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Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?
By Warren R. Heymann, MD May 22, 2017 A clinically pigmented neurofibroma associated with underlying café au lait macule. ... Credit: ... JAAD Worry comes with the territory of Neurofibromatosis Type I (NF-1). It often starts with the anxiety of determining if a child has enough criteria to confirm the
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
Are you at risk for pityriasis rubra type V? It’s in the cards!
By Warren R. Heymann, MD Feb. 1, 2017 Characteristic facial involvement in caspase recruitment domain family member 14 gene (CARD14)-associated papulosquamous eruption. Symmetric and geometric pink, scaly patches or plaques involving the cheeks, upper cutaneous lip, and chin with sparing of the infralabial region is highly characteristic of CARD14-associated papulosquamous
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023
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
Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?
By Warren R. Heymann, MD July 18, 2016 I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently
Secukinumab for pityriasis rubra pilaris: Tread lightly
By Warren R. Heymann, MD Nov. 17, 2016 Every dermatology resident preparing for their board examination can rattle off Griffiths’ classification of pityriasis rubra pilaris (PRP) — Type I (Classical Adult), Type II (Atypical Adult), Type III (Classic Juvenile), Type IV (Circumscribed Juvenile), and Type V (Atypical Juvenile). Type VI,
Glomus tumors point a finger at neurofibromatosis
By Warren R. Heymann, MD ... Nov. 21, 2016 ... The correct diagnosis of the ... JAMA Dermatology Clinicopathological Correlation of a glomus tumor presenting as longitudinal erythronychia was straightforward — I was fascinated by this comment in the discussion: "The presence of multiple glomus tumors in the digits
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
By Warren R. Heymann, MD Oct. 8, 2016 I thought it was my imagination, but apparently not — there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities. ... These patients are not
Other emerging severe and resistant dermatophytes of concern
Overview ... Trichophyton mentagrophytes type VII (TMV ... II ... ) is a recently emerged dermatophyte that is closely related to ... T. indotineae (note: ... T. indotineae was previously called ... T. mentagrophytes type ... VIII ... ). ... 1-3 ... TMVII spreads between people and may be transmitted
Decomplexing plexiform neurofibromas
By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse
Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet
By Warren R. Heymann, MD Oct. 13, 2016 Café au lait spots (CALS) are extraordinarily common; six or more lesions (at least 0.5 cm prior to puberty or 1.5 cm post puberty) are considered one of the criteria for diagnosing neurofibromatosis type I (NF1), and are also seen in
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.
Incretin-based therapy for diabetes and dermatology: Promise and peril
By Warren R. Heymann, MD Oct. 23, 2017 In a given day, how many of your patients are diabetic? According to the American Diabetes Association, in 2015, 9.4% of the US population (30.3 million) were diabetic; 29 million of this group had type 2 diabetes. ... Incretin hormones refer to
What's hot?
What's hot ... November 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... On Oct. 5, the ... U.S. FDA approved the Gardasil 9 human papillomavirus (HPV) vaccine for men
Plantar melanoma and mechanical stress
By Warren R. Heymann, MD June 15, 2016 Acral lentiginous melanoma (ALM) involves the palms, soles, and nail beds. It is the most common type of melanoma in patients of African or Asian descent. Delays in diagnosis result in more advanced disease at the time of diagnosis. Trauma or chronic
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 ( ...
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
Lipoid proteinosis’ weak, hoarse cry is crying for targeted therapeutic intervention
By Warren R. Heymann, MD, FAAD Nov. 6, 2024 Vol. 6, No. 45 Having recently participated in the excellent conference devoted to antisemitism in medicine organized by Heather Milbar at the University of Pennsylvania, I reacquainted myself with Erich Urbach, who described lipoid proteinosis (LP, Urbach-Wiethe disease) with the otolaryngologist
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one
October 12, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 12, 2022 ... Type 2 diabetes and CCCA severity DermWorld Insights and Inquiries : Fixing the concept of the neutrophilic fixed drug eruption What’s the risk of IBD in patients
Skin conditions by the numbers
Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A
2026 AAD Innovation Academy: Schedule at-a-glance
Experience the energy of dermatology’s latest advancements in New York this summer! ... 2026 AAD Innovation Academy arrives in New York City with just as much momentum and energy as the city itself. Explore a future focused program featuring high-impact sessions, standout speakers, and immersive learning experiences designed to keep
Will PD-1 inhibitors be msed for Mastocytosis?
By Warren R. Heymann, MD May 8, 2016 Kuklinski L, Kim J. Expression of PD-L1 in mastocytosis. J Am Acad Dermatol 2016; 74: 1010-2. ... The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens. Of the12
Key messaging in social media about acne
Key messages ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (1)
Do skin cancer rates differ by transplanted organ type and patient age?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lee Wheless, MD,
Read all about it: Dermatology's media impact
Facts at your Fingertips ... By Emily Margosian, assistant editor, April 1, 2019 There’s nothing fake about this news: In 2018, the Academy generated nearly 9 billion media impressions in print and online. Despite the unpredictability of the current media landscape, the specialty’s public impact has remained stable with a
Raising a toast to advances in treating alcohol-induced flushing
By Warren R. Heymann, MD November 11, 2020 Vol. 2, No. 45 Whether with pride or embarrassment, we have all blushed. Also known as flushing, the process is defined as a visible reddening of the skin accompanied by a sensation of warmth, characteristically affecting the face, ears, neck, and upper
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 —
Fixating on doxycycline-induced fixed drug eruptions
By Warren R. Heymann, MD, FAAD May 21, 2025 Vol. 7, No. 20 When reading medical journals, I am intrigued by titles that inspire me to learn more about the topic. Happening upon a letter to the editor titled "Doxycycline-induced fixed drug eruption: The new epidemic?" (1) gave me pause.
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Melanoma: Tracking and Evaluation of Recurrence ... DESCRIPTION: Percentage of patients who had an excisional surgery for melanoma or melanoma in situ with initial American Joint Committee on Cancer (AJCC) staging of 0, I, or II, in the past 5 years in which the operating provider examines and/or diagnoses the
Hair straighteners and the risk of uterine cancer: More studies are necessary to get this straight
By Temitayo Ogunleye, MD, FAAD Nov. 9, 2022 Vol. 4, No. 45 Every time the ... New York Times publishes a dermatology-related article I receive a flurry of text messages from friends and family and messages from patients. The most recent article discussing the ... possible link between the use
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
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
Reporting excimer laser therapy: When to use 96999 vs 9692x
As a result of a code descriptor change for CPT codes 96920-96922 effective Jan. 1, 2024, these codes are now to be used only for excimer laser treatment of psoriasis. This change was made by the AMA CPT to better align with the intended use of these services exclusively for
Academic Dermatology Leadership Program (mentee)
The Academic Dermatology Leadership Program (ADLP) is a comprehensive program that requires a full-year commitment. ... Applications for the 2027 Academic Dermatology Leadership Program will open July 2026 ... Please send me an email reminder when the application opens . ... By applying for this program, you are agreeing to
Screening for Social Drivers of Health — Measure 487
Screening for Social Drivers of Health ... DESCRIPTION: Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. ... ... MEASURE ID: ... 487 ... ... Type: Process ... ... CMS Derm Specialty Set: ...
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
Documentation of Current Medications in the Medical Record — Measure 130
Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ... ... MEASURE ID: ... 130 ...
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ... ... MEASURE ID: ... 374 ... ... Type: Process ... ... CMS Derm Specialty
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal. ... ... MEASURE ID: ... 493 ... ... Type: Process
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented ... DESCRIPTION: Percentage of adult patients who were screened for high blood pressure and received a follow-up plan where indicated. ... ... MEASURE ID: ... 317 ... ... Type: Process ... ... CMS Derm
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Patient-Centered Surgical Risk Assessment and Communication ... DESCRIPTION: The percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed and discussed prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon. ...
August 1
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / AUGUST 1, 2018 ... Physicians suing patients over negative reviews FDA to laser device manufacturers: Stop marketing for vaginal rejuvenation FDA releases biosimilars plan to increase access, encourage competition Blood test
Looking beyond ‘Ozempic face’
Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ... ... MEASURE ID:
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
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ... ... MEASURE ID: ... 410 ... ... Type: Outcome ... ... CMS Derm Specialty Set: ... Yes ...
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
Advance Care Plan — Measure 47
Advance Care Plan ... DESCRIPTION: Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience ... DESCRIPTION: Percentage of adult patients (age 18 years and older) who report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis. Patients provide a global assessment of the perceived effectiveness
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
Skin in the news
Facts at your Fingertips ... By Emily Margosian, content specialist, April 2, 2018 In 2017, the Academy generated more than 8.8 billion media impressions in print and online — akin to reaching each person in the United States more than 26 times. Nevertheless, the year’s overall total marked a slight
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD 17
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer, on prescribed anticoagulation therapy, who had intermediate layer and/or complex linear closures OR reconstruction after skin
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ... ... MEASURE
Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”
By Warren R. Heymann, MD June 18, 2018 ... A 45-year-old woman with cutaneous sarcoidosis at (A) baseline before treatment and (B) with koebnerization after BBLT (560 nm filter at 20 J/cm2, pulse width 30 msec, 20°C cooling, 7-mm square spot size, repetition rate 10 Hz). ... Credit: ... JAAD
Connection to Community Service Provider — Measure 498
Connection to Community Service Provider ... DESCRIPTION: Percent of patients 18 years and older who screened positive for one or more of the following health-related social needs: food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety and had contact with a Community Service Provider for at least one
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection — QCDR measure AAD 18
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection ... DESCRIPTION: Percentage of procedures in patients, aged 18 and older with a diagnosis of skin cancer, who had intermediate layer and/or complex linear closures OR reconstruction after skin cancer resection where opioid/narcotic therapy was prescribed as first
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer who underwent intermediate layer, complex linear closure, or reconstruction after skin cancer resection in the office-based setting (not
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months
Free skin cancer screenings at a shelter for displaced and unhoused veterans
Stephanie Choi, a medical student at UMass Memorial Medical Center, sought to bring dermatology care to the underserved. Stephanie Choi's story ... Stephanie Choi (medical student) and others from UMass Memorial Dermatology participated in this skin cancer screening event. ... Homelessness is a pervasive and widespread problem in the United
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
Triskaidekaphobia legitimized: Fatal Factor XIII deficiency
By Warren R. Heymann, MD, FAAD April 12, 2023 Vol. 5, No. 15 I am not especially superstitious. The number 13 has never concerned me but acquired Factor XIII deficiency has now joined my ever-expanding pantheon of new complications to worry about. ... The article entitled "Association of lethal acquired
May 1
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2019 ... FDA approves two new psoriasis treatments ... DW Insights and Inquiries : When assessing morbilliform eruptions think about morbilli (measles)! We want your feedback: Draft psoriasis guidelines
NSA (neutrophilic sebaceous adenitis) secrets revealed
By Warren R. Heymann, MD, FAAD Nov. 8, 2023 Vol. 5, No. 45 If asked what the acronym NSA means, most of us — dermatologists included — would respond, "National Security Agency." News of security leaks (think Edward Snowden or Jack Teixeira) are in the headlines, but neutrophilic sebaceous adenitis
JAK inhibitors battle in the heavyweight class
By Warren R. Heymann, MD, FAAD Nov. 12, 2025 Vol. 7, No. 45 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . JAK inhibitors (JAKi) have catapulted to such prominence in dermatologic therapeutics that I could write a weekly commentary about them.
