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January 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 30, 2019 ... Dermatologists prescribe fewer antibiotics overall, but use increased with surgery CMS updates Open Payments data What causes allergic responses in patients with atopic dermatitis? YouTube videos about
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
Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections
By Warren R. Heymann, MD Aug. 21, 2019 Vol. 1, No. 24 Dermatologists are keenly aware of immunosuppression’s profound biologic effects. Whether by disease or iatrogenic means, clinical vigilance is mandated because of an elevated risk of malignancy, infection, or inflammatory dermatoses. ... In a study of 177 organ transplant
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2026 Annual Meeting, Denver, CO, March 27-31, 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual
Advocacy Update Sept 30, 2025
IN THIS ISSUE / Sept. 30, 2025 Government shutdown impacts on dermatology Arizona dermatologists advocate for changes to medical assistants’ use of local anesthetics AADA urges Department of Defense to address military shaving waiver concerns Support SkinPAC Federal News Government shutdown impacts on dermatology ... With the potential failure of
May 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 30, 2018 ... FDA issues warning on unapproved sunscreen pills May Access Hero: Karen Edison, MD Study: AI detects skin cancer better than dermatologists BCBS Michigan rescinds modifier 25 reimbursement
Are you at risk for pityriasis rubra type V? It’s in the cards!
By Warren R. Heymann, MD Feb. 1, 2017 Characteristic facial involvement in caspase recruitment domain family member 14 gene (CARD14)-associated papulosquamous eruption. Symmetric and geometric pink, scaly patches or plaques involving the cheeks, upper cutaneous lip, and chin with sparing of the infralabial region is highly characteristic of CARD14-associated papulosquamous
New data to recall when considering radiation recall dermatitis
By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For
Secukinumab for pityriasis rubra pilaris: Tread lightly
By Warren R. Heymann, MD Nov. 17, 2016 Every dermatology resident preparing for their board examination can rattle off Griffiths’ classification of pityriasis rubra pilaris (PRP) — Type I (Classical Adult), Type II (Atypical Adult), Type III (Classic Juvenile), Type IV (Circumscribed Juvenile), and Type V (Atypical Juvenile). Type VI,
AADA hosts largest Capitol Hill skin cancer check in a decade
On May 15, the AADA hosted its 10th annual Capitol Hill Skin Cancer Check and Health Fair with the Congressional Skin Cancer Caucus. This event was our largest to date, hosting 198 Hill staffers and 11 members of Congress, performing 127 skin checks, and providing 75 Reveal camera image results.
October 30, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2019 ... Potential treatment for chronic urticaria may offer complete control DW Insights and Inquiries: Can chowing down improve pseudoxanthoma elasticum? Advances in medical technology: friend or foe? Do
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
Cost (30%)
Unlike the other MIPS categories, dermatologists and other eligible clinicians do not have to actively report data for the cost category. Instead, CMS automatically calculates the clinician’s performance score using information from claims data. ... If dermatologists have at least 10 melanoma resection episodes that meet the eligibility criteria for
Is dyshidrosiform pemphigoid really anti-p200 pemphigoid?
By Warren R. Heymann, MD Aug. 20, 2016 Dyshidrosiform pemphigoid (DP) was initially reported in a 72 year-old man with large, tense bullae on the plantar aspect of his feet, with some lesions on an erythematous base. He also had an "ill-defined papular eruption" of the trunk and an erosion
Quality (30%)
The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures. ... Reporting quality measures ... In 2025, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting
Quality (30%)
The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures. ... Reporting quality measures ... In 2026, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
By Warren R. Heymann, MD Oct. 8, 2016 I thought it was my imagination, but apparently not — there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities. ... These patients are not
Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?
By Warren R. Heymann, MD May 22, 2017 A clinically pigmented neurofibroma associated with underlying café au lait macule. ... Credit: ... JAAD Worry comes with the territory of Neurofibromatosis Type I (NF-1). It often starts with the anxiety of determining if a child has enough criteria to confirm the
Glomus tumors point a finger at neurofibromatosis
By Warren R. Heymann, MD ... Nov. 21, 2016 ... The correct diagnosis of the ... JAMA Dermatology Clinicopathological Correlation of a glomus tumor presenting as longitudinal erythronychia was straightforward — I was fascinated by this comment in the discussion: "The presence of multiple glomus tumors in the digits
State advocacy win: Step therapy reform enacted in Alaska
A step therapy and prior authorization reform ... bill enacted in Alaska will require insurers to establish a streamlined prior authorization process that minimizes administrative burdens on physicians. The legislation provided a clear and convenient process for requesting exceptions to step therapy protocols and conditions for automatic approval of step
Medical research funding
Ask the Expert ... By Victoria Houghton, managing editor, August 1, 2021 DermWorld ... spoke to Jennifer Mangone, JD, manager of congressional policy for the American Academy of Dermatology Association (AADA), about the Academy’s advocacy efforts to support medical research funding. DermWorld: Advocating for medical research funding is a top
CMS prior authorization final regulation incorporates AADA’s recommendations
The AADA advocated for these specific prior authorization reforms, which will take effect in 2026. While the regulations currently apply only to Medicare, Medicare Advantage, Medicaid, and CHIP plans and not to private, commercial, and ERISA plans, the AADA anticipates that many private health plans will adopt similar policies. ...
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
April 30, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 30, 2025 Efficacy of spironolactone in treating patients with acne DermWorld Insights and Inquiries : A tale of two disorders of hypopigmentation — The potential role of Cutibacterium acnes dysbiosis
Advocacy Update Sept 23, 2025
IN THIS ISSUE / Sept. 23, 2025 Academy calls on CMS to maintain a robust portfolio of quality measures FDA workshop: Improving patch test access for contact dermatitis Final reminder: State Advocacy Grant applications due Sept. 30 Join your colleagues and contribute to SkinPAC Quality Payment Program Academy calls on
Dermatologist job satisfaction
Facts at your Fingertips ... By Emily Margosian, assistant editor, August 1, 2019 Despite rising burnout rates among all physicians, according to the AAD 2019 Life in Practice Study, the vast majority of dermatologists still enjoy what they do. Overall, 72% — or 7 in 10 dermatologists — say they
InCYSTing on searching for explosives
By Warren R. Heymann, MD Sept. 8, 2016 I have enjoyed medical writing and editing since publishing my first article in 1983 when I wrote about a penile Fibroepithelioma of Pinkus (my medical school roommate’s father was the patient). Once in a great while, some interest would be generated from
September 30, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 30, 2020 ... Private equity in dermatology, health care grows DermWorld Insights and Inquiries: New data to recall when considering radiation recall dermatitis Young Physician Focus : Prepping for round
Bowel-associated dermatosis-arthritis syndrome (BADAS): The story behind the acronym
By Warren R. Heymann, MD, FAAD March 30, 2022 Vol. 4, No. 13 Justifiably, the COVID-19 pandemic has focused the world’s attention, however, another global pandemic threatens us — obesity. According to the World Health Organization, in 2016, more than 1.9 billion people are overweight (BMI > 25) and 650
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Patient-Centered Surgical Risk Assessment and Communication ... DESCRIPTION: The percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed and discussed prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon. ...
