. Tello, Jeffrey P. North, et al.
PDF of pearl Lasers
Lin JY, Warger WC, Izikson L, Anderson RR, Tannous Z.
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
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
Trial balloons of gene expression profiles of calloon cell melanoma predict the future
By Warren R. Heymann, MD Jan. 29, 2018 Satellite metastasis of balloon cell melanoma. Graft scar of melanoma and satellite bluish skin–colored indurated papules with pseudovesiculation (black arrow points to the papule examined with dermoscopy). ... Credit: ... JAAD The site of balloons is joyous; however, I am always nervous
Thoughts about genital melanosis on Melanoma Monday
By Warren R. Heymann, MD May 1, 2017 Vulvar genital melanosis. The lesions on the posterior fourchette are dark brown to black in color while other superior macules in the labia minora and vagina are lighter brown. Additively, the lesions are more than 2 cm in diameter. The lesions are
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
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
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
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
Seeing red with dupilumab
By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used
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
Medical dermatology
Topical retinoid therapy for acanthosis nigricans: In the thick of it Rituximab and dermatomyositis: Dr. Samitz would be proud The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears Getting the gist of GIST cutaneous hyperpigmentation disease I never wanted chaperones — until now
Propranolol for infantile hemangiomas: Start to finish
By Warren R. Heymann, MD, FAAD March 26, 2025 Vol. 7, No. 12 "We have observed that propranolol can inhibit the growth of these [infantile capillary] hemangiomas." (1) In my career, I cannot think of any statement that led to such a swift, dramatic paradigm shift in management more than
Taming toxic erythema of chemotherapy with high-dose vitamin D
By Warren R. Heymann, MD, FAAD Feb. 28, 2024 Vol. 6, No. 9 The administration of chemotherapy can lead to a host of cutaneous findings, ranging from adverse reactions to specific drugs to infectious complications caused by immunosuppression and neutropenia. While some of the drug reactions are allergic in nature,
What are treatment recommendations for managing CCCA?
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, August 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Susan
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
PDF of Leprosy caused by Mycobacterium leprae
Bolognia J, Schaffer J, Cerroni L, et al. Dermatology.
PDF of autoimmune bullous dermatoses
Liu Z, Chen L, Zhang C, Xiang LF.
PDF of Boards Fodder for Surgical complications Part 2: Long-term complications of cutaneous surgery
Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Elsevier, Inc.; 2017. 2.
Lichenoid and granulomatous dermatitis: Points to ponder
By Kiran Motaparthi, MD June 10, 2020 Vol. 2, No. 23 Clinical-pathologic correlation is the foundation of dermatologic diagnosis; often this is straightforward, but on occasion, getting to the precise diagnosis requires great thought and sleuthing. If you receive a report from your dermatopathologist with a descriptive diagnosis of "lichenoid
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,
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
Dermatologic FOMO and suggested remedies
By Warren R. Heymann, MD Dec. 10, 2016 "The main problem of the future will be deciding what to do with your newly found leisure time that these inventions will allow." I heard (and believed) this as a 9-year-old boy visiting the General Electric Pavillion exhibiting Disney’s "Carousel of Progress"
Psoriatic alopecia and sebaceous glands: An unfinished symphony
By Warren R. Heymann, MD June 15, 2017 Psoriasis and alopecia after initiation of TNFi. A, Diffuse erythematous pustules on the upper back of patient 1. B, Severe alopecia with mild papules on scalp of patient 4. ... Credit: ... JAAD Every so often, patients with psoriasis would ask me
Erosive pustular dermatosis of the scalp must no longer be dermatology’s secret
By Warren R. Heymann, MD May 30, 2017 As dermatologists, we get used to discussing disorders that are foreign to other physicians. A typical story would be someone with classic notalgia paresthetica whose primary care physician does not believe that cervical arthritis is responsible for the maddening scapular pruritus. "My
Untangling the neurologic comorbidities of bullous pemphigoid
By Warren R. Heymann, MD June 6, 2017 Response of a patient with bullous pemphigoid (BP) after 6 omalizumab injections as monotherapy. A, Involvement of the back of a steroid-refractory patient with BP before omalizumab treatment. B, Four months after beginning omalizumab as monotherapy, the inflammatory plaques have largely resolved,
Yeast rising: Predicting the efficacy of candida antigen immunotherapy for warts
By Warren R. Heymann, MD Oct. 2, 2017 ... Numerous flat warts (verrucae plana) seen on upper extremities of patient with epidermodysplasia verruciformis. ... Credit: ... JAAD Perhaps I’m paranoid, but I always think that warts are laughing at me, or at least at whatever I throw at them —
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
American Academy of Dermatology installs new officers, board members
SAN DIEGO (March 8, 2024 ) ... — Two new officers and five new board members will be installed immediately upon conclusion of the 2024 Annual Meeting of the American Academy of Dermatology. The officers and board members are all board-certified dermatologists and members of the AAD, the world’s largest
Key messages for social media about aging skin
Key messages ... Exposure to ultraviolet radiation from the sun and indoor tanning beds is the most preventable cause of early skin aging. (1-3) ... The most effective ways to prevent wrinkles and sun damage are to protect yourself from the sun by seeking shade, wearing protective clothing and applying
PDF of resident & fellows abstract
Xie L, Xu J: Role of MiR-98 and Its Underlying Mechanisms in Systemic Lupus Erythematosus.