October 23, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2024 ... Botulinum toxin type A with topical minoxidil vs. topical minoxidil alone in males with androgenetic alopecia DermWorld Insights and Inquiries : Shocking news — Heat shock protein
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
Key messages in social media about eczema
Key messages ... Eczema refers to a group of conditions that lead to inflamed skin. Signs of inflamed skin include a rash, itchiness, and excessive dryness. (1) ... There are several types of eczema. Atopic dermatitis is the most common type. ... Eczema is a complex condition. Your genes, immune
November 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 18, 2020 ... Hydrogen peroxide and the common wart: Phase 2 results are in DermWorld Insights and Inquiries : Granulomatous slack skin — More than one type of mimicry FDA
Addressing systems and administrative challenges
Running a successful dermatology practice hinges not only on exceptional patient care but also on efficient administration. While challenges vary based on practice type and other factors, most practices face common administrative burdens. These burdens are a major driver of burnout. ... Surveys conducted among Academy members between 2016-2020 revealed
COVID-19 can nail you in so many ways
By Elizabeth Yim, MD, MPH, FAAD, and John Montgomery Yost, MD, MPH, FAAD July 13, 2022 Vol. 4, No. 28 Dr. Elizabeth Yim and Dr. John M. Yost. ... During these difficult and quite frankly, scary times, we have heard numerous reports of various cutaneous manifestations by the SARS-COV-2 infection
Learning module: Genetic skin diseases
Goals and objectives ... The purpose of this module is to help develop a clinical approach to the evaluation and initial management of patients presenting with genodermatoses. ... By completing this module, the learner will be able to: ... Identify and describe the morphology of skin lesions typical of tuberous
Compounding toolkit
Can you compound or prescribe it? ... Answer a few questions below to determine whether the type of compounding you are performing is in compliance with Food & Drug Administration (FDA) regulations and how to access the drug product if it cannot be compounded in your office. ... Are you
Malpractice insurance 101
Experts offer advice on navigating malpractice insurance policies. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2025 While medical malpractice suits first regularly appeared in the United States in the 1800s, the frequency of claims has only increased since the 1960s, with lawsuits relatively common today. Medical malpractice
Dermatology antibiotic prescription trends
Facts at your fingertips ... By Emily Margosian, assistant editor, November 1, 2019 As antibiotic resistance has increasingly captured the attention of the media and global health organizations, physicians have found themselves under more pressure to monitor their antibiotic prescription habits. Although overall antibiotic prescribing by dermatologists decreased by 36.6%
Melanoma incidence rising, deaths decreasing
Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2019 According to data from the National Institutes of Health (NIH) Surveillance, Epidemiology, and End Results Program (SEER), there were an estimated 96,480 new cases of melanoma of the skin in 2019 — making it the fifth most
Demand for cosmetic procedures resumes after COVID
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2023 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions due to the ebb and flow in national and regional caseloads. ... The release of new
The doctor will see you...soon?
Facts at your Fingertips ... By Emily Margosian, assistant editor, July 1, 2019 As efforts to improve access to dermatologic care remain ongoing (Read ... Dermatology World ’s 2017 feature "Access Granted" at ... www.aad.org/dw/monthly/2017/october/access-granted for strategies to broaden patient access), how long can the average patient expect to wait
Focusing attention on X-linked ichthyosis
Ichthyosis vulgaris ... Credit: ... JAAD By Warren R. Heymann, MD Jan. 2, 2019 I thought it was me. Like every dermatologist, I learned the classical appearance of the ichthyoses, and wonder why I’m not sure if I am looking at a patient with ichthyosis vulgaris (IV) or X-linked ichthyosis
COVID’s impact on cosmetic procedures
Facts at your fingertips ... By Emily Margosian, Assistant Editor, April 1, 2022 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions throughout the year due to the ebb and flow in national and regional caseloads. The release
New treatments provide more options for people with alopecia areata
Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new
New study reveals that some children with common form of eczema should also be tested for allergic reactions
Study author highlights test used to differentiate between two types of eczema ROSEMONT, Ill. (September 26, 2023) — Eczema, which is a group of medical conditions that causes inflamed, irritated, and often itchy skin, affects millions of people worldwide. A new article published in the ... Journal of the American
Private payer appeal letter tool
How can I appeal insurance denials? ... Use the tool below to generate letters from automated templates. These letter templates are intended to help dermatologists appeal to private payers when payments are inappropriately reduced. They may be modified to specifically address your circumstances and those of your patients. ... {{
Medical research funding
Ask the Expert ... By Victoria Houghton, managing editor, August 1, 2021 DermWorld ... spoke to Jennifer Mangone, JD, manager of congressional policy for the American Academy of Dermatology Association (AADA), about the Academy’s advocacy efforts to support medical research funding. DermWorld: Advocating for medical research funding is a top
Ransomware attacks on U.S. health care double
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, February 1, 2024 Ransomware is on the rise. A recent ... JAMA Health Forum study found that the annual number of ransomware attacks on health care organizations more than doubled from 2016 to 2021, exposing the personal health information (PHI)
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
This month’s news from across the specialty
What’s hot ... August 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to
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
A dermatologic riddle: How is IgG4-related ophthalmic disease parliamentary?
By Warren R. Heymann, MD March 22, 2017 Immunostains of infiltrate. A, Immunostain shows an infiltrate rich in IgG4+ plasma cells. The infiltrate had an IgG4+ cell count of 80 per HPF and an IgG4+/IgG+ ratio of 80%. B, IgG immunostain shown for comparison. (A and B, original magnifications:
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
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
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
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
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
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,
Chanarin-Dorfman syndrome: Shifting out of neutral
By Warren R. Heymann, MD, FAAD Aug. 27, 2025 Vol. 7, No. 34 In nearly all neutrophil, eosinophil and basophil leukocytes and in the monocytes, several clear vacuoles of varying size were observed in the cytoplasm, which after vital staining…revealed a red colour, i.e. contained a fatty substance. The erythrocytes
Giving a NOD2 to Yao syndrome
By Warren R. Heymann, MD, FAAD March 5, 2025 Vol. 7, No. 9 The 21 ... st ... century has witnessed an expanding array of systemic autoinflammatory disorders (SAIDs) due to innate immunity dysfunction. SAIDs are characterized by recurrent attacks of fever, cutaneous signs, chest or abdominal pain, lymphadenopathy, vasculopathy,
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 keratoacanthomatous lesions of the legs in mature women?
By Warren R. Heymann, MD Dec. 11, 2017 ... Right thigh, keratoacanthomatous atypical squamous proliferation. (Hematoxylin-eosin stain; original magnification: ×10.) ... Credit: ... JAAD I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. "Why am I getting these? Are they cancer? Why
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
Applying the 2021 E/M coding concepts in everyday practice – Part 1
The introduction of the revised 2021 evaluation and management (E/M) coding guidelines has generated a plethora of questions from dermatologists in the application of the concepts used in the ... medical-decision making table (MDM). ... To help members navigate the E/M changes in a simplified and relatable manner in everyday
The Term “Dermal Hyperneury” Hits a Nerve
By Warren R. Heymann, MD Dec. 21, 2017 ... A, On hematoxylin-eosin stain, the borders of this nerve bundle are sharply demarcated from the surrounding connective tissue with no associated inflammation or fibrosis. A thin layer of epithelium can be seen encapsulating the intersecting fascicles of nerve fibers. Within the
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
Psoriasis and diabetes
Psoriasis is not just a skin disease. There is an association between psoriasis, diabetes, and excess weight, perhaps due to a common genetic cause. ... Psoriasis and diabetes ... Click to view and download the infographic. ... Download Sources: https://consumer.healthday.com/diseases-and-conditions-information-37/psoriasis-news-621/psoriasis-tied-to-obesity-type-2-diabetes-710380.html www.healio.com/news/primary-care/20160822/pcps-should-be-aware-of-potential-psoriasis-risks-treatment-options More information: Psoriasis Resource Center Help and Chat
March 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 1, 2023 ... Isotretinoin: Risk of IBS, ulcerative colitis, and Crohn’s disease? DermWorld Insights and Inquiries : Seeing red with dupilumab IL-17 inhibitors in psoriasis patients in the real world
Are teens tanning less?
Go to AAD Home ... Go to AAD Home ... Menu ... Signs point to progress, but work remains ... Signs point to progress, but work remains ... By Ruth Carol, contributing writer It appears that fewer teens are indoor tanning in recent years, but the data are sparse. Regulations
Tressed to impress: tips for keeping your mane magnificent
6 tips for healthier looking and feeling hair from a board-certified dermatologist ROSEMONT, Ill. (Aug. 13, 2024) — Hair is as unique as its wearer, making care an important aspect in one’s overall health and wellness routine. From understanding your hair type to learning the best shampooing technique (yes, there
Reporting Quality for MIPS
The tracking of quality measures and the implementation of improvement activities can help to lead to improved outcomes in patient care and care processes. ... Quality measures ... AAD continues to expand the number and type of dermatology-specific measures for reporting to CMS. Access a complete list of MIPS measures
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
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
Tennessee legislation increases transparency
Tennessee Gov. Bill Lee (R) signed legislation limiting the use of medical specialty titles in advertisements. ... The new state law requires any advertisement for health care services to include the name of a health care practitioner and the type of licensure or profession held. The AADA believes that all
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
Transplantation dermatology: Race matters
By Warren R. Heymann, MD June 21, 2017 African American man with generalized vitiligo. Medial aspect of foot before (A) and 5 months after (B) melanocyte-keratinocyte transplantation procedure. ... Credit: ... JAAD December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late
Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying
By Warren R. Heymann, MD April 12, 2017 In the entry "Atrophic Tinea Versicolor: More Than a Mirage" (April 22, 2016), I learned that the atrophic appearance of some cases of tinea versicolor is not just an optical illusion. The case of a 35-year-old man with depressed brown lesions on
What's hot?
What's hot ... February 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Isn’t it interesting how some common warts that we treat seem to go away almost instantly but others persist
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
March
Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I always knew firefighting was a dangerous occupation What’s hot ... This month’s news from across the specialty Clinical Applications ... Do skin cancer
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
PDF of industry expert sessions for theater 1.
INDUSTRY EXPERT SESSIONS Friday, March 20, 2020 Theater 1 These unique sessions provide exhibiting
Platelet rich plasma: Good for whatever ails you?
By Warren R. Heymann, MD Jan. 13, 2017 Hair regrowth in ophiasis-type alopecia areata after platelet-rich plasma (PRP) injection. Occipital hair loss before treatment (A) and occipital hair regrowth 3 months after administration of PRP at a concentration 3.5 times above baseline (B). ... Credit: ... JAAD Okay, okay, I
The retiring type?