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Patient-Centered Surgical Risk Assessment and Communication ... DESCRIPTION: The percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed and discussed prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon. ...
Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill
By Warren R. Heymann, MD, FAAD Aug. 23, 2023 Vol. 5, No. 34 If Winston Churchill were a dermatologist, he would say that frontal fibrosing alopecia (FFA) is "a riddle wrapped in a mystery inside an enigma" (which is how he viewed Russia). Almost 30 years have passed since Kossard
Other emerging severe and resistant dermatophytes of concern
Overview ... Trichophyton mentagrophytes type VII (TMV ... II ... ) is a recently emerged dermatophyte that is closely related to ... T. indotineae (note: ... T. indotineae was previously called ... T. mentagrophytes type ... VIII ... ). ... 1-3 ... TMVII spreads between people and may be transmitted
Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet
By Warren R. Heymann, MD Oct. 13, 2016 Café au lait spots (CALS) are extraordinarily common; six or more lesions (at least 0.5 cm prior to puberty or 1.5 cm post puberty) are considered one of the criteria for diagnosing neurofibromatosis type I (NF1), and are also seen in
Use of High-Risk Medications in Older Adults — Measure 238
Use of High-Risk Medications in Older Adults ... DESCRIPTION: Percentage of patients 65 years of age and older who were ordered at least two high-risk medications from the same drug class. ... ... MEASURE ID: ... 238 ... ... Type: Process ... ... CMS Derm Specialty
March 30, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 30, 2022 ... The rankings are in: Minoxidil, finasteride, and dutasteride for male androgenetic alopecia DermWorld Insights and Inquiries : Bowel-associated dermatosis-arthritis syndrome (BADAS) — The story behind the acronym
Is there a best approach to widespread actinic keratoses?
By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but
Screening for Social Drivers of Health — Measure 487
Screening for Social Drivers of Health ... DESCRIPTION: Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. ... ... MEASURE ID: ... 487 ... ... Type: Process ... ... CMS Derm Specialty Set: ...
Incretin-based therapy for diabetes and dermatology: Promise and peril
By Warren R. Heymann, MD Oct. 23, 2017 In a given day, how many of your patients are diabetic? According to the American Diabetes Association, in 2015, 9.4% of the US population (30.3 million) were diabetic; 29 million of this group had type 2 diabetes. ... Incretin hormones refer to
Plantar melanoma and mechanical stress
By Warren R. Heymann, MD June 15, 2016 Acral lentiginous melanoma (ALM) involves the palms, soles, and nail beds. It is the most common type of melanoma in patients of African or Asian descent. Delays in diagnosis result in more advanced disease at the time of diagnosis. Trauma or chronic
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; pneumococcal; and hepatitis B. ... ... MEASURE ID: ... 493 ... ...
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,
Documentation of Current Medications in the Medical Record — Measure 130
Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ... ... MEASURE ID: ... 130 ...
Documentation of Current Medications in the Medical Record — Measure 130
Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ... ... MEASURE ID: ... 130 ...
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ... ... MEASURE ID: ... 374 ... ... Type: Process ... ... CMS Derm Specialty
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ... ... MEASURE ID:
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ... ... MEASURE ID:
Decomplexing plexiform neurofibromas
By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse
August 30, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 30, 2023 ... Does low-dose oral minoxidil improve hair density in traction alopecia? DermWorld Insights and Inquiries : A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma Methotrexate: Drug survival and predicative
November 30, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 30, 2022 ... Chemotherapeutics for treating actinic keratosis DermWorld Insights and Inquiries : Palmar Pagetoid dyskeratosis — A sheep in wolf’s clothing A guide to transitioning to JAK inhibitors for
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ... ... MEASURE ID: ... 374 ... ... Type: Process ... ... CMS Derm Specialty
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented ... DESCRIPTION: Percentage of adult patients who were screened for high blood pressure and received a follow-up plan where indicated. ... ... MEASURE ID: ... 317 ... ... Type: Process ... ... CMS Derm
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal. ... ... MEASURE ID: ... 493 ... ... Type: Process
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection — QCDR measure AAD 18
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection ... DESCRIPTION: Percentage of procedures in patients, aged 18 and older with a diagnosis of skin cancer, who had intermediate layer and/or complex linear closures OR reconstruction after skin cancer resection where opioid/narcotic therapy was prescribed as first
Controlling High Blood Pressure — Measure 236
Controlling High Blood Pressure ... DESCRIPTION: Percentage of patients 18–85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ... ... MEASURE ID: ... 410 ... ... Type: Outcome ... ... CMS Derm Specialty Set: ... Yes ...
