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A string of (clinical) pearls about drug-induced linear IgA disease
By Warren R. Heymann, MD Aug. 6, 2018 Linear IgA dermatosis patient with urticarial eruption of the trunk. ... Credit: ... JAAD The late sage Wallace Clark taught me that once a diagnosis is secured, thinking ceases. Admittedly in cases of drug-induced linear IgA dermatosis (DI-LAD) that I have encountered
Session handouts and meetings archive
Handouts ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023 Innovation Academy, Tampa, FL, August 10-13 2023 Annual Meeting, New Orleans, LA, March 17-21 Sessions ... 2025 Innovation
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023
Cyclosporine reaches the top of the SJS/TEN leaderboard
By Warren R. Heymann, MD Oct. 16, 2017 ... A, Sheet-like detachment, blisters, and raw erosions on back of patient with Stevens-Johnson syndrome/toxic epidermal necrolysis. B, Postinflammatory hyperpigmentation accentuated in areas where detached epidermis was not left in situ. ... Credit: ... JAAD The first commentary in DI&I for 2017
Shipping information
I am shipping my order outside the U.S., how much will I be charged? ... For shipping rates outside the U.S. please call the MRC at (866) 503-SKIN (7546) or outside the U.S. at (847) 240-1280. ... What if I have a PO Box? ... Unfortunately, the AAD cannot ship
Topical crisaborole ointment for atopic dermatitis: Hoping for a painless introduction
By Warren R. Heymann, MD Aug. 13, 2016 Any dermatologist who treats atopic dermatitis (AD) must be eagerly awaiting the introduction of 2% Crisaborole ointment. This is equally true for patients (and their parents!) who are steroid-phobic and uncomfortable with the black box warning for calcineurin inhibitors (despite our reassurances).
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.
Moving in to first place: Antimalarials for treating generalized granuloma annulare
... By Warren R. Heymann, MD March 26, 2017 Localized granuloma annulare. Erythematous annular plaques may be singular (A) or multiple (B). Localized granuloma annulare may also present as papules coalescing into circular plaques (C). ... Credit: ... JAAD At a University of Pennsylvania Duhring Conference years ago, an
Does the JAK inhibitor baricitinib raise the bar on treating lupus?
By Warren R. Heymann, MD Aug. 20, 2018 Cutaneous lupus in dermatomal distribution. Erythematous papules in a dermatomal distribution along the patient's left lower extremity. ... Credit: ... JAAD Undeniably, the JAK inhibitors have been at the forefront of advances in immunologically-based diseases, including alopecia areata, vitiligo, psoriasis, rheumatoid arthritis,
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.
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
Battling bugs...that aren't there
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists embrace empathy, antipsychotics to help patients with psychocutaneous disease ... Dermatologists embrace empathy, antipsychotics to help patients with psychocutaneous disease ... By Jan Bowers, contributing writer Dermatologists are well equipped to diagnose and treat all manner of
Shopping online
How do I find a product I am looking for online? ... The AAD store is divided into four categories:• ... Practice Management • ... Patient Education • ... Professional Education • ... Affinity Partners Or you can ... visit the AAD store and enter the product name into the
December
Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Pets are amazing creatures What’s hot ... This month’s news from across the specialty Clinical Applications ... What are the cutaneous clues for diagnosing
The rosy reality of coffee
Ronnie and me enjoying our rosacea prevention tour of Madrid in 2012 ... By Warren R. Heymann, MD Nov. 5, 2018 To paraphrase Justice Kavanaugh, I loved coffee. I still love coffee. I have probably been drinking coffee since my time in utero. My mother was a coffee addict; she
Dyeing for a “new” topical agent for psoriasis? Think indigo
By Warren R. Heymann, MD April 9, 2018 Despite the magnificent revolution of biologics for psoriasis, topical agents remain the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments. Patients clamor for "natural" products and are increasingly steroid phobic (please see "Countering Corticophobia with Assistance from
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
How do I claim CME credits from the AAD Summer Meeting?
Asked and Answered ... August 1, 2021 This year, AAD Summer Meeting attendees have two options for claiming CME credit. ... To claim CME credit via the web: ... Make sure you have verified your attendance onsite. ... Log in to the CME claiming portal: ... Visit ... https://lms.aad.org/eval .
Promotions and gift certificates
How do I use a promo code online? ... To redeem special offers online, enter the offer code (promo code) during checkout in the "Have a Promo Code" box. Click on "APPLY PROMO CODE." ... Do promo codes expire? ... Yes, please read each promotional piece the promo code is
The “rope” sign is knot pathognomonic: Autoimmunity ties the etiologies together
By Warren R. Heymann, MD July 8, 2016 The "rope" sign is a dramatic finding presenting as a linear to curvilinear cords ("cordonifom") on the lateral chest. It was originally described as an uncommon, but specific feature of Interstitial Granulomatous Dermatitis with Arthritis (IGDA), and has been considered pathognomonic for
JAKne is on the horizon
By Warren R. Heymann, MD, FAAD July 27, 2022 Vol. 4, No. 30 If you are like me, you have read much more about JAK inhibitors (JAKi) than have prescribed them. We are all on a learning curve. The rapid introduction of topical ruxolitinib (Opzelura), oral upadacitinib (Rinvoq), and abrocitinib
Happy 4th of July from DI&I
By Warren R. Heymann, MD July 3, 2018 George Washington contracted smallpox when he was 19 years old. Although he nearly succumbed to the disease, he survived with pockmark scars and life-long immunity. (1) He and other founders recognized the severity of smallpox and its threat to their independence and
I am on the OLC. Where can I find the JAAD and Dialogues in Dermatology quizzes?
Asked and Answered ... January 1, 2019 We’re here to help you get your quiz fix (and those CME credits)! ... First, visit the AAD’s Online Learning Center (OLC) homepage. You can access it at: ... www.aad.org/olc . ... If you aren’t already logged in, do so now with your
Pediatric drug testing obstacles
Go to AAD Home ... Go to AAD Home ... Menu ... Is the drug trial landscape about to change? ... Is the drug trial landscape about to change? ... By Allison Evans, assistant managing editor Choosing the best therapeutic options for pediatric patient populations can be an administratively complex
Selling a practice resources
Valuing, selling, and closing a dermatology practice manual ... Purchase the ... Valuing, Selling, and Closing a Dermatology Practice, Second Edition Manual Related articles from ... Dermatology World Private equity at a glance: June 2019 Pulling back the curtain on private equity: January 2018 Overview of dermatology practice ownership ...
How do I pay my dues? Can I get a receipt for paying my dues?
Asked and Answered ... November 1, 2022 AAD members can pay their dues and access their membership dues receipt by visiting their account page ( ... account.aad.org ), and selecting from the menu below: ... How do I get a receipt for other payments made to the Academy? ... For
I have moved. How do I update my contact information with the Academy?
Asked and Answered ... March 1, 2023 AAD members can conveniently update their contact information at any time by visiting account.aad.org and selecting the ‘My Profile’ tab from the menu below. ... For additional assistance, please contact the Member Resource Center at ... mrc@aad.org or 866-503-7546. ... Looking for more
How do I get a receipt for dues, orders, and other payments made to the Academy?
Asked and Answered ... May 1, 2025 AAD members can access their membership dues receipt by visiting their account page (account.aad.org) and selecting "Membership Dues Receipt" from the Membership menu. ... For all other Academy-related payments (past orders, products, etc.), members can access their receipts by visiting their ... account
How can I get a receipt for payments made to the Academy?
Asked and Answered ... March 1, 2020 For all Academy-related payments — membership dues, past orders, a subscription to ... Dialogues in Dermatology — AAD members can access their receipts as follows: ... 1. Visit ... www.aad.org/members 2. Sign in to your member profile ... 3. Click the "Account" tab
How do I claim CME credits from the Annual Meeting?
Asked and Answered ... May 1, 2019 Your CME credits are just a few clicks away! ... To claim AAD meeting credits: ... Visit www.aad.org/evals , or select the CME/Evals icon on the AAD meeting app. If you do not have your registration code, email aadcme@aad.org . To begin claiming
Distracted doctoring
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss a growing health care concern ... Experts discuss a growing health care concern ... By Ruth Carol, contributing writer There is a growing patient safety concern that is unrelated to a specific diagnosis, medication, procedure, or
What you say vs. what patients hear
Go to AAD Home ... Go to AAD Home ... Menu ... Strategies for improving patient communication, compliance, and satisfaction ... Strategies for improving patient communication, compliance, and satisfaction ... By Emily Margosian, content specialist The scene is set. Already running behind in the day’s schedule, a dermatologist sees their
Embracing change
Go to AAD Home ... Go to AAD Home ... Menu ... Strategies to help dermatologists adapt – and be happy about it ... Strategies to help dermatologists adapt – and be happy about it ... By Ruth Carol, contributing writer It seems as if a day doesn’t go by
Left in the dark
Go to AAD Home ... Go to AAD Home ... Menu ... An explanation to patients on the factors that can keep physicians out of the loop on current drug prices and costs to patients ... An explanation to patients on the factors that can keep physicians out of the
Sign on the dotted line...