By Warren R. Heymann, MD April 23, 2017 "Tell me, Dr. Heymann, when do you plan to retire?" ... Patients seem to ask me that every day. ... My usual response: "Why do you ask, do I look that bad?" ... "No, you look pretty good for your age." (According
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
Intermediate and complex repairs 2020: Part 1
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2019 Test your knowledge: Intermediate and complex repairs 2020 — Part 1 ... Take the quiz to
Mohs Surgery Appropriate Use Criteria (AUC) app
There are many considerations when determining whether to use Mohs surgery for the treatment of skin cancer, such as the cancer type, location, and whether it is new or recurring, as well as the health profile of the patient. ... With the Academy's complimentary Mohs Surgery Appropriate Use Criteria (AUC)
January 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 30, 2019 ... Dermatologists prescribe fewer antibiotics overall, but use increased with surgery CMS updates Open Payments data What causes allergic responses in patients with atopic dermatitis? YouTube videos about
Dermatologic care is critical as patients age
A timely surgery in a dermatologist’s office removes a patient’s skin cancer. ... Karen's story ... Skin cancer is frightening, especially when it appears in the middle of your face. ... As a survivor of other skin cancers, I’m glad my dermatologist Dr. Terrence Cronin, Jr. quickly examined a raised,
Providing relief to a child with rare blood vessel growth
A dermatologist helps a young boy get relief from a painful blood vessel condition. ... Jenna Buswell's story ... Casen Buswell, patient ... My son Casen was born with purple spots on most of his body that left doctors stumped. My husband and I were terrified as he was whisked
Specialties collaborate to create an effective treatment plan
A dermatologist and hematologist/oncologist keep a patient’s rare lymphoma in remission. ... Victoria’s story ... Victoria Perez – Phoenix, AZ ... For six years I had discolored spots that looked like bruises across my body—on my arms, legs, abdomen and buttocks. I knew something was off, but didn’t get a
Early diagnosis catches scarring condition
A dermatologist’s quick action helps a patient with alopecia regain her confidence. ... Julie's story ... Julie Wright, patient ... Like a lot of parents, my two kids keep me very busy, so I put taking care of myself on the back burner. However, I knew I needed to take
Working together to provide optimal melanoma care
Medical, surgical, and radiation oncology; dermatology; and other specialties collaborate to improve skin cancer treatment. ... Dr. Albertini's story ... Mark R. Albertini, MD, Oncologist, University of Wisconsin School of Medicine and Public Health ... The melanoma tumor board at the University of Wisconsin School of Medicine and Public Health
Contract reimbursement review
When deciding whether to sign a contract with a payer, reimbursement is one of the most important considerations. Adequate reimbursement is critical to the viability of your practice. Therefore, be sure to review contract language on reimbursement carefully. ... Aspects of reimbursement are often negotiable, though the extent to which
July 1, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 1, 2020 ... Derm Coding Consult : E/M coding — What has changed? DW Insights and Inquiries : Spironolactone — An increasingly recognized hero in acne therapy Is it ethical
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
Practice types in dermatology
Dermatologists can choose from a diversity of practice types, from independent to group and institutional. Each of these practice types comes with trade-offs between between autonomy and support, benefits and risks. There are also new practice models, meant to improve value and contain costs. Use the AAD resources below to
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
Write this down if your patient has multiple PENS: Look further
By Warren R. Heymann, MD June 18, 2016 Papular Epidermal Nevus with Skyline Basal Cell Layer (PENS) was first described by Torrelo et al. They detailed 5 infants with solitary or multiple 1 to 7 mm congenital keratotic papules. Lesions were randomly distributed and did not follow Blaschko lines. They
Advocacy Update Feb 3, 2026
IN THIS ISSUE / Feb. 3, 2026 Dermatologists urged Washington state to support truth in advertising Humana corrects destruction code denials Academy asks CMS to reduce regulatory burdens on dermatology Contribute to SkinPAC Truth in Advertising Dermatologists urged Washington state to support truth in advertising ... The AADA ... urged
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
4 cradle cap tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your
AAD's guidance on resources related to workplace violence
Unfortunately, violence in the workplace has become more common in health care and incidences are slowly rising. Has someone at your dermatology practice ever experienced any type of violence at work? Is your practice equipped or prepared to handle violence, if it were to occur? Dermatologists are not always trained
How to prevent keloid scars
Board-certified dermatologist shares tips to reduce your risk ROSEMONT, Ill. (Dec. 6, 2023) — Keloids are a type of raised scar that can occur after an injury, and over time they can grow much larger than the wound itself. Although keloids are not dangerous to a person’s health, they can
RAC audits: Target areas
This page has quick tips, facts, and links for you to keep on hand so that you can stay on top of the audit game. ... Where a RAC will catch you ... It goes without saying that you must be careful about many procedures when you’re a physician. However,
CMS Targeted Probe and Educate (TPE) reviews are now in full swing
What is a Targeted Probe and Educate program? ... A Targeted Probe and Educate (TPE) program is a claim review process utilized by the Medicare Administrative Contractor (MACs) designed to help dermatologists reduce claim and billing denials as well as appeals through "one-on-one" corrective action assistance and is overseen by
Dermatology resident develops face masks from recycled medical supplies
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld Weekly talks with Aditi Sharma, MD, a third-year resident in the department of dermatology at the University of California, Irvine, about how she produced a new type of protective face mask made from recycled
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
June 1, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 1, 2022 ... What’s new in adult acne over the last two years? DermWorld Insights and Inquiries : Granulomatous cheilitis — Back to the Future Derm Coding Consult : Cigna’s
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
December 1, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 1, 2021 ... Risk of COVID-19 infection in atopic dermatitis patients DermWorld Insights and Inquiries : The nexus of VEXAS syndrome Skin and gut microbiome in hidradenitis suppurativa Is imiquimod
Evaluation and management in 2021: Part 1
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, September 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 1 ... Take the quiz to see
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,
October 1, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 1, 2025 ... Antiandrogen therapy for the treatment of female pattern hair loss DermWorld Insights and Inquiries : Lupus miliaris disseminatus faciei — A Simon and Garfunkel playlist Academy mourns
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
November 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 1, 2023 ... Can oral nutraceuticals reduce isotretinoin side effects? DermWorld Insights and Inquiries : Exchanging plasma exchange for a novel approach — The potential of FcRn antagonists in dermatologic
Spironolactone: An increasingly recognized hero in acne therapy
By David A. Wetter, MD July 1, 2020 Vol. 2, No. 26 In 1983, Bonnie Tyler released the catchy and powerful anthem, "Holding Out for a Hero." Emotion exudes from the lyrics: ... I need a hero I’m holding out for a hero ‘til the morning light He’s gotta be
Leaders in medicine – Part 1
DermWorld talks to dermatologists in leadership roles in the house of medicine. ... Feature ... By Matthew Walsh, Member Communications Specialist, May 1, 2023 The American Academy of Dermatology is one of hundreds of medical associations in the U.S., each offering opportunities for doctors to assume important leadership positions. Engaged
JAAD wins again!
JAAD has retained the #1 position as the most impactful journal in dermatology according to the 2024 Clarivate Journal Impact Factor (JIF). ... JAAD is No. 1 in the field of dermatology for the sixth year in a row, with a JIF of 11.8 and 38,702 total citations. ... But
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
PDF of Board of Directors Regional Map
NL 9 BC 40 NL AB SK MB 9 47 4 12 PE QC 1 ON 64 NS 140 20 WA ND MT NB 333 46 22
I don’t know JAK — but I will! Ruxolitinib improving chilblain lupus erythematosus
By Warren R. Heymann, MD May 31, 2016 The JAK inhibitors are among the current darlings of treating autoimmune diseases. Recent articles about tofacitinib for vitiligo (1) and alopecia areata (2) have been reported in the lay press with considerable fanfare. ... Ruxolitinib (Jakafi) is indicated for treating intermediate to
Psoriasiform eruptions during Kawasaki disease (KD): A prognosis that lets the good times roll
By Warren R. Heymann, MD June 27, 2016 Psoriasiform skin changes have been rarely described in the literature in both acute (1-4 weeks) and convalescent phases (4-12 weeks) of KD (1). ... Haddock et al, in their review of 870 cases of KD, identified 11 patients with a psoriasiform eruption
May 1, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2024 ... Consensus statements for the treatment of vitiligo in younger patients DermWorld Insights and Inquiries : Eyebrow-raising complications of microblading Role of low-dose oral minoxidil for treatment of
February 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 1, 2023 ... Are topical AK treatments associated with increased risk of SCC? DermWorld Insights and Inquiries : A seasoned approach to treating the ‘salt and pepper’ dyspigmentation of systemic
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
JAAD ranks no. 1 among dermatology journals
The Journal of the American Academy of Dermatology’s impact factor remains #1 in field ROSEMONT, Ill. (July 2, 2024) — The ... Journal of the American Academy of Dermatology remains the top peer-reviewed journal in its field, according to the 2023 journal impact factor rankings recently published by Clarivate’s Journal
JAAD ranks no. 1 among dermatology journals
The Journal of the American Academy of Dermatology’s impact factor remains #1 in field ROSEMONT, Ill. (July 5, 2023) — The ... Journal of the American Academy of Dermatology remains the top peer-reviewed journal in its field, according to the 2022 journal impact factor rankings recently published by Clarivate’s Journal
April 1, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 1, 2020 ... What to do with iPLEDGE patients during COVID-19 DW Insights and Inquiries : Knuckling down on knuckle pads Medicare offers physicians advance payments to address COVID-19 cash-flow
Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder
By Warren R. Heymann, MD, FAAD Sept. 1, 2021 Vol. 3, No. 35 Hydroa vacciniforme (HV) has always mystified me in every respect — its clinical presentation, pathophysiology, prognosis, and even its name. I understand "vacciniforme" because residual scars may resemble those of smallpox. I was surprised to learn that
Excludes notes
ICD-10 Excludes notes: In a nutshell ... ICD-10-CM codes include two sets of exclusions. ... Excludes 1 exclusions indicate when two codes cannot be billed at the same time. ... Excludes 2 exclusions indicate that the codes are separately billable. ... Excludes 1 Note ... Within the ICD-10-CM manual, you
2025 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma
By Warren R. Heymann, MD, FAAD Aug. 20, 2025 Vol. 7, No. 33 As I write this commentary, March Madness is underway. According to the NCAA, the odds of predicting all 63 NCAA tournament games correctly are approximately 1 in 9.2 quintillion (a quintillion is 10 to the 18th power).
Getting the GIST cutaneous hyperpigmentation disease
By Warren R. Heymann, MD Nov. 6, 2019 Vol. 1, No. 35 Gastrointestinal stromal tumors (GISTs) are mesenchymal malignancies arising from the interstitial cells of Cajal (cells that create bioelectrical slow wave potential, leading to smooth muscle contraction, thereby aiding peristalsis). GISTs were initially recognized by identification of KIT (CD117)
The journey of focal dermal hypoplasia: From description to inspired therapy
By Warren R. Heymann, MD Oct. 9, 2017 The dermatologic community lost a giant in 2014 with the passing of Robert W. Goltz, MD at the age of 90. Dr. Goltz was not only responsible for describing focal dermal hypoplasia (FDH), but also multicentric reticulohistiocytosis, generalized elastolysis, and the nevoid
Biopsy coding in 2019: Part 1
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, November 1, 2018 Dermatologists commonly biopsy skin lesions via a tangential shave technique, with a punch, or with a
PDF of Nominating Committee Member Rep. Regional Map
the PE WEST REGION OF THE UNITED STATES QC ON AND CANADIAN PROVINCES ONLY NS (Shown in Pink) ND WA
Granulomatous slack skin: More than one type of mimicry
By Warren R. Heymann, MD November 18, 2020 Vol. 2, No. 46 My chief resident presented a case to me enamored with his clinical diagnosis of granulomatous slack skin (GSS). Although I was delighted that he considered the disorder, I explained why I thought these inguinal and submammary pink-white subtly
Telehealth policy changes take effect; shutdown impacts Medicare claims processing
In the ... Medicare Learning Network (MLN) Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown of Oct. 1, 2025, CMS announced that significant changes to Medicare telehealth services that took effect on Oct. 1, 2025, may impact the processing of Medicare telehealth claims.
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. ...
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
Knuckling down on knuckle pads
By Warren R. Heymann, MD April 1, 2020 Vol. 2, No. 13 Today is April Fools’ Day. Thus far, 2020 has felt like April Fools’ Year. All of us are dealing with COVID-19, 24/7. During World War II, morale was lifted by the song "There’ll be bluebirds over the White
Advocacy Update Jul 1, 2025
IN THIS ISSUE / July 1, 2025 Senate advances reconciliation bill with 2026 Medicare Physician Payment increase RFK pledges to work with Rep. Joyce on Medicare physician reimbursement CMS suspends CLIA lab director restrictions AADA and DermCAC support inclusion of dermatologists in SRT Local Coverage Determinations Build a relationship with
2025 AAD Innovation Academy Attendee Statistics
Innovation Academy Attendance over the years: 2024 – Seattle, WA ..................................
Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.