Skin conditions by the numbers
Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A
You’ll want these new, updated acne guidelines from JAAD
As part of its commitment to promote dermatologic research and ensure the highest-quality patient care, the Academy published updated guidelines of care for the management of acne vulgaris on Jan. 30. ... The new guidelines make 18 evidence-based recommendations for topical therapies, systemic therapies, and good clinical practices. ... Read
October 30, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2024 ... Breast health outcomes in women on oral 5-alpha reductase inhibitors D ermWorld Insights and Inquiries : The breathless complications of anti-MDA-5-positive dermatomyositis What symptoms are most significantly
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
June 30, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 30, 2021 ... Treating atopic dermatitis with cognitive behavioral therapy: Does it work? DermWorld Insights and Inquiries : Deep learning in dermatopathology Sublingual tofacitinib for alopecia areata Biologic psoriasis treatments
Key messaging in social media about acne
Key messages ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (1)
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ... ... MEASURE ID: ... 410 ... ... Type: Intermediate outcome ... ... CMS Derm Specialty Set: ... Yes
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
Palmar Pagetoid dyskeratosis: A sheep in wolf’s clothing
By Warren R. Heymann, MD, FAAD Nov. 30, 2022 Vol. 4, No. 47 Furrows are fine, ridges are risky. I learned that phrase in a stellar lecture given by Jennifer A. Stein, MD, PhD, FAAD, discussing the use of dermoscopy for acral pigmented lesions. It has served me in good
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer who underwent intermediate layer, complex linear closure, or reconstruction after skin cancer resection in the office-based setting (not
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer who underwent intermediate layer, complex linear closure, or reconstruction after skin cancer resection in the office-based setting (not
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Advance Care Plan — Measure 47
Advance Care Plan ... DESCRIPTION: Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not
Advance Care Plan — Measure 47
Advance Care Plan ... DESCRIPTION: Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ... ... MEASURE
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ... ... MEASURE
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab
By Warren R. Heymann, MD, FAAD Sept. 13, 2023 Vol. 5, No. 37 This is an exciting time for cutaneous lupus erythematosus (CLE). Recently published findings from three clinical trials show substantial progress in developing more targeted, efficacious, and better-tolerated medications for patients with CLE, particularly by inhibiting the production
Do skin cancer rates differ by transplanted organ type and patient age?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lee Wheless, MD,
Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?
By Warren R. Heymann, MD July 18, 2016 I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD 17
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer, on prescribed anticoagulation therapy, who had intermediate layer and/or complex linear closures OR reconstruction after skin
Triskaidekaphobia legitimized: Fatal Factor XIII deficiency
By Warren R. Heymann, MD, FAAD April 12, 2023 Vol. 5, No. 15 I am not especially superstitious. The number 13 has never concerned me but acquired Factor XIII deficiency has now joined my ever-expanding pantheon of new complications to worry about. ... The article entitled "Association of lethal acquired
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Melanoma: Tracking and Evaluation of Recurrence ... DESCRIPTION: Percentage of patients who had an excisional surgery for melanoma or melanoma in situ with initial American Joint Committee on Cancer (AJCC) staging of 0, I, or II, in the past 5 years in which the operating provider examines and/or diagnoses the
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Melanoma: Tracking and Evaluation of Recurrence ... DESCRIPTION: Percentage of patients who had an excisional surgery for melanoma or melanoma in situ with initial American Joint Committee on Cancer (AJCC) staging of 0, I, or II, in the past 5 years in which the operating provider examines and/or diagnoses the
Deep learning in dermatopathology
By Kiran Motaparthi, MD June 30, 2021 Vol. 3, No. 26 Deep learning algorithms — deep neural networks that model the connections neurons make and analyze images in successive layers to ultimately produce a likelihood of diagnosis — can now distinguish dermoscopic images of nevus and melanoma with greater accuracy
October 12, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 12, 2022 ... Type 2 diabetes and CCCA severity DermWorld Insights and Inquiries : Fixing the concept of the neutrophilic fixed drug eruption What’s the risk of IBD in patients
2026 exemption reweighting
Exemption reweighting is unchanged in 2026. Below is the breakdown of the 2026 MIPS category weights and how the weights will be redistributed if various exemptions are applied. ... As a refresher, here are the baseline weights for 2026: ... Quality: 30% ... Cost: 30% ... Promoting Interoperability (PI): 25%
2025 exemption reweighting
Exemption reweighting is unchanged in 2025. Below is the breakdown of the 2025 MIPS category weights and how the weights will be redistributed if various exemptions are applied. ... As a refresher, here are the baseline weights for 2025: ... Quality: 30% ... Cost: 30% ... Promoting Interoperability (PI): 25%
Interfering with interferon Gamma: The mechanisms behind acquired resistance to PD-1 inhibitors for melanoma
By Warren R. Heymann, MD Sept. 4, 2016 Astounding major advances in targeted therapies for melanoma, most notably by PD-1 blockade, have given hope and life to patients with metastatic melanoma. Approximately 30 % of advanced melanoma patients experience tumor responses from checkpoint blockade monotherapy, with better clinical responses seen
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months
Cost (30%)
Cost field test on non-pressure ulcers ... CMS will conduct field testing from Jan. 29 to Feb. 27, 2026, for a new episode-based cost measure on non-pressure ulcers. Field testing does not impact Medicare payments, but CMS encourages recipients to review their report in the Quality Payment Program (QPP) portal
Angiosarcomas and morbid obesity: An enormous problem
By Warren R. Heymann, MD Feb. 26, 2017 Localized lymphedema. A, Case 7 showed many polypoid lesions that varied in size and were localized throughout the vulva, pubis, and perineum. B, Case 9 showed multiple small polypoid lesions with cauliflower-like morphology in the penis and scrotum. C, Case 3 showed
Connection to Community Service Provider — Measure 498
Connection to Community Service Provider ... DESCRIPTION: Percent of patients 18 years and older who screened positive for one or more of the following health-related social needs: food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety and had contact with a Community Service Provider for at least one
Advocacy Update Nov 18, 2025
IN THIS ISSUE / Nov. 18, 2025 Government shutdown ends with a bill including sunscreen and telehealth policies AADA fights physician assistant independent practice bill in Wisconsin Get Involved: Become an AADA Advocacy Key Contact Support SkinPAC Federal Advocacy Government shutdown ends with a bill including sunscreen and telehealth policies
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience ... DESCRIPTION: Percentage of adult patients (age 18 years and older) who report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis. Patients provide a global assessment of the perceived effectiveness
Advocacy Update Nov 11, 2025
IN THIS ISSUE / Nov. 11, 2025 AADA opposed efficiency adjustment in 2026 Medicare Physician Fee Schedule Final 2026 Medicare Physician Fee Schedule: Dermatology impact tables available AADA urges Congress to repeal physician-owned hospital restrictions Members report difficulty obtaining Kenalog ASDSA annual meeting SkinPAC event Support dermatology champions in Congress
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes — QCDR measure AAD 20
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes ... DESCRIPTION: Percentage of adult patients (18 years old and older) who self-report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis (AK) and who self-report satisfaction with the treatment or management of AK. Patients provide a global
Linear and whorled nevoid hypermelanosis: Past reflections and future directions
By Warren R. Heymann, MD July 4, 2017 Linear or circular arrangement of pigmented macules along the lines of Blaschko. ... Credit: ... JAAD I recall meeting Debra Chester Kalter as a young, remarkable dermatologist, chatting annually with her at the AAD meeting. She was my wife’s classmate at the
Prior Authorization Workflow
For the story below, imagine a small dermatology practice, with three dermatologists, two nurse practitioners (NPs), and two office administrators. The dermatologists see 30-40 patients a day for many different procedures, ranging from the cosmetic to non-cosmetic. Prior authorization is needed for certain procedures and medications. ... Note: This is
The retiring type?