PS-Nickel Sensitivity
Di Agosta E, Salvati L, Corazza M, et al.
Fixating on doxycycline-induced fixed drug eruptions
By Warren R. Heymann, MD, FAAD May 21, 2025 Vol. 7, No. 20 When reading medical journals, I am intrigued by titles that inspire me to learn more about the topic. Happening upon a letter to the editor titled "Doxycycline-induced fixed drug eruption: The new epidemic?" (1) gave me pause.
PDF of 2020 MIPS reporting snapshot
mine how you wilreporting reporting reporting one how of you the cacacan n n following will be be be l
PDF of The Impact of Unconscious Bias in HealthCare Marcelin 2019
Osseo-Asare A, Balasuriya L, Huot SJ, et al.
Hair straighteners and the risk of uterine cancer: More studies are necessary to get this straight
By Temitayo Ogunleye, MD, FAAD Nov. 9, 2022 Vol. 4, No. 45 Every time the ... New York Times publishes a dermatology-related article I receive a flurry of text messages from friends and family and messages from patients. The most recent article discussing the ... possible link between the use
Is ivermectin an old drug with new tricks?
By Temitayo Ogunleye, MD, FAAD Sept. 15, 2021 Vol. 3, No. 37 Most of us are familiar with the use of oral ivermectin in the setting of treating extensive or resistant scabetic or lice infestations, or more rarely (in the United States but very commonly globally) for conditions such as
AAD EpiDerm Awards 2021
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, January 1, 2022 "Lights, camera, action…" Now is that time for the Academy EpiDerm awards which recognize significant achievement in the specialty during the last year or two
May 7, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 7, 2025 ... Low-dose oral minoxidil vs. combination therapy with dutasteride or finasteride DermWorld Insights and Inquiries : Getting a head up on cutaneous scalp malignancies Academy mourns the passing
PDF of boards fodder mastocytosis review
Sewon Kang, Masayuki Amagai, Anna L. Bruckner, Alexander H. Enk, David J. Margo- lis, Amy J.
PDF of Retinoid biology part 2
(Updated July 2015*) Cosmeceuticals Vitamin C L-ascorbic acid is the predominant antioxidant in the skin
PDF of Autoinflammatory Syndrome with Skin Involvement
De Sanctis S, Nozzi M, Del Torto M, Scardapane A, Gaspari S, de Michele G, Breda L, Chiarelli F.
PDF of Non-tuberculous cutaneous mycobacterial infections
Bolognia J, Schaffer J, Cerroni L, et al. Dermatology.
IA22 exhibitor insurance
Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTO $ AUTOS (Per accident) $ S A M P L
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
Linear and whorled nevoid hypermelanosis: Past reflections and future directions
By Warren R. Heymann, MD July 4, 2017 Linear or circular arrangement of pigmented macules along the lines of Blaschko. ... Credit: ... JAAD I recall meeting Debra Chester Kalter as a young, remarkable dermatologist, chatting annually with her at the AAD meeting. She was my wife’s classmate at the
Histologic overreliance on mucin for diagnosis may prove…sticky
By Warren R. Heymann, MD July 27, 2017 Cutaneous lupus mucinosis. A, Before treatment, large nodules covered with erythematous skin are seen on the lower back. B, After treatment with systemic prednisolone and tacrolimus, the sizes of the nodules are decreased and pigmentation is observed on the surface of the
American Academy of Dermatology installs new officers, board members
ORLANDO, FL (March 7, 2025) — Four new officers and four new board members will be installed immediately upon conclusion of the 2025 Annual Meeting of the American Academy of Dermatology. The officers and board members are all board-certified dermatologists and members of the AAD, the world’s largest dermatologic society
PS-Restorative and Reconstructive Interventions for Vascular Anomalies and Malformations
L., Grey, K. R., Korta, D. Z., & Kelly, K. M. \(2017\.
July 26, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 26, 2023 ... Intralesional HPV vaccine may clear recalcitrant warts DermWorld Insights and Inquiries : Cycling back to doxycycline’s roots as therapy for bullous pemphigoid FDA approves first molluscum contagiosum
PDF of Phototherapy
Abbreviations used: ROS = reactive oxygen species MED = minimal erythema dose 8-MOP = 8-methoxypsoralen L
AM22 Exhibitor Insurance
Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTO $ AUTOS (Per accident) $ S A M P L
PDF of Porphyrias
(Updated July 2015*) 4,5-Dioxovalerate + PORPHYRIN-HEME BIOSYNTHETIC PATHWAY L-Alanine Figure based on
Boards Fodder: Clinically relevant drugs interactions in dermatology
Hochster H, Dieterich D, Bozzette S, Reichman RC, Connor JD, Liebes L, Sonke RL, Spector SA, Valentine
PDF of Epidermolysis Bullosa
J Am Acad Dermatol, 58 (2008), pp. 931–950 Intong L & Murrell DF.
PDF of Antiseptics and sterilization methods
Hemani, Micah L., and Herbert Lepor.
