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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
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
AAD letter to the Wall Street Journal in response to “$500,000 Pay, Predictable Hours: How Dermatology Became the ‘It’ Job in Medicine”
American Academy of Dermatology President Seemal R. Desai, MD, FAAD Letter to the editor originally submitted to the Wall Street Journal ... on Nov. 20, 2024 ROSEMONT, Ill. (Dec. 2, 2024) — On behalf of the American Academy of Dermatology and its 21,000 members, I am writing to express very serious concerns
What's new in dermatology?
Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2022 The history of medical diagnosis traces back to ancient Egypt, where the first recorded examples can be found in the writings of Imhotep dating 2630–2611 BC. In the
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2026 Annual Meeting, Denver, CO, March 27-31, 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual
Dermatomyositis takes your breath away!
By Warren R. Heymann, MD Feb. 22, 2017 Anti-MDA5–associated DM. Eroded violaceous papules and plaques covered by scale and crust over the palmar joint creases and digital tips. ... Credit: ... JAAD The dermatopulmonary syndrome (DPS) is a newly recognized subset of dermatomyositis (DM) associated with anti-MDA5 (melanoma differentiation-associated gene
Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
By Warren R. Heymann, MD Oct. 7, 2020 Vol. 2, No. 40 It is not my imagination — I have been seeing more cases of bullous pemphigoid (BP) than ever. This is likely a function of an aging population in concert with an increase of drug-induced cases, notably with dipeptidyl
Interfering with interferon Gamma: The mechanisms behind acquired resistance to PD-1 inhibitors for melanoma
By Warren R. Heymann, MD Sept. 4, 2016 Astounding major advances in targeted therapies for melanoma, most notably by PD-1 blockade, have given hope and life to patients with metastatic melanoma. Approximately 30 % of advanced melanoma patients experience tumor responses from checkpoint blockade monotherapy, with better clinical responses seen
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.
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
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
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,
Herpes zoster, immunosuppression, and vaccination: Far from a blistering pace
By Warren R. Heymann, MD July 5, 2016 Do you recognize the name Chris Gueffroy? He was the last person shot trying to escape from East Berlin, before the wall came down. I had long promised myself that I would get Zostavax when I turned 60. Now 61, I am
Thinking of discontinuing the PD-1 inhibitor because of a lichenoid eruption? Don’t do it!
By Warren R. Heymann, MD May 21, 2016 Immune checkpoint inhibitors have been the proverbial "game changers" in oncology, and offer hope (and a chance of survival) where none existed just a few years ago. ... Cutaneous manifestations are the most common adverse reactions to these drugs. Indeed, more than
Paraneoplastic Merkel cell carcinoma: Searchin’ for my lost shaker of salt
By Warren R. Heymann, MD, FAAD Sept. 6, 2023 Vol. 5, No. 36 By pure coincidence, Jimmy Buffett passed away from Merkel cell carcinoma (MCC) as I researched the topic of paraneoplastic MCC. Although I am no parrothead, every time I’d hear Margaritaville, I’d smile and fantasize about a lifestyle
Humbled again: Alopecic and aseptic nodules of the scalp
By Warren R. Heymann, MD, FAAD November 3, 2021 Vol. 3, No. 44 "To confess ignorance is often wiser than to beat about the bush with a hypothetical diagnosis." - Sir William Osler I confess. I had never heard of alopecic and aseptic nodules of the scalp (AANS) and have
A Trumpian analysis of infliximab-induced follicular mucinosis: Something’s going on here
By Warren R. Heymann, MD July 10, 2016 Williams et al presented two cases of biopsy-proven facial follicular mucinosis (FM), apparently induced by infliximab, with a normal tissue CD4/CD8 ratio of 2/1 and the presence of CD7, thereby ruling out CTCL. The first case was a 23 year-old man with
March 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 2, 2022 ... Biotin beware: Physician, patient knowledge about lab interference DermWorld Insights and Inquiries : The rhythm of RIME Infections in children treated with dupilumab Cutaneous adverse events are
Purpuric dermatitis herpetiformis: Itching to know why
By Warren R. Heymann, MD July 24, 2016 Last week my partner, Justin Green MD, asked for my opinion about a man with biopsy-proven dermatitis herpetiformis (neutrophilic abscesses and granular IgA deposition) with negative serologic studies for anti-endomysial antibodies (tissue transglutaminase). He had classical lesions on his elbows (grouped vesicles)
Allopurinol-induced adverse reactions: More than genetics
... By Warren R. Heymann, MD June 25, 2016 There are certain drugs that confer a high risk of severe cutaneous adverse reactions (SCAR) ranging from morbilliform drug eruptions, DRESS, Stevens-Johnson, to Toxic Epidermal Necrolysis. You know the usual suspects — anticonvulsive agents, sulfa drugs, other anti-infective agents, and
Finding Joy in pediatric phototherapy
By Warren R. Heymann, MD Aug. 28, 2019 Vol. 1, No. 25 This commentary is dedicated to Joy, a bright, rambunctious, delightful bundle of energy with (formerly) recalcitrant atopic dermatitis, who taught me a great deal about phototherapy in children. ... The cutaneous effects of ultraviolet (UV) light are by
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.
March 14
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MARCH 14, 2018 ... FDA approves anti-fungal agent for pediatric patients Bruce H. Thiers, MD, selected incoming president-elect in 2018 Academy election Open Payments review starts next month: Are you ready?
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
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
Should dermatologists be anti-antihistamine for atopic dermatitis?
By Sylvia Hsu, MD July 17, 2019 Vol. 1, No. 19 Atopic dermatitis (AD) is characterized by pruritus that results in eczema induced by scratching. Histamine-1 receptor blockers are routinely used to treat the pruritus of AD. Histamine does not seem to play a role in AD through the histamine-1
Checking in on the adverse reactions to checkpoint inhibitors
By Warren R. Heymann, MD Oct. 17, 2016 Earlier this year there have been two posts devoted to adverse reactions of checkpoint inhibitors ("Thinking of Discontinuing the PD-1 Inhibitor Because of a Lichenoid Eruption? Don’t do it!" published on May 21st and "Joining the Bullae Pulpit: PD-1 inhibitors" posted on
October 30, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2024 ... Breast health outcomes in women on oral 5-alpha reductase inhibitors D ermWorld Insights and Inquiries : The breathless complications of anti-MDA-5-positive dermatomyositis What symptoms are most significantly
Pineapple and cicatricial pemphigoid: A need to dole out more studies
By Warren R. Heymann, MD Oct. 4, 2016 The benefits of pineapples have been touted in folk medicine for years. Increasing knowledge of its active ingredient bromelain has lead to a therapeutic pineapple renaissance. Bromelain is a complex natural mixture of proteolytic enzymes derived from pineapple (Ananas cosmosus) and possesses
July 6, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 6, 2022 ... Long-term recurrence rates of actinic keratoses DermWorld Insights and Inquiries : Isotretinoin and diabetes — Of familiarity and surprise What physicians should know about monkeypox Anti-PD-1 therapy
July 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 17, 2019 ... Isotretinoin, depression, and suicide: What’s the connection? DW Insights and Inquiries : Should dermatologists be anti-antihistamine for atopic dermatitis? 2018 MIPS performance feedback, final score, and targeted
2024 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
PRIDE without prejudice
By Warren R. Heymann, MD, FAAD July 30, 2025 Vol. 7, No. 30 As the years march on, I am bemused by having witnessed once-novel findings become mainstream affairs. I recall my excitement describing the development of paronychia in a 76-year-old woman with metastatic colon carcinoma who was participating in
December 16, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 16, 2020 ... What are risk factors for frontal fibrosing alopecia? DermWorld Insights and Inquiries : We’re in hot water! Vibrio vulnificus infections are heading north. Vaccine distribution begins: When
Oncolytic virotherapy and the dermatologist
By Warren R. Heymann, MD March 8, 2018 My late British cousin Tim, a brilliant, kind, benevolent husband, father, gastroenterologist, and MBA, lost his battle with glioblastoma in 2016 at age 55.* I was hoping that he might be able to get into a trial using an oncolytic virus (OV),
Dermatitis
Parabens — A common allergen with lots of hype and no real harm Finding Joy in pediatric phototherapy Should dermatologists be anti-antihistamine for atopic dermatitis? Aha! The iodide paradox now makes sense! Dupilumab’s conjunctivitis conundrum Dupilumab: The first year The medical word to watch in 2018: Dysbiosis Hairdressers’ dermatologic odyssey:
October 7, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 7, 2020 ... The costs of prior authorizations in a dermatology department DermWorld Insights and Inquiries : Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
September 14, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 14, 2022 ... Real-world methotrexate use in pediatric patients with plaque psoriasis DermWorld Insights and Inquiries : The ever-changing world of nevus sebaceus New anti-wrinkle injection receives FDA approval FDA
Tips for avoiding fraud and abuse liability – Part I
Legally Speaking ... By Christina A. Hughes, JD, MPH, Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, January 1, 2022 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, D.C. Portman
September 25, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 25, 2024 ... Cyclosporine vs. dupilumab vs. methotrexate for patients with AD DermWorld Insights and Inquiries : The expanding horizon of anti-IL-36 therapy FDA approves new treatment for immune-mediated vasculitis
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
Beneficiary inducements: What's permissible?
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., November 1, 2018 The anti-kickback statute with its criminal and civil penalties, fines, and exclusion options is incredibly broad. It implicates a wide range of
DWI&I Holiday Greeting 2021
By Warren R. Heymann, MD, FAAD December 22, 2021 Vol. 3, No. 50 Dear ... DWI&I devotee: ... The end of the year is a time for reflection and hope. Everyone reading this commentary has been affected by the pandemic. My heart goes out to anyone who has lost a
Tips for avoiding fraud and abuse liability – Part II
Legally Speaking ... By Christina A. Hughes, JD, MPH, Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, February 1, 2022 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, D.C. Portman
Treating psoriatic patients with associated inflammatory bowel disease: A personal bias
... By Warren R. Heymann, MD Feb. 20, 2017 My late brother Andrew succumbed to complications of Crohn disease (CD) at age 29. His brief, but valiant life was punctuated by multiple hospitalizations, surgeries, remissions, and exacerbations. Although prednisone and azathioprine offered an occasional respite, he suffered. Sharing a
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
This month’s news from across the specialty
What’s hot ... July 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Michael A. Marchetti, MD, FAAD Although management options for chronic spontaneous urticaria (CSU) improved with the introduction of the anti-IgE monoclonal antibody omalizumab
The anti-markup rule applied to dermatology
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., December 1, 2025 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author Daniel F. Shay, Esq., is a health care attorney
What's hot?
What's hot ... March 27, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Alopecia areata is frustrating to patients, parents, and practitioners, all of whom may be left with unsatisfactory
Early recognition of Rituximab-induced late onset neutropenia is essential
By Warren R. Heymann, MD, FAAD April 13, 2022 Vol. 4, No. 15 Rituximab is an anti-CD20 chimeric antibody directed against a surface transmembrane protein marker (CD20) expressed on B-cells during differentiation from pre B-cell until the plasma cell stage, involved in the maturation and activation of B cells. Approved
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
Is dyshidrosiform pemphigoid really anti-p200 pemphigoid?
By Warren R. Heymann, MD Aug. 20, 2016 Dyshidrosiform pemphigoid (DP) was initially reported in a 72 year-old man with large, tense bullae on the plantar aspect of his feet, with some lesions on an erythematous base. He also had an "ill-defined papular eruption" of the trunk and an erosion
Dermatologists should not be in the dark about kratom
By Warren R. Heymann, MD, FAAD Oct. 11, 2023 Vol. 5, No. 41 Dermatological sleuthing mandates an ever-expanding knowledge database. The correct diagnosis may prove elusive if you do not know the right questions to ask. Astute clinicians have a differential diagnosis of cutaneous and/or mucosal hyperpigmentation, including heavy metal
What's the fuss about fungus?
Dermatologist nail experts discuss the diagnosis and management of onychomycosis as well as increasing resistance to anti-fungal therapies. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2024 Onychomycosis (tinea unguium) represents the highest proportion of nail disorders seen in clinical practice. With long and often unappealing therapeutic
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
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
January 31, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 31, 2024 ... Dupilumab vs. upadacitinib for atopic dermatitis DermWorld Insights and Inquiries : Early-onset hypertension associated with extensive capillary malformations — A new worry to raise dermatologists’ blood pressure
Anti-kickback implications for company-sponsored speaker programs
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, February 1, 2021 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s authors
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. ...