By Warren R. Heymann, MD April 23, 2017 "Tell me, Dr. Heymann, when do you plan to retire?" ... Patients seem to ask me that every day. ... My usual response: "Why do you ask, do I look that bad?" ... "No, you look pretty good for your age." (According
The profound dermatological manifestations of COVID-19 Part VI: Going to the dogs
By Warren R. Heymann, MD July 29, 2020 Vol. 2, No. 30 Disclaimers: This commentary was written on July 12, 2020 for a publication date of July 29, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
October 23, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2024 ... Botulinum toxin type A with topical minoxidil vs. topical minoxidil alone in males with androgenetic alopecia DermWorld Insights and Inquiries : Shocking news — Heat shock protein
A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma
By Warren R. Heymann, MD, FAAD Aug. 30, 2023 Vol. 5, No. 35 A personal joy of dermatology is rendering a diagnosis in a lesion or rash that I have only read about but never previously encountered in practice. Beyond being intellectually satisfying, having a precise diagnosis is reassuring, as
Compounding toolkit
Can you compound or prescribe it? ... Answer a few questions below to determine whether the type of compounding you are performing is in compliance with Food & Drug Administration (FDA) regulations and how to access the drug product if it cannot be compounded in your office. ... Are you
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
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
By Warren R. Heymann, MD, FAAD February 16, 2022 Vol. 4, No. 7 If there was a statistic for a dermatological diagnostic impact factor, vascular Ehlers-Danlos syndrome (vEDS) would be at the top. Often undiagnosed until tragedy strikes, astute dermatologists who consider the diagnosis prior to an acute event may
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
Addressing systems and administrative challenges
Running a successful dermatology practice hinges not only on exceptional patient care but also on efficient administration. While challenges vary based on practice type and other factors, most practices face common administrative burdens. These burdens are a major driver of burnout. ... Surveys conducted among Academy members between 2016-2020 revealed
New treatments provide more options for people with alopecia areata
Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new
New study reveals that some children with common form of eczema should also be tested for allergic reactions
Study author highlights test used to differentiate between two types of eczema ROSEMONT, Ill. (September 26, 2023) — Eczema, which is a group of medical conditions that causes inflamed, irritated, and often itchy skin, affects millions of people worldwide. A new article published in the ... Journal of the American
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one
Skin care for developing countries
The Academy offers grants to individuals and organizations to fund international volunteer and humanitarian projects under the Skin Care for Developing Countries program. ... Grants available ... Grants vary between $2,500 and $5,000 depending on the proposal, scope of the project, and availability of funds. ... Application timeline ... To
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one
Step 2: Learn the MIPS categories
Report with DataDerm ... The Academy’s Qualified Clinical Data Registry DataDerm allows streamlined reporting on MIPS categories, including dermatology-specific measures available nowhere else. ... Learn more about DataDerm . ... Learn more about the MIPS reporting categories before you determine your level of participation. The weights and requirements of the
Capitol skin cancer prevention check and health fair | American Academy of Dermatology Association
Join us on May 21 ... The American Academy of Dermatology Association is hosting a skin cancer check and health fair. Dermatologists will conduct free skin cancer checks open to the public on a first-come, first-serve basis. ... Time: ... Thursday, May 21, 10:30 a.m.-1:30 p.m. Place: ... Rayburn Office
Your Dermatologist Knows secures traditional media wins
Thousands of stories feature dermatologists’ expertise. ... Since its launch in October 2022, the AAD’s Your Dermatologist Knows consumer positioning strategy has garnered major print, TV, and online media successes. As of Aug. 30, 2025, Your Dermatologist Knows-related efforts by the Academy have resulted in over ... 8,100 media placements
Model State Award
See 2026 award winners! ... See 2026 winners of the Model State Awards . ... Application information ... Application dates ... June 30 – Sept. 30 (annually) ... Core criteria ... Every state society must have these elements in place to be considered. ... Nonprofit status in "good standing" ...
2025 AADA Legislative Conference: Legislative asks
Keynote speaker ... Alex Azar, 24th Secretary of the U.S. Department of Health and Human Services ... Monday, Sept. 14, 12:30 p.m. - 1:30 p.m. Alex Azar was the 24th secretary of the Department of Health and Human Services. He was the architect of Operation Warp Speed, delivering COVID-19 vaccines
Focusing attention on X-linked ichthyosis
Ichthyosis vulgaris ... Credit: ... JAAD By Warren R. Heymann, MD Jan. 2, 2019 I thought it was me. Like every dermatologist, I learned the classical appearance of the ichthyoses, and wonder why I’m not sure if I am looking at a patient with ichthyosis vulgaris (IV) or X-linked ichthyosis
The doctor will see you...soon?
Facts at your Fingertips ... By Emily Margosian, assistant editor, July 1, 2019 As efforts to improve access to dermatologic care remain ongoing (Read ... Dermatology World ’s 2017 feature "Access Granted" at ... www.aad.org/dw/monthly/2017/october/access-granted for strategies to broaden patient access), how long can the average patient expect to wait
The appeal of molecular medicine for the peeling skin syndrome
By Warren R. Heymann, MD April 17, 2018 A, After soaking his foot in warm water for 30 minutes, the patient could peel superficial layers of skin. B, After the peeling, erythematous base is revealed. C, Healed area with slight thickening and pigmentation. ... Credit: ... JAAD This may not
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month
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
Ustekinumab: A topic for atopics?