2023 Annual Meeting exhibitor liability insurance
Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTO $ AUTOS (Per accident) $ S A M P L
SM2021 Exhibitor insurance
Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTO $ AUTOS (Per accident) $ S A M P L
2023 AAD Innovation Academy Exhibitor Show Insurance
Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTO $ AUTOS (Per accident) $ S A M P L
A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo
... By Warren R. Heymann, MD April 17, 2019 Vol. 1, No. 6 ... Vitiligo affects approximately 1% of the worldwide population of all racial/ethnic groups, equally affecting male and female patients. As neither immune nor non-immune mechanisms in isolation can sufficiently explain all parts of this complex disease,
Shingles and the battle of the bulge
By Warren R. Heymann, MD Sept. 11, 2019 Vol. 1, No. 27 I thought I knew herpes zoster (HZ, shingles) inside and out — from patients’ experiences, my late mother’s herpes zoster ophthalmicus (I could not believe how devastatingly awful she appeared arriving back from Europe!), to my recent vaccination
The pachydermoperiostosis prostaglandin paradigm
By Warren R. Heymann, MD July 10, 2019 Vol. 1, No. 18 Prostaglandins were the rage when I started medical school in 1975; their role in inflammatory dermatoses was considered of paramount importance throughout my residency in the early 1980s. Hours were spent studying the transformation of arachidoinic acid to
Coughing up a new warning for ustekinumab
By Warren R. Heymann, MD May 15, 2019 Vol 1, No. 10 After using a drug for years, physicians become comfortable with the benefits and risks of the frequently prescribed agent. I have utilized ustekinumab extensively — learning of new adverse reactions is sobering. ... Ustekinumab has been in use
Can chowing down improve pseudoxanthoma elasticum?
By Warren R. Heymann, MD Oct. 30, 2019 Vol. 1, No. 34 ... I have diagnosed pseudoxanthoma elasticum (PXE, OMIM # 264800) a few times in my career. The immediate excitement of rendering the diagnosis is quickly tempered by the realization that so far there is no definitive treatment
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
Softening the blow of calcinosis cutis: The promise of intralesional sodium thiosulfate
By Warren R. Heymann, MD Oct. 12, 2017 ... Calcinosis cutis and pseudoxanthoma elasticum of central abdomen. Firm, erythematous nodules with focal areas of yellow chalky material centrally. ... Credit: ... JAAD I’m not sure what’s harder about calcinosis cutis (CC), the lesion itself or treating it. ... Calcinosis cutis
PD1 blockade: The next step for aggressive basal cell carcinomas?
By Warren R. Heymann, MD April 19, 2017 I was about to start the weekend, relishing that delightful TGIF feeling, with one final task — go through lab reports in my bin. My mood became morose when I read the follow-up letter about Sue (not her real name). She
Scarred by dogma: Revising recommendations for surgery and isotretinoin use
By Warren R. Heymann, MD Aug. 22, 2017 Severe acne. ... Credit: American Academy of Dermatology teaching slide ... I have had the privilege of prescribing isotretinoin since its release in 1982. Is there any other dermatologic medication that has benefited our patients so greatly? I’ve weathered every isotretinoin controversy
Sun safety
Key messages ... At least one in five Americans will develop skin cancer during their lifetime. (1,2) ... Sun exposure is the most preventable risk factor for skin cancer, including melanoma, the deadliest form of skin cancer. (3-6) ... To protect your skin from the sun, seek shade, wear protective
PDF of guidelines on hidradenitis suppurativa supplement
Moussa C, Wadowski L, Price H, Mirea L , O'Haver J.
PDF of urticaria guidelines for comment
Varghese R, Rajappa M, Chandrashekar L, et al.
PDF of DIR winter 2021
Kathleen Coggshall, Tiffany L. Tello, Jeffrey P. North, et al.
PDF of DIR Summer 2022
Lim, DO, Emily Chea McEldrew, DO, and Cynthia L.
PDF of Genes
Condensation of Homocysteine & Serine Hunter’s Syndrome XLR IDURONATE SULFATASE Hurler’s Syndrome AR ALPHA-L-URONIDASE
Beef tallow for eczema: Grade A prime or just another bum steer?
By Andrew C. Krakowski, MD, FAAD June 18, 2025 Vol. 7, No. 24 As a pediatric dermatologist, I have seen skin care trends come and go faster than a cow fleeing a branding iron. Lately, social media — especially herd-mentality platforms like TikTok — has been bullish on beef tallow
Terra Firma-Forme Dermatosis
By Warren R. Heymann, MD, FAAD Nov. 13, 2024 Vol. 6, No. 46 The renowned gastroenterologist was rounding with his fellows when he summoned me to his patient’s bedside to impress me with his astute diagnosis of malignant acanthosis nigricans, having admitted his patient for an extensive endoscopic work-up for
Keeping an eye on melanoma
By Warren R. Heymann, MD April 7, 2021 Vol. 3, No. 14 If your practice bears any resemblance to mine, a significant portion of your schedule is devoted to patients following up because of their history of melanoma. Prior to seeing the patient, our medical assistant runs through a focused
Not aging like fine wine: The myths and mysteries of acquired port wine stains
By Warren R. Heymann, MD January 13, 2021 Vol. 3, No. 2 Port wine stains (PWS, aka nevus flammeus, nevus simplex, salmon patch) are cutaneous capillary malformations that are characteristically congenital (CPWS) but may be acquired (APWS). APWS was first described in a German publication by Fegeler in 1949, hence
Itching to see if polymerase chain reaction mite be the future of diagnosing scabies
By Warren R. Heymann, MD January 6, 2021 Vol. 3, No. 1 The scourge of scabies has been plaguing mankind for millennia. The causal relationship of the itch mite causing scabies was discovered by Bonomo and Cestoni in 1687, earning the distinction of being the first to discover a proven
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.