By Warren R. Heymann, MD Sept. 4, 2017 Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever
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
We are your No. 1 high impact journal
For the fourth straight year, the Journal of the American Academy of Dermatology (JAAD) ranked as the top peer-reviewed journal in its field, according to journal impact factor rankings published by Clarivate’s Journal Citation Reports (JCR) Web of Science Group. With an impact factor of 13.8, JAAD is in the
Advocacy Update Apr. 1, 2025
IN THIS ISSUE / Apr. 1, 2025 HHS announced major department restructuring Senate confirms Drs. Bhattacharya to lead NIH and Makary to head FDA Step therapy reform bill headed to New Jersey governor Contribute to SkinPAC Regulatory Affairs HHS announced major department restructuring ... On March 27, the Department of
It’s JAAD, again, of course!
For the ... fifth year in a row, ... JAAD has retained its position as the #1 most impactful journal out of 94 dermatology journals measured in Clarivate’s 2023 Journal Citations Report (JCR) Web of Science. ... Here are the details: ... JAAD ’s impact factor is 12.8 ... JAAD
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
Agenda of the July 23, 2022 AAD/A Board of Directors meeting.
Armstrong & 39 – 64 1. Recommendation for Action Ms. Kauper/Kuhn PPT June 1, 2022 a.
PDF of Histiocytosis
xanthogranuloma (~75% occur > upper trunk > lesions; can lead to infiltrate of histiocytes, st in 1
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
By Warren R. Heymann, MD January 27, 2021 Vol. 3, No. 4 Field therapy is a cornerstone of actinic keratosis (AK) management. Two years ago, a ... New England Journal of Medicine article demonstrated that 5-fluorouracil (5-FU) was the best among inadequate therapies (compared to imiquimod, MAL-PDT, and ingenol mebutate).
Striving to alleviate the physical and emotional scars of central centrifugal cicatricial alopecia
By Warren R. Heymann, MD November 4, 2020 Vol. 2, No. 44 More than half a century ago, Drs. Lopresti, Papa, and Kligman coined the term "hot comb alopecia," asserting: "The cause is unmistakable, namely the practice of straightening the hair with a hot comb…" (1). Now known as central
What you read in 2024: AAD publications roundup
JAAD still making an impact For the ... fifth year in a row, ... JAAD retained its position as the #1 most impactful journal out of 94 dermatology journals measured in Clarivate’s 2023 Journal Citations Report (JCR) Web of Science. ... Here are the details: ... JAAD ’s impact factor
MIPS 2020 is here. Here are the highlights
Answers in Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, April 1, 2020 Each month Dermatology World ... tackles issues "in practice" for dermatologists. This month Faiza Wasif,
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
Agenda for the Nov. 5, 2022 meeting of the AAD and AADA Board of Directors meetings.
Bennett 41 – 42 1.
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
Applying the 2021 E/M coding concepts in everyday practice – Part 3
Part three of the AADA’s clinical vignettes focuses on the application of the more challenging concepts related to the review and analysis of data in the AMA Medical Decision-Making table. Understanding the application of these concepts will assist you in determining when data may impact the level of service provided.
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Warren R. Heymann, MD, FAAD Feb. 1, 2023 Vol. 5, No. 5 It only takes a nanosecond for a dermatologist to recognize the "salt and pepper" dyspigmentation (SPD) of systemic sclerosis (SSc), but a lifetime to understand and manage it. Of all the cutaneous signs of SSc (sclerodactyly, telangiectasias,
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
Claim Reopenings or Level 1 Appeals for Denied Services
Not every Medicare denial requires a formal appeal. Most Medicare Administrative Contractors (MAC) have developed automated claim "reopenings" to handle these simple corrections. This method significantly reduces the amount of time required to reprocess a denial. It is important that reopenings be submitted on the correct form, which can be
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, DC, and serves as legal counsel for the AAD and AADA. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, September 1, 2020
Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis
By Warren R. Heymann, MD April 23, 2018 Dermatomyositis. Erythematous papules overlying the metacarpal and interphalangeal joints (Gottron papules). ... Credit: ... JAAD Of all the cutaneous manifestations of dermatomyositis (DM) — the heliotrope rash, Gottron’s papules, Gottron’s sign, shawl sign, holster sign, flagellate erythema, photosensitivity, poikiloderma, periungual erythema, periungual
Not just for boys: X-linked erythropoietic protoporphyria
By Warren R. Heymann, MD Sept. 7, 2017 I was anxiously awaiting the results of erythrocyte protoporphyrin levels obtained from a 4 year-old boy who avoids sunlight because his "skin hurts" when not in the shade. Until I read the article by Balwani, et al (1), I was unaware of
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
This month’s news from across the specialty
What’s hot ... December 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Our surgical prep may benefit non-surgical elderly patients. A study of extended bacterial decolonization in 28,956 nursing home
A future therapeutic Harlequin Romance?
By Warren R. Heymann, MD Sept. 17, 2018 A neonate with harlequin ichthyosis on day 21 of life after 3 weeks of treatment with acitretin at 1 mg/kg/d. ... Credit: ... JAAD My fiancé Ronnie, then a pediatric resident, called me excitedly, asking for my opinion about a remarkable neonate
2024 AAD Innovation Academy | Official exhibitor suppliers
Experient) is the official housing provider for the 2024 AAD Innovation Academy Meeting in Seattle, WA
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
1 million patients affected by ransomware in one month
Facts at your fingertips ... By Emily Margosian, Assistant Editor, July 1, 2022 Ransomware attacks seeking valuable patient records thus far show no signs of slowing down in 2022. In March 2022 alone, 26 health organizations reported to HHS that they had been affected by data breaches, impacting nearly one
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,
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,
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
Extending medicine's reach
DermWorld takes a look at the Interstate Medical Licensure Compact. ... Feature ... By Andrea Niermeier, Contributing Writer, January 1, 2023 In 1925, inventor and publisher Hugo Gernsback wrote in ... Science and Invention magazine of a "teledactyl," a device that would allow doctors to not only see their patients
Parabens — A common allergen with lots of hype and no real harm
By Christen M. Mowad, MD Sept. 4, 2019 Vol. 1, No. 26 Every year for the past 20 years, the American Contact Dermatitis Society (ACDS) has highlighted an allergen. Most often the particular allergen is selected because it is new and emerging, such as methylisothiazolinone in 2013. (1) Sometimes, it
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
Hair restoration taking root among young people, women
Facts at your Fingertips ... By Megan Bennett, Staff Writer, January 1, 2026 Interest in hair restoration is growing, with women and young adults seeking hair loss surgery at higher rates, according to a member survey from the ... International Society of Hair Restoration Surgery . ... ISHRS — which
Keeping up is hard to do: The need for true grit
By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,
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 is the minimum I need to report to meet the MIPS threshold in 2019?
Asked and Answered ... February 1, 2019 If you or your practice must participate in the Merit-based Incentive Payment System (MIPS) for 2019 and want to simply avoid the ... 7% penalty (penalty applied in 2021), the ... minimum score to avoid the penalty is 30 points — up from
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
Cannabis arteritis: Getting higher on the differential diagnosis list of ulcerative lesions
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, January 1, 2026 Vol. 8, No. 1 Marijuana use is on the rise. In 2022, nearly 22% of people had used the drug in the past year, with steep increases in the number of people 65 and older who
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,
Obituaries
Obituaries ... By Jerry Graff, MD, June 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ROBERT AUERBACH, MD, of New York, Nov. 1, 2017, at age 85. Trained in dermatology at University of Chicago. Was a well-known expert
Educating the public — National Healthy Skin Month
30 healthy skin days hath November! ... November was National Healthy Skin Month and the AAD was Johnny on the Spot (whatever that spot may be) on Nov. 1 ... with information across aad.org and our @AADskin social media channels educating the public on healthy skin from head to toe
Medical research and skin cancer funding
Moving the needle ... By Victoria Houghton, Managing Editor, July 1, 2022 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. Every year, the American Academy of Dermatology Association (AADA) advocates to secure funding for skin cancer prevention and
PDF of AAD-1
AAD 1: Psoriasis: Assessment of Psoriasis Disease Activity– National Quality Strategy Domain: Effective
AAD settled into Seattle for Innovation Academy
The AAD held its latest Innovation Academy meeting Aug. 1-4 in Seattle. Attendees heard from innovators, visionaries, entrepreneurs, and problem solvers who are changing the practice of dermatology, or medicine in general. ... In addition to many informative sessions and events, Innovation Academy featured a talk by famed swimmer Diana
Advocacy Update Jan. 21 2025
IN THIS ISSUE / Jan. 21, 2025 MedPAC recommends 2026 Medicare payment update linked to inflation Advocacy win: FTC releases second report on egregious PBM practices AADA urges UnitedHealthcare to rescind laser policy for vitiligo Dr. Green hosts Rep. Elfreth to discuss Medicare physician payment reform SkinPAC hosts breakfast for
PDF of Important immunohistochemical stains in dermatology
Vimentin+ CD68+ (57-62%) CD99+ α1 anti-trypsin and α1 anti-chymo- CD10+ trypsin + in >50% Pro-collagen-1+
Tofacitinib: A JAK inhibitor of all trades
By Warren R. Heymann, MD April 3, 2019 Vol. 1, No. 4 The Janus kinase inhibitors are taking the dermatologic therapeutic world by storm — at least in the literature. By now, most dermatologists are familiar with studies that have demonstrated efficacy in alopecia areata, vitiligo, psoriasis, psoriatic arthritis, and
Fighting detrimental Medicare payment cuts
As our top federal legislative priority, your Academy fought all year against Medicare payment cuts of 8.5% or more that were scheduled to begin on Jan. 1, 2023. ... As a result, in late December, President Biden signed into law an omnibus spending package that included partial relief from the
This month's news from across the specialty
What's hot ... November 1, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... EDWARD W. COWEN, MD, MHSc Adalimumab was approved in 2015 for the treatment of moderate and severe hidradenitis suppurativa (HS). It is
CMS releases 2024 third and fourth quarter NCCI edits
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, Analyst, Coding & Reimbursement, February 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . CMS has released the third and fourth quarter updates to the 2024 National
Ubiquitous ubiquitination
By Warren R. Heymann, MD June 28, 2017 Generalized severe epidermolysis bullosa simplex. Blister classification. Single blisters were defined as a count of 1. Blister nests derived from 1 healing blister were defined as a count of 1. Redness without convexes was not counted. Only time points for which good
Rounds on pityriasis rotunda
By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and
Evaluation and Management (E/M) coding changes are coming in 2021 – Part 1
Several major E/M guideline revisions will go into effect Jan. 1, 2021, including: ... E/M guideline additions, revisions, and restructuring; ... Deletion of CPT code 99201 and revision of CPT codes 99202 – 99215 ... Updates to components for code selection to include: ... A medically appropriate history and/or physical
Intellectual property issues for dermatology practices
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, DC, and serves as legal counsel for the AAD and AADA. ... By Ben Tesdahl, JD, LL.M, Fernando Montoya, JD, and Robert M. Portman, JD, MPP, January 1, 2023
Pityriasis rubra pilaris: Check a TSH!
By Warren R. Heymann, MD ... June 10, 2016 ... There are myriad ways to mine the data from the review of 100 cases of PRP by Ross et al, however, one key finding will change the way I will assess these patients — 20% were hypothyroid! (1) ... There
CMS Releases 2020 First Quarterly NCCI PTP Edits
The Centers for Medicare & Medicaid Services (CMS) has released the first Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.0, which will go into effect on January 1, 2020. ... As part of the effort to promote correct coding and to minimize inappropriate payments
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
How and when to report prolonged services
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Coding Consult articles . Prolonged services in dermatology are often necessary
I never wanted chaperones — until now
By Warren R. Heymann, MD Sept. 25, 2019 Vol. 1, No. 29 My oldest brother George had just gotten his driver’s license — under no circumstances would my mother allow him to drive his date Ruth to the movies. George protested vehemently, but ultimately relented, with my mother sitting in
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
December 22, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 22, 2021 ... Can COVID-19 be transmitted through the skin? DermWorld Insights and Inquiries : Holiday greeting 2021 Derm Coding Consult : Anthem updates virtual visit policies No Surprises Act
2025 AAD Annual Meeting | Industry Sessions Guidelines
All sessions will be limited to a maximum of 45 minutes in length.