By Warren R. Heymann, MD Jan. 9, 2017 Atopic dermatitis patient shows drastic improvement at week 19 of ustekinumab treatment. ... Credit: ... JAAD If you’re like me, you have a cadre of patients with severe atopic dermatitis (AD) patients who are counting the minutes for the release of
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176
Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month
New American Academy of Dermatology survey: increasing number of Americans at risk of skin cancer despite knowing how to protect themselves
Board-certified dermatologist urges public to practice safe sun ROSEMONT, Ill. (April 30, 2024) — Abby Weiner knew the dangers of unprotected sun exposure long before she was diagnosed with skin cancer. As someone with fair skin and freckles, the 43-year-old mother of three says she has always been diligent about
2020 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... December 23 - 2020 holiday greeting December 16 - We’re in hot water! Vibrio vulnificus infections are heading north December 9 - Much ado about nothing in dermatopathology December 2 - Pigmented onychomatricoma: Avoid getting nailed by
Caveat mTOR revisited: Neurofibromatosis
By Warren R. Heymann, MD, FAAD Feb. 14, 2024 Vol. 6, No. 7 An abridged version of this commentary was published in "A Clinician's Perspective" in the April 2023 issue of the JAAD. ... It is understandable how dermatologists may forget about many details of rare genodermatoses after taking their
PRIDE without prejudice
By Warren R. Heymann, MD, FAAD July 30, 2025 Vol. 7, No. 30 As the years march on, I am bemused by having witnessed once-novel findings become mainstream affairs. I recall my excitement describing the development of paronychia in a 76-year-old woman with metastatic colon carcinoma who was participating in
Key messages for social media about hair loss
Key messages ... Many conditions and diseases can result in hair loss, as can improper hair care. ... The most common cause of hair loss is hereditary thinning or baldness, also known as androgenetic alopecia. (1) This condition affects an estimated 80 million Americans — 50 million men and 30
Digital media kit: Podcasts
Dialogues in Dermatology podcasts ... Exclusive opportunity! Short form audio content – reminder style ads. 30-second script is submitted to the AAD to be recorded and played at the beginning of each non-CME episode. Six practice management focused episodes will be released throughout the year as topics are needed. ...
Dermatological Care MIPS Value Pathway (MVP)
2026 MVP registration is open ... Register for the 2026 MVP for Dermatological Care through the ... QPP website . Refer to the ... QPP Access User Guide (ZIP, 5 MB) for detailed information. Register by Nov. 30, 2026! ... The Dermatological Care MIPS Value Pathway (MVP) is a streamlined
The pregnant pause in cutaneous lymphoma
By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12
Intralesional triamcinolone for hidradenitis suppurativa and thoughts on confirmation bias
By Warren R. Heymann, MD Dec. 2, 2016 Anyone who has treated the scourge of hidradenitis suppurativa (HS) has probably injected inflamed nodules and cysts with triamcinolone (TAC) successfully, resulting in very grateful patients. Despite the useful advent of adalimumab to the other (less than satisfactory) modalities of antibiotics,
Spot on! Lentigines in resolved psoriatic plaques
By Warren R. Heymann, MD Nov. 30, 2016 Having treated psoriatic patients throughout my career, there have been innumerable occasions where patients were concerned about pigmentary changes following successful treatment of the plaques. I have usually reassured them that these are postinflammatory pigmentary alterations that should abate with time. Recently,
Texas dermatologist recognized for improving the quality of life of a child with rare condition
American Academy of Dermatology honors Dr. John Browning as national "Patient Care Hero" ROSEMONT, Ill. (November 30, 2022) — Board-certified dermatologist John Browning MD, FAAD, FAAP, adjunct associate professor of pediatrics and dermatology at UT Health in San Antonio, was named an American Academy of Dermatology Patient Care Hero for
How to prevent keloid scars
Board-certified dermatologist shares tips to reduce your risk ROSEMONT, Ill. (Dec. 6, 2023) — Keloids are a type of raised scar that can occur after an injury, and over time they can grow much larger than the wound itself. Although keloids are not dangerous to a person’s health, they can
Key messages when communicating about skin cancer
Key messages ... Skin cancer is the most common cancer in the United States, with millions of cases diagnosed each year. It’s also one of the most preventable cancers and highly treatable when found early. ... To reduce your risk of skin cancer, seek shade, wear protective clothing and apply
Epidemic of melanoma or epidemic of scrutiny?
By Jason B. Lee, MD May 19, 2021 Vol. 3, No. 20 The goal of population screening is to detect cancers at their early stages to prevent the associated morbidity and mortality of the late stages. The efforts to detect melanoma in its early stages went into full gear over
Platelet rich plasma: Good for whatever ails you?
By Warren R. Heymann, MD Jan. 13, 2017 Hair regrowth in ophiasis-type alopecia areata after platelet-rich plasma (PRP) injection. Occipital hair loss before treatment (A) and occipital hair regrowth 3 months after administration of PRP at a concentration 3.5 times above baseline (B). ... Credit: ... JAAD Okay, okay, I
A dermatologic riddle: How is IgG4-related ophthalmic disease parliamentary?
By Warren R. Heymann, MD March 22, 2017 Immunostains of infiltrate. A, Immunostain shows an infiltrate rich in IgG4+ plasma cells. The infiltrate had an IgG4+ cell count of 80 per HPF and an IgG4+/IgG+ ratio of 80%. B, IgG immunostain shown for comparison. (A and B, original magnifications:
Studying skin aging never gets old: The potential role of oxytocin
By Warren R. Heymann, MD Oct. 14, 2020 Vol. 2, No. 41 Every day, dermatologists address patient concerns about their aging skin — whether they are presenting for medical, surgical, or cosmetic problems. Extrinsic factors such as ultraviolet light and smoking resulting in a leathery, coarsely wrinkled appearance are well
Demystifying step therapy
Get familiar with the appeals process, your state’s laws, and what’s happening with reform efforts ... Feature ... By Emily Margosian, assistant editor, March 1, 2021 For many dermatologists, step therapy is an unwelcome and familiar hurdle, often requiring careful navigation of an onerous appeals process while patients fail to
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the
Tressed to impress: tips for keeping your mane magnificent
6 tips for healthier looking and feeling hair from a board-certified dermatologist ROSEMONT, Ill. (Aug. 13, 2024) — Hair is as unique as its wearer, making care an important aspect in one’s overall health and wellness routine. From understanding your hair type to learning the best shampooing technique (yes, there
Reporting Quality for MIPS
The tracking of quality measures and the implementation of improvement activities can help to lead to improved outcomes in patient care and care processes. ... Quality measures ... AAD continues to expand the number and type of dermatology-specific measures for reporting to CMS. Access a complete list of MIPS measures
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
Atopic dermatitis hide and seek: The impending role of OX40 inhibition
By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside
6 curly hair tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (June 30, 2022) — As people shed their winter hats in favor of warmer temperatures, letting their hair flow freely, having the right hair care routine is important. According to dermatologists from the American Academy of Dermatology, people with curly or tightly coiled hair
My fair-weather therapeutic friends for alopecia areata
By Warren R. Heymann, MD April 25, 2017 Type C clinical pattern of alopecia. A, Patchy hair loss on a background of a diffuse hair loss with (B) occipital involvement in an ophiasis-like pattern. C, Biopsy specimen obtained from the vertex of the scalp. Histopathology of vertical sections shows an
What's hot?