Go to AAD Home ... Go to AAD Home ... Menu ... Tips on improving your compensation package ... Tips on improving your compensation package ... By Emily Margosian, assistant editor Faust, the Treaty of Versailles, 20th Century Fox signing away the licensing and merchandising rights for ... Star Wars
False advertising
Go to AAD Home ... Go to AAD Home ... Menu ... How to spot fakes in medicine ... How to spot fakes in medicine ... By Emily Margosian, assistant editor The ongoing criminal investigation of a disgraced Silicon Valley CEO, a false German heiress who infiltrated New York high
Refocusing on rosacea
Go to AAD Home ... Go to AAD Home ... Menu ... Experts reexamine the disease's classification ... Experts reexamine the disease's classification ... By Emily Margosian, assistant editor ‘Tis the season for rosy cheeks. However, for patients with rosacea, a St. Nicholas-worthy flush can be a major source of
Moving target
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...
An open invitation
Go to AAD Home ... Go to AAD Home ... Menu ... The cultural factors at play in the re-emergence of infectious disease ... The cultural factors at play in the re-emergence of infectious disease ... By Emily Margosian, assistant editor "Fifty years ago, many people believed the age-old battle
Keyboard courage fuels cyberbullies
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss cyberbullying, its prevalence in medicine, and the impact on physicians ... Experts discuss cyberbullying, its prevalence in medicine, and the impact on physicians ... By Ruth Carol, contributing writer Remember the bully on the playground? Well,
Sunscreens on trial
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss the debate about the effects of sunscreen ingredients on the environment ... Dermatologists discuss the debate about the effects of sunscreen ingredients on the environment ... By Victoria Houghton, managing editor Over the last 10 years,
Joining forces
Go to AAD Home ... Go to AAD Home ... Menu ... Collaboration and diverse expertise strengthen clinical practice guidelines ... Collaboration and diverse expertise strengthen clinical practice guidelines ... By Jan Bowers, contributing writer Dermatologists look to the AAD’s clinical practice guidelines to serve as a roadmap for providing
Casting a wider net
Go to AAD Home ... Go to AAD Home ... Menu ... Will a new health care option for veterans expand access to dermatologic care? ... Will a new health care option for veterans expand access to dermatologic care? ... By Victoria Houghton, managing editor The U.S. Department of Veterans
Out of the (check) box
Dermatologists break down how to make quality and practice improvement activities manageable while benefiting their practice and patients. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2022 Quality improvement (QI) efforts are increasingly tied to reimbursement. Reporting measures in the quality category of the Merit-based Incentive Payment
Patient as pawn
Go to AAD Home ... Go to AAD Home ... Menu ... With the introduction of the 'copay accumulator,' the battle between insurers and drug makers has escalated. Meanwhile, patients pay the price ... With the introduction of the 'copay accumulator,' the battle between insurers and drug makers has escalated.
Out of stock
Go to AAD Home ... Go to AAD Home ... Menu ... What's happening with drug shortages and what's being done to resolve the issue? ... What's happening with drug shortages and what's being done to resolve the issue? ... By Victoria Houghton, managing editor A patient taking a blood
Private equity at a glance
Go to AAD Home ... Go to AAD Home ... Menu ... A visual guide to private equity's presence within the specialty ... A visual guide to private equity's presence within the specialty ... By Emily Margosian, assistant editor Since private equity’s debut into dermatology, its presence has sparked spirited
The state of scope of practice
Go to AAD Home ... Go to AAD Home ... Menu ... Where do things stand with scope of practice legislation and how has the pandemic affected the law? ... Where do things stand with scope of practice legislation and how has the pandemic affected the law? ... By Emily
Equal opportunity for all?
Go to AAD Home ... Go to AAD Home ... Menu ... How to take steps to address implicit bias in health care hiring ... How to take steps to address implicit bias in health care hiring ... By Emily Margosian, assistant editor What do male receptionists and female department
Dressed for success
Go to AAD Home ... Go to AAD Home ... Menu ... How important are appearances? Maybe more than you think. ... How important are appearances? Maybe more than you think. ... By Ruth Carol, contributing writer Do you want to improve patient satisfaction? How about improving compliance rates? If
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
"Who you gonna call?"
Go to AAD Home ... Go to AAD Home ... Menu ... Which groups regulate which parts of medicine? ... Which groups regulate which parts of medicine? ... By Emily Margosian, assistant editor Health care policy is notoriously complex, and even physicians with years of experience may not be completely
A quiver full of fillers
Go to AAD Home ... Go to AAD Home ... Menu ... New approvals target specific anatomic locations ... New approvals target specific anatomic locations ... By Ruth Carol, contributing writer There has been an influx of dermal fillers approved by the Food and Drug Administration (FDA) in recent years.
(Un)Equal care for all?
Go to AAD Home ... Go to AAD Home ... Menu ... As physician bias creates care disparities, what can dermatologists do to balance the scales? ... As physician bias creates care disparities, what can dermatologists do to balance the scales? ... By Emily Margosian, assistant editor "Of all forms
The ACA: 10 years later...during a pandemic
Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10
Putting care into context
Go to AAD Home ... Go to AAD Home ... Menu ... New dermatopathology appropriate use criteria from ASDP help guide patient care ... New dermatopathology appropriate use criteria from ASDP help guide patient care ... By Jan Bowers, contributing writer A plethora of new diagnostic tests are enhancing the
Warning signs
Go to AAD Home ... Go to AAD Home ... Menu ... Screening and treating patients with body dysmorphic disorder ... Screening and treating patients with body dysmorphic disorder ... By Ruth Carol, contributing writer Patients routinely come in for cosmetic procedures, but how do you know if the patient
Leading by serving
Go to AAD Home ... Go to AAD Home ... Menu ... Is the servant leadership model right for you? ... Is the servant leadership model right for you? ... By Ruth Carol, contributing writer People often choose a career in medicine to help others, so why not choose a
Coming down the payment pike
Go to AAD Home ... Go to AAD Home ... Menu ... While Medicare reimbursement changes were minimal in 2020, what's in store for dermatology down the road? ... While Medicare reimbursement changes were minimal in 2020, what's in store for dermatology down the road? ... By Melanie Padgett Powers,
More than just avocado toast
Go to AAD Home ... Go to AAD Home ... Menu ... How to recruit and retain millennial doctors ... How to recruit and retain millennial doctors ... By Emily Margosian, content specialist Rose gold iPhones aside, millennials are making waves in health care. Currently the largest living generation —
Are you a rash whisperer?
Go to AAD Home ... Go to AAD Home ... Menu ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat patients with allergic contact dermatitis. ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat
Bad online review?
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatology World explains why bad online reviews may not be so bad after all ... Dermatology World explains why bad online reviews may not be so bad after all ... By Ruth Carol, contributing writer Patients are increasingly
Denied!
Go to AAD Home ... Go to AAD Home ... Menu ... When a Medicare Part D patient is denied treatment, what are the options? ... When a Medicare Part D patient is denied treatment, what are the options? ... By Allison Evans, assistant managing editor An elderly patient
Help wanted!
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the ideal qualifications, experience, and characteristics to look for when hiring a coder ... Experts discuss the ideal qualifications, experience, and characteristics to look for when hiring a coder ... By Ruth Carol, contributing writer You
Speaking the same language
Go to AAD Home ... Go to AAD Home ... Menu ... How cultural competency can improve communication — and care outcomes ... How cultural competency can improve communication — and care outcomes ... By Emily Margosian, assistant editor Sometimes a seemingly innocent gesture can have unintended consequences. In 2012,
Not what the doctor ordered?
Go to AAD Home ... Go to AAD Home ... Menu ... Pharmacists assume greater role in dermatology patient care ... Pharmacists assume greater role in dermatology patient care ... By Jan Bowers, contributing writer A critical member of the health care team, the pharmacist not only dispenses medication, but
Legal vs. ethical dilemmas in dermatology
Go to AAD Home ... Go to AAD Home ... Menu ... Your heart says ‘yes,’ but your lawyer says ‘no’ — experts weigh in on how to make the right choice ... Your heart says ‘yes,’ but your lawyer says ‘no’ — experts weigh in on how to make
Caring for patients with disabilities
Go to AAD Home ... Go to AAD Home ... Menu ... How to stay compliant with ADA guidelines while treating patients with disabilities ... How to stay compliant with ADA guidelines while treating patients with disabilities ... By Emily Margosian, assistant editor In July 2020, the Americans with Disabilities
Good advice?