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
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
A presidential viewpoint: “Nobody knew that benign vascular lesions of the lip could be so complicated”
By Warren R. Heymann, MD April 14, 2017 Well, maybe not as befuddling as replacing Obamacare, but there may be occasional difficulties in diagnosing benign vascular lesions of the lip, with implications for appropriate therapy. ... Tobouti et al, in a study from an oral pathology service, found that of
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,
Your Dermatologist Knows media wins 2024
A key part of Your Dermatologist Knows is pitching stories to media outlets in hopes they’ll run news stories sharing information about the wide breadth of knowledge dermatologists have to their readership. We consider every new story published as a result of our pitches as a win, regardless of whether
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
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
Taking biologics to heart
By Warren R. Heymann, MD Oct. 16, 2016 Comorbidities related to psoriasis have dominated the dermatologic literature for more than a decade since Joel Gelfand published his seminal paper (1). In my 2008 commentary for ... Dialogues in Dermatology , I stated that "It remains to be determined if treating
How to check for bedbugs
Board-certified dermatologist’s tips ROSEMONT, Ill. (March 14, 2024) — Bedbugs can make you itch just by thinking about them. These tiny, reddish-brown insects that feed on blood are notorious for infiltrating hotel rooms and luggage, hitchhiking their way back to a new home virtually undetected. ... "Understanding what to be
Educating the public – Summer meeting coverage
AAD Summer Meeting and dermatologists’ summer skin care tips make the news ... So far, a total of ... 38 news stories covering the ... 2021 AAD Summer Meeting and new dermatologic research impacting patient treatment and care made headlines that have been seen more than 41 million times. ...
Angiosarcomas and morbid obesity: An enormous problem
By Warren R. Heymann, MD Feb. 26, 2017 Localized lymphedema. A, Case 7 showed many polypoid lesions that varied in size and were localized throughout the vulva, pubis, and perineum. B, Case 9 showed multiple small polypoid lesions with cauliflower-like morphology in the penis and scrotum. C, Case 3 showed
Academy presence elevated during awareness months and days
Skin Cancer Awareness Month, Hair Loss Awareness Month shine in particular. ... Part of the Academy’s robust public education involves utilizing various awareness months and days throughout the year to share information with the public that is relevant to the awareness campaign in question. ... Two of the most successful
Oy, another “Oid” to worry about: Cryptococcoid lesions
By Warren R. Heymann, MD July 3, 2019 Vol. 1, No. 17 The suffix "oid" m ... eans "resembling." There is a plethora of "oids" in dermatology — lichenoid, Pagetoid, rupioid, targetoid, to name a few. (My favorite is "oid-oid" disease, aka Sulzberger-Garbe disease, or exudative discoid and lichenoid chronic
Advocacy Update Feb. 4 2025
IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC
Advocacy Update May 5, 2026
IN THIS ISSUE / May 5, 2026 Advocacy win: United Healthcare delays referral program penalties Dr. Gross attends political event on behalf of SkinPAC New Medicare physician payment reform legislative efforts AADA presents at FDA nonprescription drugs access public meeting Payer Advocacy Advocacy win: United Healthcare delays referral program penalties
Preventing payment appeals
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 3, 2016 Prior Cracking the Code columns have focused upon common billing errors and appeals strategies. However, a
Skin Cancer Awareness Month campaign reaches billions!
May is Skin Cancer Awareness Month, and in 2024 the Academy once again undertook a robust effort to spread awareness to the general public. Similar content did very well in 2022, did even better in 2023, and shows no signs of stopping in 2024! ... During the month, the Academy
Time to break up with your old break room
Physician and staff burnout are on the rise, giving more reason to think about the non-clinical, non-administrative space of the practice — the staff lounge otherwise known as the break room. This space can often go neglected because it may not be valued the same way as the other areas
Taking the challenge: Social media, adolescents, and the skin
By Albert C. Yan, MD June 12, 2019 Vol. 1, No. 14 Patterned skin injury can raise the specter of non-accidental trauma. However, over the past decade or so, striking examples of patterned skin injury have emerged among adolescents and pre-teens that share certain features: these are self-induced voluntarily; the
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
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
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
The Venetian antithesis: Treating median canaliform nail dystrophy
By Warren R. Heymann, MD, FAAD Oct. 4, 2023 Vol. 5, No. 40 Tony Bennett may have left his heart in San Francisco, but mine remains in Venice. ... (The editorial staff of DWI&I offer our sincerest condolences to the families of those who perished, and our prayers for recovery
PASI 100 and the perfection paradox
By Warren R. Heymann, MD June 27, 2016 I am not a psychiatrist, but over the years I have concluded that my patients’ happiness is more supratentorial than epidermal. ... As we approach perfection, imperfections take on far greater importance. Some examples: ... In medical school, I spent many Sunday
The importance of spreading skin cancer awareness
From the President ... Dr. Alam is the Academy’s current president. ... By Murad Alam, MD, FAAD, May 1, 2026 Dear members, ... The Academy is dedicated to public education and takes its role as one of the largest sources of skin, hair, and nail health care information seriously. As
Advocacy Update Feb. 18 2025
IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to
Advocacy Update Mar. 18, 2025
IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key
Watch your back!
Focusing on ergonomics can help dermatologists avoid a career-ending injury. ... Feature ... By Ruth Carol, contributing writer, February 1, 2021 After a long day of seeing patients, performing dermatologic procedures, or reviewing slides, do you have stiffness in your neck, pain in your back, or maybe an aching in
Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure
By Warren R. Heymann, MD, FAAD Jan. 31, 2024 Vol. 6, No. 5 The recent passing of Mikhail Gorbachev reminded me of the teaching value of his port wine stain. The following brief article published in the ... Washington Post in 1987 reflects the state of knowledge 36 years ago.
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
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
The AAD’s robust public education strategy
Taking care of dermatologists so that they can take care of their patients...and their practices. ... From the President ... Dr. Taylor is the Academy’s former president. ... By Susan C. Taylor, MD, FAAD, May 1, 2025 Dear members, ... As you may know, the Academy’s public education efforts successfully
Your Dermatologist Knows media wins 2024
A key part of Your Dermatologist Knows is pitching stories to media outlets in hopes they’ll run news stories sharing information about the wide breadth of knowledge dermatologists have to their readership. We consider every new story published as a result of our pitches as a win, regardless of whether
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
Coming to grips with lymphocytic thrombophilic arteritis
By Warren R. Heymann, MD, FAAD May 18, 2022 Vol. 4, No. 20 As a medical student, I was introduced to the concept that bilaterally symmetrical palpable purpura is leukocytoclastic vasculitis until proven otherwise. Although that bromide has served me well over the years, with experience, vasculitis perpetually befuddles me.
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
ICD-10-CM diagnosis coding updates for 2024
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The CDC and the National Center
What are the latest advances in the diagnosis of autoimmune bullous dermatoses?
Clinical Applications ... Dr. Hsu is a member of the ... DermWorld Editorial Advisory Workgroup. ... By Sylvia Hsu, MD, February 1, 2021 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup member Sylvia Hsu, MD, talks with Kiran Motaparthi, MD, about his Clinics in Dermatology ... paper,
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
Can chimeric antigen receptor T cells trigger long-term remission of autoimmunity?
Acta Eruditorum ... Dr. Van Voorhees is the physician editor of ... Dermatology World . She interviews the author of a recent study each month. ... By Abby S. Van Voorhees, MD, January 1, 2018 In this month's Acta Eruditorum column, Physician Editor Abby S. Van Voorhees, MD, talks with
Dermatomyositis oddities: Could one be responsible for the other?
By Warren R. Heymann, MD Sept. 19, 2016 So much about dermatomyositis (DM) has intrigued me since medical school. Over the years, I have probably read more about this disease than any other malady. I am always amazed how I much more there is to learn. ... There were two
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
October 30, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2019 ... Potential treatment for chronic urticaria may offer complete control DW Insights and Inquiries: Can chowing down improve pseudoxanthoma elasticum? Advances in medical technology: friend or foe? Do
Does he or doesn’t he? Only his oncologist knows for sure!
By Warren R. Heymann, MD July 17, 2017 Repigmented hair overlying melanoma in situ of scalp. Slowly darkening patch of previously white hair on superior scalp. ... Credit: ... JAAD I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I
OblIgEd to search for steroid-sparing agents in treating bullous pemphigoid
By Warren R. Heymann, MD ... Jan. 19, 2017 ... I’m always anxious to learn about alternative approaches for treating bullous pemphigoid (BP). Perhaps it’s my imagination, but most of my patients with BP are elderly, diabetic, hypertensive, and anticoagulated. It is impossible to prescribe rituximab out of the
Red genitals: New roads to recovery
By Warren R. Heymann, MD July 23, 2018 ... Red scrotum syndrome. Sharp border between the erythematous skin and the normal scrotum skin in a 65-year-old male patient. ... Credit: ... JAAD I searched PubMed for Quality of Life (QoL) studies on the Red Scrotum Syndrome (RSS) and Red Vulva
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
Race for the Case Answers
Diagnose this new case by Haowei Han, DO, and Aysham Chaudry, DO ... A 64-year-old woman presented to the dermatology clinic with a two-year history of a widespread rash involving the scalp and left ear. She reported associated joint pain but denied fevers, fatigue, weight loss, oral ulcers, photosensitivity, or
Emergency supply drive for front line COVID-19 workers
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... ... Dermatology World Weekly talked to Ronda Farah, MD, assistant professor in the department of dermatology at the University of Minnesota Medical School, about her efforts to collect emergency supplies for front line workers.
This month’s news from across the specialty
What’s hot ... January 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD In October’s ... Dialogues in Dermatology , Dr. Scott Elman, double board-certified internist and dermatologist, discusses important "new medications
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,
Vitiligo or vitiligo-like lesions and PD1-inhibitors: Which is right?
By Warren R. Heymann, MD June 1, 2017 The following is a well-known staple of Jewish humor. I’ve heard it thousands of times, but it always makes me smile: ... In a small town in Russia, people brought their complaints to the Rabbi to settle their differences. One man purchased
April 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 13, 2022 ... Is there an association between isotretinoin and adverse neuropsychiatric outcomes? DermWorld Insights and Inquiries : Early recognition of rituximab-induced late onset neutropenia is essential 2022 Academy election
Treating metastatic melanoma: Understanding a brave new world
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, April 2, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jane Grant-Kels, MD, and Daniel
Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow
By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought
May 6, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 6, 2020 ... What dermatologic hazards are COVID-19 health care workers facing? DW Insights and Inquiries: Working up pernio — How far should you dip your toe in the water?
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.
Tackling itch
Understanding and treating chronic itch ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2022 Itch, or pruritus, is a common symptom (and condition) that is considered one of the 50 most prevalent conditions worldwide — an estimated 15% of the population suffers from chronic pruritus. Speak to
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,
An open invitation
Go to AAD Home ... Go to AAD Home ... Menu ... The cultural factors at play in the re-emergence of infectious disease ... The cultural factors at play in the re-emergence of infectious disease ... By Emily Margosian, assistant editor "Fifty years ago, many people believed the age-old battle
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
This month’s news from across the specialty
What’s hot ... August 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the Clear Clinical Communications group at the University of Minnesota ... studied children’s understanding of
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
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
The physician view of employment agreements
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq. , July 1, 2023 DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney at
January 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JANUARY 24, 2018 ... Psoriasis treatments: Which ones are the most effective? AAD names Dirk Elston, MD, next JAAD editor SCC death reports may be inaccurate Does adherence vary by treatment?
September 1, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 1, 2021 ... Which dermatology patients should receive a third dose of mRNA vaccine? DermWorld Insights and Inquiries: Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder Obesity, diabetes associated with
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
Cutaneous complications of immune checkpoint inhibitors
DermWorld highlights some of the common (and not-so-common) skin complications associated with ICIs and shares expert tips for management. ... Feature ... By Heidi Splete, Contributing Writer, March 1, 2024 Immune checkpoint inhibitors (ICIs) are a mainstay of immunotherapy for many cancer types — including breast, colon, liver, lung, skin,
This month’s news from across the specialty
What’s hot ... June 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD The balancing of the efficacy against the toxicities of immunotherapy for melanoma remains a vigorous point of debate
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
May 11, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 11, 2022 ... Sexual dysfunction associated with finasteride use in men with androgenetic alopecia DermWorld Insights and Inquiries : Lagging ahead — LAG-3 checkpoint inhibition for advanced melanoma FDA grants
March 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Topical cetirizine with minoxidil vs. minoxidil in androgenetic alopecia DermWorld Insights and Inquiries : A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus DermWorld Young Physician Focus
What does the research say about the use of cannabinoids for the treatment of itch?
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, May 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Mark Bechtel, MD, about his
Ustekinumab: A topic for atopics?