What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,
Sunscreen FAQs
Sun Protection Resource Center ... Looking for information on sunscreen? Visit the Academy's Sun Protection Resource Center. ... Learn more Seeking shade, wearing sun-protective clothing — including a lightweight and long-sleeved shirt, pants, a wide-brimmed hat, and sunglasses with UV protection — and wearing sunscreen on all skin not covered
Tennessee legislation increases transparency
Tennessee Gov. Bill Lee (R) signed legislation limiting the use of medical specialty titles in advertisements. ... The new state law requires any advertisement for health care services to include the name of a health care practitioner and the type of licensure or profession held. The AADA believes that all
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
AAD Event Advertising: Annual Meeting
The Academy's Annual scientific meeting offers unprecedented access to thousands of dermatologists attending high-profile continuing medical education events. ... For exhibitors looking to promote their products and services, build booth traffic, and facilitate face-to-face discussions, the Academy offers a wide selection of high-impact advertising opportunities. Look here for advertising opportunities
Looking beyond ‘Ozempic face’
Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body
Waiting for Wong
By Warren R. Heymann, MD ... Oct. 6, 2016 ... The Wong variant of dermatomyositis was originally described by O’Leary during the Eisenhower administration (1953) and named for Wong during Nixon’s tenure (1969). I have been involved with dermatology since Carter’s term in office (1979). Since that time (Reagan,
Membership Committee portal
Welcome to the American Academy of Dermatology’s Membership Committee portal. The portal houses applications and their supporting documentation along with resources to help determine eligibility for membership. ... Applicant Name ... Type ... Category ... Country ... Status ... Review {{application.fullName}} ... {{application.pendingMemberType}} ... {{application.pendingMemberCategory}} ... {{application.businessAddressCountry}} ... {{application.status}} ...
2026 AAD Innovation Academy: Networking and special events
Experience Hub ... The unique energy of 2026 AAD Innovation Academy comes to life in the Experience Hub. Designed as the pulse of the meeting, it brings together exhibits, scientific posters, additional learning, and dedicated networking opportunities that spark conversation and new ideas. From the Welcome Reception to informal meetups
Learning module: Genetic skin diseases
Goals and objectives ... The purpose of this module is to help develop a clinical approach to the evaluation and initial management of patients presenting with genodermatoses. ... By completing this module, the learner will be able to: ... Identify and describe the morphology of skin lesions typical of tuberous
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of
Digital media kit: DermWorld classified rates
Reach over 16,000 U.S. dermatologists with your recruitment ad. Classified advertising is restricted to professional opportunities available, professional opportunities wanted, practices for sale, office space available, and equipment available. ... Download a PDF of the 2026 DermWorld classified advertising rate card. Line ads (cost per line) ... 1x ... 2x
March
Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I always knew firefighting was a dangerous occupation What’s hot ... This month’s news from across the specialty Clinical Applications ... Do skin cancer
Malpractice insurance 101
Experts offer advice on navigating malpractice insurance policies. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2025 While medical malpractice suits first regularly appeared in the United States in the 1800s, the frequency of claims has only increased since the 1960s, with lawsuits relatively common today. Medical malpractice
DermCatalyst: Accelerating Access and Innovation in Dermatology
Register for the 2026 DermCatalyst ... Register today for a unique opportunity to discuss outreach programs and initiatives, exchange ideas, and share success stories. ... Register now for free 2026 DermCatalyst July 16, 2026 (concurrent with 2026 Innovation Academy ) 7:30 a.m. - 4:00 p.m. (reception to follow) New York
What’s new and what can I expect from the 2025 Annual Meeting?
Asked and Answered ... December 1, 2024 Get ready to register for a magical experience in Orlando, Florida! ... 2025 AAD Annual Meeting attendees can expect some exciting new offerings alongside the top-tier education you expect from the AAD. ... What’s new ... Opening Ceremony, Friday, March 7 from 5:00
Becoming pro-geriatric by understanding progeria
By Warren R. Heymann, MD Aug. 13, 2018 A fifteen-year-old boy with Hutchinson-Gilford progeria syndrome. ... Credit: ... JAAD I have never seen a case of Hutchinson-Gilford progeria syndrome (HGPS). You probably haven’t either, given its incidence of 1 in 4 million. Why comment on a disease that will likely
2026 AAD Innovation Academy: Resource Center
Your one stop for all things AAD! ... Come to the AAD Resource Center during the 2026 AAD Innovation Academy and get exclusive meeting discounts on products for the entire practice and talk one-on-one with expert staff about the wealth of resources and perks available to you ... . Don’t
Mohs Surgery Appropriate Use Criteria (AUC) app
There are many considerations when determining whether to use Mohs surgery for the treatment of skin cancer, such as the cancer type, location, and whether it is new or recurring, as well as the health profile of the patient. ... With the Academy's complimentary Mohs Surgery Appropriate Use Criteria (AUC)
Weighing in on glucagon-like peptide-1 receptor agonists in dermatology
By Warren R. Heymann, MD, FAAD April 17, 2024 Vol. 6, No. 16 Glucagon-like peptide-1 (GLP-1) receptor agonists — your patients are on them, and perhaps you are too (or at least have thought about it). In 2023, more than 500 million people worldwide were afflicted with obesity and type
How to meet two common wealth-planning goals using the same ‘medicine'
Money Matters ... Mandell is an attorney and author of more than a dozen books for doctors. He is a partner in the wealth management firm OJM Group (www.ojmgroup.com), where he can be reached at 877-656-4362 or mandell@ojmgroup.com. ... By David B. Mandell, JD, MBA, April 1, 2026 In working
What is the minimum I need to report to meet the MIPS threshold in 2019?