Go to AAD Home ... Go to AAD Home ... Menu ... What is the USPSTF and what do its skin cancer counseling recommendations mean for the specialty and its patients? ... What is the USPSTF and what do its skin cancer counseling recommendations mean for the specialty and its
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
Getting physical
Go to AAD Home ... Go to AAD Home ... Menu ... Does a physician's relationship to fitness affect patient care? ... Does a physician's relationship to fitness affect patient care? ... By Allison Evans, assistant managing editor ... A physician’s job, pared down to its most simplistic form,
Getting down to brass tacks
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatology World unlocks the basics of physician entrepreneurship ... Dermatology World unlocks the basics of physician entrepreneurship ... By Ruth Carol, contributing writer Inspired by your entrepreneurial colleagues who were featured in the August issue of ... Dermatology
Patients (or customers?) welcome
Go to AAD Home ... Go to AAD Home ... Menu ... Can physicians enhance patient satisfaction without sacrificing care? ... Can physicians enhance patient satisfaction without sacrificing care? ... By Ruth Carol, contributing writer Whether or not you view patients as customers, there has been a growing emphasis on
How to hire a great practice manager
Go to AAD Home ... Go to AAD Home ... Menu ... Finding the right fit for your practice ... Finding the right fit for your practice ... By Emily Margosian, assistant editor Behind the scenes, who keeps your practice running? According to the 2017 AAD Practice Profile Survey, 64%
Links in the care chain
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... By Jan Bowers, contributing writer A diagnosis of advanced melanoma marks the
Entering a golden age of toxins
Go to AAD Home ... Go to AAD Home ... Menu ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ...
Are we there yet?
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the status of EHR interoperability initiatives ... Experts discuss the status of EHR interoperability initiatives ... By Ruth Carol, contributing writer In an ideal world, physicians could access their patients’ health information from other physicians with
A game of Jenga
Go to AAD Home ... Go to AAD Home ... Menu ... How will the outcomes of the midterm elections affect health care policy? ... How will the outcomes of the midterm elections affect health care policy? ... By Allison Evans, assistant managing editor It seems like only yesterday the
Locked in
Go to AAD Home ... Go to AAD Home ... Menu ... Will your non-compete dictate where you practice next? ... Will your non-compete dictate where you practice next? ... By Ruth Carol, contributing writer You either signed one when you joined a practice, or you had dermatologists sign one
Digital marketing for dermatologists 101
Go to AAD Home ... Go to AAD Home ... Menu ... Use these basics to build the perfect practice website ... Use these basics to build the perfect practice website ... By Emily Margosian, assistant editor Why should dermatologists care about how they’re portrayed online? “It’s like the yellow
Support system
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... By Ruth
That's not me!
Go to AAD Home ... Go to AAD Home ... Menu ... How to protect yourself from physician identity theft ... How to protect yourself from physician identity theft ... By Emily Margosian, assistant editor In 2017 alone, there were 16.7 million victims of identity fraud, according to data from
Taking notes
Go to AAD Home ... Go to AAD Home ... Menu ... Can scribes or dictation achieve the speed and simplicity of handwritten notes — and give doctors their nights back? ... Can scribes or dictation achieve the speed and simplicity of handwritten notes — and give doctors their nights
Mental health cases in pediatric dermatology
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the cutaneous manifestations of Munchausen by proxy, child abuse, and eating disorders ... Experts discuss the cutaneous manifestations of Munchausen by proxy, child abuse, and eating disorders ... By Barbara Boughton, contributing writer While most dermatologists
Not the usual suspects
Go to AAD Home ... Go to AAD Home ... Menu ... Drugs you never thought you’d use in dermatology ... Drugs you never thought you’d use in dermatology ... By Jan Bowers, contributing writer ... Young dermatologists quickly become familiar with mainstays of treatment such as antibiotics,
Golden rules for the golden years
Go to AAD Home ... Go to AAD Home ... Menu ... Strategies for caring for elderly patients ... Strategies for caring for elderly patients ... By Victoria Houghton, assistant managing editor According to the U.S. Census, there were 47.8 million people over the age of 65 in the United
Digital marketing for dermatologists 102
Go to AAD Home ... Go to AAD Home ... Menu ... Use these essentials to get started with social media — or take your online presence to the next level ... Use these essentials to get started with social media — or take your online presence to the next
Up in the air
Go to AAD Home ... Go to AAD Home ... Menu ... With the country embroiled in a public health crisis, how much will the 2020 elections inform health care policy? ... With the country embroiled in a public health crisis, how much will the 2020 elections inform health care
Conquering failure
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss their experiences and perceptions of failure while providing strategies for overcoming setbacks ... Dermatologists discuss their experiences and perceptions of failure while providing strategies for overcoming setbacks ... By Allison Evans, assistant managing editor Most are
Ca$h only
Go to AAD Home ... Go to AAD Home ... Menu ... Examining the viability and ethical implications of opting out of insurance ... Examining the viability and ethical implications of opting out of insurance ... By Emily Margosian, content specialist Dealing with insurance would likely be at the bottom
Taking the wheel
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss how DataDerm™ drives their success — and the specialty's ... Dermatologists discuss how DataDerm™ drives their success — and the specialty's ... By Victoria Houghton, managing editor "As a small specialty, it may not come as
Managing melasma
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... By Jan Bowers, contributing writer The emotional toll of melasma on patients
The compounding conundrum
Go to AAD Home ... Go to AAD Home ... Menu ... Dissecting the compounding guidelines that pit safety concerns against patient access ... Dissecting the compounding guidelines that pit safety concerns against patient access ... By Victoria Houghton, assistant managing editor In the fall of 2012, health officials and
#DermTwitter @ a glance
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists harness the twittersphere for clinical discussion, patient education, and more ... Dermatologists harness the twittersphere for clinical discussion, patient education, and more ... By Emily Margosian, assistant editor Among the now 321 million Twitter users currently on
Blade by blade
Go to AAD Home ... Go to AAD Home ... Menu ... Why grassroots advocacy matters and how Academy members have harnessed their voices to create meaningful change ... Why grassroots advocacy matters and how Academy members have harnessed their voices to create meaningful change ... By Allison Evans, assistant
On the shelf
Go to AAD Home ... Go to AAD Home ... Menu ... What is keeping biosimilars out of reach and when will they be available? ... What is keeping biosimilars out of reach and when will they be available? ... By Allison Evans, assistant managing editor Over the last few
Tailor-made care
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the benefits of personalized treatment plans for patients with hidradenitis suppurativa ... Experts discuss the benefits of personalized treatment plans for patients with hidradenitis suppurativa ... By Jan Bowers, contributing writer Hidradenitis suppurativa (HS) was once
From bedside to boardroom
Go to AAD Home ... Go to AAD Home ... Menu ... Physician entrepreneurs share what they've learned, and why there's no better time than the present to get started ... Physician entrepreneurs share what they've learned, and why there's no better time than the present to get started ...
Universal health care
Go to AAD Home ... Go to AAD Home ... Menu ... What can health care for all really look like in the U.S.? ... What can health care for all really look like in the U.S.? ... By Allison Evans, assistant managing editor According to the World Health Organization
The evolution of education
Go to AAD Home ... Go to AAD Home ... Menu ... Technology trends have shifted the learning landscape for physicians ... Technology trends have shifted the learning landscape for physicians ... By Allison Evans, assistant managing editor Maybe your medical school experience involved lugging a bag of hefty tomes
Start the presses!
Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer advice on how to successfully manage media relations ... Experts offer advice on how to successfully manage media relations ... By Victoria Houghton, assistant managing editor When Anne Chapas, MD, arrived in New York City and
Should dermatologists fear machine learning?
Go to AAD Home ... Go to AAD Home ... Menu ... Specialists say rumors of their impending obsolescence are greatly exaggerated ... Specialists say rumors of their impending obsolescence are greatly exaggerated ... By Jan Bowers, contributing writer Dermatologists could be forgiven for feeling a little blindsided when a
Seeing eye to eye
Go to AAD Home ... Go to AAD Home ... Menu ... When insurance doesn't cover standard of care treatments, who pays the price and what can be done about it? ... When insurance doesn't cover standard of care treatments, who pays the price and what can be done about
Forming ranks
Go to AAD Home ... Go to AAD Home ... Menu ... On the frontlines of the COVID-19 pandemic, dermatologists stand with their medical colleagues to help where most needed ... On the frontlines of the COVID-19 pandemic, dermatologists stand with their medical colleagues to help where most needed ...
Is your EHR high maintenance?