By Warren R. Heymann, MD Jan. 9, 2017 Atopic dermatitis patient shows drastic improvement at week 19 of ustekinumab treatment. ... Credit: ... JAAD If you’re like me, you have a cadre of patients with severe atopic dermatitis (AD) patients who are counting the minutes for the release of
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of
The skin and stress connection
Experts explore the underlying mechanisms of the link between the brain and the skin. ... Feature ... By Allison Evans, assistant managing editor, December 1, 2020 There is generally no question among dermatologists that psychological stress can affect the skin. This year, more than ever, the heightened stress of living
August 31, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 31, 2022 ... Isotretinoin lab monitoring in acne treatment DermWorld Insights and Inquiries : Metformin mania — Is it an adequate chemopreventive agent for skin cancer? Monkeypox: A dermatologic primer
Coming clean on bleach baths for atopic dermatitis
By Warren R. Heymann, MD Oct. 23, 2019 Vol. 1, No. 33 ... Bleach baths have become popularized over the past decade in managing atopic dermatitis (AD). I have been a strong proponent, often telling patients (and their parents) that the procedure would help decolonize the skin and prevent
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
Granular C3 dermatosis in granular detail
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, May 1, 2026 Vol. 8, No. 5 Except for straightforward cases of bullous pemphigoid, my ability to predict direct immunofluorescence (DIF) results in cases of presumed autoimmune blistering diseases leaves much to be desired. Recently, my humility in this
Dermatology: A memoir
First Person ... By Walter Larsen, MD, May 1, 2021 In July 1961, Sylvi and I drove from San Francisco to Portland, Oregon for my residency in dermatology. We were married three months before in San Francisco. We packed up all our earthly possessions into our 1957 Chevrolet including a
Donors, children, dermatologists: Camp Discovery benefits all
Donor Spotlight ... By Dean Monti, Managing Editor, Special Publications, November 1, 2022 In this new column, DermWorld ... highlights individual members who have gone above and beyond with their Academy contributions. Giving takes many forms and so do our donors. It takes a healthy measure of financial and direct
Practicing with a purpose
Answers in Practice ... By Emily Margosian, assistant editor, September 1, 2021 DermWorld ... talks to Vinh Chung, MD, FAAD, from Vanguard Skin Specialists in Colorado Springs, Colorado, about the value of promoting meaning and purpose at work. DermWorld: Tell us about your practice. Dr. Chung: Vanguard started out with
Examine the exam room for opportunities for efficiencies
The exam room often makes up for less than half of the medical office space, but the exam room is the primary place where physicians and patients develop their relationship. The design and set up of this space should be carefully considered to optimize efficiency, workflow, and patient engagement. ...
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
Rheumatoid vasculitis? Rule-out methotrexate-associated EBV
By Warren R. Heymann, MD June 19, 2016 Rheumatoid vasculitis (RV) is a serious complication of rheumatoid arthritis (RA) causing high morbidity and mortality, despite aggressive immunosuppressive treatment. The incidence appears to be decreasing, possibly due to the recognition of smoking as the most important contributory factor. Male patients with
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
January 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 8, 2020 ... FDA’s biotin warning: Was it enough to educate physicians, patients about the risks? DW Insights and Inquiries : Dupilumab’s growing pains 2020 kicks off with revised ICR
Waiting for Wong
By Warren R. Heymann, MD ... Oct. 6, 2016 ... The Wong variant of dermatomyositis was originally described by O’Leary during the Eisenhower administration (1953) and named for Wong during Nixon’s tenure (1969). I have been involved with dermatology since Carter’s term in office (1979). Since that time (Reagan,
August 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 28, 2019 ... Dupilumab shows positive results for younger atopic dermatitis patients DW Insights and Inquiries : Finding joy in pediatric phototherapy FDA, UMD seek feedback on compounded drug use
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
June 25, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 25, 2025 ... Safety of low-dose oral minoxidil in older patients DermWorld Insights and Inquiries : Metastatic uveal melanoma — Tebentafusp unobfuscated New focused atopic dermatitis guidelines update available FDA
Advances in pruritus therapeutics: It’s Greek to us
By Warren R. Heymann, MD, FAAD June 19, 2024 Vol. 6, No. 25 Every dermatologist encounters maddeningly pruritic patients at their wit’s end. Our deficient understanding of and treating dermatology’s essential symptom is even more exasperating. The following is the abstract from the incisive article by Vander Does et al,
December
Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... And so, it ends. What’s hot ... This month’s news from across the specialty Clinical Applications ... Is 3D total-body photography effective in early
What role does commensal bacteria play in triggering autoimmunity in lupus?
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, January 1, 2019 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Teri Greiling, MD, PhD, about
What’s the latest on treating cutaneous dermatophyte infections in the era of Trichophyton indotineae?
Clinical Applications ... By Sylvia Hsu, MD, FAAD, March 1, 2025 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup member Sylvia Hsu, MD, FAAD, talks to Ananta Khurana, MD, Kabir Sardana, MD, and Anuradha Chowdhary, MD, about their JAAD ... paper, ‘ Clinico-mycological and therapeutic updates on
February
Issue ... February January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... 28 days What's hot ... This month's news from across the specialty Clinical Applications ... What are the latest advances in the diagnosis of
Tackling Stevens-Johnson syndrome/toxic epidermal necrolysis: Part 2
Controversies and management ... Feature ... By Emily Margosian, Senior Editor, June 1, 2026 How would you treat a confirmed case of Stevens-Johnson Syndrome (SJS)/toxic epidermal necrolysis (TEN)? ... Corticosteroids ... Cyclosporine ... Intravenous immunoglobulin (IVIG) ... A tumor necrosis factor (TNF) inhibitor ... A combination of the above ...
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
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.
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
What's hot?
What's hot ... April 26, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Simon Ritchie, MD ... Over the past several years we have seen the introduction of several groundbreaking drugs for the treatment of metastatic
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
January 27, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 27, 2021 ... Can dermatology employers require employees to receive the COVID-19 vaccine? DermWorld Insights and Inquiries : Playing the field — Introducing tirbanibulin for actinic keratosis therapy DermWorld Young
Rituximab therapy for recalcitrant dermatitis herpetiformis: A gut feeling
By Warren R. Heymann, MD March 20, 2017 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD Recently I "accidentally" diagnosed a severely pruritic man with dermatitis herpetiformis (DH). He had seen leading authorities for his life-altering pruritic dermatosis, that clinically and
This month’s news from across the specialty
What’s hot ... December 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Craig Burkhart, MD, MPH, MSBS, FAAD New parents are participating in a new "nutty" trend where they give healthy infants their first taste of
January
Issue ... January January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Something(s) old, something(s) new What’s hot ... This month's news from across the specialty Clinical Applications ... How can physicians better understand and communicate
The 2020 vision for nemolizumab in atopic dermatitis
By Warren R. Heymann, MD March 11, 2020 Vol. 2, No. 10 Over the past decade, I have noticed an inversion of the ratio of patients with severe psoriasis versus atopic dermatitis (AD) in my practice. The biologic revolution has clearly favored those afflicted with psoriasis; although dupilumab has improved
CBD: Potential or placebo?
Go to AAD Home ... Go to AAD Home ... Menu ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... By Emily Margosian, assistant editor This recent Mother’s Day holiday, shoppers may have observed
Dermatology injection code utilization
In our ongoing effort to inform and educate, the AAD/A coding team continues to monitor the utilization of frequently reported services in dermatology through the ... Medicare Part B National Utilization Data . This article reviews and compares the Medicare Part B national utilization of dermatology-related injection codes for calendar
How can I safely run my practice and limit potential exposures during COVID-19?
Asked and Answered ... February 1, 2021 The AAD offers a step-by-step guide on running a dermatology practice during COVID-19, including advice on how to: ... Assess your community’s COVID-19 prevalence and operate at an appropriate capacity ... Clean and disinfect your practice ... Reorganize your practice to minimize patient
COVID-19 impact on employed dermatologists: Part 1
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, September 1, 2020 Every month, Dermatology World ... covers legal issues in "Legally
Dupilumab’s growing pains
By Warren R. Heymann, MD January 8, 2020 Vol. 2, No. 1 Dupilumab has been a valuable addition to dermatologists’ therapeutic palette in managing atopic dermatitis (AD). The biologic agent was released in 2017, indicated for moderate to severe AD, and is now approved for patients who are at least
Sweating over acquired idiopathic generalized anhidrosis
By Warren R. Heymann, MD, FAAD June 8, 2022 Vol. 4, No. 23 As I am composing this commentary, I find myself daydreaming about the warmth that will envelop the Delaware Valley later this week — it has been a long, cold, lonely COVID-19 winter. Rising temperatures mean outdoor exercise
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
Quality fraud: What’s that?
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., July 1, 2024 Every month , DermWorld ... covers legal issues in "Legally Speaking." This month’s author is a health care attorney at Alice G.
Study connects skin disease and sleep, mental health struggles in children
Facts at your Fingertips ... By Megan Bennett, Staff Writer, December 1, 2025 Kids with inflammatory skin conditions have increased risk of also developing sleep and psychological issues. A recent study in the ... Journal of the American Academy of Dermatology breaks down the risk by disease and their comorbidities
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
October 16, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 16, 2024 ... High levels of benzene detected in OTC acne treatments DermWorld Insights and Inquiries: Homing in on hornerin — Breaking down the barrier to understand its crucial role
May 13, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 13, 2026 ... Beyond isotretinoin: Systemic therapies for acne DermWorld What’s Hot: Difamilast approval for pediatric AD patients UK recommends additional actions to minimize suicide risk from finasteride, dutasteride A
Dermatology extends its reach on Capitol Hill
Facts at your fingertips ... By Emily Margosian, assistant editor, February 1, 2021 In the midst of a contentious election year and global health crises, the AADA held its first virtual Legislative Conference this past September. Despite these challenges, a record-breaking number of physicians, residents, select medical students, dermatology nurses,
Advisory Board considers five resolutions at General Business Meeting
The American Academy of Dermatology’s Advisory Board met on March 10 at its General Business Meeting during the 2024 AAD Annual Meeting in San Diego and considered five member-submitted resolutions. ... The Advisory voted to not adopt the following resolutions, and they will not move forward for consideration by the
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
June 12, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2024 ... Acne in pregnancy: The safest options DermWorld Insights and Inquiries : CXCR4 antagonist therapy based on a WHIM syndrome Nonsteroidal approaches for treating patients with atopic dermatitis
January 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 3, 2024 ... Efficacy of minoxidil for cancer treatment–induced hair loss DermWorld Insights and Inquiries : Malignant syphilis — History in the making Most effective medications for plaque psoriasis Cardiovascular,
DermWorld Weekly comparing efficacy of JAK inhibitors used in alopecia areata
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 22, 2023 ... Comparing efficacy of JAK inhibitors used in alopecia areata DermWorld Insights and Inquiries : Resorcinol’s resourcefulness in hidradenitis suppurativa Derm Coding Consult : CMS Targeted Probe and
August 6, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 6, 2025 ... Minoxidil, finasteride, dutasteride monotherapy for male pattern hair loss DermWorld Insights and Inquiries : Further dermatologic observations in cystic fibrosis DermWorld Insights and Inquiries — Another Viewpoint:
Ultraviolet light, adipose tissue, and fantasies of summer
... By Warren R. Heymann, MD April 2, 2018 As I am preparing this commentary, the second Nor’easter within a week is in its frenzy. (Since that time there have been two more and it’s snowing today!) My longing for summer, enjoying the warm breezes enveloping our shore home
Teprotumumab: An eye-opening advance for pretibial myxedema?
By Warren R. Heymann, MD May 8, 2017 Histologic images of PME. (A, Hematoxylin-eosin stain; original magnification, ×40. B, Colloidal iron stain; original magnification, ×100.) ... Credit: ... JAAD Having just completed the chapter on the treatment of pretibial myxedema (PTM, also known as thyroid dermopathy) for the upcoming
Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons
By Warren R. Heymann, MD April 10, 2017 Histopathologic features of Kimura's disease. A, Scanning view shows prominent germinal center formation. B, Higher magnification of a germinal center with abundant number of eosinophils. C, Focally, blood vessels may show prominent endothelial cells with vacuolated cytoplasm. (A-C, Hematoxylin-eosin stain; original magnifications:
Clawing to understand lichen nitidus
By Warren R. Heymann, MD April 5, 2018 Lichen nitidus: dermoscopic images. A, In the first patient, dermoscopic findings of the left plantar lesions revealed that linear scales in parallel (thick arrows) were discontinued by oval, well-defined depressions surrounded by ring-shaped, silvery white scales (thin arrows). Long axis of the
British Journal of Dermatology
The pachydermoperiostosis prostaglandin paradigm Tofacitinib: A JAK inhibitor of all trades Focusing attention on X-linked ichthyosis We’ve gotta recognize GATA2 deficiency Sirolumus’s merit for the Kasabach-Merritt phenomenon Aha! The iodide paradox now makes sense! Changing perceptions of pediatric mastocytosis A string of (clinical) pearls about drug-induced linear IgA disease Dupilumab’s
How can I get involved with Camp Discovery?