Asked and Answered ... February 1, 2019 If you or your practice must participate in the Merit-based Incentive Payment System (MIPS) for 2019 and want to simply avoid the ... 7% penalty (penalty applied in 2021), the ... minimum score to avoid the penalty is 30 points — up from
November 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 18, 2020 ... Hydrogen peroxide and the common wart: Phase 2 results are in DermWorld Insights and Inquiries : Granulomatous slack skin — More than one type of mimicry FDA
Dermatology antibiotic prescription trends
Facts at your fingertips ... By Emily Margosian, assistant editor, November 1, 2019 As antibiotic resistance has increasingly captured the attention of the media and global health organizations, physicians have found themselves under more pressure to monitor their antibiotic prescription habits. Although overall antibiotic prescribing by dermatologists decreased by 36.6%
2026 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, January 1, 2026 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention
Private payer appeal letter tool
How can I appeal insurance denials? ... Use the tool below to generate letters from automated templates. These letter templates are intended to help dermatologists appeal to private payers when payments are inappropriately reduced. They may be modified to specifically address your circumstances and those of your patients. ... {{
Ransomware attacks on U.S. health care double
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, February 1, 2024 Ransomware is on the rise. A recent ... JAMA Health Forum study found that the annual number of ransomware attacks on health care organizations more than doubled from 2016 to 2021, exposing the personal health information (PHI)
Melanoma incidence rising, deaths decreasing
Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2019 According to data from the National Institutes of Health (NIH) Surveillance, Epidemiology, and End Results Program (SEER), there were an estimated 96,480 new cases of melanoma of the skin in 2019 — making it the fifth most
Demand for cosmetic procedures resumes after COVID
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2023 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions due to the ebb and flow in national and regional caseloads. ... The release of new
A. Paul Kelly, MD Research Award and Lectureship
Honoring a leader ... Throughout his career, Dr. A. Paul Kelly researched skin diseases in people of color, particularly keloidal scarring. ... The A. Paul Kelly, MD Research Award and Lectureship was created in 2021 to recognize outstanding dermatologists, who throughout their career have been committed to researching issues associated
What's hot?
What's hot ... January 30, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Lakshi Aldredge, MSN, ANP-BC ... It seems like everywhere you turn, there is a new comorbidity associated with psoriasis. This is especially important
COVID’s impact on cosmetic procedures
Facts at your fingertips ... By Emily Margosian, Assistant Editor, April 1, 2022 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions throughout the year due to the ebb and flow in national and regional caseloads. The release
2022 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 28 - 2022: Best of DermWorld Insights and Inquiries Dec. 21 - Holiday Greeting 2022 Dec. 14 - A Frank discussion about earlobe creases Dec. 7 - Xylazine ("Tranq"): The potential for loss of life and
May 22
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 22, 2019 ... What's happening to practice ownership? DW Insights and Inquiries : Breaking the terbinafine laboratory habit for onychomycosis Do you know how to get to 30 points to
Your Dermatologist Knows has hot summer on social media
You’re the experts and millions of people know it. ... The Your Dermatologist Knows strategy involves a robust social media presence that includes AAD Social Media Correspondents, partnerships with AAD member social media influencers, and paid and organic placements of Your Dermatologist Knows content. ... This summer, Your Dermatologist Knows-related
2026 AAD Innovation Academy: Showcase your work
Ideas Shaping What’s Next ... 2026 AAD Innovation Academy brings together emerging perspectives and conversations shaping the future of dermatology. Through featured experiences like Derm Tank and Scientific Posters, attendees can explore new concepts and discoveries from across the specialty in an environment designed for discovery. ... Learn more about
Will PD-1 inhibitors be msed for Mastocytosis?
By Warren R. Heymann, MD May 8, 2016 Kuklinski L, Kim J. Expression of PD-L1 in mastocytosis. J Am Acad Dermatol 2016; 74: 1010-2. ... The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens. Of the12
CMS clarifies telehealth and telephone coding during COVID-19 public health emergency
On April 30, 2020 a second round of expansive changes to telehealth coding as well as regulatory revisions was announced by CMS. These changes were to ensure access to care and flexibility to the healthcare system during the COVID-19 public health emergency (PHE). These recent changes and more can be
This month’s news from across the specialty
What’s hot ... August 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to
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Updated content on fading dark spots on skin of color attracts new readers ... The AAD’s public website content helps tens of millions of potential dermatology patients learn more about their conditions — ... more than 30 million so far in 2021. In the last issue, we highlighted the ...
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
Transplantation dermatology: Race matters
By Warren R. Heymann, MD June 21, 2017 African American man with generalized vitiligo. Medial aspect of foot before (A) and 5 months after (B) melanocyte-keratinocyte transplantation procedure. ... Credit: ... JAAD December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late
Reporting excimer laser therapy: When to use 96999 vs 9692x
As a result of a code descriptor change for CPT codes 96920-96922 effective Jan. 1, 2024, these codes are now to be used only for excimer laser treatment of psoriasis. This change was made by the AMA CPT to better align with the intended use of these services exclusively for
April 14, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 14, 2021 ... Pulsed dye laser versus ablative fractional CO2 laser for hypertrophic scars DermWorld Insights and Inquiries : LIDA rose the insulin requirement Actinic keratosis clinical guideline published Do
Veterans face heightened risk of melanoma, nonmelanoma skin cancer
Facts at your Fingertips ... By Emily Margosian, Senior Editor, October 1, 2025 The increasing incidence of skin cancer in the United States has raised new concerns about occupational associations, particularly those in professions with significant chemical or sun exposure. ... Read more about occupational associations of skin cancer .
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
How do I claim my CME credits from AAD VMX?
Asked and Answered ... June 1, 2022 CME credits can be claimed within the AAD VMX platform. ... Learn more or access VMX . ... Attendees can claim CME credits immediately after viewing a session or at a later date, but please note — on demand access to VMX will
What is Life Membership and how can I apply?
Asked and Answered ... May 1, 2026 AAD’s Life Membership allows longtime members in good standing to not pay dues but retain the benefits of their previous membership category. ... Life Membership is available to: ... A member for at least 30 years, who is retired (no longer practices for
John Kenney Jr., MD Lifetime Achievement Award and Lectureship
Honoring a leader ... Dr. John Kenney Jr. was the first African American member of the AAD and the 1995 recipient of the Master of Dermatology Award. ... The John Kenney Jr., MD Lifetime Achievement Award and Lectureship was created in 2021 to recognize outstanding dermatologists, who throughout their career
What is Life Membership? How do I apply?
Asked and Answered ... July 1, 2025 If you are currently retired, or plan to retire later this year or the first half of next year, you may be eligible for Life Membership. ... Life Membership is a category of AAD membership. Life Members are no longer required to pay
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
I plan to retire at the end of this year. Does the AAD offer a discounted membership option?