Go to AAD Home ... Go to AAD Home ... Menu ... Now that electronic health records (EHRs) are a staple in nearly all dermatologists' offices, what is involved in maintaining them? ... Now that electronic health records (EHRs) are a staple in nearly all dermatologists' offices, what is involved
Technology vs. skin cancer
Go to AAD Home ... Go to AAD Home ... Menu ... A new generation of non-invasive tools and apps reduces unnecessary biopsies, promotes self-surveillance ... A new generation of non-invasive tools and apps reduces unnecessary biopsies, promotes self-surveillance ... By Jan Bowers, contributing writer Improving diagnostic accuracy, avoiding unnecessary
Side gig
Go to AAD Home ... Go to AAD Home ... Menu ... What can physicians do in addition to clinical services, and how do you get started? ... What can physicians do in addition to clinical services, and how do you get started? ... By Emily Margosian, assistant editor While
23andDermatology
Go to AAD Home ... Go to AAD Home ... Menu ... What are the dermatologic implications of direct-to-consumer DNA tests? ... What are the dermatologic implications of direct-to-consumer DNA tests? ... By Emily Margosian, assistant editor Spit, swab, drop DNA in the mail. Since genetic tests were first offered
Don't break the bank!
Go to AAD Home ... Go to AAD Home ... Menu ... How to do the math before adopting new technology ... How to do the math before adopting new technology ... By Victoria Houghton, assistant managing editor From iPads, to hair-removal devices, to patient portals, there’s no shortage of
No longer on display
Go to AAD Home ... Go to AAD Home ... Menu ... After a resurgence of syphilis, dermatologists find themselves as syphilologists...once again ... After a resurgence of syphilis, dermatologists find themselves as syphilologists...once again ... By Allison Evans, assistant managing editor Christopher Columbus. Oscar Wilde. Al Capone. What do
Filling the medicine cabinet
Go to AAD Home ... Go to AAD Home ... Menu ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... By Victoria
First responders
Go to AAD Home ... Go to AAD Home ... Menu ... Exploring dermatology's role in identifying and treating public health trends ... Exploring dermatology's role in identifying and treating public health trends ... By Emily Margosian, content specialist The world is a dangerous place. The health impact of natural
In-office preparations
Go to AAD Home ... Go to AAD Home ... Menu ... Where will dermatology land after USP publishes its updated Chapter 797 standards for sterile compounding? ... Where will dermatology land after USP publishes its updated Chapter 797 standards for sterile compounding? ... By Allison Evans, assistant managing editor
Caring for transgender patients
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss cultural and medical competencies of providing care for transgender patients ... Experts discuss cultural and medical competencies of providing care for transgender patients ... By Victoria Houghton, assistant managing editor Cyndi Yag-Howard, MD, vividly remembers the
Provider playbook
Go to AAD Home ... Go to AAD Home ... Menu ... Nurse practitioners intensify efforts to expand scope of practice ... Nurse practitioners intensify efforts to expand scope of practice ... By Jan Bowers, contributing writer When the COVID-19 pandemic swept across the U.S. in 2020, nurse practitioners (NPs)
Breaking through
Go to AAD Home ... Go to AAD Home ... Menu ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... By Allison Evans, assistant managing editor
The many uses of microneedling
Go to AAD Home ... Go to AAD Home ... Menu ... How it works, potential applications, and what patients should know ... How it works, potential applications, and what patients should know ... By Emily Margosian, assistant editor Once an experimental treatment pioneered through the use of tattoo pistols
Back in the day...
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... By Allison Evans, assistant managing editor
Employee voices
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists offer first-person perspectives on life as an employed physician ... Dermatologists offer first-person perspectives on life as an employed physician ... By Emily Margosian, assistant editor For the average dermatologist 20 years ago, starting a career also
Cover your assets
Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer tips on getting the most out of malpractice insurance ... Experts offer tips on getting the most out of malpractice insurance ... By Ruth Carol, contributing writer You may not be paying for your medical malpractice
Piecemeal policy
Go to AAD Home ... Go to AAD Home ... Menu ... Trump administration addresses health care policies in small bites ... Trump administration addresses health care policies in small bites ... By Ruth Carol, contributing writer While the Trump administration has raced to eliminate the Affordable Care Act (ACA),
A new spin
Go to AAD Home ... Go to AAD Home ... Menu ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... By Victoria Houghton, assistant managing editor Professional football players, world-renowned
Disaster strikes. Are you prepared?
Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer advice on emergency preparedness planning. ... Experts offer advice on emergency preparedness planning. ... By Allison Evans, assistant managing editor “We went through hell after Hurricane Katrina. It was pandemonium. Talk about getting caught without any
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
Cyber hacking in health care
Go to AAD Home ... Go to AAD Home ... Menu ... What do you need to know to keep your practice safe? ... What do you need to know to keep your practice safe? ... By Emily Margosian, content specialist Target, Anthem, Equifax, and...your practice? As headlines continue to
Paving the way
Go to AAD Home ... Go to AAD Home ... Menu ... The history of African Americans in medicine and the diversity challenges that remain ... The history of African Americans in medicine and the diversity challenges that remain ... By Victoria Houghton, assistant managing editor In the early 1720s,
Demystifying cancer of the nail
Go to AAD Home ... Go to AAD Home ... Menu ... Unfamiliarity leads to missed diagnoses, reluctance to biopsy ... Unfamiliarity leads to missed diagnoses, reluctance to biopsy ... By Jan Bowers, contributing writer “You can’t trust the nail,” remarked Richard K. Scher, MD, a dermatologist with nearly 50
Navigating "natural" medicine
Go to AAD Home ... Go to AAD Home ... Menu ... How to meet patients' desire for alternative medicine with evidence-based care ... How to meet patients' desire for alternative medicine with evidence-based care ... By Emily Margosian, assistant editor "We are clearly past the ‘golden age’ where, by
Social media in medicine
Go to AAD Home ... Go to AAD Home ... Menu ... How can you use social media to enhance your career and promote your practice? ... How can you use social media to enhance your career and promote your practice? ... By Danielle Tokarz, staff writer The concept of
More than just poison ivy...
Go to AAD Home ... Go to AAD Home ... Menu ... Identification and treatment of hazardous plant exposures ... Identification and treatment of hazardous plant exposures ... By Emily Margosian, content specialist For most, knowledge of hazardous plants is limited to the phrase, “leaves of three, leave them be.”
Pulling back the curtain on private equity
Go to AAD Home ... Go to AAD Home ... Menu ... As dermatology consolidates, private equity expands its reach. What does it mean for the specialty's future? ... As dermatology consolidates, private equity expands its reach. What does it mean for the specialty's future? ... By Emily Margosian, content
Welcome to Dermatology World Insights and Inquiries
By Warren R. Heymann, MD March 13, 2019 Vol. 1, No. 1 Keeping up with clinically relevant dermatologic literature has become an increasingly daunting task. The time constraints facing dermatologists (and all physicians) have multiplied, as have administrative demands, burdens of electronic records, etc., challenging even the most time-efficient, organized
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. ...
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
All awards, grants, and scholarships by American Academy of Dermatology
The Academy bestows a number of prestigious awards to recognize the contributions of individuals to the specialty as well as offering various grants and scholarships to assist recipients in furthering their areas of study and broadening knowledge in the field of dermatology. ... Awards ... Name ... Application opens ...
DI&I encore: Better than a back scratcher?
By Warren R. Heymann, MD March 30, 2017 The potential toxicity of the combination of topical ketamine/amitriptyline/lidocaine (TKAL) was discussed in a recent entry detailing the encephalopathic findings in an octogenarian Parkinsonian man with atopic dermatitis who was treated with the compound. I concluded: "As our therapeutic options for recalcitrant
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
Find your state society
Find your state society ... Access a directory to find your local dermatology society. ... Search now Help and Chat
Topical tacrolimus topics
By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors
Advocacy Update May 5, 2026
IN THIS ISSUE / May 5, 2026 Advocacy win: United Healthcare delays referral program penalties Dr. Gross attends political event on behalf of SkinPAC New Medicare physician payment reform legislative efforts AADA presents at FDA nonprescription drugs access public meeting Payer Advocacy Advocacy win: United Healthcare delays referral program penalties
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
An encapsulation of palisaded encapsulated neuromas
By Warren R. Heymann, MD, FAAD Jan. 22, 2025 Vol. 7, No. 3 You know the drill — a patient presents with a solitary, slowly enlarging, dome-shaped, non-pigmented painless facial papule and asks, "Is it skin cancer?" Your clinical and dermoscopic examinations are not definitive, so you respond with uncertainty,
Advocacy efforts: Indoor tanning
The Academy is a leading voice in nationwide efforts to protect minors from the harmful effects of indoor tanning. That’s why we support a ban on the production and sale of indoor tanning equipment for nonmedical purposes, as well as state bans on minor access to indoor tanning. Protecting the
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
I am considering joining a practice. What resources does the Academy offer to help me learn more about navigating employment contracts?