Asked and Answered ... December 1, 2025 There are several ways to support Camp Discovery, the Academy’s free summer camp for kids (ages 8-16) with moderate and severe skin conditions. ... Refer a camper: Camp Discovery needs participants to ensure its ongoing success. Dermatologists and parents can make referrals using
Diagnosing and managing delusional parasitosis
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, April 1, 2019 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Dirk M. Elston, MD, about
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
April 6, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 6, 2022 ... A comprehensive review of rosacea treatments DermWorld Insights and Inquiries : "Stepping up" to off-label dosing of biologics Improving itch in prurigo nodularis patients What acne treatments
A string of (clinical) pearls about drug-induced linear IgA disease
By Warren R. Heymann, MD Aug. 6, 2018 Linear IgA dermatosis patient with urticarial eruption of the trunk. ... Credit: ... JAAD The late sage Wallace Clark taught me that once a diagnosis is secured, thinking ceases. Admittedly in cases of drug-induced linear IgA dermatosis (DI-LAD) that I have encountered
Diagnosing pyoderma gangrenosum? Consider cocaine/levamisole as a potential culprit!
By Warren R. Heymann, MD May 1, 2016 The authors presented 8 patients with PG following exposure to levamisole-contaminated cocaine. All patients had lower extremity involvement, and 6 also had PG on the upper extremities. Retiform purpura was only observed in 3 patients. Most had elevated titers for p-ANCA and
Biologic Administration Coding-Resource Tool for 2019
The administration of certain drugs and biologic agents should not be billed using a chemotherapy administration code. Instead, the subcutaneous administration of some drugs should be billed using CPT code 96372, Therapeutic, prophylactic, or diag-nostic injection. ... The Centers for Medicare & Medicaid Services (CMS) provides additional guidance as to
Out of the frying pan...
Increases in fraud and abuse during COVID-19 further inflame pandemic stress. Learn how to protect yourself and your patients. ... Feature ... By Emily Margosian, assistant editor, February 1, 2021 To date, millions of people in the United States have been infected with COVID-19. Yet, as the caseload creeps higher,
Deciding the right time for treatment
Experts discuss neoadjuvant vs. adjuvant immunotherapy for melanoma — and recent advances in the neoadjuvant space. ... Feature ... By Emily Margosian, Assistant Editor, May 1, 2025 "The melanoma landscape, especially in the last decade or so, has changed remarkably in ways I never thought I would see in my
Taking a hard look at eosinophilic fasciitis on its golden anniversary
By Warren R. Heymann, MD, FAAD Aug. 14, 2024 Vol. 6, No. 33 In 1974, Dr. Lawrence E. Shulman identified two male patients (aged 53 and 19 years old) with a scleroderma-like illness that he subsequently published as "Diffuse fasciitis with hyperglobulinemia and eosinophilia: A new syndrome?" Both had a
Support system
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... By Ruth
Not the usual suspects
Go to AAD Home ... Go to AAD Home ... Menu ... Drugs you never thought you’d use in dermatology ... Drugs you never thought you’d use in dermatology ... By Jan Bowers, contributing writer ... Young dermatologists quickly become familiar with mainstays of treatment such as antibiotics,
This month's news from across the specialty
What's hot ... August 1, 2020 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... EDWARD W. COWEN, MD, MHSc Mortality associated with the COVID-19 pandemic has varied between countries. Among the population-based factors that may account
March 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 3, 2021 ... The latest on the association between diet and acne DermWorld Insights and Inquiries : Time to reassess messing around with steroids and psoriasis Is intralesional 5-FU effective
Keeping 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
The newest frontier for biologics and psoriasis may be adherence
By Warren R. Heymann, MD June 19, 2019 Vol. 1, No. 15 My first job as an attending dermatologist was heading the psoriasis day care center at the Albert Einstein College of Medicine in 1983. The challenges of treating severe psoriasis with the Goeckerman regimen, PUVA, methotrexate, etc. made
Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum
By Warren R. Heymann, MD April 12, 2018 The front (A1) and back (A2) portions of his upper thigh show signs of severe Erythema Annulare Centrifugum. ... Credit: ... JAAD When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting
This month’s news from across the specialty
What’s hot ... January 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ (MIS) has risen sharply in the U.S., surpassing invasive melanoma in 2025 ( ...
The ACA: 10 years later...during a pandemic
Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10
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
Equal opportunity for all?
Go to AAD Home ... Go to AAD Home ... Menu ... How to take steps to address implicit bias in health care hiring ... How to take steps to address implicit bias in health care hiring ... By Emily Margosian, assistant editor What do male receptionists and female department
Acne: The drought is over
After years of recycling the same ingredients, dermatologists have novel acne treatments and formulations available — with more on the horizon. ... Feature ... By Allison Evans, assistant managing editor, February 1, 2021 Over the past few years, an incredible amount of innovation has taken place for the treatment of
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
What's hot?
What's hot ... December 30, 2017 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Annie Chiu, MD ... Body contouring is not only in demand among patients but presents a unique challenge for physicians to achieve consistent
August 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 9, 2023 ... Emerging treatments for itch in atopic dermatitis DermWorld Insights and Inquiries : Prior authorization audits and innovations — Are we finally reducing the (PA)in? Adverse events in
Rituximab and dermatomyositis: Dr. Samitz would be proud
By Warren R. Heymann, MD Nov. 20, 2019 Vol. 1, No. 37 The gifted dermatologist clinician-educator Morris H Samitz, MD, has been honored with an annual lectureship at the Perelman School of Medicine at the University of Pennsylvania for the past 44 years. Dr. Samitz passed away in 1993, but
Adjusting the screen door: Developing a rational approach to assessing for thyroid disease in patients with alopecia areata
By Warren R. Heymann, MD Jan. 11, 2018 Loss of the sideburns and marked frontal-temporal scarring alopecia with lonely hairs. ... Credit: ... JAAD Since my residency, I have been perplexed about how to screen patients with alopecia areata (or vitiligo) for thyroid disease. What tests should (or should not)
State law and teratogenic medications
Patient access to teratogenic medication may be impacted by state abortion access laws. The Academy has resources for members who prescribe teratogenic medications. ... Patient access to reproductive resources ... Do you have questions about changes to state laws since the Supreme Court decision overturning ... Roe v Wade? Do
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,
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
March 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 17, 2021 ... COVID-19 in melanoma patients DermWorld Insights and Inquiries : Hoops and happiness — Having the courage to take a shot DermWorld Young Physician Focus : Forging ahead
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
2019 DW Insights and Inquiries archive
Explore Dermatology World Insights and Inquiries articles by publication date. ... December ... December 18 - DWI&I holiday greeting 2020: Eyeing dermatology’s future December 11 - Topical retinoid therapy for acanthosis nigricans: In the thick of it December 4 - Beware: Discordance abounds among pathologists in the diagnosis of melanocytic
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
Telemedicine in the time of COVID-19...and beyond
How a novel virus disrupted and transformed health care delivery ... Feature ... By Allison Evans, assistant managing editor, July 1, 2021 Since its beginnings in the late 1960s, telemedicine has been relegated to the periphery of the health care system. Rigid rules around patient location and eligible services, interstate
Coding dermatology encounters in 2026: Practical guidance and tips for success
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding & Reimbursement, May 1, 2026 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . As healthcare delivery continues to evolve, 2026
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
June 14, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 14, 2023 ... Truncal acne in young adults DermWorld Insights and Inquiries : Teatime for radiation dermatitis (and beyond) Comorbidities of keloid and hypertrophic scars Misconceptions about biosimilars in dermatology
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
Dupilumab: The first year
By Warren R. Heymann, MD ... Jan. 8, 2018 A patient with severe atopic dermatitis has benefited from dupilumab. ... Credit: Warren R Heymann ... When introduced as dermatologist to a new acquaintance, I’m sure you have heard: "Dermatology is a great field — you don’t cure anybody, so
Short duration cyclosporine may undress DRESS
By Warren R. Heymann, MD July 22, 2016 DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) is a severe drug-induced hypersensitivity syndrome (DIHS) that may affect adults and children. The eruption of DRESS usually appears 3 weeks to 2 months after introduction of the drug. The rash is primarily morbilliform,
Finding your fit
Answers in Practice ... By Faiza Wasif, MPH, Associate Director, Practice Management, December 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss how to find the right practice model for you. How your dermatology practice is structured and operates can shape
The AAD’s international presence
From the President ... Dr. Taylor is the Academy’s former president. ... By Susan C. Taylor, MD, FAAD, December 1, 2025 Taking care of dermatologists so that they can take care of their patients...and their practices Dear members, ... As a reflection of the Academy’s commitment to advancing dermatology worldwide
A plasma cell dyscrasia fable: AESOP and POEMS presenting concurrently
By Warren R. Heymann, MD Sept. 7, 2016 There is a moral to every fable. In this commentary, it is that VEGF (vascular endothelial growth factor) may have multiple cutaneous manifestations, even in the same patient. ... Rongioletti et al presented the case of a 70 year-old man with an
Paraneoplastic syndromes (PNS) associated with merkel cell carcinoma are analogous to small cell cung Cancer: A comparison to other lung cancers
By Warren R. Heymann, MD Sept. 2, 2016 Merkel cell carcinomas (MCC) are neuroendocrine tumors associated with the Merkel cell carcinoma polyomavirus in >80% of tumors (1). Small cell lung cancer, another neuroendocrine tumor, is associated with paraneoplastic syndromes (PNS) in up to 20% of cases, notably the syndrome of
Essentials for employee training
Compliance training is a formal process to manage risk and educate employees on policies, procedures, and requirements. Often government-mandated, this training is meant to ensure workplace safety and prevent violations of the law. Compliance training can seem cumbersome or even futile but the evidence is clear that proper training is
Best of DermWorld Insights and Inquiries
Dec. 26, 2024 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2024 — starting with the most popular issue of the year. ... 1. Weighing in on glucagon-like
2020 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... December 23 - 2020 holiday greeting December 16 - We’re in hot water! Vibrio vulnificus infections are heading north December 9 - Much ado about nothing in dermatopathology December 2 - Pigmented onychomatricoma: Avoid getting nailed by
Myths and facts about human trafficking
There are many misconceptions about the nature of human trafficking which can compromise a dermatologist’s ability to recognize it during a patient visit. For example: ... Myth: Human trafficking does not occur in the United States. It only happens in other countries. ... Fact: Human trafficking exists in every country,
How to relieve hives at home
Tips from board-certified dermatologists ROSEMONT, Ill. (Feb. 11, 2022) — Hives are a common skin reaction that causes itchy bumps or raised, swollen-looking patches to appear on the skin. If you have a darker skin tone, hives are often the same color as your skin, or slightly darker or lighter.
Coding lessons learned in 2022 — update on all of the common coding FAQs
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, January 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . 2022 has come to a close
Employment-related legal considerations during the COVID-19 public health crisis
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Megan La Suer, JD, MHA, Rob Portman, JD, MPP, and Ben Tesdahl, JD, May 1, 2020 Every month, Dermatology World ... covers legal issues in "Legally
Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa
By Warren R. Heymann, MD, FAAD December 15, 2021 Vol. 3, No. 49 For inexplicable reasons, there are certain differential diagnoses that I find particularly satisfying, one being disorders responsible for facial follicular spicules: follicular mucinosis (1), pityriasis folliculorum ... (Demodex folliculorum) (2), follicular hyperkeratotic spicules (myeloma immunoglobulin or cryoglobulin)
Patient safety must come first
From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, February 1, 2021 Ask almost any dermatologist what health care issue bugs them the most, and they will likely cite unsafe scope of practice expansions by non-physician clinicians. Indeed,
December 24, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 24, 2025 ... Warts: Local hyperthermia with hydrogen peroxide DermWorld Insights and Inquiries : Holiday greeting 2025 Academy mourns the passing of Alfred W. Kopf, MD FDA alert flags cosmetic
February 11, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 11, 2026 ... Excision vs. topical 5-FU and photodynamic therapy in Bowen’s disease DermWorld What’s Hot: Sunscreen doping FDA confirms iPLEDGE changes Surgical interventions for hidradenitis suppurativa Is dual biologic
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
Atopic dermatitis: Up in smoke!