AMA introduces new prolonged service code for 2021
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, January 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Coding based on time ... As previously discussed
Types of audits
RAC audits: In a nutshell ... There are four different types of Medicare contractors that are responsible for auditing records, claims, and payments. ... You need to notify your MAC if you notice errors during a self-audit. ... It doesn’t matter whether you are being audited for the first time
Digging deeper into lupus erythematosus panniculitis
By Warren Heymann, MD May 5, 2021 Vol. 3, No. 18 Lupus erythematosus panniculitis (aka lupus erythematosus profundus, LEP) has a storied history. The famed clinician Harry Arnold noted that Kaposi (when he was Kohn) observed nodules in patients with lupus. (1) Debates and controversies ensued for decades, with many
2024 AAD Annual Meeting Industry Product Session Guidelines
12:00 pm – 12:45 pm 12:00 pm – 12:45 pm 12:00 pm – 12:45 pm 1:15 pm – 2:00 pm 1:30 pm – 2:15 pm 1:
Advocacy Update Aug 19, 2025
IN THIS ISSUE / Aug. 19, 2025 Academy addresses Cigna’s new E/M billing policy AADA member selected for Partnership for Quality Measurement’s Pre-Rulemaking Measure Review Clinician Committee AADA presents at FDA Advisory Panel on dermal fillers Contribute to SkinPAC Payer Advocacy Academy addresses Cigna’s new E/M billing policy ... On
CMS creates permanent drug code for treating molluscum contagiosum
CMS has created a permanent drug code, J7354, for cantharidin, a drug used to treat molluscum contagiosum in adult and pediatric patients 2 years and older. The new J-code became effective on April 1, 2024. ... Cantharidin is the first ... FDA-approved topical treatment for molluscum contagiosum. The manufacturer provides
A changing of the guard: New faces at the Academy
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, April 1, 2021 Dateline: Cleveland. Friends, countrymen/women, colleagues, dermatologists from coast to coast. Who would have thought the last year would be so memorable, so unnerving, so depressing? No
2020 CPT Coding Updates
For 2020, the CPT code set has multiple changes. Although most of the changes do not specifically affect dermatology, there are notable changes that members need to be aware of starting on January 1, 2020. ... Non-Face-to-Face-Services: Telephone Services ... CPT code 99444 has been deleted and in its place,
The congenital perineal groove: Defective recognition of a dermal defect
By Warren R. Heymann, MD ... Feb. 28, 2018 ... It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features: (1) a wet groove in the midperineum between the fourchette and the anus; (2) normal formation of
Pubic hair grooming: Less means more
By Warren R. Heymann, MD Oct. 14, 2016 It is essential for dermatologists to comprehend current mores that affect our patients’ health. Understanding the trend toward increased genital hair grooming in men and women can help us instruct patients on how to avoid injuries related to hair removal. Indeed, 19-
PDF of biodegradeable part 1
Academy of Dermatology | Association directions in residency boards fodder Soft tissue fillers, part 1:
Evaluation and management (E/M) coding changes are coming in 2021 – Part 2
Recognizing the 2021 E/M code descriptor revisions ... Changes to E/M coding will go into effect on Jan. 1, 2021. This article follows up on ... part one of our series which introduced the reasoning for these coding changes. We will now focus on key changes for each of the
Get ready for MIPS in 2019
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, February 1, 2019 CMS has made several changes to the 2019 Merit-based Incentive Payment System (MIPS). While CMS did
MIPS Highlights for 2021
CMS announces automatic exemption for MIPS 2020 performance period & extended deadline for COVID relief ... In response to the ongoing COVID-19 public health emergency, CMS recently announced that it will apply an automatic extreme and uncontrollable circumstance (EUC) policy for all eligible clinicians for the MIPS program for the
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
2026 AAD Annual Meeting | Exhibitor Product Theater
FEES The fee for an Exhibitor Product Theater is $35,000 (per 45-minute program).
Firefighter Skin Cancer Checks Program on a ladder to success
On June 1, the Academy launched its new ... Firefighter Skin Cancer Checks Program nationally. Developed in partnership with the Firefighter Cancer Support Network, the new program aims to provide help to a population that is at a much greater risk of melanoma and skin cancer than the average person.
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:
Turning our attention to melanoma risk in Turner syndrome
By Warren R. Heymann, MD, FAAD July 2, 2025 Vol. 7, No. 26 "…at the endocrine clinic and in private practice, I had seen a few young girls who had not matured, and they were short in stature and they had short necks with a low hair line and increased
Scent-sitive skin
Contact dermatitis experts discuss regulatory complexities of the fragrance industry and share tips for identifying and managing allergens. ... Feature ... By Emily Margosian, Assistant Editor, November 1, 2024 Ask a contact dermatitis expert — what’s one of the toughest allergies to manage? ... "Probably fragrance," said Christen Mowad, MD,
Improvement activities (15%)
In this performance category, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. For 2025 MIPS reporting, this category is worth 15% of the MIPS score with a maximum of 40 points available. There are 77 dermatology-relevant practice improvement activities (IAs) to choose from. ...
PDF of laser endpoints clinical pearls
nize endpoints for efficacy and safety. use of a polarizing illuminator head set will enhance visu- 1
AADA takes on step therapy reform, sunscreen access
New Jersey Gov. Phil Murphy (D) signed step therapy reform legislation into law, effective Jan. 1, 2026. The new law places guardrails around the use of step therapy protocols by state-regulated health plans, including Medicaid. ... The AADA has supported this effort since 2020 in partnership with the Dermatological Society
New CDC treatment guidelines for sexually transmitted infections
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Kimberly A. Workowski,
Frontal fibrosing alopecia: Bewitched, bothered, and bewildered
By Warren R. Heymann, MD Feb. 13, 2017 Women given the diagnosis of frontal fibrosing alopecia (FFA) with different severity grades. A, FFA grade I/V in a premenopausal 30-year-old woman, with a less than 1-cm wide area of cicatricial skin produced by the recession of the frontal and temporal hairline.
Labor Day thoughts on increasing dermatologist burnout
By Warren R. Heymann, MD Sept. 5, 2016 "Love and work…work and love. That’s all there is" – Sigmund Freud ... Today you probably received an email from ... Dermatology Times entitled "Tips for taking advantage of Labor Day 2016." A recent Mayo Clinic study was quoted, noting that between
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
PDF of Granulomas
Th1 CD4+ pattern 25% with skin involvement; Superficial and deep Corticosteroids (topical, IL, and 45
PDF of measure specs for electronic case reporting
criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician; 1.
PDF of 2024 MIPS PI electronic case reporting measure
criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician; 1.
PDF of small and large practice Academy MIPS guidance
not only Medicare if you are reporting via registry or EHR. 2020 MIPS Reporting options QUALITY (45%
PDF of Ibero Latin American College of Dermatology AM2020 presentation
2020 Annual Meeting Global Education Day Ibero Latin American College of Dermatology (CILAD) Module 1
Preventing and treating Trichophyton indotineae
Prevention ... Specific recommendations to prevent ... T. indotineae infection do not exist, but physicians can educate patients about strategies for ... preventing dermatophyte infections in general. ... Health care professionals should use ... Standard Precautions when caring for patients with possible tinea. ... Empiric treatment ... Because confirmatory testing
Selectivity and the choice of beta-blockers for infantile hemangiomas
By Warren R. Heymann, MD Sept. 11, 2017 Clinical evolution of an infantile ulcerated hemangioma on upper lip of patient 7. Clinical appearance: Before starting propranolol (A); after 12 months of follow-up (3 months of treatment) (B). ... Credit: ... JAAD Has there ever been a more radical change in
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
Key messages for social media about hair loss
Key messages ... Many conditions and diseases can result in hair loss, as can improper hair care. ... The most common cause of hair loss is hereditary thinning or baldness, also known as androgenetic alopecia. (1) This condition affects an estimated 80 million Americans — 50 million men and 30
PDF of industry expert sessions for theater 2
Hosted by: Amgen 11:45 AM - 12:30 PM Title: Amzeeq™ (minocycline) topical foam, 4%: A
AADA advocacy delivers Senate Medicare payment reform bill
In a major advance in AADA’s fight for Medicare payment reform, the Senate introduced a bill on Aug. 1 aimed at addressing budget neutrality, a major cause of the ongoing physician payment cuts. This is a direct result of the AADA’s relentless advocacy on this issue, which is our sole
Merkel cell carcinoma in situ: Begin the beguine?
By Warren R. Heymann, MD May 26, 2017 I have to admit, the concept of Merkel cell carcinoma in situ (MCCIS) was "below my radar screen," until I read the intriguing article, from Jason Lee’s group, questioning whether an intraepidermal proliferation of Merkel cells (MC) within a seborrheic keratosis is
IA25 Exhibitor Product Theater
FEES The fee for an Exhibitor Product Theater is $25,000 (per 45-minute program).
October 27, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 27, 2021 ... COVID-19 and nails: A review of clinical findings DermWorld Insights and Inquiries : Taking woolly hair to heart Derm Coding Consult : CMS revises Advance Beneficiary Notice
Vulvar hidradenoma papilliferum and mammary-like gnogenital glands: The whole story
By Warren R. Heymann, MD July 31, 2016 I had always assumed that hidradenoma papilliferum (HP), which characteristically appears in the vulvar region, was derived from apocrine glands. Until I read the article by El-Khoury et al (1) I had never even heard of mammary-like anogenital glands (MLAGs). ... Although
Trichophyton rubrum resistant to terbinafine
Trichophyton rubrum resistant to terbinafine ... T. rubrum , a dermatophyte fungus, is the most common cause of dermatophytosis worldwide. ... 1 ... Oral terbinafine is considered a first-line treatment for most infections caused by this fungus, but cases of terbinafine-resistant ... T. rubrum are increasingly being reported worldwide and
A Frank discussion about earlobe creases
By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied
AESOP: The ants and the grasshopper
By Warren R. Heymann, MD, FAAD Aug. 21, 2024 Vol. 6, No. 34 Unquestionably, AESOP ( ... A denopathy and ... E xtensive ... S kin patch ... O verlying a ... P lasmactyoma) is rare — to date, fewer than 25 cases have been reported. (1) Why write (or
PDF of Public Health Electronic case specs
criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician; 1.
CMS finalizes and implements evaluation and management visit complexity HCPCS add-on code G2211
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, May 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . CMS has officially implemented the novel
PDF of indoor tanning model bill
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF [ENTER STATE]: SECTION 1. Definitions.
PDF of MIPS guidance for large practices
only Medicare if you are reporting via registry or EHR. 2020 MIPS Reporting options QUALITY (45%
Reflectance confocal microscopy, driverless cars, and Uber: The future of dermatopathology
By Warren R. Heymann, MD ... Sept. 12, 2016 ... In a matter of days, you will be able to use Uber to hail a driverless car to your destination in Pittsburgh. During these trials, initially there will be a human monitor (1). You know where this is going
PDF of Retinoid biology, part 1
boards’ fodder Review of Retinoid Biology: Part 1 Mariana Phillips, MD.
Does the No Surprises Act affect dermatologists?