Asked and Answered ... December 1, 2022 Whether you’re starting a practice, transitioning, or preparing to retire, it’s important to understand what’s involved in these life-changing decisions. If you’re considering starting or switching practices, the Academy offers resources and guidance to ensure that you are prepared to choose a path
September 8, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 8, 2021 ... A review of spironolactone for androgenetic alopecia DermWorld Insights and Inquiries : Alarming but benign – The enigma of acute hemorrhagic edema of infancy What are the
Which states participate in the IMLC?
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, December 1, 2022 For the past decade, telemedicine has broadened access to patients in rural and underserved areas. With the onset of COVID-19, CMS temporarily waived the requirement that physicians need to be licensed in the state where the patient
Dupilumab: The first year
By Warren R. Heymann, MD ... Jan. 8, 2018 A patient with severe atopic dermatitis has benefited from dupilumab. ... Credit: Warren R Heymann ... When introduced as dermatologist to a new acquaintance, I’m sure you have heard: "Dermatology is a great field — you don’t cure anybody, so
Advocacy Update Mar. 18, 2025
IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key
Advocacy Update Feb. 18 2025
IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to
Another door opens?
The potential FDA approval of multiple JAK inhibitors could offer new treatment options for dermatology patients ... Feature ... By Allison Evans, assistant managing editor, May 1, 2021 "It was only six and a half years ago when the first case report was published showing successful treatment of a patient
Tips for Managing the Advance Beneficiary Notice Process
What is an ABN? ... An advanced beneficiary notice (ABN) is a written notice that every qualified healthcare provider (QHP) participating in Medicare programs must provide patients before furnishing items or services that are usually covered by Medicare, but under certain circumstances, are expected not to be covered. ... How
Contact the Academy
We’re here for you — real people, ready to help ... When you contact the AAD’s Member Resource Center (MRC), you’ll connect with a friendly, knowledgeable AAD team member who’s here to support you. Whether you have a quick question or need assistance from an AAD staff expert, we’ve got
Physician guide
This guide is for physician use before and during the teledermatology visit. ... Did you confirm patient’s consent to receive medical care via teledermatology? ... Have you confirmed that the patient is in the state where you are licensed during the teledermatology visit? ... Are there any reasons why you
Acquaint Yourself with the MPFSDB Indicators
The MPFSDB provides more than just a list of carrier-specific maximum fees per procedural code. The MPFSDB is the national database used by MACs to ensure that claims processing is consistent nationally. Medicare uses this fee schedule when paying for the following services: ... Professional services of physicians and other
Office staff guide
This guide is meant for staff scheduling teledermatology visits. If the requirements below can’t be satisfied, consider offering an in-person visit. ... Is teledermatology appropriate for the specific patient need? ... Has the patient participated in teledermatology with your office before? ... If yes, schedule the teledermatology visit and remind
What's hot?
What's hot ... October 1, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... MALLORY ABATE, MD Should dermatologists be familiar with the effects of climate change? The answer is yes. In July’s issue of ...
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
State law and teratogenic medications
Patient access to teratogenic medication may be impacted by state abortion access laws. The Academy has resources for members who prescribe teratogenic medications. ... Patient access to reproductive resources ... Do you have questions about changes to state laws since the Supreme Court decision overturning ... Roe v Wade? Do
Eosinophilic pustular folliculitis: Six decades of progress
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Vol. 8, No. 3 Eosinophilic pustular folliculitis (EPF) is a quizzical disorder. In 1965, Ise and Ofuji described the case of a 42-year-old woman who "repeatedly developed crops of small pustules on the face, the trunk,
The concept of atrophoderma of pasini and pierini as morphea may be falling off a cliff
By Warren R. Heymann, MD Nov. 6, 2017 ... Clinical photos of idiopathic atrophoderma of Pierini and Pasini. ... Credit: ... JAAD Diagnosing Atrophoderma of Pasini and Pierini (APP) is reasonably straightforward — it usually presents in adolescents and young adults, more often in females, with sharply defined, single or
As molecular knowledge of PROS expands, lesions contract
By Warren R. Heymann, MD April 19, 2018 PIK3CA patient showing hemifacial hypertrophy. ... Credit: ... JAAD Somatic activating mutations in the phosphatidylinositol-3-kinase/AKT/mTOR pathway manifest as heterogeneous segmental overgrowth phenotypes Historically, the clinical diagnoses in patients with PIK3CA activating mutations have included Fibroadipose Hyperplasia or Overgrowth (FAO), Hemihyperplasia Multiple Lipomatosis
I am going to be retiring at the end of the year. Does the Academy offer a discounted membership rate?
Asked and Answered ... November 1, 2020 If you are currently retired, plan to retire later this year or the first half of next year, you may be eligible for Life Membership. Per the AAD Bylaws, the Life Membership category is open to all Academy members who meet the following
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
What is Life Membership?
Asked and Answered ... October 1, 2022 Life Membership is a category of AAD membership. Life Members are no longer required to pay dues but retain the benefits of their previous membership category. ... What are the requirements? ... The Life Membership category is open to all Academy members who
Dupilumab’s conjunctivitis conundrum
By Warren R. Heymann, MD June 11, 2018 Having worn glasses since kindergarten, and being virtually helpless without them, I am particularly sympathetic to patients with eye disorders. ... Ocular disease in atopic dermatitis (AD) may manifest in a variety of ways. Conjunctivitis, a predisposition to keratoconus, and anterior subcapsular
Radical chik: Chikungunya fever presenting as a toxic epidermal necrolysis-like eruption
By Warren R. Heymann, MD June 25, 2018 ... Chikungunya fever: morbilliform rash with islands of sparing. Photograph courtesy of Zawar Vijay, MD, Nashik, India. ... Credit: ... JAAD I have seen only one documented case of Chikungunya fever (CF), in a young woman who returned from Puerto Rico, presenting
Academy advocates on lidocaine shortage, offers resources for physicians
Moving the needle ... By Victoria Houghton, Managing Editor, December 1, 2022 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. The Academy knows how severely the current lidocaine and lidocaine with epinephrine shortage is affecting your patients and
'Tis the season for getting involved!
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, October 1, 2018 It’s that time again. Election season! Every other commercial on the television is a campaign ad and the mailbox is stuffed with election flyers. Still have
March 7
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MARCH 7, 2018 ... Is MIPS a burden? Tell CMS and get full credit in 2018. Academy election results announced ABD requests Mohs subspecialty certification AAD relocates headquarters Conversion therapy still
Clawing to understand lichen nitidus
By Warren R. Heymann, MD April 5, 2018 Lichen nitidus: dermoscopic images. A, In the first patient, dermoscopic findings of the left plantar lesions revealed that linear scales in parallel (thick arrows) were discontinued by oval, well-defined depressions surrounded by ring-shaped, silvery white scales (thin arrows). Long axis of the
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
How Does Your Environment Affect Your Skin?
A dermatologist addresses the skin problems caused by bugs, plants and water creatures BOSTON, MA. (March 25, 2022) — Whether you are hiking in the woods, gardening, or swimming in a lake or ocean, the bugs, plants, and water creatures that you are exposed to can cause irritating skin conditions
Pets are amazing creatures
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, December 1, 2022 Except, of course, when they are not. My dear husband understands that while I adore him, there is a very special place in my heart for our four-legged
Patient guide
This guide is for use by patients before the teledermatology visit. ... Preparing for the visit ... Does your insurance cover live interactive telehealth services and understanding of copays? ... Do you have the required equipment, such as a smartphone, tablet, or computer with a webcam, that will work with
Ergonomics in dermatology
Neck, back, shoulder pain? It could be your exam table. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2025 After investing an average of 12 years of education and training, the last thing a dermatologist wants is to have their career cut short by musculoskeletal disorders (MSDs). However,
Obituaries
Obituaries ... By Jerry Graff, MD, December 1, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... MARGARET C. DOUGLASS, MD, of Beverly Hills, Michigan, May 29, 2019, at age 75. Trained in dermatology at University of Chicago and practiced
I remember my first
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, June 1, 2021 When I was a medicine resident in the late 80s, HIV/AIDS was still a new disease, one which almost certainly conferred a death sentence on the mostly young people
So, you want to be on the AAD board of directors?