By Warren R. Heymann, MD Feb. 8, 2017 The etiology of atopic dermatitis (AD) is multifactorial, with genetic mutations of the filaggrin mutations affecting barrier function, immunodysregulation of the TH2 pathway, and environmental triggers being of primary importance. AD has long been associated with autoimmune diseases such as vitiligo and
Idiopathic facial aseptic granuloma — Have we met?
By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise
Differentiating lichen planopilaris from chronic cutaneous lupus may be as easy as 1,2,3 (actually CD123)
By Warren R. Heymann, MD June 4, 2016 My last dermatopathology case of the week was that of a woman with scarring alopecia, which was clearly well advanced. Hardly any follicles remained, and on one section there was a small follicular unit with a peri-infundibular mononuclear infiltrate and slight vacuolar
Weighing the options
As biologic therapies expand indications to children and adolescents, what do dermatologists need to know about balancing the risks and benefits? ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2023 Over the past five years, younger patients have steadily gained access to a range of FDA-approved targeted
Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas tale
By Warren R. Heymann, MD, FAAD Dec. 3, 2025 Vol. 7, No. 47 Santa Claus waving from his sleigh on Central Park West on Black Friday traditionally commenced the Christmas holiday season. That "official" start now occurs after the last trick-or-treater devours their Hershey bar on Halloween. Realistically, it is
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,
28 days
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, February 1, 2021 February is short this year. Kind of seems unfair that our extra February day happened in 2020, probably the one year none of us wanted extended, even if only
April 29, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 29, 2026 ... A timeline for increased hair shedding from topical minoxidil DermWorld What’s Hot: Basal cell nevus syndrome CMS updates Advance Beneficiary Notice (ABN) form: What practices need to
Treating acrodermatitis continua of hallopeau in 2018? Try guselkumab!
By Warren R. Heymann, MD April 21, 2017 Acrodermatitis continua of Hallopeau (ACH) is a disorder well known to dermatologists, but absolutely mysterious to everyone else. It is now considered a localized form of pustular psoriasis of the digits that may be accompanied by onychodystrophy and osteolysis. ... In my
And so, it ends.
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, December 1, 2025 We did not plan it this way, but perhaps it is fitting that "endings" seems to be a common theme of this edition of ... DermWorld . End
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month
Advocacy Update Apr. 22, 2025
IN THIS ISSUE / Apr. 22, 2025 AADA urges CMS to amend CLIA lab director requirements Dermatologists support truth in advertising bill in North Carolina AADA advocates for reduced regulatory burden through information requests AADA offers support, encourages CMS collaboration following Administrator Oz’s appointment Join your colleagues and contribute to
New treatments provide more options for people with alopecia areata
Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new
Aiming to hit the target in cutaneous granulomatous diseases
DermWorld discusses the latest treatment strategies for granulomatous skin diseases, and clinical advice for how to manage patients in the absence of approved therapies. ... Feature ... By Heidi Splete, Contributing Writer, February 1, 2026 Approved treatments for granulomatous skin diseases are lacking, but a growing number of case series
Managing menopause
Dermatologists discuss dermatologic changes before and during menopause and the dermatoses that may occur. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2025 Menopausal transitions can be stressful. While rapidly declining estrogen levels can wreak havoc internally, many of these changes involve the skin, hair, and vulvar
September 25
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 25, 2019 ... Which biologics cause weight gain in psoriasis patients? DW Insights and Inquiries : I never wanted chaperones — until now Two sides to every story Academy's contribution
Can we chat?
By Warren R. Heymann, MD, FAAD March 29, 2023 Vol. 5, No. 13 Flying back from the annual AAD meeting in New Orleans, I reflected on the past few days with newly acquired knowledge, joy (how wonderful it was to see my mentors, mentees, colleagues, and friends), pain (sore feet
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
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
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
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
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 —
In the event of an emergency: Be prepared
Answers in Practice ... By Emily Margosian, Assistant Editor, January 1, 2024 DermWorld ... talks to Kevin Crawford, MD, FAAD, from Forefront Dermatology in Seymour, Indiana, about office preparedness planning for emergency events. DermWorld: Tell us about your practice. Dr. Crawford: I practice medicine in the state of Indiana and
February 21
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 21, 2018 ... CMS releases MIPS quality performance scores Vote in the AAD election by March 3 Study indicates e-consults improve access to dermatology How helpful is federal research funding?
October 9, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 9, 2024 ... Topical 5-FU/calcipotriene cream for the treatment of squamous cell carcinoma in situ DermWorld Insights and Inquiries : Shedding light on tumoral melanosis FDA weighing approval of new
August 18, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 18, 2021 ... Evaluating diagnostic accuracy across Fitzpatrick phototypes, skin of color DermWorld Insights and Inquiries : Striving for hard facts about water softening in atopic dermatitis DermWorld Young Physician
January 22, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 22, 2025 ... Considerations regarding GLP-1 receptor agonist use in dermatology DermWorld Insights and Inquiries : An encapsulation of palisaded encapsulated neuromas Pregabalin vs. gabapentin in patients with chronic pruritus
January 22, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 22, 2020 ... Academy comments on FDA sunscreen study DW Insights and Inquiries : Paradoxical biological reactions and Grandma Dora’s waterbed 2020 revised codes: Intermediate and complex repair Participate in
October 15, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 15, 2025 ... Do new psoriasis biologics have better safety profiles than adalimumab? DermWorld Insights and Inquiries : Erectile dysfunction in dermatology — A silent epidemic AAD seeks member comments
November 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 19, 2025 ... Benefits and harms of 42 chronic urticaria interventions DermWorld Insights and Inquiries : The aryl hydrocarbon receptor — Tapinarof is taking off Switching biologics in patients with
Vitamin C as treatment of basal cell carcinoma: Is it fruitful?
By Warren R. Heymann, MD ... July 3, 2016 ... For those of us who learned that taking mega dose vitamin C for the common cold, as advocated by the late Nobel Laureate Linus Pauling, was truly something to sneeze at, I always approach studies lauding the effects of nutrient-based
An acne vaccine to make patients happy CAMPers?
By Warren R. Heymann, MD Nov. 12, 2018 When walking back to my office after receiving my flu shot, I thought about how wonderful it be to have a preventive therapy for common dermatologic disorders such as acne. That may not be so far-fetched. ... Acne vulgaris (referred to as
Aha! The iodide paradox now makes sense!
By Warren R. Heymann, MD Oct. 1, 2018 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD In the pre-direct immunofluorescence days of yore (before my time in dermatology), the exacerbation of dermatitis herpetiformis (DH) by oral or topical iodides could be
Mucho de Mucha-Habermann
By Warren R. Heymann, MD Dec. 19, 2016 As we approach interview season for our residency program, I try to think of some questions I haven’t asked before. I usually do not discuss dermatologic disorders per se, as I am more concerned about the interviewee as a person knowing how
Could wart immunotherapy open a therapeutic window for congenital nevi at risk for melanoma?
By Warren R. Heymann, MD ... June 13, 2017 ... Dermatoscopic image of congenital melanocytic nevus. Arrows point to reticular network (left), perifollicular hypopigmentation (center), and globules contained within empty spaces in the network ("target globules," right), features that are reportedly suggestive of congenital melanocytic nevi. ... Credit: ...
Maximizing knowledge about infantile hemangioma with minimal or arrested growth
By Warren R. Heymann, MD Feb. 3, 2017 Areas affected by segmental infantile hemangioma (IH) and IH with minimal or arrested growth (IH-MAG) of the arms (A to E) with correlating arterial supply areas. ... Credit: ... JAAD Knowledge about hemangiomas is proliferating at a rate the compares with the
Getting within a hair’s breadth of understanding prurigo pigmentosa
By Warren R. Heymann, MD March 2, 2017 Prurigo pigmentosa is an uncommon, acquired inflammatory disorder with a predilection for young adults of Asian descent. A 30-year-old Chinese man presented with reticulated erythematous and hyperpigmented papules on his back and shoulders (A and B). The eruption was present for 2
Vitiligo and melanoma: New thoughts on an old observation
By Warren R. Heymann, MD Nov. 27, 2016 I was fortunate that as a resident and fellow I had marvelous attending physicians who would offer their pearls of wisdom. As it is impossible to study every dictum, I would (usually) accept these viewpoints as "facts" and incorporate them into practice.
Aleppo to Zika: 2016’s anxieties may lead to 2017’s dermatoses
By Warren R. Heymann, MD Dec. 17, 2016 "Doctor, did stress cause my breakout?" ... How many times have your patients with acne, psoriasis, or urticaria asked you this question? My usual response is "No, it didn’t cause it, but it sure can make it worse!" ... The first time
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month
Could a metal implant affect your skin?
Board-certified dermatologist weighs in on the role of metal allergies in medical implants NEW ORLEANS (March 17, 2023) — Millions of people in the U.S. report having a metal allergy, and current estimates state that 10 percent of Americans will receive a medical implant during their lifetime ... 1 ...
Is your margarita giving you a rash?
Dermatologist shines a light on the latest research in photocontact dermatitis SAN DIEGO (March 8, 2024) — Sun sensitivity and related skin conditions are often misunderstood. Foods, medications, and skincare products can trigger symptoms like itching, redness, blistering, or burning. One of the most common conditions is photocontact dermatitis, a
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
23andDermatology
Go to AAD Home ... Go to AAD Home ... Menu ... What are the dermatologic implications of direct-to-consumer DNA tests? ... What are the dermatologic implications of direct-to-consumer DNA tests? ... By Emily Margosian, assistant editor Spit, swab, drop DNA in the mail. Since genetic tests were first offered
The modern payer contract
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., November 1, 2016 Many physicians who have been in practice for a while remember the backlash against managed care in the late 1990s with talk
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
Keeping abreast of drug-induced cutaneous lupus
By Warren R. Heymann, MD, FAAD Aug. 4, 2021 Vol. 3, No. 31 Tom Hanks, as Commander Jim Lovell in the movie ... Apollo 13, lamented that the world was not watching their onboard video, compared to Neil Armstrong’s moon landing a year earlier. Reality dictates that the seminal breakthroughs
July 12, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 12, 2023 ... Association between hydrochlorothiazide use and nonmelanoma skin cancer DermWorld Insights and Inquiries : After 23 years, a syndrome converted me into an eflornithine believer Potential applications of
December 8, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 8, 2021 ... Factors that may predict chronic spontaneous urticaria recurrence DermWorld Insights and Inquiries : Propranolol and neutrophilic dermatoses — Can beta-blockade be better blockade? Feedback requested: Actinic keratosis
November 29, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 29, 2023 ... Effects of probiotic supplementation in adults with atopic dermatitis DermWorld Insights and Inquiries : Sweet sounds of the "SKINphony" — Incorporating music into daily dermatologic practice Is
January 14, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 14, 2026 ... Are light-based therapies effective for hair loss? DermWorld What’s hot : Local recurrence and survival in patients with melanoma in situ Strategies to reduce the risk of
January 28, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 28, 2026 ... Topical estrogens for skin aging DermWorld What’s Hot: Driver of psoriatic itch Outcomes across JAK inhibitors in prurigo nodularis Anticholinergic treatments for hyperhidrosis Assessment of GPT-4 vision
Old stains leaving new marks in dermatology
... By Warren R. Heymann, MD Oct. 15, 2018 A new blue-gray papule was noted on the left side of the neck and was excised as outlined by gentian violet surgical marker. ... Credit: ... JAAD Periodically I will pull an ancient tie from my rack. I’m delighted if
Atopic dermatitis: Fantasizing about a dual approach
By Warren R. Heymann, MD March 9, 2017 Patient photos before and after dupilumab. A, Subject-provided photograph before the start of dupilumab therapy. B, Photograph taken in the clinic 1 year after the patient started dupilumab therapy. ... Credit: ... JAAD It has been acknowledged that we are on the
The ultimate prognosis of eosinophilic fasciitis may not be groovy
By Warren R. Heymann, MD Sept. 18, 2017 Presentation in March 2017 with diffuse hyperpigmented sclerodermoid lesions of the bilateral upper extremities with palpable fasciitis and tightening of the distal forearm muscles. ... Credit: ... JAAD My patients with eosinophilic fasciitis (EF, Shulman syndrome) have been fortunate. They have been
6 curly hair tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (June 30, 2022) — As people shed their winter hats in favor of warmer temperatures, letting their hair flow freely, having the right hair care routine is important. According to dermatologists from the American Academy of Dermatology, people with curly or tightly coiled hair
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
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
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,
Warning signs
Go to AAD Home ... Go to AAD Home ... Menu ... Screening and treating patients with body dysmorphic disorder ... Screening and treating patients with body dysmorphic disorder ... By Ruth Carol, contributing writer Patients routinely come in for cosmetic procedures, but how do you know if the patient
July 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2024 ... Tazarotene vs. imiquimod in patients with plane warts DermWorld Insights and Inquiries : Fire ant stings: From pain to gain — The therapeutic potential of solenopsin Efficacy
September 13, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 13, 2023 ... Are psoriasis biologics safe during conception, pregnancy? DermWorld Insights and Inquiries : Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus
January 11, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 11, 2023 ... Antihistamines as adjunct therapy for alopecia areata DermWorld Insights and Inquiries : Acquisition and loss — A tribute to Jouni Uitto, MD, PhD Lidocaine shortage: Ask the
April 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 27, 2022 ... A novel treatment for molluscum contagiosum? DermWorld Insights and Inquiries : Eye-opening news about oxymetazoline Trends in prescribing spironolactone for acne, HS in adolescents Racial biases in
December 9, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 9, 2020 ... What are the effects of OTC moisturizers on skin barrier function? DermWorld Insights and Inquiries : Much ado about nothing in dermatopathology CMS fails to prevent Medicare
January 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 24, 2024 ... Micrographic vs. conventional excision: Reducing rates of BCC, SCC DermWorld Insights and Inquiries : Senile gluteal dermatosis — The term ‘senile’ is getting old and should be
February 14, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 14, 2024 ... Topical tofacitinib for lichen planopilaris, frontal fibrosing alopecia DermWorld Insights and Inquiries : Caveat mTOR revisited — Neurofibromatosis Risk factors for development of tinea pedis, onychomycosis Mpox
Pride 2020: What is the meaning of Pride and how should it impact our practice?