Legally Speaking ... By Allyn Rosenberger, JD, MPH, and Robert M. Portman, JD, MPP, May 1, 2023 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
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),
PDF of MIPS SR requirements for 2020
CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or
April 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 3, 2024 ... Safety of DEET insect repellent in children: Do the natural alternatives work? DermWorld Insights and Inquiries : Hair straightening and acute renal injury — The latest data
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
2025 AAD Annual Meeting Global Education Day | International Eczema Council Agenda
Learning Objectives At the conclusion of this symposium, participants will be able to: 1.
This month's news from across the specialty
What's hot ... January 1, 2020 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... MALLORY ABATE, MD Is frontal fibrosing alopecia (FFA) really caused by sunscreen? A new ... JAAD article reviews the evidence. The rising
This month’s news from across the specialty
What’s hot ... July 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Is topical 5-fluorouracil toxic to our pets? The answer is yes, as explained by Young et al in their
The risk of melanoma in adults with giant pigmented nevi
By Warren R. Heymann, MD May 27, 2016 Giant pigmented nevi (GPN, defined in reference 1 as > 20 cm in an adult) are among the most challenging lesions from so many perspectives. When diagnosed in childhood, questions from parents regarding the risk of melanoma, approach to monitoring, managing, and
Melanoma clinical guideline
More than 1 million people are living with melanoma, and one person dies of the disease every hour. These new evidence-based guidelines address the most commonly considered and utilized approaches for the surgical and medical treatment of primary cutaneous melanoma. Review guideline highlights or download the full guidelines below. ... Access
Medical vs. cosmetic dermatology: Who is doing what?
Facts at your Fingertips ... By Emily Margosian, assistant editor, January 1, 2019 Despite ongoing discussion about the role of cosmetics in the specialty, data from the 2017 AAD Practice Profile Survey indicate that medical dermatology remains the primary focus of dermatology practitioners across all types. However, dermatologists spend the
The concept of atrophoderma of pasini and pierini as morphea may be falling off a cliff
By Warren R. Heymann, MD Nov. 6, 2017 ... Clinical photos of idiopathic atrophoderma of Pierini and Pasini. ... Credit: ... JAAD Diagnosing Atrophoderma of Pasini and Pierini (APP) is reasonably straightforward — it usually presents in adolescents and young adults, more often in females, with sharply defined, single or
September 12
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 12, 2018 ... CMS continues to tinker with MIPS in 2019 proposal Experimental acne vaccine targets skin bacteria Call for nominations deadline is Oct. 1 Hospitals launch generic drug company
PDF of Oral disease, part 1
boards’ fodder Oral Disease, Part 1 by Helena Pasieka, MD CLINICAL PATHOLOGY TREATMENT ASSOCIATIONS DEVELOPMENTAL
PDF of SR measure for MIPS
CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or
2024 Allergen of the year: Sulfites
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, April 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Erin
Coding and documentation — Your best defense
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, October 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Accurate and thorough documentation in the medical
AADA advocates for innovative teledermatology policies and programs
While 85 million Americans are impacted by skin disease, only 1 in 3 patients will see a dermatologist. The Academy believes that teledermatology is a powerful tool for increasing patient access to needed dermatologic care. ... The Academy advocates for innovative teledermatology policies and programs that increase access to care
Psoriasis
Key messages ... Psoriasis is a chronic inflammatory disease of the immune system that develops when the body makes skin cells too quickly, causing skin cells to pile up and form visible patches or spots on the skin. (1-6) ... Psoriasis and psoriatic arthritis can be associated with other diseases
Of every possible solution for elastosis perforans serpiginosa, fractional carbon dioxide laser may be the best
By Warren R. Heymann, MD Nov. 13, 2017 ... Elastosis perforans serpiginosa. Clinical presentation. ... Credit: ... JAAD My initial attraction to dermatology, which still offers great appeal, is the challenge and joy of differential diagnosis and clinical-pathologic correlation. I learned quickly, however, that patients don’t want to be interesting
Advances in dermatopathology
Dermatopathologists discuss the latest trends and developments in dermpath. ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2023 The field of dermatopathology is experiencing much growth and change. From how to use PRAME to aid in determining whether a lesion may be malignant, to digitizing glass slides
Teledermatology workflow for small practices
Use the workflow below to help you implement or improve your teledermatology operations. This version is designed for solo or small practices. There is a distinct PDF guide for dermatologists who practice in an ... academic or multispecialty organization . ... 1. Technology setup ... Create a generic account on
AMA CPT releases new online digital E/M services codes for private payers
Effective Jan. 1, 2020, the AMA CPT deleted CPT code 99444 (Online evaluation and management service provided by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient or guardian, not originating from a related E/M service provided within the
We are battling detrimental Medicare payment cuts
As our top federal legislative priority, your Academy has been fighting all year against Medicare payment cuts of 8.5% or more that are scheduled to begin on Jan. 1, 2023. These scheduled cuts are on top of payment reductions that took effect this year, and, without a long-term solution, Medicare
Local coverage determinations: what are they good for?
By Alexander Miller, MD, FAAD, Dec. 1, 2014 ... You excise an inflamed, painful, abscessed epidermal inclusion cyst from the back of a Medicare patient. As the cyst is symptomatic, you feel that its excision should be covered by Medicare. You bill the patient’s Medicare contractor for the excision and
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,
Recognizing Trichophyton indotineae
Reporting to health departments ... Physicians who suspect antimicrobial-resistant dermatophytosis can also contact ... their state or local health departments for assistance . Public health officials who are concerned about potential cases or clusters of drug-resistant tinea infections can email ... fungaloutbreaks@cdc.gov for assistance with recommendations and testing. ... Overview
Quality Resources Provided by the AAD
Quality Measures ... AAD continues to develop ... dermatology-specific measures available to dermatologists . Dermatology measures are needed to meet CMS reporting requirements, can be used to drive quality improvement, and may be required by additional organizations. ... Learn more about quality measures available for reporting, a ... measure selection
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
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
Trichophyton indotineae infections and other severe or antifungal-resistant dermatophytoses
Dermatophytosis (ringworm, tinea, jock itch, athlete’s foot) is a very common and typically minor infection of the skin caused by dermatophyte fungi. ... 1 ... In the past decade, severe or antifungal-resistant dermatophytoses have become a global public health concern, including in the United States. ... The AAD has assembled
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
What dermatology practices need to know about laws protecting pregnant and lactating employees
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, DC, and serves as legal counsel for the AAD and AADA. ... By Ben Tesdahl, JD, LLM, Jason Qu, JD, and Rob Portman, JD, MPP, September 1, 2024 Every
What's hot?
What's hot ... May 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... You may be surprised to learn that a ... new organ’ in the skin was recently identified.
2023 AAD Innovation Academy Industry Product Session Guidelines
• A/V Equipment: o 1 – 7.6’ x13’ Fast Fold Front Screen with Dress Kit o 1 – 10K Lumen LCD Projector
This month's news from across the specialty
What's hot ... October 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... ED COWEN, MD Why do a small percentage of young and apparently healthy patients with COVID-19 develop life-threatening infection or a Kawasaki syndrome-like
PDF of the Academy position on Vitamin D
Position Statement On Vitamin D (Approved by the Board of Directors: November 1, 2008; Amended
No Surprises Act
The No Surprises Act (NSA) provides patients with new protections against surprise billing because of insurance network rules. Like other clinicians, dermatologists must follow new NSA rules beginning on Jan. 1, 2022. The rules were issued jointly by HHS and agencies in the Labor and Treasury departments. ... The NSA
Melanoma in situ: The power of one (centimeter)?
By Warren R. Heymann, MD Sept. 10, 2016 I remember Marie. She was a delightful elderly woman whom I would see for routine follow-up following an excision of her melanoma in situ (MIS) from her right arm. I will never forget my astonishment upon feeling the large lymph node in
PDF of MIPS guidance for small practices
score) (15% of MIPS *Note, must be engaged in activity for minimum 90 consecutive days; Report the (45%
Biting my nails worrying about atypical presentations of nail unit melanomas
By Warren R. Heymann, MD March 27, 2019 Vol. 1, No. 3 I recently encountered a patient who expressed his disappointment in me, complaining that I was too slow to diagnose a lentigo maligna in a facial solar lentigo that we had been following. How could I miss a melanoma?
Beware: Discordance abounds among pathologists in the diagnosis of melanocytic neoplasms
By Jason B. Lee, MD Dec. 4, 2019 Vol. 1, No. 38 Discordance in the histological diagnosis of melanocytic lesions has been an underemphasized and understudied problem, and, therefore, the scale and the impact of the problem is largely unknown. Over the years, there were small studies and observations suggesting
How are patients with skin of color uniquely affected by dermatofibrosarcoma protuberans?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, June 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Travis Blalock, MD, MBA, FAAD, about his recent JAAD ... paper, ‘ The epidemiology of dermatofibrosarcoma protuberans incidence, metastasis, and death among various population groups:
Homing in on hornerin: Breaking down the barrier to understand its crucial role in atopic dermatitis
By Warren R. Heymann, MD, FAAD Oct. 16, 2024 Vol. 6, No. 42 Atopic dermatitis (AD) is characterized by skin barrier dysfunction, inflammation, and chronic pruritus. The etiology of AD, however, is complicated and incompletely understood, with genetic, environmental (soaps, surfactants, stress), and immunological factors causing skin barrier abnormalities and
The opioid epidemic: Coma blisters and beyond
By Warren R. Heymann, MD Aug. 4, 2017 The opioid crisis in the United States is responsible for at least 90 fatalities every day. This dire situation has been aggravated by the increased availability of very potent synthetic opioids such as fentanyl and carfentanil, which are 50 and 5000 times
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
PDF of Spanish Academy of Dermatology and Venereology Global Education Day presentation
- 06:00 pm) Room 204AB, Boston Convention & Exhibition Center (Boston, MA) Learning Objectives 1.
What is being recommended to patients on social media?
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, October 1, 2023 Social media is abundant with skin care advice. A recent ... JAAD cross-sectional analysis of acne treatments on YouTube found that up to 91% of teens report using social media to access health information. However, who is
Pathway to reducing medical errors
By Jason B. Lee, MD, FAAD June 26, 2024 Vol. 6, No. 26 The 2000 landmark report by the Institute of Medicine ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era. (1) The report highlighted nearly 98,000 hospital deaths
Making lemonade
How can dermatologists utilize burdensome EHR systems to their advantage to enhance patient care? ... Feature ... By Andrea Niermeier, Contributing Writer, August 1, 2024 When a medical student imagines their life as a doctor, they may visualize themselves perched on a swiveling chair in an exam room, building rapport
Striae due to bartonella is a stretch
By Warren R. Heymann, MD May 1, 2018 ... A, Localized striae distensae on the left upper limb (flexor aspect). B, Clinical improvement 9 weeks after treatment. ... Credit: ... JAAD I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections
March 24, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 24, 2021 ... Derm Coding Consult : Applying 2021 E/M coding concepts in everyday practice — Part 1 DermWorld Insights and Inquiries : Lipschütz ulcers — Not only for women
Modifier madness
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, April 1, 2019 Test your knowledge: Modifier madness ... Take the quiz to see if you're up to date.
2026 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, January 1, 2026 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
Reporting Mohs micrographic surgery with a simple repair
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, February 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The Integumentary System, Repair (Closure) guidelines were recently
Breaking the terbinafine laboratory habit for onychomycosis
By Warren R. Heymann, MD May 22, 2019 Vol. 1, No. 11 ... Are you a creature of habit when it comes checking laboratory tests for certain prescriptions? I am. I get nervous if the quantiferon TB test is not checked annually for patients on biologics. If my patient is
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
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.
Shedding light on treatments for female pattern hair loss
Dermatologist hair experts discuss the efficacy and safety considerations of off-label treatments for female pattern hair loss. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2025 A female patient presents with thinning hair and a reduction in hair density at the top of the scalp. Is it
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
So many questions. So little time.