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
Deep penetrating thoughts about deep penetrating nevi
By Warren R. Heymann, MD Jan. 14, 2019 Histopathological features of deep penetrating nevus (DPN). A, At low power, the punch biopsy specimen demonstrates a well-circumscribed, wedge-shaped, pigmented dermal lesion, tapering toward the subcutaneous fat. B, DPN typically track along adnexal structures and neurovascular bundles, as shown on this high-power
Snitching on Schnitzler syndrome: The continuing search for an optimal biomarker
By Warren R. Heymann, MD August 7, 2019 Vol. 1, No. 22 Urticarial dermatoses confound our even our most sagacious dermatologists. It is no surprise that patients with systemic autoinflammatory diseases such as Schnitzler syndrome (SS) go undiagnosed for years after failed trials of antihistamines, steroids, and other immunosuppressive therapies.
Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis
By Warren R. Heymann, MD April 23, 2018 Dermatomyositis. Erythematous papules overlying the metacarpal and interphalangeal joints (Gottron papules). ... Credit: ... JAAD Of all the cutaneous manifestations of dermatomyositis (DM) — the heliotrope rash, Gottron’s papules, Gottron’s sign, shawl sign, holster sign, flagellate erythema, photosensitivity, poikiloderma, periungual erythema, periungual
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
Getting the GIST cutaneous hyperpigmentation disease
By Warren R. Heymann, MD Nov. 6, 2019 Vol. 1, No. 35 Gastrointestinal stromal tumors (GISTs) are mesenchymal malignancies arising from the interstitial cells of Cajal (cells that create bioelectrical slow wave potential, leading to smooth muscle contraction, thereby aiding peristalsis). GISTs were initially recognized by identification of KIT (CD117)
Thoughts on hyaluronidase and The House of God
By Warren R. Heymann, MD January 15, 2020 Vol. 2, No. 2 I was reminiscing about my internship at Bellevue-NYU forty years ago after reading Stephen Bergman’s (pseudonym Samuel Shem) reflections on the fortieth anniversary of his irreverent, but hilariously accurate, ... The House of God — a portrayal of
Naltrexone therapy for Hailey-Hailey disease: Confirming my addiction to evidence-based medicine
By Warren R. Heymann, MD Aug. 28, 2017 Hailey-Hailey disease. Patient 1: erythematous-crusted plaques on the lower midback before radiation treatment. ... Credit: ... JAAD I was fascinated by a presentation at the recent World Congress of Pediatric Dermatology discussing improvement of epidermolysis bullosa wounds with topical CBD (cannabis) oil.
Key messages for social media about hair loss
Key messages ... Many conditions and diseases can result in hair loss, as can improper hair care. ... The most common cause of hair loss is hereditary thinning or baldness, also known as androgenetic alopecia. (1) This condition affects an estimated 80 million Americans — 50 million men and 30
An appetite for healthy skin
Can diet affect dermatologic health? Experts weigh in on the evidence. ... Feature ... By Emily Margosian, assistant editor, November 1, 2020 You are what you eat — more than just a mantra, the phrase encapsulates a growing public desire for food-based solutions to targeted health outcomes. However, mixed media
Nov. 6, 2021 AAD/AADA Board Agenda
Information Report: April 21, 2020 IO 43 L.
Indoor tanning fact sheet
Indoor tanning use ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in
Choosing wisely: Recommendations about treatments, tests, and procedures
The ABIM Foundation’s Choosing Wisely ... ® ... campaign is focused on encouraging physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm. To join, a medical society must provide expert guidance on five medical tests or treatments commonly used in its field.
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 21, 2020 Vol. 2, No. 42 "Now trending." How often have you seen that phrase when you go online? When it comes to trends in treating acne vulgaris (AV), despite the new addition of oral sarecycline and the release of topical minocycline foam, there
PDF of Infestations: scabies and pediculosis
References: 1) Bolognia J, Schaffer JV, Cerroni L.
Diagnosing the primary cutaneous SMARCA4-deficient cutaneous tumor: You don’t know what you got ‘til it’s gone
By Warren R. Heymann, MD, FAAD Nov. 5, 2025 Vol. 7, No. 44 Understandably, dermatologists are often surprised to receive a histopathologic diagnosis of Merkel cell carcinoma, given the relatively nondescript clinical features that suggest a basal cell carcinoma or inflamed cyst. The purpose of this commentary is to introduce
A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn
By Warren R. Heymann, MD, FAAD Oct. 25, 2023 Vol. 5, No. 43 Any parent looking at their newborn child will wonder if the skin lesions they observe are worrisome. During the neonatal period, defined as the first four weeks of life, most cutaneous findings are transient and benign; occasionally,
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
Say “Cheese!” Three reasons why EMR photography makes me smile
By Warren R. Heymann, MD Jan. 15, 2018 It is difficult to recall medical photography (or life itself) in the pre-smartphone/pre-electronic medical record (EMR) era, even though it has only been 10 years since the inception of the iPhone, and just four years since our practice transitioned to an EMR.