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... June 24, 2020 By Klint Peebles, MD, and Erica D. Dommasch, MD, co-chairs of the AAD’s Expert Resource Group (ERG) on LGBTQ/Sexual and Gender Minority (SGM) Health As we commemorate another LGBTQ (lesbian, gay, bisexual,
September 3, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 3, 2025 ... Comparison of botulinum toxin A formulations for treating glabellar strain DermWorld Insights and Inquiries : Trichobacteriosis — A salute to the Shelleys Academy mourns the passing of
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
Here comes the sun: The role of polypodium leucotomos extract
By Warren R. Heymann, MD Aug. 9, 2017 Ultraviolet (UV)B response. Changes in biomarkers of UV radiation exposure before and after Polypodium leucotomos extract (PLE). A, Stained nuclei for cyclobutane pyrimidine dimers (CPD), Ki67, proliferating cell nuclear antigen (PCNA), and cyclin D1. B, Sunburn cells and cytoplasmic staining for cyclooxygenase-2
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 —
Develop a nose for suspecting angiosarcoma
Angiosarcoma histopathology. Anastomosing dilated vessels, lined by crowded endothelial cells, extend between pre-existing collagen bundles. (Hematoxylin-eosin-saffron stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Nov. 12, 2018 Occasionally I read an article that disturbs me, because I know that I would miss the diagnosis, with
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,
Responding to a breach
HIPAA requires security measures primarily to prevent breaches of protected health information (PHI). A breach is the theft, loss, or unauthorized access of PHI. When clinicians breach PHI, the law requires notification of both patients and HHS. ... What causes breaches ... Most breaches are caused by human error and
Methotrexate toxicity: What’s in a name?
By Warren R. Heymann, MD Aug. 24, 2017 Methotrexate-induced skin toxicity: photographs of 4 illustrative cases. A, Erosions in psoriatic plaques over the torso (patient 1). B and C, Ulcerated and reticulated psoriatic plaques over the arms (patient 2). D, Small shallow cutaneous erosions (patient 4). E, Mucosal erosions over
Lessons learned from canine atopic dermatitis
What can human and veterinary dermatologists learn from each other in the management and treatment of atopic dermatitis? ... Feature ... By Emily Margosian, assistant editor, December 1, 2020 In the past, a single doctor would have been called upon to care for all members of a household — including
Sky high
PBM tactics increase drug prices, lower patient access ... Feature ... By Ruth Carol, Contributing Writer, September 1, 2022 Last month, ... DermWorld discussed the role pharmacy benefits managers (PBMs) play in the drug distribution chain. This month, we will discuss some of the tactics PBMs use that are driving
Cosmetic conundrums
Contact dermatitis experts discuss key cosmetic allergens and how to investigate which product may be causing a patient’s allergic reaction. ... Feature ... By Emily Margosian, Assistant Editor, September 1, 2023 Thousands of substances can cause an allergic skin reaction, offering a broad lineup of potential "suspects" for contact dermatitis
Start the presses!
Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer advice on how to successfully manage media relations ... Experts offer advice on how to successfully manage media relations ... By Victoria Houghton, assistant managing editor When Anne Chapas, MD, arrived in New York City and
IL-36 and generalized pustular psoriasis: L’chaim!
By Warren R. Heymann, MD, FAAD March 9, 2022 Vol. 4, No. 10 In 1910, Leo Ritter von Zumbusch meticulously detailed the clinical course of "psoriasis pustulosa generalisata" (referred to herein as generalized pustular psoriasis, GPP) in a brother and sister, pondering if this was a variant of psoriasis or
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
Protecting patient privacy
DermWorld offers six key tips for cultivating habits to improve cybersecurity in your practice. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2024 Viruses, infections, safety plans: these days health care workers not only use these words to discuss patient wellness but also to protect patient privacy. Protected
Do acral biopsies in dermatomyositis patients have less-prominent histopathologic findings than biopsies from other anatomic locations?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, August 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Anthony Patrick Fernandez, MD, PhD, FAAD, about his recent Journal of Cutaneous Pathology ... article, ‘ Histopathologic Features of Acral Skin Biopsies in Dermatomyositis Patients
Leasing the practice: An end-run to acquisition
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., July 1, 2020 Every month, Dermatology World ... covers legal issues in Legally Speaking. This month’s author, Alice G. Gosfield, Esq. is a health care
February 5, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 5, 2020 ... Legislators aim to prevent sunscreen bans DW Insights and Inquiries : Prurigo pigmentosa as the "keto rash": I’m a believer Correction issued to pediatric psoriasis treatment guidelines
October 11, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 11, 2023 ... Is clascoterone effective for mild hidradenitis suppurativa? DermWorld Insights and Inquiries : Dermatologists should not be in the dark about kratom How often does scabies treatment fail?
October 23, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2019 ... Treating molluscum contagiosum: Ingenol mebutate vs. imiquimod DW Insights and Inquiries: Coming clean on bleach baths for atopic dermatitis Ancestry launches consumer genetic health testing CMS offers
April 9, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 9, 2025 ... Finasteride: Risk of depression and suicide? DermWorld Insights and Inquiries : Till death do us part — Love, marriage, and cutaneous oncology Adding oral minoxidil to standard
May 6, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 6, 2026 ... Nutritional, light-based, and lifestyle interventions for androgenetic alopecia DermWorld Insights and Inquiries : Granular C3 dermatosis in granular detail Risk of infection with JAK inhibitors Oral vs.
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
My fair-weather therapeutic friends for alopecia areata
By Warren R. Heymann, MD April 25, 2017 Type C clinical pattern of alopecia. A, Patchy hair loss on a background of a diffuse hair loss with (B) occipital involvement in an ophiasis-like pattern. C, Biopsy specimen obtained from the vertex of the scalp. Histopathology of vertical sections shows an
Dyeing for a “new” topical agent for psoriasis? Think indigo
By Warren R. Heymann, MD April 9, 2018 Despite the magnificent revolution of biologics for psoriasis, topical agents remain the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments. Patients clamor for "natural" products and are increasingly steroid phobic (please see "Countering Corticophobia with Assistance from
Mpox: Caring for skin
The mpox (monkeypox) virus causes lesions to form on the body. While these can be located anywhere, many individuals during the current outbreak have experienced lesions in the anogenital region, though involvement of other areas including the face, extremities, and mucosal areas such as the mouth have also occurred. ...
Contemplating the association of hydrochlorothiazide to nonmelanoma skin cancer raises my blood pressure
By Warren R. Heymann, MD March 29, 2018 Photosensitivity secondary to hydrochlorothiazide (HCTZ) use. Well-demarcated erythema on sun-exposed region of the forearm of this patient who was taking HCTZ. ... Credit: ... JAAD If you asked me to name the most important cutaneous adverse reactions to the thiazide diuretic hydrochlorothiazide
Five unsafe skin care trends to avoid
Advice from board-certified dermatologists to keep your skin healthy ROSEMONT, Ill. (Nov. 1, 2023) — Social media platforms are rife with skin care advice from a variety of sources, which can make it difficult to know how to approach the recommendations you find online. In recognition of National Healthy Skin
Think that DIY acne trick is helping? Here’s what dermatologists want you to know
Board-certified dermatologist provides tips for clearer skin ahead of Acne Awareness Month ROSEMONT, Ill. (May 27, 2025) — Acne is one of the most common skin conditions, affecting nearly 85% of people at some point in their lives. With people increasingly turning to social media for skin care advice, at-home
Links in the care chain
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... By Jan Bowers, contributing writer A diagnosis of advanced melanoma marks the
This month’s news from across the specialty
What’s hot ... September 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD What’s Hot? Capsaicin! The popular spice has been shown to decrease inflammation through a mechanism that is independent
This month’s news from across the specialty
What’s hot ... May 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Emily Y. Chu, MD, PhD, FAAD Dermatopathologists always welcome clues to help make diagnoses, especially ones that suggest a specific culprit medication in
This month's news from across the specialty
What's hot ... February 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS A ... recent blog in Medical Care reviews how health misinformation has been growing across internet and social
Giving thanks.
From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, November 1, 2023 As we all begin to prepare for the holidays and start to shore up plans for Thanksgiving, I can’t help but reflect on
March 31, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 31, 2021 ... Studies show skin rashes are highly predictive of positive COVID-19 results DermWorld Insights and Inquiries : Netherton syndrome — From apex to nether New AAD research grant
October 2, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2019 ... Does gluten increase risk for psoriasis and AD in women? DW Insights and Inquiries : Cutting giant congenital nevi down to size molecularly Upcoming coding changes: Differentiating
September 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 6, 2023 ... Chemoprevention of keratinocyte carcinoma with imiquimod, 5-FU, and tretinoin DermWorld Insights and Inquiries : Paraneoplastic Merkel cell carcinoma: Searchin' for my lost shaker of salt Vitiligo patients
September 23, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 23, 2020 ... Nail manifestation and COVID-19: The red half-moon sign DermWorld Insights and Inquiries : The profound dermatologic manifestations of COVID-19: Part VII — Who was that masked man?
June 3, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 3, 2020 ... COVID-19 and androgenetic alopecia: Is there a link? DW Insights and Inquiries : Clear cell papulosis — Clearly distinctive, clearly underrecognized Register for the Academy’s virtual meeting
March 20, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 20, 2024 ... Combination imiquimod and 5-FU for treating AKs DermWorld Insights and Inquiries : San Diego AAD musings Talking points: Benzene found in acne care products Safety of dermatologic
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
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
This month’s news from across the specialty
What’s hot ... March 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD "Greatest Greetings of Todays Dr. Carroll! Taking this opportunity, we would like to cordially invite you to contribute
This month’s news from across the specialty
What’s hot ... April 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate,MD, FAAD Melasma is a phenotype of photodamage with a complex and multifaceted etiology involving UV radiation, visible light, hormones, and genetics,
Memories of pneumocystis pneumonia and thoughts of prophylaxis
By Warren R. Heymann, MD ... Nov. 27, 2017 ... A chest x-ray examination demonstrated a ground-glass appearance throughout the bilateral mid lung zones with sparing of the apices (Fig. 1). ... Credit: ... JAAD My childhood friend Alan was a rotating surgical resident at Methodist Hospital in Houston
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
Alleviate the ouch
Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology
Troll control
How can dermatology practices respond to false and malicious online reviews while maintaining HIPAA compliance? ... Feature ... By Allison Evans, Assistant Managing Editor, June 1, 2023 The practice of medicine is personal. It’s personal for the patient, and it’s personal for the physician. While negative reviews sting, there is
A mixed bag
A burgeoning style of dermatologic care that combines traditional medicine with evidence-based alternatives is taking shape ... Feature ... By Allison Evans, assistant managing editor, August 1, 2021 As a child, Peter Lio, MD, FAAD, was an enthusiast for all things mysterious — telepathy, Bigfoot, the Loch Ness Monster. Despite
What's coming down the psoriasis pipeline?
Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer
Pharmacy benefits managers
Middlemen who rose to the top ... Feature ... By Ruth Carol, Contributing Writer, August 1, 2022 Pharmacy benefits managers (PBMs) may be in the middle of the distribution drug chain, but they are on top when it comes to profits. ... PBMs had a humble beginning in the 1960s;
What's hot?
What's hot ... May 31, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... There are several FDA-approved options available for field therapy for the treatment of multiple actinic keratoses, including
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
May 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 30, 2018 ... FDA issues warning on unapproved sunscreen pills May Access Hero: Karen Edison, MD Study: AI detects skin cancer better than dermatologists BCBS Michigan rescinds modifier 25 reimbursement
October 28, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 28, 2020 ... Drug may offer prolonged improvement in chronic spontaneous urticaria DermWorld Insights and Inquiries : Looking into the whites of the mouth Why will dermatology experience a 2%
November 11, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 11, 2020 ... How effective are steroid-sparing agents in treating chronic alopecia areata? DermWorld Insights and Inquiries : Raising a toast to advances in treating alcohol-induced flushing Derm Coding Consult
April 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 5, 2023 ... What’s the effect of probiotics on skin photoaging? DermWorld Insights and Inquiries : An appealing step closer to targeted topical therapies Does nicotinamide prevent keratinocyte cancers in
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
Sirolumus’s merit for the Kasabach-Merritt phenomenon
By Warren R. Heymann, MD Oct. 8, 2018 KHE patient after 15 months of sirolimus therapy. ... Credit: ... JAAD Thrombopenic purpura associated with benign hemangioma is rare. In fact, we have not been able to find a record of a combination of these two conditions in the medical literature.
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.
Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis
By Warren R. Heymann, MD April 26, 2018 ... Pemphigoid gestationis in 34-year-old primigravida at 28 weeks gestation. A, Urticated erythema with multiple tense blisters on both thighs. B, Histopathologic findings reveal subepidermal blister formation with abundant eosinophils, accompanied by superficial and middermal perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin stain; original magnification:
This month’s news from across the specialty
What’s hot ... March 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Palliative medicine assists patients with balancing their goals of care with multiple physicians. The shared decision-making with patients
Is 3D total-body photography effective in early detection of melanoma?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, December 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with H. Peter Soyer, MD, FACD, FAHMS, and Monika Janda, PhD, about their JAMA Dermatology ... paper ‘ 3D Total-Body Photography in Patients at High Risk
Revenue cycle best practices
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, CPCD, Analyst, Coding & Reimbursement, December 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . In today’s increasingly complex health care environment, dermatology practices, whether solo or
This month’s news from across the specialty
What’s hot ... June 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Emily Chu, MD, PhD, FAAD Genetic alterations underpinning melanoma have been increasingly well characterized over the last two decades — most notably point mutations
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.
Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication
By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain
Progress for progressive multifocal leukoencephalopathy
By Warren R. Heymann, MD May 8, 2019 Vol. 1, No.9 Progressive multifocal leukoencephalopathy (PML) is a nightmare. For any dermatologist seeing patients with autoimmune diseases, HIV, lymphoproliferative disorders, or who are on immunosuppressive medications (azathioprine, chlorambucil, cyclophosphamide, glucocorticoids methotrexate, TNF inhibitors, and rituximab), PML is a "sword of Damocles,"
Supplements and the skin
Are nutritional supplements aimed at skin care helpful, harmful, or simply a placebo for patients? ... Feature ... By Heidi Splete, Contributing Writer, July 1, 2023 Nutritional supplements appeal to many individuals as an alternative or additive treatment for skin and hair ailments, but evidence to support the effectiveness of
What's new in treating connective tissue disease
Dermatologists discuss the latest advances in treating cutaneous lupus, dermatomyositis, and systemic sclerosis. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2023 There are more than 200 disorders included within the term "connective tissue disease." Some of these disorders predominantly affect the skin or have skin-related implications,
Ergonomics in dermatology
Neck, back, shoulder pain? It could be your exam table. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2025 After investing an average of 12 years of education and training, the last thing a dermatologist wants is to have their career cut short by musculoskeletal disorders (MSDs). However,
Ready to launch
Academy HAIR Grants enable new research on hair loss and skin of color ... Feature ... By Jan Bowers, Contributing Writer, May 1, 2022 A nearly $1.5 million windfall from a class action lawsuit is enabling intensive, multifaceted research of traditionally understudied aspects of hair disorders afflicting diverse populations and
From "slugging" to snail mucin
Dermatologists discuss popular social media trends impacting the skin. ... Feature ... By Emily Margosian, Assistant Editor, October 1, 2023 Social media and the skin have a long history together. For over 15 years, social media has been an ever-growing presence in nearly all facets of life: politics, commerce —
Tackling Stevens-Johnson syndrome/toxic epidermal necrolysis: Part 1
Diagnosis and common mimickers. ... Feature ... By Emily Margosian, Senior Editor, May 1, 2026 Among serious diseases treated by dermatologists, Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) often top the list. ... Rare disorders of the skin and mucous membranes, SJS and TEN are thought to be clinically
Recent health care enforcement trends and risk areas for physicians and their practices
Legally Speaking ... Alexandra Volpe, JD, and John Kelly, JD, are health care attorneys with Barnes & Thornburg LLP. ... By Alexandra Volpe, JD, and John Kelly, JD, September 1, 2025 DermWorld ... covers legal issues in "Legally Speaking." This month’s authors are health care attorneys with Barnes & Thornburg
The ins and outs of billing company contracts
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., November 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is Alice G. Gosfield, Esq., who is a health
A new understanding of itch and eczema
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, May 1, 2018 In this month's Acta Eruditorum, Physician Editor Kathryn Schwarzenberger, MD, talks with Brian Kim, MD, MTR, about his
Summary of MIPS 2021 changes
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Faiza Wasif, MPH, the Academy’s Practice Management manager, offers a summary of MIPS changes in 2021. CMS released the final Quality Payment Program (QPP)
March 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 13, 2019 ... Is routine laboratory monitoring for isotretinoin patients necessary? Welcome to Dermatology World Insights and Inquiries Innovative learning experiences equip members to provide compassionate patient care Scientists report
July 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 5, 2023 ... Petroleum jelly: Safety, myths, and misconceptions DermWorld Insights and Inquiries : Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses Managing CLE with JAK inhibitors Homelessness
Topical retinoid therapy for acanthosis nigricans: In the thick of it
By Warren R. Heymann, MD Dec. 11, 2019 Vol. 1, No. 39 At the risk of overgeneralizing, in my experience there are two types of patients with acanthosis nigricans (AN) — those who are devastated by it, and those are unaware that they have it. ... This commentary will focus
Paradoxical biological reactions and Grandma Dora’s waterbed
By Warren R. Heymann, MD January 22, 2020 Vol. 2, No. 3 My late maternal grandmother Dora — a real ... balabusta (Yiddish for "mistress of the house") — was the first person I knew to get a waterbed. That raised eyebrows, until I explained that it comforted her octogenarian
Prurigo pigmentosa as the “keto rash”: I’m a believer
By Warren R. Heymann, MD February 5, 2020 Vol. 2, No. 5 Patients are attuned to their diets — healthy, unhealthy, or trendy. Unquestionably, certain foods exacerbate specific dermatoses — just ask any dermatitis herpetiformis patient how they fare with a slice of Sicilian pizza. More often the situation is
New data to recall when considering radiation recall dermatitis
By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For
When assessing morbilliform eruptions think about morbilli (measles)!
By Warren R. Heymann, MD May 1, 2019 Vol. 1, No. 8 ... I’m confident you’ve seen the headlines about measles (rubeola, morbillii): ... "Measles Outbreak: The Spread in New York" ( ... New York Times , March 28, 2019) ... "Fourth Measles Case Reported in Maryland Outbreak" ( ...
Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018
By Warren R. Heymann, MD July 16, 2018 ... A and B, Pityriasis lichenoides chronica–like drug eruption. The lower legs show several, 3- to 4-mm, red-brown, thin papules with centrally adherent micaceous scale and intermixed erosions. ... Credit: ... JAAD As a first-year dermatology resident in 1980, I struggled with
Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?
By Warren R. Heymann, MD Sept. 18, 2019 Vol. 1, No. 28 Chatting with my chief resident, Tia Pyle, I was lamenting the recent comparative report that ingenol mebutate (and other treatments) did not fare as well as 5-fluorouracil (5-FU) for treating actinic keratoses (AKs). (1) (See previous ... Dermatology
Unity: Our guiding principle
From the President ... Dr. Desai served as Academy president from March 2024 to March 2025. ... By Seemal R. Desai, MD, FAAD, October 1, 2024 Dear members, ... Last month, I attended — along with many of our fellow members —the AADA’s Legislative Conference in Washington, D.C. Fighting for
June 30, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 30, 2021 ... Treating atopic dermatitis with cognitive behavioral therapy: Does it work? DermWorld Insights and Inquiries : Deep learning in dermatopathology Sublingual tofacitinib for alopecia areata Biologic psoriasis treatments
Beyond dermoscopy
Emergent technologies enhance imaging, target rare diseases. ... Feature ... By Jan Bowers, Contributing Writer, August 1, 2023 Dermoscopy has arrived. "While there are established practicing dermatologists who are not using it, it’s integrated across the residency programs," said Ashfaq A. Marghoob, MD, FAAD, attending physician at Memorial Sloan Kettering
The role of GLP-1s in dermatology
Dermatologists discuss how the use of GLP-1s has offered potential new avenues for patients with chronic inflammatory skin diseases. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2026 Over the past five years, the approvals of glucagon-like peptide-1 receptor agonists (GLP-1s), particularly semaglutide and tirzepatide, have sparked
What's hot?
What's hot ... February 28, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Rosalie Elenitsas, MD ... Malignant melanoma is one of the most serious diagnoses that dermatologists face on a regular basis. While many cases
When is pyoderma gangrenosum not pyoderma gangrenosum?
Clinical Applications ... Dr. Hsu is a member of the ... DermWorld Editorial Advisory Workgroup. ... By Sylvia Hsu, MD, November 1, 2019 In this month’s Clinical Applications column, Editorial Advisory Workgroup member Sylvia Hsu, MD, talks with Emanual Michael Maverakis, MD, about his recent ... JAMA Dermatology and ...
This month's news from across the specialty
What's hot ... September 1, 2020 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... HARRY DAO JR., MD Hidradenitis suppurativa (HS) ranks high on my list of tough conditions to manage. In 2015, adalimumab’s new status
What's hot?
What's hot ... July 24, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The first human retrovirus, identified in 1980, was not HIV, but human T-cell lymphotrophic virus-1 (HTLV-1). It
What dermatologists need to know about workplace disability accommodations under the ADA
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Jason Qu, JD, and Robert M. Portman, JD, MPP, January 1, 2025 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s authors are
Sharing the Stark money
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., March 1, 2022 Every month, DermWorld covers legal issues in "Legally Speaking." This month’s author, Alice G. Gosfield, Esq., is a health care attorney at
What's hot?
What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,
January 23
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 23, 2019 ... How does skin age? Researchers may have found the answer. AAD refutes misleading sunscreen article Taking the pain out of prior authorization denials Academy responds to Vision
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
June 6
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 6, 2018 ... Feedback requested: Primary cutaneous melanoma treatment draft guidelines Integrating the human touch at the AAD Annual Meeting Insurer reverses onerous isotretinoin policy FDA issues REMS draft guidance
Reassuring patients with sclerosing lymphangitis of the penis that they will not get shafted
By Warren R. Heymann, MD, FAAD July 17, 2024 Vol. 6, No. 29 Over the past decade of using our electronic medical record, I must have clicked on the word "reassurance" thousands of times for anxious patients with lesions of no biological concern. Today you will calm patients who are
Shedding light on tumoral melanosis
By Warren R. Heymann, MD, FAAD Oct. 9, 2024 Vol. 6, No. 41 Tumoral melanosis (TM) is a worrisome and confounding lesion for dermatologists and dermatopathologists alike. TM presents as darkly pigmented macules, papules, or nodules mimicking the appearance of a melanoma. Most cases are associated with either partial or
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
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
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
Anticipating Iceland: Ice-pack dermatosis
By Warren R. Heymann, MD, FAAD April 10, 2024 Vol. 6, No. 15 Iceland beckons. Many of our plans were scuttled by COVID-19, including a long-planned tour of Iceland, which (as of this writing) is exactly two months away.* My wife and I eagerly await the other-worldly topography, unpronounceable waterfalls,
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
Dermatopathology
Cutting giant congenital nevi down to size molecularly Eosinophilic dermatosis of hematologic malignancy: Reality bites Oy, another "Oid" to worry about: Cryptococcoid lesions Biting my nails worrying about atypical presentations of nail unit melanomas Deep penetrating thoughts about deep penetrating nevi Sophie’s choice: Assessing atypical Spitz tumors in the molecular
Managing patient inquiries after hours
Answers in Practice ... By Emily Margosian, Assistant Editor, May 1, 2022 DermWorld ... talks to Jennifer Goldwasser, MD, FAAD, from Goldwasser Dermatology in Hartsdale, New York, about how to manage after-hours patient communications while maintaining a good work-life balance. DermWorld: Tell us about your practice. Dr. Goldwasser: I think
Wound care practices draw increased enforcement and regulatory focus
Legally Speaking ... Erin Steele, JD is a health care attorney with Barnes & Thornburg LLP in Washington, D.C. ... By Erin Steele, JD, May 1, 2026 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is a health care attorney with Barnes & Thornburg LLP
Dermatology issues in the news
Talking points: FDA proposal on new sunscreen ingredient ... The American Academy of Dermatology Association applauds the Food and Drug Administration (FDA) for taking the first steps in more than two decades to provide more safe and effective sunscreen options to the American public. ... The agency announced that they
Breaking through
Go to AAD Home ... Go to AAD Home ... Menu ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... By Allison Evans, assistant managing editor
COVID-19 impact on employed dermatologists: Part 2
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, October 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking."