From the President ... Dr. Kaufmann served as Academy president from March 2022 to March 2023. ... By Mark Kaufmann, MD, FAAD, July 1, 2022 I can certainly understand why (and relate). The AAD’s ... officers and Board members lead the world’s largest dermatologic society, representing more than 20,000 physicians
FAQ: New CME opioid requirement for DEA registered practitioners
Q. What is required? A. By July 27, 2023, all Drug Enforcement Administration (DEA)-registered practitioners (physicians and non-physician clinicians) must complete a new one-time, eight-hour training requirement for the treatment and management of patients with opioid or other substance use disorders offered by an accredited group (please see below). ...
How to care for an injured nail
Board-certified dermatologist shares four tips for treating nail injuries ROSEMONT, Ill. (July 25, 2023) — It’s easy to injure a nail by slamming a finger in a car door, wearing the wrong shoes, or getting a sports injury. While these common accidents can happen throughout our life, a board-certified dermatologist
PD1 blockade: The next step for aggressive basal cell carcinomas?
By Warren R. Heymann, MD April 19, 2017 I was about to start the weekend, relishing that delightful TGIF feeling, with one final task — go through lab reports in my bin. My mood became morose when I read the follow-up letter about Sue (not her real name). She
Impact Report — Summer 2022
Hello, members! It’s time once again for the Academy’s Impact Report to reveal its latest advocacy and patient education activities and remind you of your meaningful member benefits. ... Read the latest on how we are advocating for you on Capitol Hill and state houses to protect your patients and
General office infrastructure guide
Is your practice prepared for quality teledermatology visits? You should review this guide with the entire teledermatology team. If you answer "no" to any of the questions below, address that issue before conducting teledermatology. ... Safety and privacy ... Does your telehealth platform protect patient data in compliance with HIPAA?
Happy November!
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, November 1, 2021 When I write my column each month, I try to highlight the most interesting themes. I was struck this month by the diversity of the topics we covered,
What are the cutaneous clues for diagnosing monkeypox?
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, December 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with John W. Frew
2023 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, December 1, 2022 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
January 22, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 22, 2025 ... Considerations regarding GLP-1 receptor agonist use in dermatology DermWorld Insights and Inquiries : An encapsulation of palisaded encapsulated neuromas Pregabalin vs. gabapentin in patients with chronic pruritus
Reduce Drug Code Denials Related to Incomplete Claims Data
Claim denials for drug supplies are often the result of improper national drug codes (NDC) format or missing information related to the drug provided—vital information that is needed by the payer to appropriately adjudicate the claim. ... Physician claims for drugs supplied in the office must include the 11-character NDC
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
Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication
By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain
COVID-19 dermatology registry
Thank you for agreeing to take part in this important effort on behalf of the American Academy of Dermatology and the International League of Dermatologic Societies. Our hope is that information you and others provide will help us understand dermatologic manifestations of the COVID-19 virus, as well as skin reactions
Key messages for social media about nails and nail health
Key messages ... Our nails often reflect our general state of health. Changes such as discoloration or thickening can signal health problems, including liver and kidney disease, heart and lung conditions, anemia, and diabetes. ... Changes in color, shape, and/or thickness, swelling of the skin around the nails, bleeding or
Countering corticophobia
By Warren R. Heymann, MD Oct. 19, 2017 "I don’t want to use steroids on my baby! I’m really afraid of the side effects! I see what they’ve done to athletes. Can’t you prescribe something natural?" ... I am amazed people think that applying 2.5% hydrocortisone cream can pump up
Nom de plume: Affaire risquée
By Warren R. Heymann, MD ... Dec. 28, 2016 ... Performing laser surgery is risky business for the patient and the laser surgeon. Potential hazards may be due to the beam itself causing ocular or cutaneous injury. Nonbeam hazards may arise from the laser device or its interaction with
Hidden in plain sight: Satoyoshi syndrome
By Warren R. Heymann, MD Feb. 19, 2018 I was inspired by the conclusion of a report detailing an 11 year-old boy from India diagnosed Satoyoshi syndrome: "We present this case to emphasize the importance of recognizing Satoyoshi syndrome, which could go unnoticed if not suspected." (1) ... I have
A near miss
Dermatologists discuss patient safety issues in procedural dermatology. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2024 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, bringing
The profound dermatological manifestations of COVID-19: Part II
By Warren R. Heymann, MD March 25, 2020 Vol. 2, No. 12 Disclaimers: This commentary was written on March 17, 2020 for a publication date of March 25, 2020. The issues related to the COVID-19 pandemic are changing like lightning. The content included in this commentary may no longer be
Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018
By Warren R. Heymann, MD July 16, 2018 ... A and B, Pityriasis lichenoides chronica–like drug eruption. The lower legs show several, 3- to 4-mm, red-brown, thin papules with centrally adherent micaceous scale and intermixed erosions. ... Credit: ... JAAD As a first-year dermatology resident in 1980, I struggled with
After 23 years, a syndrome converted me into an eflornithine believer
By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.
Biotin supplementation for hair and nail health: Does it pass the test?
By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,
The Academy has something for everyone
From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, January 1, 2021 Welcome, 2021! January always brings the inevitable questions about New Year’s resolutions and change, so what’s in store for you this year? Are you considering retirement?
Advances in pruritus therapeutics: It’s Greek to us
By Warren R. Heymann, MD, FAAD June 19, 2024 Vol. 6, No. 25 Every dermatologist encounters maddeningly pruritic patients at their wit’s end. Our deficient understanding of and treating dermatology’s essential symptom is even more exasperating. The following is the abstract from the incisive article by Vander Does et al,
Obituaries
Obituaries ... By Jerry Graff, MD, September 2, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JOHN L. AELING, MD, of Orlando, Florida, Oct. 26, 2018, at age 82. Trained at National Capital Area Consortium Dermatology Residency Program. ...
Obituaries
Obituaries ... By Jerry Graff, MD, June 3, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JON GARRY BEIDLER, MD, of Chambersburg, Pennsylvania, Dec. 30, 2018, at age 82. Trained in dermatology at University of Pennsylvania and practiced in
Finding Joy in pediatric phototherapy
By Warren R. Heymann, MD Aug. 28, 2019 Vol. 1, No. 25 This commentary is dedicated to Joy, a bright, rambunctious, delightful bundle of energy with (formerly) recalcitrant atopic dermatitis, who taught me a great deal about phototherapy in children. ... The cutaneous effects of ultraviolet (UV) light are by
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
November 12, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 12, 2025 ... Efficacy of OTC androgenetic alopecia therapies vs. FDA-approved monotherapies DermWorld Insights and Inquiries : JAK inhibitors battle in the heavyweight class Is there increased psoriasis risk in
Member benefits
From residency to retirement, you can rely on us for premier educational opportunities, as a hub for innovation in patient care, and for the latest information impacting the specialty. ... Gold standard of education ... Created by dermatologists for dermatologists, our educational resources help you stay up to date on
Member benefits
From residency to retirement, you can rely on us for premier educational opportunities, as a hub for innovation in patient care, and for the latest information impacting the specialty. ... Gold standard of education ... Created by dermatologists for dermatologists, our educational resources help you stay up to date on
Getting a head up on cutaneous scalp malignancies
By Warren R. Heymann, MD, FAAD May 7, 2025 Vol. 7, No. 18 I’m confident that your alopecic patients with a suspected keratinocyte carcinoma or melanoma of the scalp jokingly ask you to be careful with your biopsy procedure so they do not lose any more hair. While patients and
Positively perplexing: Determining the meaning of CD30 positivity
By Warren R. Heymann, MD, FAAD Sept. 29, 2021 Vol. 3, No. 39 I’ll wager that most readers of DWI&I have experienced receiving a biopsy report, obtained from an inflammatory lesion, stating "scattered CD30+ cells were observed," accompanied by a comment that "clinicopathologic correlation is necessary to rule out the
This month’s news from across the specialty
What’s hot ... October 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD How highly hereditable is melanoma? Prior studies have estimated that genetic predisposition is rare, with as few as 2.5%
This month’s news from across the specialty
What’s hot ... August 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD You have likely noticed an increase in online reviews of yourself and your practice over the last
Seeing the full spectrum
Answers in Practice ... By Emily Margosian, Assistant Editor, May 1, 2025 DermWorld ... talks to Charlene Lam, MD, MPH, FAAD, about how recognizing different personality types in the workplace can help mediate conflict and improve team communication. DermWorld: Tell us about your practice. Charlene Lam, MD, MPH, FAAD ...
It’s time for your office’s annual exam!