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Positivity for CD68 stain is limited in center of specimen, where changes of juvenile xanthogranuloma exist. ... Credit: JAAD ... By Warren R. Heymann, MD Dec. 17, 2018 "Lost to follow-up" has implications that go beyond the obvious. Following up with patients is an essential part of learning for physicians
Biting my nails worrying about atypical presentations of nail unit melanomas
By Warren R. Heymann, MD March 27, 2019 Vol. 1, No. 3 I recently encountered a patient who expressed his disappointment in me, complaining that I was too slow to diagnose a lentigo maligna in a facial solar lentigo that we had been following. How could I miss a melanoma?
Hairdressers’ dermatologic odyssey: From dye to death prevention
... By Warren R. Heymann, MD Dec. 18, 2017 My younger daughter Deborah was destined to be a hair stylist. When she was a camper in the Poconos, I received an urgent call from the staff about her. Assuming the worst, my heart palpitating in fear, all I could
Directions in Residency, Summer 2023, PDF
Bolognia J, Cerroni L, Schaffer JV. Dermatology. Elsevier; 2018. 2. Alikhan A, Hocker TLH.
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
PDF of Diagnosis and associations
acute C, D1, D2, myelogenous leukemia, and 90 percent develop bone marrow failure E, F, G, I, J, L,
July 18
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JULY 18, 2018 ... FDA approves first topical hyperhidrosis treatment CMS proposes major E/M changes, modifier 25 payment reduction: What’s next? Survey indicates residents lack confidence in coding, billing skills ‘Gag
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
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
Time to reassess messing around with steroids and psoriasis
By Warren R. Heymann, MD March 3, 2021 Vol. 3, No. 9 You don't tug on Superman ’ ... s cape You don't spit into the wind You don't pull the mask off that old Lone Ranger And you don't mess around with Jim If the late Jim Croce was
Getting steamed over vaping
By Danielle DeHoratius, MD January 29, 2020 Vol. 2, No. 4 Danielle DeHoratius, MD ... To call vaping an epidemic is an understatement. As of Oct. 15, 2019, the CDC has confirmed 33 deaths among the 1,479 lung injuries associated with the use of e-cigarettes (1). Every state but Alaska
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
Recognizing Trichophyton indotineae
Reporting to health departments ... Physicians who suspect antimicrobial-resistant dermatophytosis can also contact ... their state or local health departments for assistance . Public health officials who are concerned about potential cases or clusters of drug-resistant tinea infections can email ... fungaloutbreaks@cdc.gov for assistance with recommendations and testing. ... Overview
Vitamin D and UV exposure
Key messages ... The American Academy of Dermatology recommends that healthy adults should obtain an adequate amount of Vitamin D from a diet that includes foods naturally rich in vitamin D and/or foods/beverages fortified with vitamin D. (1) ... Because ultraviolet rays from the sun and tanning beds can cause
PS-Hidradenitis Suppurativa
Serrano L, Ulschmid C, Szabo A, Roth G, Sokumbi O.
Distracted doctoring
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss a growing health care concern ... Experts discuss a growing health care concern ... By Ruth Carol, contributing writer There is a growing patient safety concern that is unrelated to a specific diagnosis, medication, procedure, or
Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill
By Warren R. Heymann, MD, FAAD Aug. 23, 2023 Vol. 5, No. 34 If Winston Churchill were a dermatologist, he would say that frontal fibrosing alopecia (FFA) is "a riddle wrapped in a mystery inside an enigma" (which is how he viewed Russia). Almost 30 years have passed since Kossard
Saving face: The importance of recognizing facial discoid dermatosis
By Warren R. Heymann, MD, FAAD Feb. 22, 2023 Vol. 5, No. 8 I get excited when astute dermatologists describe and label dermatoses that I have seen but could not adequately diagnose. Two recent examples include acute inflammatory edema and alpha-gal syndrome. I (and presumably you too) have encountered patients
Probing pityriasis rosea in pregnancy
By Warren R. Heymann, MD, FAAD January 19, 2022 Vol. 4, No. 3 I have always been captivated by pityriasis rosea (PR). As a second-year medical student, my late brother Andrew (presumably) developed it. I was clueless when he showed me his rash. He immediately told my father that money
Granular detail on granular parakeratosis
By Warren R. Heymann, MD, FAAD October 6, 2021 Vol. 3, No. 40 After attending a clinic at the University of Pennsylvania 30 years ago, I recall relaxing in the cafeteria, coffee in one hand and ... JAAD in the other, being impressed with an article by Northcutt et al
PDF of Dermatologic manifestations of underlying endocrinology
Cecil RL, Goldman L (ed), Bennett JC (ed). Cecil Textbook of Medicine, 21st ed. Philadelphia: W. B.