Experts offer best practices on efficiently addressing patients’ questions about sunscreen. ... Feature ... By Andrea Niermeier, April 1, 2023 Aisles of products, numerous social media top 10 lists, and abundant information on the internet: Consumers can be quickly overwhelmed with sunscreen questions related to types, usage, and safety —
Can nail clippings save lives?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, April 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Adam Rubin, MD,
Coordinating eczema care at a multidisciplinary clinic
Dr. Attarian's story ... Hrayr Attarian, MD, Sleep Neurologist – Northwest Medicine ... Treating eczema can require a multidisciplinary approach, involving allergists, neurologists, sleep specialists, and dermatologists. That’s because histamine impacts both eczema and insomnia — linking sleep medicine, allergology, and dermatology in treating eczema. For instance, a patient with
What's hot?
What's hot ... March 28, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The title says it all: ... Lack of a U.S. Food and Drug Administration indication should not
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.
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
Documentation and reporting requirements for adjacent tissue transfer or rearrangement
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, June 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Adjacent tissue transfer (ATT) or rearrangement procedures
Measuring a lesion and choosing the appropriate excision code
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, June 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Benign and malignant lesions present significant
2026 AAD Annual Meeting | Exhibitor Space Application
BOOTH REQUESTS (AAD reserves the right to the final determination of booth location) Booth fee: $45
A bridge from the view: Switching from glass to digital dermatopathology
By Warren R. Heymann, MD Nov. 23, 2016 Eight months ago, I started using the Clearpath digital dermatopathology system developed by Tom Olsen and his associates at the Dermatopathology Laboratory Central States (DLCS). As one of the early utilizers, I was grateful to work with his software wizards, offering my
Nonepidemic Kaposi sarcoma: The fifth dimension
By Warren R. Heymann, MD Oct. 16, 2019 Vol. 1, No. 32 ... For more than a century, since first described in 1872 by Moritz Kaposi* as "idiopathic multiple pigmented sarcoma," dermatologists focused on classical Kaposi sarcoma (KS) — violaceous patches, plaques, and tumors on the lower extremities of
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
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
2025 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, December 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The American Medical Association (AMA) has
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
Time to reassess messing around with steroids and psoriasis
By Warren R. Heymann, MD March 3, 2021 Vol. 3, No. 9 You don't tug on Superman ’ ... s cape You don't spit into the wind You don't pull the mask off that old Lone Ranger And you don't mess around with Jim If the late Jim Croce was
The treatment of systemic juvenile xanthogranulomas matures
By Warren R. Heymann, MD, FAAD Jan. 8, 2025 Vol. 7, No. 1 Diagnosing juvenile xanthogranulomas (JXG) is simultaneously satisfying and slightly disconcerting. JXG’s clinical yellow appearance, the "setting sun" on dermoscopy, or the recognition of Touton giant cells histologically allows dermatologists to be reasonably confident of the diagnosis. It
Stress^2 + Hormones^2 = Acne^2
By Warren R. Heymann, MD June 5, 2019 Vol. 1, Issue 13 I would wager that every human being has experienced at least one pimple attributed to stress. I recall a devastatingly embarrassing moment during 10th grade world history class at Martin Van Buren High School (Queens, New York), when
2022 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, November 1, 2021 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The American Medical Association (AMA) has released the
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the
Susan Boiko, MD, FAAD
Offering support and skills, from clinic to camp. ... Donor Spotlight ... By Dean Monti, Managing Editor, Special Publications, November 1, 2024 In this column, DermWorld ... highlights individual members who have gone above and beyond with their Academy contributions. Susan Boiko, MD, FAAD ... As you’re reading this, Susan
A virus like no other
How to protect yourself against identity theft. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2024 Dermatologists are high achievers. That serves them well when it comes to graduating from medical school, persevering in residency, and practicing dermatology. It doesn’t serve them well online where scammers use malware,
DataDerm™: The power of data
Academy members discuss how data from dermatology’s largest clinical data registry is being used to improve patient care and support the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, October 1, 2023 Fact: Physicians are busy. Dermatologists have jam-packed patient schedules, an increase in administrative tasks, and ever-changing
Disaster relief preparedness
Answers in Practice ... By Swapna Pachauri, MPH, manager, Health Technology & Informatics, June 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Swapna Pachauri, MPH, the Academy’s Health Technology & Informatics manager, offers a summary of disaster relief preparedness. Disasters and emergencies can happen
PDF of patient access FAQs
Please see 45 CFR 171.103 regarding the elements of information blocking.
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
Peace of mind
Finding the right insurance coverage to protect your practice. ... Feature ... By Andrea Niermeier, Contributing Writer, September 1, 2024 While the adage goes, "By failing to prepare, you are preparing to fail," this simple witticism has grown complicated for dermatologists looking to protect themselves, their practices, and their patients.
Coding and documentation for hyperhidrosis
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Clear and concise documentation is essential
The woolly culprit: Lanolin revealed as an uncommon cause of dermatitis on normal skin
By Christen Mowad, MD, FAAD Nov. 15, 2023 Vol. 5, No. 46 Excitement surrounding the "Allergen of the Year" may only be truly appreciated by those immersed in the field of contact dermatitis and patch testing, but each year the announcement is met with enthusiasm from the wider dermatology specialty.
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
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
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
Keeping dermatologists in the driver’s seat with step therapy reform
Moving the needle ... By Victoria Houghton, Managing Editor, March 1, 2023 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. Step therapy protocols interfere with patient care and create unwanted burdens on dermatology practices. Thanks to the AADA’s
PDF of measure specs for syndromic surveillance
Active engagement may be demonstrated in one of the following ways: • Option 1 – Completed Registration
PDF of measure specs for public health registry reporting
Active engagement may be demonstrated in one of the following ways: • Option 1 – Completed Registration
PDF of 2024 MIPS PI Syndromic surveillance measure
PI_PHCDRR_2 Measure ID: Active 1. PI_PHCDRR_2_PRE Engagement 2.
Putting a finger on the diagnosis of Achenbach syndrome
By Warren R. Heymann, MD, FAAD July 28, 2021 Vol. 3, No. 30 Please study the image below first. Castillo et al reported the case a 48-year-old woman complaining of acute pain, swelling, and ecchymosis of the volar aspect of her right third finger, sparing the fingertip, when walking her
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
Increasing evidence for the use of topical timolol for pyogenic granulomas
By Warren R. Heymann, MD May 16, 2016 There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion. Certainly there are times when that approach may not be optimal, such as a PG the face of
Screening firefighters for skin cancer
First Person ... By Christine Kannler, MD, FAAD, October 1, 2022 DermWorld’s ... First Person column offers Academy members the opportunity to share their personal reflections about how dermatology is changing and how they’ve adapted. Christine Kannler, MD, FAAD ... My brother was a firefighter in Chelsea, Massachusetts, an instructor
This month's news from across the specialty
What's hot ... December 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD Choice and transparency dominate our landscape. It is hard to believe that it was only 2013 when the FDA
2024 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The American Medical Association (AMA) has
All you need is love.
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, February 1, 2026 In February 1979, the month before my match in internal medicine, I was struck by Cupid’s arrow during my dermatology elective, which changed the trajectory of
Evaluation and management in 2021: Part 2
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 2 ... Take the quiz to see
PDF of Medical mycology
Inhalation of spores 1° pulmonary: Tiny yeast forms Itraconazole (Darling’s capsulatum (US) from soil
Getting a toehold on subungual tumors: Aneurysmal bone cysts join the club
By Warren R. Heymann, MD Aug. 26, 2016 Subungual tumors make me nervous. I realize that most are benign (subungual exostosis, osteochondroma, onycholemmal cyst, glomus tumor, pyogenic granuloma, wart, fibroma, acral fibromyxoma), however subungual malignant lesions (squamous cell carcinoma, keratoacanthoma, melanoma) occur. A delayed diagnosis can result in a profoundly
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
They never taught us how to fail
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, December 1, 2019 Physicians are high performers and success is the norm. In our safety-conscious world of medicine, we learn about errors and are given tools to analyze the root cause in
June 5, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 5, 2024 ... Oral minoxidil vs. topical minoxidil for male androgenetic alopecia DermWorld Insights and Inquiries : Nailing the diagnosis of the BAP1 tumor predisposition syndrome Clotrimazole-betamethasone dipropionate for nonfungal
PDF of syndromic surveillance specs
PI_PHCDRR_2 Measure ID: Active 1. PI_PHCDRR_2_PRE Engagement 2.
Coming clean on chlorhexidine-induced dermatoses
By Warren R. Heymann, MD, FAAD March 13, 2024 Vol. 6, No. 11 Dermatologic surgeons use a variety of products that may cause an irritant or allergic contact dermatitis, including antiseptics, anesthetics, gloves, suture materials, tissue adhesives, topical antibiotics, and bandages. Antiseptic agents are the most frequent cause of contact
Giving thanks
From the President ... Dr. Desai served as Academy president from March 2024 to March 2025. ... By Seemal R. Desai, MD, FAAD, November 1, 2024 Dear members, ... I hope everyone is enjoying their autumn so far! ... Last month kept me busy doing one of my favorite things:
This month's news from across the specialty
What's hot ... November 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Health care support workers (phlebotomists, medical assistants, licensed practical nurses, nursing aides, and medical secretaries) are essential
This month's news from across the specialty
What's hot ... January 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Sylvia Hsu, MD, FAAD Diagnostic conundrums are often presented at dermatology teaching conferences in which the presenter asks the audience for a differential
This month’s news from across the specialty
What’s hot ... October 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Rosalie Elenitsas, MD, FAAD Pathologists and dermatopathologists frequently encounter poorly differentiated tumors that fail to reveal a defined lineage. In cutaneous specimens, these are
Coding and documentation clarity
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, April 2, 2018 You biopsy a suspected drug eruption and document the following: "Punch biopsy done. Return in 1
Melanoma of the head and neck: Mohs or wide local excision?
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, April 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Ian Maher, MD, about his
Safety first
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Anyone who has taken a cruise knows the drill: Before heading to the pool, casino, or bar, you must learn to put on your life vest
Do genetics play a role in sun-seeking behavior?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, August 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Veronique Bataille, MD,
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
Sparking the interest in Spark nevus
By Jason B. Lee, MD, FAAD Dec. 13, 2023 Vol. 5, No. 49 The late A. Bernard Ackerman has described and named a variety of dermatologic entities, expanding the lexicon of dermatology over his career. He has been known to come up with catchy and playful names for dermatologic entities
May 22, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 22, 2024 ... Dermatologic findings associated with semaglutide use DermWorld Insights and Inquiries : Striving to avoid an amebic nightmare — Recognizing cutaneous Balamuthia mandrillaris infection Characteristics and treatment of
Dermatological Care MIPS Value Pathway (MVP)
The Dermatological Care MIPS Value Pathway (MVP) is a streamlined reporting system designed specifically for dermatologists to meet MIPS requirements. CMS is designing MVPs to allow physicians to report on measures that are more relevant to their specialties in a structured manner. Unlike traditional MIPS, participation in an MVP for
Do polygenic risk scores have potential utility in determining risk for dermatologic disease?
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, February 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Maryam Asgari, MD, MPH, about
Impact Report — Vol 6, Issue 1
Your membership in action From fighting for your patients and practice against payment cuts and scope-of-practice expansions, to securing major media wins that position you as the authorities in skin, hair, and nails, see how your Academy is working for you. Plus, explore the latest member benefits, including new CME
PDF of PI measure specifications for syndromic surveillance reporting
may be excluded from the Syndromic Surveillance Reporting measure if the MIPS eligible clinician: 1.
PDF of PI measure specifications for electronic case reporting
criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician; 1.