Give your practice a checkup using the Academy management tools. ... Answers in Practice ... By Olivia Barry, Manager, Practice Management, December 1, 2022 Each month, DermWorld ... tackles issues "in practice" for dermatologists. There’s a lot to juggle to maintain a successful practice, including ensuring compliance, staying relevant with
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,
Lipschütz ulcers: Not only for women
By Warren R. Heymann, MD March 24, 2021 Vol. 3, No. 12 Superstar dermatologists do not throw softball questions to presenters at the Annual Meeting of the American Academy of Dermatology. A few years ago, following my presentation on the cutaneous manifestations of Epstein-Barr infection, Dr. Jeffrey Callen, one of
Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
By Warren R. Heymann, MD Oct. 7, 2020 Vol. 2, No. 40 It is not my imagination — I have been seeing more cases of bullous pemphigoid (BP) than ever. This is likely a function of an aging population in concert with an increase of drug-induced cases, notably with dipeptidyl
Cash-only practice
Best for: Mid-to-late career dermatologists seeking autonomy and lower administrative burden. ... Quick summary: Patients pay you directly — no insurance billing involved. ... Cash-only practice overview ... A cash-only practice is a patient self-pay model where dermatologic services are provided without billing insurance. Patients pay directly at the time
Joint venture practice
Best for: Dermatologists looking to collaborate closely with other physicians to share resources, increase buying power, and unify patient care under a jointly owned entity. ... Quick summary: Partner with other practices as co-owners to streamline operations, negotiate contracts together, and present a seamless patient experience while sharing profits and
Academic medical center practice
Best for: Dermatologists passionate about teaching, research, and complex care. ... Quick summary: Work within a university or teaching hospital setting. Divide time between patient care, education, research, and administration. ... Academic medical center overview ... An academic dermatology position is based within a university or teaching hospital. Physicians in
Accountable care organization (ACO)
Best for: Dermatologists focused on value-based care, quality improvement, and data-driven practice. ... Quick summary: Practice in a system that rewards quality and outcomes with strong support for data collection, prevention initiatives, and financial flexibility. Ideal for those who want to innovate and showcase measurable results. ... ACO overview ...
Group practice without walls (GPWW)
Best for: Dermatologists who want to stay independent while sharing administrative and financial resources. ... Quick summary: Join a collaborative network of solo practices under one tax ID to reduce overhead, increase buying power, and access ancillary services — without giving up clinical autonomy. Ideal for those seeking balance between
Independent practice association (IPA)
Best for: Dermatologists who want to stay fully independent but benefit from shared payer negotiations and reduced administrative burden. ... Quick summary: Join a contracting network while maintaining full clinical autonomy. Ideal for those seeking better reimbursement rates and back-office support without merging or sharing clinical operations. ... IPA overview
Merged practice
Best for: Dermatologists looking to expand geographic reach, diversify services, and increase access to capital by combining practices. ... Quick summary: Merge your practice with another to achieve economies of scale, expand your service offerings, and access greater financial resources. Ideal for those ready to grow or transition while managing
Teledermatology practice
Best for: Dermatologists aiming to expand access, reduce no-shows, and offer flexible care to patients beyond their immediate location. ... Quick summary: Use secure digital platforms to deliver remote dermatologic care, triaging patients efficiently and increasing reach. Ideal for those seeking to improve access, streamline follow-ups, and enhance work-life balance
Midsize group practice (6-15 practitioners)
Best for: Early-career dermatologists, or those seeking support, structure, and teamwork. ... Quick summary: You join a team of dermatologists in a shared business structure — administration is centralized, and referrals are built-in. ... Midsize group practice overview ... Group practices consist of multiple dermatologists working together within a shared
Private equity ownership
Best for: Dermatologists looking to offload administrative burdens, access capital, and join larger practice groups with streamlined operations and stronger payer leverage. ... Quick summary: Join a private equity-backed dermatology group to gain financial incentives, reduce business management duties, and access better infrastructure. Ideal for those nearing retirement or seeking
How to get the best results from fillers
Board-certified dermatologist shares five tips to consider before getting a filler ROSEMONT, Ill. (February 16, 2023) — When we’re young, our skin is soft, supple, and well hydrated, but as we age, our skin slowly loses its youthful characteristics, which can leave some people looking for a way to regain
Diagnosing and managing delusional parasitosis
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, April 1, 2019 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Dirk M. Elston, MD, about
Thinking about seborrheic keratoses: A rare event
By Warren R. Heymann, MD June 9, 2017 Clinical images of squamous cell carcinoma arising in seborrheic keratosis (SCC-SK). A, Invasive SCC-SK on forehead of a man aged 69 years. B, In situ SCC-SK from a pigmented keratosis on the back of a man aged 73 years. C, In situ
Going green: The complexities of the green nail syndrome
By Warren R. Heymann, MD February 3, 2021 Vol. 3, No. 5 I find a unique satisfaction in diagnosing the green nail syndrome (GNS, aka chloronychia, Goldman-Fox syndrome) — it is easy to recognize and very reassuring to patients who were convinced they had a subungual melanoma. Based on new
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
Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses
By Warren R. Heymann, MD, FAAD July 5, 2023 Vol. 5, No. 27 At the inception of my dermatology residency in July 1980 I read a brief article entitled "Benign Lichenoid Keratosis" (BLK) by Detlef Goette (1) and thought to myself "Remember this — I’ll probably see this lesion now
The pressure to prevent pressure ulcers
By Warren R. Heymann, MD, FAAD Aug. 24, 2022 Vol. 4, No. 34 Pressure ulcers (PUs, aka decubitus ulcers, pressure sores, bed sores) are due to prolonged pressure, characteristically over bony prominences such as the sacrum, occiput, ischial tuberosities, greater trochanters, heels, and lateral malleoli. (1,2) Interestingly, in the COVID-19
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.
Unrestricted fascination with restrictive dermopathy
By Warren R. Heymann, MD, FAAD Nov. 16, 2022 Vol. 4, No. 46 Barely a week into our fellowships at the University of Pennsylvania in 1984, my wife (a geneticist) asked her favorite dermatologist (me) if I had any thoughts about a neonate with skin that was thin, taut, and
Large group practice (16+ practitioners)
Best for: Dermatologists seeking stability, administrative support, and predicable income. ... Quick summary: Work as an employed physician within a large, multi-site dermatology organization. Focus on clinical care while administrative tasks are handled centrally. Ideal for those who want a structured environment with lower financial and operational risk. ... Large
Military practice
Best for: Dermatologists interested in public service, global opportunities, and structured career paths. ... Quick summary: Serve as a commissioned medical officer in the U.S. military, providing dermatologic care to service members and their families. Offers stable government employment, comprehensive benefits, and a mission-driven environment with minimal business responsibilities. ...
Veterans Administration practice
Best for: Dermatologists who value service to veterans, research opportunities, and a structured work environment ... Quick summary: Practice in a federally run health system serving U.S. military veterans. Focus on medically necessary care with strong infrastructure for research, teledermatology, and team-based coordination. Offers predictable hours, generous benefits, and meaningful
Business valuation: How much is my practice worth?
You’ve spent years building your dermatology practice, and you consider it one of your most rewarding accomplishments. Now, you’re ready to retire. And you’re wondering how, when, and where to sell. Perhaps most importantly, you're wondering how to set the right price. ... Business valuation is both an art and
This month’s news from across the specialty
What’s hot ... March 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Palliative medicine assists patients with balancing their goals of care with multiple physicians. The shared decision-making with patients
April 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 5, 2023 ... What’s the effect of probiotics on skin photoaging? DermWorld Insights and Inquiries : An appealing step closer to targeted topical therapies Does nicotinamide prevent keratinocyte cancers in
A team effort
COVID has fast-tracked crowdsourcing in health care — how will it affect future medical research? ... Feature ... By Emily Margosian, assistant editor, April 1, 2021 Although the term "crowdsourcing" was officially coined by ... Wired in 2006, the practice has long had deep roots within science. One of the
“Incident to”: What you need to know
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, May 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . What is "incident to"? ... "Incident
Getting paid for repeat procedural services — What is the secret ingredient?
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, March 1, 2022 Dermatologists and non-physician clinicians (NPCs) ... * often come across clinical encounters requiring the use of modifiers to report multiple identical services and/or procedures performed on the same patient
This month’s news from across the specialty
What’s hot ... December 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD, FAAD One advantage of working in the same practice as your surgeons is the ability to quickly confirm biopsy
Small group practice (6-15 practitioners)
Best for: Dermatologists seeking clinical autonomy, peer collaboration, and work-life balance without solo ownership responsibilities. ... Quick summary: Join a privately owned dermatology group with a small number of physician partners. It offers more control than you’ll find in large settings, but also more help than a solo practice. A
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
Further dermatologic observations in cystic fibrosis
By Warren R. Heymann, MD, FAAD Aug. 6, 2025 Vol. 7, No. 31 Watson: And yet I believe that my eyes are as good as yours. Holmes: Quite so. You see, but you do not observe... – Sherlock Holmes in "A Scandal in Bohemia" (1891, written by Sir Arthur Conan
Which treatment modality of pyogenic granuloma is worth its weight in salt?