Fire ant stings: From pain to gain — The therapeutic potential of solenopsin
By Warren R. Heymann, MD, FAAD July 3, 2024 Vol. 6, No. 27 Fire ant stings are nasty. Lesions usually occur on the lower extremities after the disruption of a nest, causing a large number of ants to swarm and attack. The most common presentation is a wheal and flare
San Diego AAD musings
By Warren R. Heymann, MD, FAAD March 20, 2024 Vol. 6, No. 12 Pre-AAD ... Carlos Vieira, our second-year resident, was too polite to ask directly, so he sent our faculty an email stating the time and place of his first AAD presentation ("Tapinarof-induced acute generalized exanthematous pustulosis" at the
Sparking the interest in Spark nevus
By Jason B. Lee, MD, FAAD Dec. 13, 2023 Vol. 5, No. 49 The late A. Bernard Ackerman has described and named a variety of dermatologic entities, expanding the lexicon of dermatology over his career. He has been known to come up with catchy and playful names for dermatologic entities
Pigmented onychomatricoma: Avoid getting nailed by misdiagnosis
By Warren R. Heymann, MD Dec. 2, 2020 Vol. 2, No. 47 Rightfully, monodactylous linear melanonychia should make any dermatologist nervous, with or without a Hutchinson sign. No nail unit melanoma should be left behind. ... Longitudinal melanonychia (LM) is defined as a longitudinally oriented band of brown-black pigment in
Much ado about nothing in dermatopathology
By Warren R. Heymann, MD Dec. 9, 2020 Vol. 2, No. 48 In a utopian dermatology practice, an astute dermatologist will establish an exacting differential diagnosis, biopsy the most revealing lesion utilizing a technique providing an optimal sample, label the bottle correctly, fill out a requisition form with care and
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 28, 2020 Vol. 2, No. 43 How often do you perform an oral examination? If you’re like me, probably only under two circumstances — when the patient has specific complaints (soreness, a raised lesion, or a discoloration noted by their dentist), or when we
The profound dermatological manifestations of COVID-19: Part VII — Who was that masked man?
By Warren R. Heymann, MD Sept. 23, 2020 Vol. 2, No. 38 Disclaimers: This commentary was written on Sept. 12, 2020 for a publication date of Sept. 23, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
Eosinophilic dermatosis of hematologic malignancy: Reality bites
By Warren R. Heymann, MD July 24, 2019 Vol. 1, No. 20 Our new gazebo’s screening beckons! Finally completed late last fall, I have longingly stared at it, waiting for spring’s warm embrace to invite me in. I cherish being outside, but in the shade and protected from the annoyance
Keeping up is hard to do: The need for true grit
By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,
PDF of Fall 2021 DIR
Thompson, L., Krasnow, N., Chang, M., Yoon, J., Li, E., Polyakov, N., Molina, G., Said, J., Huang, K.
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
Fixing the concept of the neutrophilic fixed drug eruption
By Warren R. Heymann, MD, FAAD Oct. 12, 2022 Vol. 4, No. 41 Can anyone other than your mother recognize you from your baby photograph? The concept that lesions have lives is nothing new — clinical and histopathological changes vary from lesional inception to involution. Despite this truism, confusion about
Taking woolly hair to heart
By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch
May 1
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2019 ... FDA approves two new psoriasis treatments ... DW Insights and Inquiries : When assessing morbilliform eruptions think about morbilli (measles)! We want your feedback: Draft psoriasis guidelines
PDF of Important immunohistochemical stains in dermatology
Leon-Villapalos J, Wolfe K, Kangesu L.
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
PDF of Boards Fodder for Surgical complications Part 1: Acute and sub-acute complications of cutaneous surgery
Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Elsevier, Inc.; 2017. 2.
PDF of psoriasis phototherapy guideline supplemental tables
Bath PUVA • Soak affected area in psoralen bathwater before treatment with UVA light o 0.50-1mg/L
Academy's PDF on indoor tanning
MMWR. 2012:61(18);323. 16 Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, Hawkins J, et al.
PDF of the Academy's position on indoor tanning.
MMWR. 2012:61(18);323. 16 Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, Hawkins J, et al.
Till death do us part: Love, marriage, and cutaneous oncology
By Warren R. Heymann, MD, FAAD April 9, 2025 Vol. 7, No. 14 "What’s that on your back?" ... My wife asked me that question a year after finding a tick at the same site. This time, the dark lesion was a thin melanoma. I hadn’t a clue that a
Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is
By Warren R. Heymann, MD, FAAD Aug. 28, 2024 Vol. 6, No. 35 Part of the folklore at the Albert Einstein College of Medicine when I rotated as a fourth-year medical student in dermatology was that a prior resident made the correct diagnosis of Cronkhite-Canada syndrome (CCS). The constellation of
Acne necrotica: A real head-scratcher
By Warren R. Heymann, MD, FAAD May 15, 2024 Vol. 6, No. 20 I sympathize with new residents in dermatology coming to grips with difficult terms and concepts that are essential in practice. As a novice, I recall struggling with the concept of acne necrotica (AN), dreading that I would
Coming clean on chlorhexidine-induced dermatoses
By Warren R. Heymann, MD, FAAD March 13, 2024 Vol. 6, No. 11 Dermatologic surgeons use a variety of products that may cause an irritant or allergic contact dermatitis, including antiseptics, anesthetics, gloves, suture materials, tissue adhesives, topical antibiotics, and bandages. Antiseptic agents are the most frequent cause of contact
Hemochromatosis: Beyond 50 shades of gray
By Warren R. Heymann, MD, FAAD March 6, 2024 Vol. 6, No. 10 As a medical student, I was enamored by the term "bronze diabetes" as a depiction of hemochromatosis; ever since I have been magnetically attracted to the disease. Hereditary (primary) hemochromatosis is a common autosomal-recessive disorder, with a
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
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
Preventing and treating Trichophyton indotineae
Prevention ... Specific recommendations to prevent ... T. indotineae infection do not exist, but physicians can educate patients about strategies for ... preventing dermatophyte infections in general. ... Health care professionals should use ... Standard Precautions when caring for patients with possible tinea. ... Empiric treatment ... Because confirmatory testing
PDF of Directions, Winter 2019
Bolognia, Jean L., Joseph L. Jorizzo, and Julie V. Schaffer. Dermatology.