Impact Report — Vol 5, Issue 1
Reiterating the value of membership It’s time once again for the Academy’s ... Impact Report to reveal its 2024 advocacy and patient education activities and remind you of your meaningful member benefits from last year. ... Read the latest on how we are advocating for you on Capitol Hill and
JAAD ranks no. 1 among dermatology journals
The Journal of the American Academy of Dermatology’s ... impact factor increases by 34% ROSEMONT, Ill. (July 5, 2022) — The ... Journal of the American Academy of Dermatology is the top peer-reviewed journal in its field, according to the 2021 journal impact factor rankings recently published by Clarivate’s Journal
2020 Legislative Conference Overview of Asks
These January 1, 2021.
PDF of late-breaking research abstracts
Br J Dermatol [Internet]. 2016;175(1):45–61. Available from: http://www.embase.com/search/results?
PDF of Soft tissue fillers, part 1: Biodegradable
Academy of Dermatology | Association directions in residency boards fodder Soft tissue fillers, part 1:
What role can dermatologists play in diagnosing a cancer syndrome like BAP1?
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, March 1, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Hensin Tsao, MD, PhD, and
Questions and answers: Evaluation and management (E/M) guidelines
Working with the AMA, the AAD’s coding experts are here to provide you with insightful solutions to your most common inquiries. In this informative question-and-answer article previously published in AMA CPT ... ® ... Assistant FAQ of August 2023, our coding team delves into the intricacies of coding for the
International Peeling Society agenda
Exhibition Center PROGRAM AGENDA Chair: Carlos G Wambier, MD, PhD, iFAAD Co-Chair: Kachiu Lee, MD, FAAD 1:
RAC audits: An overview
RAC audits: In a nutshell ... Recovery audit contractors (RACs) look for improper payments that have already been made and identify areas where payment errors are most likely. ... A RAC may perform an audit if they find that you billed for non-covered services or did not code correctly. ...
Fighting for truth in advertising in Indiana
Ask the Expert ... By Victoria Houghton, Managing Editor, August 1, 2022 DermWorld ... spoke to Carrie Davis, MD, FAAD, former chair of the Government Affairs and Advocacy Committee at the Indiana Academy of Dermatology, about efforts with the American Academy of Dermatology Association (AADA) to advocate for truth in
Key components of evaluation and management: Medical decision making
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, August 1, 2018 Medical decision making (MDM) is the third key component of evaluation and management (E/M) that is
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 ...
PDF of Vaccines in dermatology
(patients 16, and 18; and Gardasil-9 has 6, 11, 16, 18, 31, 33, 15-26 years of age should receive 45
PDF of PI PI_PHCDRR_2
may be excluded from the Syndromic Surveillance Reporting measure if the MIPS eligible clinician: 1.
PDF of PI PI_PHCDRR_5
may be excluded from the Clinical Data Registry Reporting measure if the MIPS eligible clinician: 1.
PDF of PI PI_PHCDRR_4
criteria may be excluded from the Public Health Reporting measure if the MIPS eligible clinician: 1.
PDF of PI PI_PHCDRR_3
criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician; 1.
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
Applying the 2021 E/M coding concepts in everyday practice – Part 2
In our ongoing efforts to help members navigate the E/M changes in a simplified and relatable manner in everyday practice, part two of the AADA’s clinical vignettes focuses on the application of the concepts necessary to support reporting a high level of number and complexity of problems addressed, data analyzed,
FAQs: Interoperability and patient access
What is the information blocking rule? ... On April 5, 2021, HHS issued regulations through the Office of the National Coordinator for Health Information Technology (ONC) that prohibit information blocking. Information blocking refers to actions by an "actor" that could interfere with the access, exchange, or use of electronic health
Key components of evaluation and management: Physical examination
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, July 1, 2018 There are three "key components" used to determine levels of Evaluation and Management (E/M) services. The
Cosmetic complications
Dermatologists offer insight and instruction for approaching procedural afflictions. ... Feature ... By Laura Vernaci, Contributing Writer, September 1, 2025 It goes without saying that dermatologists do everything in their power to keep their patients safe and avoid complications or adverse events. However, stay in the business long enough and
PDF of Vascular malformations
No treatment necessary as many fade in 1-2 years.
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
Business associate agreements 101
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, 2021 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is a health care attorney at Alice G. Gosfield
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
Primer on payer contract issues
Answers in Practice ... By Lou Terranova, Associate Director, Practice and Payment Policy, and Teresa Salaway, Senior Manager, Practice and Payment Policy, October 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, AADA regulatory and payment policy staff highlight critical elements of payer contracts for
PDF of MIPS reporting options for large practices
Quality Category Improvement Activity Promoting Interoperability (PI) Category Cost Total Report the (45%
PDF of PI PI_PHCDRR_1
may be excluded from the Immunization Registry Reporting measure if the MIPS eligible clinician: 1.
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
October 14, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 14, 2020 ... OTC scar treatments: What does the evidence say about efficacy? DermWorld Insights and Inquiries : Studying skin aging never gets old — The potential role of oxytocin
PDF of Boards Fodder Non-surgical scar revision
congenital heart defects, prosthetic heart valve, DO, is a PGY-5 joint replacement, HSV (prophylaxis 1
Prolactin and its role in stress-induced psoriasis: Milking the data
By Warren R. Heymann, MD Jan. 18, 2018 Patients will readily acknowledge that stress worsens their psoriasis. When asked how this happens, I respond by mentioning the "mind-body connection" using the term "psychoneuroimmunology;" patients nod in agreement, feigning understanding; appropriately so, because frankly, I don’t understand it either. ... The
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
Optimizing telehealth services
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, July 1, 2020 Take the quiz to see if you're up to date. ... You spend seven minutes doing
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)
April 17, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2024 ... Does low-dose oral minoxidil improve short anagen syndrome? DermWorld Insights and Inquiries : Weighing in on glucagon-like peptide-1 receptor agonists in dermatology CDC investigates counterfeit botox: AAD
Do not take a pass on the PAS stain
By Warren R. Heymann, MD Nov. 7, 2016 My threshold for obtaining a Periodic acid-Schiff (PAS) on inflammatory lesions rivals the opinion of most Americans’ opinion of tomorrow’s election as reported in the New York Times — very low. ... When I read the article by Elbendary et al I
This month’s news from across the specialty
What’s hot ... October 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Chronic pruritus is burdensome for patients with chronic kidney disease (CKD) and can be incredibly difficult for dermatologists to
PDF of PI measure syndromic surveillance 2021
may be excluded from the Syndromic Surveillance Reporting measure if the MIPS eligible clinician: 1.
2024 AAD Innovation Academy | Industry Sessions Guidelines
FEES The fee for an Industry Session is $25,000 (per 45-minute program).
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
"Insure"
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, September 1, 2024 "To make certain especially by taking necessary measures and precautions." ( ... www.merriam-webster.com/dictionary/insure .) In the past few years, ... DermWorld has shared stories from colleagues who have
We all know.
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, October 1, 2024 Ask any of us and we will confidently claim that no one knows more about skin, hair, and nails than a board-certified dermatologist. Unfortunately, social media offers an
AADA advocacy at a state level
From the President ... Dr. Taylor is the Academy’s current president. ... By Susan C. Taylor, MD, FAAD, February 1, 2026 Taking care of dermatologists so that they can take care of their patients...and their practices Dear members, ... Advocacy is a key mission of the Academy. On the federal
Estate planning 101
Experts offer tips on what to do and when to do it. ... Feature ... By Ruth Carol, Contributing Writer, March 1, 2023 They are two of the most difficult decisions to make: who should be your child’s guardian and who should get your assets if something happens to you.
It's time for a CLIA refresher!
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, August 1, 2019 What comes to mind when you hear CLIA? Probably that it’s just another burdensome federal regulation
Cosmetic or not, will this be covered?
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, February 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Dermatologists play a crucial role in
Lock it down
Answers in Practice ... By Victoria Houghton, Managing Editor, September 1, 2020 Dermatology World ... talks to Jon Ward, MD, founder and president of Dermatology Specialists of Florida, about developing office lockdown procedures. Dermatology World: You have procedures for several emergency events — not only natural disasters, but also for
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
Digital media kit: DermWorld editorial calendar
Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...
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
Challenges ebb and flow, but our “why” remains the same
From the President ... Dr. Kaufmann served as Academy president from March 2022 to March 2023. ... By Mark Kaufmann, MD, FAAD, March 1, 2023 Serving as your Academy President these last 12 months has been a journey filled with opportunities and challenges. While it has been a test of
PDF of Industry guidelines
10:30am – 11:15am 12:00pm – 12:45pm 12:00pm – 12:45pm 12:00pm – 12:45pm 1:30pm – 2:15pm 1:30pm – 2:
PDF of Industry expert guidelines
10:30am – 11:15am 12:00pm – 12:45pm 12:00pm – 12:45pm 12:00pm – 12:45pm 1:30pm – 2:15pm 1:30pm – 2:
2022 simple repair guideline updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, December 1, 2021 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The Integumentary System, Repair (Closure) guidelines have been
This month’s news from across the specialty
What’s hot ... February 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD The Nation’s Health by the American Public Health Association published a ... special report on improving health
What is the status of MAC implementation of the NCCI new procedure to procedure edits for the new biopsy codes?
Asked and Answered ... August 1, 2019 As of July 1, 2019, service modifiers 59 and XE, XS, XP, and XU may be appended to either Column 1 or Column 2 codes in the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits table, when appropriate. On March 29, the Centers
Americans with Disabilities Act issues in dermatology
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, DC, and serves as legal counsel for the AAD and AADA. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, January 1,
A second set of eyes
As states consider new chaperone rules for skin checks, what do they mean for your patients and practice? ... Feature ... By Emily Margosian, Senior Editor, July 1, 2025 In dermatology, the physical exam is a core part of nearly every patient encounter, requiring mutual trust between patient and physician.
Insult to injury: COVID-19-associated mucormycosis
By Warren Heymann, MD June 9, 2021 Vol. 3, No. 23 As America unmasks this Memorial Day, COVID-19 is ravaging India. The scenes of desperation stemming from the overwhelmed heath system, poverty, and funeral pyres are almost unfathomable. In the midst of the devastation, doctors in India have observed an
Aluminum can cause allergic contact dermatitis: Allergen of the Year 2022
By Christen Mowad, MD, FAAD June 15, 2022 Vol. 4, No. 24 Allergen of the year is an eagerly awaited award for those of us excited by allergic contact dermatitis. It has been given each year for over 20 years to highlight allergens of new and emerging significance and sometimes
PDF of 2024 MIPS PI Immunization reporting measure
may be excluded from the Immunization Registry Reporting measure if the MIPS eligible clinician: 1.
Go your own way
Dermatologists share experiences and considerations practicing in a variety of practice models. ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2025 Whether you’re embarking on your career path, or you’re simply ready for a reset, there are a multitude of practice models to investigate. Each path offers
I always knew firefighting was a dangerous occupation
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 I grew up in a very small town where firemen, all of whom were volunteers from the community, were called to action with a very loud siren that
Shielding our heroes: Dermatologists deploy to provide free skin cancer checks to 425 NYC firefighters
Event kicks off the American Academy of Dermatology’s and Firefighter Cancer Support Network’s national program to check 10,000 firefighters for skin cancer by 2026 NEW YORK CITY (May 28, 2024) — The American Academy of Dermatology (AAD), in conjunction with the Firefighter Cancer Support Network, will host a free Skin
PDF of PI measure specifications for public health registry reporting
criteria may be excluded from the Public Health Reporting measure if the MIPS eligible clinician: 1.
PDF of PI measure EHR case reporting 2021
criteria may be excluded from the Electronic Case Reporting measure if the MIPS eligible clinician; 1.
PDF of measure specs for immunization
may be excluded from the Immunization Registry Reporting measure if the MIPS eligible clinician: 1.
August 13, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 13, 2025 ... Effects of GLP-1RA on inflammatory skin diseases DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma Beta-HPV virus can