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
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
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
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
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
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
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
Understanding and managing vulvovaginal itching
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, October 1, 2025 In this month's Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Gil Yosipovitch, MD, FAAD, and Kayla D. Mashoudy, MD, about their American Journal of Clinical Dermatology ... paper, ' Scratching the Surface: A Comprehensive Guide
Shining a light on the Sunshine Act
Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., July 2, 2018 The "Sunshine Act" as it has come to be known (stemming from Sen. Charles Grassley’s position that sunshine is the best disinfectant)
Definitions for the medical decision-making elements terminology
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, February 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Beginning Jan. 1, 2021, the selection of office
Alaskapox: The beat goes on
By Warren R. Heymann, MD, FAAD Feb. 21, 2024 Vol. 6, No. 8 Disclaimer: This commentary was written on Feb. 14, 2024, for a publication date of Feb. 21, 2024. The issues related to Alaskapox are currently under investigation. Some content included in this commentary may no longer be factual
February 6
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 6, 2019 ... Nearly half of U.S. physicians are burned out AAD/A CEO announces departure this spring Anthem to institute new modifier 25 payment policy Researchers create new protein that
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
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
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
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
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
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
Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and Carteaud
By Warren R. Heymann, MD, FAAD Feb. 5, 2025 Vol. 7, No. 5 Congratulations to Aaron Judge for setting the American League seasonal record in 2023 for the most home runs — 62 — a remarkable feat. I was only six years old when Roger Maris* slammed his 61st home
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,
Benzene in consumer products
What dermatologists and patients should know. ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2025 From dry shampoo to acne medication — benzene, a known human carcinogen, has been detected in multiple cosmetic and cutaneous products over the past several years. ... The International Agency for Research on
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
By Warren R. Heymann, MD, FAAD February 16, 2022 Vol. 4, No. 7 If there was a statistic for a dermatological diagnostic impact factor, vascular Ehlers-Danlos syndrome (vEDS) would be at the top. Often undiagnosed until tragedy strikes, astute dermatologists who consider the diagnosis prior to an acute event may
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
The profound dermatological manifestations of COVID-19 Part VI: Going to the dogs
By Warren R. Heymann, MD July 29, 2020 Vol. 2, No. 30 Disclaimers: This commentary was written on July 12, 2020 for a publication date of July 29, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
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
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
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
Telemedicine in the age of COVID-19: What’s happened and what’s to come
Legally Speaking ... By Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, March 1, 2022 Every month, DermWorld covers legal issues in Legally Speaking. This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, D.C. Portman is also general counsel for the
Clear as mud
Pulling back the curtain on PBMs for transparent drug pricing. ... Feature ... By Andrea Niermeier, Contributing Writer, April 1, 2024 When hearing "pay no attention to the man behind the curtain," one might be reminded of a wizard in the Land of Oz. However, those in health care may
Dermatology World Weekly
DermWorld Weekly is a brief, concise digest of the latest news, hand-picked by ... DW’s editorial team with analysis of why it matters to dermatologists. ... Each week editors review the landscape of health care news in ... DermWorld's core areas of practice management, policy, and patient care, and highlight
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
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
Treatments for renal IgA vasculitis are beginning to flow
By Warren R. Heymann, MD, FAAD Feb. 19, 2025 Vol. 7, No. 7 The alliterative phrase "palpable purpura" will instantly conjure the diagnosis of leukocytoclastic vasculitis (LCV) for dermatologists. IgA vasculitis (IgAV, aka Henoch-Schönlein purpura [HSP]) is the most common vasculitis in children but is much less frequent in adults.
What are the updated guidelines of care for the management of primary cutaneous melanoma?
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, December 3, 2018 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Susan M. Swetter, MD, and
Your Dermatologist Knows
An update on the Academy’s successful consumer positioning strategy. ... Feature ... By Matt Walsh, Specialist, Member Communications, December 1, 2025 2026 will be the fourth full year of the Academy’s revolutionary push to position board-certified dermatologists as the experts in skin, hair, and nail health. Since launching in October
Speaking the same language
Go to AAD Home ... Go to AAD Home ... Menu ... How cultural competency can improve communication — and care outcomes ... How cultural competency can improve communication — and care outcomes ... By Emily Margosian, assistant editor Sometimes a seemingly innocent gesture can have unintended consequences. In 2012,
Legal vs. ethical dilemmas in dermatology
Go to AAD Home ... Go to AAD Home ... Menu ... Your heart says ‘yes,’ but your lawyer says ‘no’ — experts weigh in on how to make the right choice ... Your heart says ‘yes,’ but your lawyer says ‘no’ — experts weigh in on how to make
A spotlight on hidradenitis suppurativa
HS experts discuss the latest therapeutic and procedural updates to optimize disease management. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2025 For many years, hidradenitis suppurativa (HS) has been an understudied disease that was poorly understood, making treatment difficult. While there is still much to be
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
Post-pandemic checklist
The COVID public health emergency has ended. Experts discuss how dermatologists can stay compliant amid a changing policy landscape. ... Feature ... By Emily Margosian, Assistant Editor, June 1, 2024 COVID-19 is "over" — what’s next? ... In May 2023, the Biden Administration announced the end of the COVID-19 public
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
Out of the (check) box
Dermatologists break down how to make quality and practice improvement activities manageable while benefiting their practice and patients. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2022 Quality improvement (QI) efforts are increasingly tied to reimbursement. Reporting measures in the quality category of the Merit-based Incentive Payment
Cosmetic crackdown
FDA to be granted greater authority over cosmetic regulations in 2024. ... Feature ... By Andrea Niermeier, Contributing Writer, October 1, 2023 Social media has opened the door for cosmetic brands to use new and innovative ways to connect with consumers. Instead of walking the aisles of their favorite store,
That's not me!
Go to AAD Home ... Go to AAD Home ... Menu ... How to protect yourself from physician identity theft ... How to protect yourself from physician identity theft ... By Emily Margosian, assistant editor In 2017 alone, there were 16.7 million victims of identity fraud, according to data from
The profound dermatological manifestations of COVID-19: Part IV – Cutaneous features
By Warren R. Heymann, MD April 22, 2020 Vol. 2, No. 16 Disclaimers: This commentary was written on April 17, 2020 for a publication date of April 22, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
Hot coding topics from the field
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, July 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Navigating the complexities of dermatology coding can
Pediatric diseases in disguise
Dermatologists discuss conditions that may be harder to diagnose in children. ... Feature ... By Allison Evans, Assistant Managing Editor, October 1, 2025 Despite years of rigorous training and experience, even the best dermatologists may miss a pediatric diagnosis, particularly for dermatologists who don’t see as many pediatric patients. Some
What’s new in treating actinic keratosis?
Dermatologists discuss how to balance the latest evidence, patient preferences, and clinical experience when treating AKs ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2022 Actinic keratoses (AKs) are commonly diagnosed and treated by dermatologists. In fact, the National Ambulatory Medical Care Survey on outpatient medical care
Scar solutions
Experts discuss current approaches to scar management. ... Feature ... By Emily Margosian, Assistant Editor, January 1, 2025 Every scar has a story. However, for millions of people worldwide, scars may negatively impact their quality of life, causing psychological distress along with physical discomfort. ... While therapeutic approaches to treat
Donning many hats
Dermatology hospitalists work in several roles to deliver quality expert care. ... Feature ... By Andrea Niermeier, Contributing Writer, March 1, 2024 As medicine is constantly evolving, so are the roles of physicians providing the latest treatments to patients. Dermatology is no exception: before it became its own specialty in
Avoid the opioid
Experts offer advice on effective pain management in dermatology. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2026 Many dermatoses and dermatologic procedures are painful, but consensus on pain management in dermatology is limited, and complicated not only by the individual and varied experience of pain, but also
Demystifying cancer of the nail
Go to AAD Home ... Go to AAD Home ... Menu ... Unfamiliarity leads to missed diagnoses, reluctance to biopsy ... Unfamiliarity leads to missed diagnoses, reluctance to biopsy ... By Jan Bowers, contributing writer “You can’t trust the nail,” remarked Richard K. Scher, MD, a dermatologist with nearly 50
On the shelf
Go to AAD Home ... Go to AAD Home ... Menu ... What is keeping biosimilars out of reach and when will they be available? ... What is keeping biosimilars out of reach and when will they be available? ... By Allison Evans, assistant managing editor Over the last few
#DermTwitter @ a glance
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists harness the twittersphere for clinical discussion, patient education, and more ... Dermatologists harness the twittersphere for clinical discussion, patient education, and more ... By Emily Margosian, assistant editor Among the now 321 million Twitter users currently on
Filling the medicine cabinet
Go to AAD Home ... Go to AAD Home ... Menu ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... By Victoria
Managing melasma
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... By Jan Bowers, contributing writer The emotional toll of melasma on patients
Recognizing mpox
The information on this page was created by the Academy’s Ad Hoc Task Force to Develop Mpox Content. Mpox (monkeypox) is caused by the mpox virus, which belongs to the ... Orthopoxvirus genus in the family Poxviridae. ... 1 ... Though mpox is rare, it is endemic in Central and West
Nailed it!
Nail experts discuss how to diagnose common — and not-so-common — nail disorders. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2025 Diagnosing conditions of the nail can be confounding. Patients may experience delays in treatment due to challenges in diagnosis. While the nail may seem like
Managing hair loss
What has research revealed about the pathogenesis of androgenetic alopecia, alopecia areata, and central centrifugal cicatricial alopecia as well as new potential therapeutics? ... Feature ... By Allison Evans, assistant managing editor, September 1, 2021 To those outside the world of dermatology, hair is sometimes perceived to be a cosmetic
On the offense: Workplace safety
Experts discuss common occupational hazards in dermatology and how to mitigate risks and avoid penalties. ... Feature ... By Allison Evans, Assistant Managing Editor, March 1, 2026 Nonfatal occupational injury and illness rates for health care workers are among the highest of any industry. Health care workers face a wide
Photobiomodulation: Seeing the light
DermWorld highlights the most popular (and effective) applications of red-light therapies, and how to advise patients about the proliferation of products for at-home use. ... Feature ... By Heidi Splete, Contributing Writer, December 1, 2025 Photobiomodulation (PBM) — including low-level laser therapy, low-light therapy, or red-light therapy — involves the
Fighting fungi
With increasing resistance to antifungal therapies, here’s what dermatologists need to know about managing dermatophytosis. ... Feature ... By Allison Evans, Assistant Managing Editor, June 1, 2024 A patient presents with widespread, pruritic, scaly, and erythematous plaques of what appears to be tinea corporis. It may be routine to prescribe
Appropriate use of skin substitutes in dermatology: Documentation and coding guidance
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, August 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Skin substitutes are a diverse group of
Optimizing melasma management
Experts discuss treatment strategy, new insights into pathogenesis, and emerging therapies. ... Feature ... By Emily Margosian, Senior Editor, March 1, 2026 Pigmentary disorders represent some of the most common cutaneous concerns globally. In the U.S. alone, melasma affects more than 5 million people (doi:10.1016/j.jaad.2010.12.046). ... While primarily a cosmetic
Practicing during a pandemic
How has COVID-19 impacted dermatologists and their patients? ... Feature ... By Emily Margosian, assistant editor, May 1, 2021 While the ongoing national vaccine rollout has offered a glimmer of light at the end of the tunnel, COVID-19 isn’t over yet. More than a year has passed since the first