PS-Dermatology Workforce Diversity and Health Disparities
Smedley BD, Stith AY, Colburn L, et al.; Institute of Medicine \(US\.
Progress in pemphigus: Solidifying rituximab’s role
By Warren R. Heymann, MD, FAAD July 7, 2021 Vol. 3, No. 27 "Now what do I do?" ... That question, asked by dermatologists every day about patients who are not responding to therapy, was posed in the preface of the first (and every subsequent) edition of ... Treatment of
Coming full circle (almost): Low dose oral minoxidil for alopecia
By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall
Lightening the cutaneous and emotional burden of melasma: Cysteamine’s role
By Warren R. Heymann, MD, FAAD February 9, 2022 Vol. 4, No. 6 Melasma is a frustrating disorder for patients and practitioners alike. Facial gray-brown patches may cause psychosocial distress and embarrassment, thereby diminishing quality of life. (1) Melasma most frequently occurs in women with Fitzpatrick skin types III-VI with
Propranolol and neutrophilic dermatoses: Can beta-blockade be better blockade?
By Warren R. Heymann, MD, FAAD December 8, 2021 Vol. 3, No. 48 Ask any dermatology resident what the first-line treatment is for infantile hemangiomas (IH) and you will get a matter-of-fact response — "propranolol" — as if this has been an entrenched fact for decades. Barely more than a
Mohs under review
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 1, 2020 Test your knowledge: Mohs under review ... Take the quiz to see if you're up to
PDF of Vasculitides
Shinkai K, Fox L: Cutaneous Vasculitis. In: Dermatology. Volume 1. , edn.
PDF of Update in melanoma theories
Khoja L, Day D, Wei-Wu Chen T, Siu LL, Hansen AR.
PDF of Dermatologic adverse events
Thompson, L., Krasnow, N., Chang, M., Yoon, J., Li, E., Polyakov, N., Molina, G., Said, J., Huang, K.
2022 AAD VMX CME information
Consultant / Fees UCB Consultant / Fees Verrica Pharmaceuticals, Inc Consultant / Fees Moise L.
Lupus miliaris disseminatus faciei: A Simon and Garfunkel playlist
By Warren R. Heymann, MD, FAAD Oct. 1, 2025 Vol. 7, No. 39 William Tilbury Fox (1836-1879) was a brilliant dermatologist, the first in the United Kingdom to have a post in a teaching hospital. With Erasmus Wilson, he resurrected the prominence of British dermatology nearly half a century after
The 21st Century Cures Act: What a difference a day makes
By Warren R. Heymann, MD, FAAD Sept. 24, 2025 Vol. 7, No. 38 The 21st Century Cures Act (Cures Act, CA) was signed into law on Dec. 13, 2016. (1) In April 2021, the Information Blocking Rule (IBR) of the CA went into effect, giving patients immediate access to notes,
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
Further dermatologic observations in cystic fibrosis
By Warren R. Heymann, MD, FAAD Aug. 6, 2025 Vol. 7, No. 31 Watson: And yet I believe that my eyes are as good as yours. Holmes: Quite so. You see, but you do not observe... – Sherlock Holmes in "A Scandal in Bohemia" (1891, written by Sir Arthur Conan
Lipoid proteinosis’ weak, hoarse cry is crying for targeted therapeutic intervention
By Warren R. Heymann, MD, FAAD Nov. 6, 2024 Vol. 6, No. 45 Having recently participated in the excellent conference devoted to antisemitism in medicine organized by Heather Milbar at the University of Pennsylvania, I reacquainted myself with Erich Urbach, who described lipoid proteinosis (LP, Urbach-Wiethe disease) with the otolaryngologist
Malignant syphilis: History in the making
By Warren R. Heymann, MD, FAAD Jan. 3, 2024 Vol. 6, No. 1 As our new academic year commences, soon I will remind our new residents of Sir William Osler's famous aphorism, "He who knows syphilis knows medicine." As the great mimicker, our trainees will never go astray by including
Assessing the significance of a Long-Developed Habit: The role of LDH in dermatology
By Warren R. Heymann, MD, FAAD July 14, 2021 Vol. 3, No. 28 Upon ordering laboratory tests recently for a patient with cutaneous T cell lymphoma, I included a lactate dehydrogenase (LDH) level, as I have done for decades, without giving it much thought. When I came across an article
Insult to injury: COVID-19-associated mucormycosis
By Warren Heymann, MD June 9, 2021 Vol. 3, No. 23 As America unmasks this Memorial Day, COVID-19 is ravaging India. The scenes of desperation stemming from the overwhelmed heath system, poverty, and funeral pyres are almost unfathomable. In the midst of the devastation, doctors in India have observed an
Incysting on understanding pilar cysts
By Warren R. Heymann, MD July 15, 2020 Vol. 2, No. 28 Chances are you will see patients with at least one pilar cyst today. You will reassure them of their benignity, stating that the risk of their becoming cancerous is infinitesimal, and perhaps you will excise some lesions. Inquisitive
Directions in Residency archive
Download PDF versions of each issue ... Spring (PDF) ... Feature: Financial planning in residency: Frequently asked questions — Part 2 by David B. Mandell, JD, MBA ... Race for the Case: Spring 2026 by Marita Yaghi, MD, Uros Rakita, MD, and Stanley Skopit, DO, MSE, FAOCD, FAAD ... Boards
PS-Indoor Tanning
MMWR. 2012:61\(18\;323. 21Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, Hawkins J, et al.