By Warren R. Heymann, MD, FAAD July 31, 2024 Vol. 6, No. 31 I get palpitations with every pyogenic granuloma (PG) I encounter. Even though the clinical diagnosis is instant, my personal Jiminy Cricket dermatologist reminds me not to miss an amelanotic melanoma, squamous cell carcinoma, or cutaneous metastasis. If
Necrobiosis lipoidica in a Wink
By Warren R. Heymann, MD, FAAD May 3, 2023 Vol. 5, No. 18 Ninety years have transpired since Urbach coined the term ... necrobiosis lipoidica diabeticorum (NLD) for the granulomatous disorder first described by Oppenheim in 1929 as ... dermatitis atrophicans lipoidica diabetica . (1) Early authors observed sclerotic plaques
The aryl hydrocarbon receptor: Tapinarof is taking off
By Warren R. Heymann, MD, FAAD Nov. 19, 2025 Vol. 7, No. 46 In his outstanding lecture identifying drivers of lupus, presented at the 2025 meeting of the Medical Dermatology Society, Jaehyuk Choi MD, PhD, explained that interferon — the well-known nemesis of lupus — controls the production of T
Tag, you’re it!
By Warren R. Heymann, MD, FAAD Sept. 28, 2022 Vol. 4, No. 39 Chances are you will see a patient with skin tags today. ... Patients will likely ask you two questions: Why do I get them? What do you mean my insurance won’t cover their removal (for asymptomatic lesions)?
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 —
Win back time with AAD’s top-rated prior authorization tool
Answers in Practice ... By Olivia Barry, Manager, Practice Management, October 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss what dermatology practices need to know about the Academy’s prior authorization tool. For busy dermatology practices, navigating prior authorizations can feel
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
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
Reflections on infantile perianal pyramidal protrusion and Hippocrates
By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as
Solo practice
Best for: Dermatologists seeking full autonomy, long-term patient relationships, and entrepreneurial control. ... Quick summary: Own and operate your own dermatology clinic. You manage all clinical and business decisions — from services offered to staffing and office culture. Offers maximum independence and flexibility but comes with financial risk and administrative
This month’s news from across the specialty
What’s hot ... May 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ has increased to epidemic proportions, rising 50-fold since 1975. Lentigo maligna is the most
CMS revises Advance Beneficiary Notice of Non-coverage (ABN) requirements
CMS released ... MLN Matters Number: MM12242 (PDF) announcing reorganizations, edits, and other changes to the Advance Beneficiary Notice of Non-coverage (ABN) section in the Medicare Claims Processing Manual. ... Chapter 30, section 50 of the Financial Liability Protections (FLP) includes provisions that protect patients, health care providers, and suppliers
Cycling back to doxycycline’s roots as therapy for bullous pemphigoid
By Warren R. Heymann, MD, FAAD July 26, 2023 Vol. 5, No. 30 Patients with moderate to severe bullous pemphigoid are usually treated with systemic corticosteroids. Four patients were treated with tetracycline hydrochloride and niacinamide because of the steroid-sparing anti-inflammatory properties of these agents. An excellent clinical response free of
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
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
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
Smarter not harder
In Practice ... Dr. Gardner serves as assistant professor of medicine and dermatology at the University of Washington School of Medicine and works in the dermatology clinic at UW Medical Center Roosevelt and the Seattle Cancer Care Alliance. ... By Victoria Houghton, managing editor, March 1, 2019 Dermatology World talks
Coming full circle (almost): Low dose oral minoxidil for alopecia
By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall
Legal considerations when using artificial intelligence in practice
Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq, March 1, 2025 DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney at Alice
Managing patient inquiries after hours
Answers in Practice ... By Emily Margosian, Assistant Editor, May 1, 2022 DermWorld ... talks to Jennifer Goldwasser, MD, FAAD, from Goldwasser Dermatology in Hartsdale, New York, about how to manage after-hours patient communications while maintaining a good work-life balance. DermWorld: Tell us about your practice. Dr. Goldwasser: I think
MIPS Value Pathways
Get a glimpse into the upcoming federal quality program and how the Academy is taking the lead ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2022 In 2017, CMS launched the Quality Payment Program, which created two payment pathways for physicians: alternative payment models (APMs) and the
Indoor tanning fact sheet
Indoor tanning use ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in
Coding for preventive skin examination in 2021 and beyond
To understand the new evaluation and management (E/M) coding guidance, the AAD/A recommends reviewing and applying the coding guidelines holistically. When coding is based on medical decision making (MDM), documentation for the encounter must meet or exceed two of the three elements as described in the ... E/M Office Visit
Smoke and the skin
Experts discuss the cutaneous impact of occupational and natural exposure to smoke. ... Feature ... By Emily Margosian, Senior Editor, June 1, 2025 From wildfires to cigarettes, smoke drifts through every corner of life. ... Nearly 90% of the world’s population lives with unhealthy air caused by smoke, according to
1984: Dermatologically revisited
By Warren R. Heymann, MD Aug. 22, 2018 George Orwell published ... Nineteen Eighty-Four in 1949. I started my dermatopathology fellowship at the University of Pennsylvania in 1984. I decided to review ... Archives of Dermatology (now ... JAMA Dermatology ), looking back 34 years to see how the dermatologic
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
Three life lessons
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, April 1, 2019 I am honored and humbled to lead this great organization. I want to thank Dr. Suzanne Olbricht for her strong leadership over this past year
A slippery slope
Non-physician providers seek authority to perform cosmetic medical procedures, threatening patient safety and the value of specialty medical training ... Feature ... By Allison Evans, Assistant Managing Editor, May 1, 2022 The Academy has been monitoring and responding to a variety of proposals and bills in the aesthetic arena that
The tech connection
New tools boost peer-to-peer physician communication ... Feature ... By Ruth Carol, Contributing Writer, March 1, 2022 The patient-physician relationship isn’t the only one impacted by social distancing due to COVID-19. The pandemic has taken a toll on peer-to-peer communication, as well. Asking a colleague about a suspicious lesion isn’t
Publishing profiteers
Paper mills sully the integrity of research. ... Feature ... By Andrea Niermeier, Contributing Writer, March 1, 2025 High-impact journals like the ... Journal of the American Academy of Dermatology ( ... JAAD ), ... JAAD Case Reports , ... JAAD Reviews, and ... JAAD International publish pioneering research in
A mixed bag
A burgeoning style of dermatologic care that combines traditional medicine with evidence-based alternatives is taking shape ... Feature ... By Allison Evans, assistant managing editor, August 1, 2021 As a child, Peter Lio, MD, FAAD, was an enthusiast for all things mysterious — telepathy, Bigfoot, the Loch Ness Monster. Despite
What's coming down the psoriasis pipeline?
Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer
Negotiating fee schedules
When negotiating with private payers, knowing your worth can pay off. ... Feature ... By Ruth Carol, contributing writer, November 1, 2020 If you think medical school and residency were difficult, wait until you try to negotiate a higher fee schedule with a payer. ... "My experience has been that,
Research rebound
Steady funding fuels dermatologic research after pandemic paralysis. ... Feature ... By Jan Bowers, Contributing Writer, December 1, 2022 With the exception of the lifesaving mRNA vaccines developed at remarkable speed, many non-COVID-related research projects ground to a halt as the pandemic seized the nation. "Our laboratories shut down for
Questions to ask a potential dermatology employer
Searching for a new job is a cause for both excitement and apprehension. Finding the right practice is critical, and it’s about much more than just the job description. It’s about finding a place where you can thrive, grow as a physician, and build a fulfilling career. ... As you
A menagerie of zoonoses
Common and emerging zoonotic disease in dermatology ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2022 From the Black Death to Avian Flu, throughout history, humans have been plagued by epidemics of infectious disease that originated from animals. Zoonoses represent a major public health problem around the world
Going virtual
The rapid transition to digital medical education offers both advantages and challenges ... Feature ... By Allison Evans, assistant managing editor, June 1, 2021 With the onset of the COVID-19 pandemic, the transition to virtual education happened practically overnight — offering attendees the opportunity to get their CME credits from
Beyond bedside basics
Dermatologists and physician experts discuss bedside manner tips and trends, and how to strengthen the physician-patient relationship. ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2025 Imagine you are sitting at a table on the opposite end from the patient with the problem in the middle. What
AAD/A Presidential citations
Congratulate award winners ... Use our online form to ... congratulate a Presidential Citation Award recipient . ... 2025-2026 Executive Committee Leadership ... Murad Alam, MD, MSCI, MBA, FAAD ... In recognition of your exemplary service as a 2025–2026 member of the American Academy of Dermatology’s Executive Committee, Board of
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