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
Eye-opening news about oxymetazoline
By Warren R. Heymann, MD, FAAD April 27, 2022 Vol. 4, No. 17 Certain articles have a "wow" factor that immediately impacts practice. In 2007, I recall being impressed by the 2 cases of erythematotelangiectatic rosacea reported by Shanler and Ondo that dramatically improved with the application of oxymetazoline hydrochloride
JAKne is on the horizon
By Warren R. Heymann, MD, FAAD July 27, 2022 Vol. 4, No. 30 If you are like me, you have read much more about JAK inhibitors (JAKi) than have prescribed them. We are all on a learning curve. The rapid introduction of topical ruxolitinib (Opzelura), oral upadacitinib (Rinvoq), and abrocitinib
How is structural racism affecting atopic dermatitis in African American children?
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, November 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Craig Burkhart, MD, MPH, MSBS,
PDF of Disorders of hypopigmentation
Bolognia, Jean, Joseph L. Jorizzo, and Julie V. Schaffer. “Chapter 66.” Dermatology. 3rd ed.
PDF of Hypertrichosis
Mucopolysaccharidoses AR except XLR in Hurler’s: α-L- Short stature w typical facies, skeletal deformities
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
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
Understanding Multiple Procedure Payment Reduction Rule
Have you ever wondered how Medicare determines when to apply the multiple procedure payment reduction rule (MPPR) and how it affects claim-reimbursement amounts? ... The American Medical Association’s (AMA’s) Current Procedural Terminology (CPT®) code manual describes individual services and procedures. The AMA/Specialty Society Relative Value Scale (RVS) Update Committee (RUC)
PDF of VMX program guide
Participate in a live session Q&A 100 points Hall Monitor Visit all three exhibit halls: 100 points A-L,
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
PDF of Infectious diseases of genitalia
Edwards L, Lynch PJ. Genital Dermatology Atlas. 2nd ed. Lippincott Williams & Wilkins; 2012.
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
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
Eyebrow-raising complications of microblading
By Warren R. Heymann, MD, FAAD May 1, 2024 Vol. 6, No. 18 One of the most significant challenges of being a medical dermatologist is that patients assume you are well-versed in all aspects of dermatology, including cosmetic procedures. It is a reasonable expectation that dermatologists have at least a
Fighting for patient access
Getting involved in grassroots advocacy is critical to the future of dermatology and patient care. ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2026 There is no elephant in the room. Medicare physician payment and scope of practice are perennial problems that can have a direct impact
Deeper thoughts about acne keloidalis nuchae
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, February 1, 2026 Vol. 8, No. 2 Wallace Clark taught me the truism that thinking often ceases when a diagnosis is rendered. The clinical diagnosis of acne keloidalis nuchae (AKN) is straightforward. Embarrassingly, I had not given much thought
Diagnosis coding updates for 2026
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, November 1, 2025 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 Prevention
PDF of Vascular malformations
Bolognia, Jean, Joseph L. Jorizzo, and Julie V. Schaffer. “Chapter 104.” Dermatology. 3rd ed.
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
Melanoma fact sheet | AAD
Q. What is melanoma? A. Melanoma, the most serious form of skin cancer, is characterized by the uncontrolled growth of pigment-producing cells. Melanoma may appear on the skin suddenly without warning but also can develop within an existing mole. The overall incidence of melanoma continues to rise. (1,2) ... Q.
PDF of US House E&C Committee Minority Staff_Tanning Investigation Report 2.1.12
Rosa L. DeLauro, and Rep. Carolyn Maloney 2/1/2012 Table of Contents I.
PDF of boards fodder neutrophilic dermatoses
Bolognia JA, Schaffer JV, Cerroni L. Dermatology, 4th ed. Elsevier. 2018. 4. Filosa a, Filosa G.
Battling bugs...that aren't there
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists embrace empathy, antipsychotics to help patients with psychocutaneous disease ... Dermatologists embrace empathy, antipsychotics to help patients with psychocutaneous disease ... By Jan Bowers, contributing writer Dermatologists are well equipped to diagnose and treat all manner of
Patient power
Technology amplifies the patient voice in advocacy groups ... Feature ... By Jan Bowers, Contributing Writer, February 1, 2022 In the early 20th century, when a diagnosis of cancer almost inevitably led to death, a group of 10 physicians and five laypeople launched the American Society for the Control of