Asked and Answered ... June 1, 2024 If you are currently retired, or plan to retire later this year or the first half of next year, you may be eligible for Life Membership. ... Life Membership is a category of AAD membership. Life Members are no longer required to pay
Sun safety
Key messages ... At least one in five Americans will develop skin cancer during their lifetime. (1,2) ... Sun exposure is the most preventable risk factor for skin cancer, including melanoma, the deadliest form of skin cancer. (3-6) ... To protect your skin from the sun, seek shade, wear protective
Educating the public — National Healthy Skin Month
30 healthy skin days hath November! ... November was National Healthy Skin Month and the AAD was Johnny on the Spot (whatever that spot may be) on Nov. 1 ... with information across aad.org and our @AADskin social media channels educating the public on healthy skin from head to toe
Clinical information
1. How contagious is measles? ... Measles is a highly contagious virus, much more contagious than the common cold and even more contagious than other outbreaks like smallpox or Ebola. ... 1 ... Measles is potentially transmissible even after brief exposures and at distances up to 30 meters. ... 2
COVID-19 can nail you in so many ways
By Elizabeth Yim, MD, MPH, FAAD, and John Montgomery Yost, MD, MPH, FAAD July 13, 2022 Vol. 4, No. 28 Dr. Elizabeth Yim and Dr. John M. Yost. ... During these difficult and quite frankly, scary times, we have heard numerous reports of various cutaneous manifestations by the SARS-COV-2 infection
Practice types in dermatology
Dermatologists can choose from a diversity of practice types, from independent to group and institutional. Each of these practice types comes with trade-offs between between autonomy and support, benefits and risks. There are also new practice models, meant to improve value and contain costs. Use the AAD resources below to
Everett C. Fox, MD, Memorial Lectureship
The Everett C. Fox, MD, Lectureship was formed through a bequest from the estate of Everett C. Fox, MD. Dr. Fox had been a practicing clinician in Texas and was vice president of the American Academy of Dermatology in 1946. ... Award: The selected lecturer will receive a cash award
Key messages in social media about eczema
Key messages ... Eczema refers to a group of conditions that lead to inflamed skin. Signs of inflamed skin include a rash, itchiness, and excessive dryness. (1) ... There are several types of eczema. Atopic dermatitis is the most common type. ... Eczema is a complex condition. Your genes, immune
What's hot?
What's hot ... February 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Isn’t it interesting how some common warts that we treat seem to go away almost instantly but others persist
Advocacy Update Feb 3, 2026
IN THIS ISSUE / Feb. 3, 2026 Dermatologists urged Washington state to support truth in advertising Humana corrects destruction code denials Academy asks CMS to reduce regulatory burdens on dermatology Contribute to SkinPAC Truth in Advertising Dermatologists urged Washington state to support truth in advertising ... The AADA ... urged
Hallelujah! A negative comorbidity study: Putting comorbidities in perspective
By Warren R. Heymann, MD July 30, 2016 Upon reading the title "Assessment of the risk of cardiovascular disease in patients with rosacea," I was braced for yet another reason why we should invest in cardiac nuclear scans in our dermatology office instead of a new laser. ... Recently, we
MIPS reporting and fee schedule
Register for the 2026 MIPS Value Pathway ... Registration for the 2026 MIPS Value Pathway (MVP) for Dermatological Care is open! Register by Nov. 30, 2026 to participate. ... Learn more on our MVP page . ... Explore the Academy’s tools and resources to help you better understand MIPS and
Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying
By Warren R. Heymann, MD April 12, 2017 In the entry "Atrophic Tinea Versicolor: More Than a Mirage" (April 22, 2016), I learned that the atrophic appearance of some cases of tinea versicolor is not just an optical illusion. The case of a 35-year-old man with depressed brown lesions on
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
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
What is Question of the Week and how do I sign up for it?
Asked and Answered ... October 30, 2018 Question of the Week is an opportunity to earn both CME and Self-Assessment credits, which can be used to fulfill Maintenance of Certification (MOC) requirements for AAD members who are enrolled in MOC through the American Board of Dermatology. ... By completing a
AAD’s historical commitment to inclusivity
The AAD has a rich history in support of inclusivity and a tradition of embracing all members from our multicultural nation. In 1994, The Academy established a Diversity Task Force, which later became a committee and launched the Mentorship Program in 1995 to connect medical students from communities with limited
Educating the Public — FAAD
The AAD Fellow (FAAD) designation — a member benefit available exclusively for fellows of the AAD — assures your patients and the public that you are the leader in diagnosing and treating skin, hair, and nail conditions. If you’re one of our 2,900 members using the FAAD designation to promote
4 cradle cap tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your
Erosive pustular dermatosis of the scalp must no longer be dermatology’s secret
By Warren R. Heymann, MD May 30, 2017 As dermatologists, we get used to discussing disorders that are foreign to other physicians. A typical story would be someone with classic notalgia paresthetica whose primary care physician does not believe that cervical arthritis is responsible for the maddening scapular pruritus. "My
Educating our public — You helped us tell the public why they should #ChooseADermatologist
In the fall of last year, we launched our #ChooseADermatologist campaign, which gave you access to resources and tools to share with patients on your social media channels. By showing your patients and the public why you are the skin, hair, and nail experts, you educated the public one post
AAD's guidance on resources related to workplace violence
Unfortunately, violence in the workplace has become more common in health care and incidences are slowly rising. Has someone at your dermatology practice ever experienced any type of violence at work? Is your practice equipped or prepared to handle violence, if it were to occur? Dermatologists are not always trained
2019 DW Insights and Inquiries archive
Explore Dermatology World Insights and Inquiries articles by publication date. ... December ... December 18 - DWI&I holiday greeting 2020: Eyeing dermatology’s future December 11 - Topical retinoid therapy for acanthosis nigricans: In the thick of it December 4 - Beware: Discordance abounds among pathologists in the diagnosis of melanocytic
American Academy of Dermatology Statement on the Importance of Sun Protection
Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (May 20, 2025) — Skin cancer is the most common cancer in the U.S., affecting an estimated one in five Americans in their lifetime. Every day, nearly 20 Americans die from melanoma, the deadliest form of
Frozen sections to diagnose epidermolytic ichthyosis: Very cool!
By Warren R. Heymann, MD ... May 30, 2016 ... Is there anything more daunting than being called to the neonatal unit confronted by a desquamating, peeling, neonate? The differential diagnosis is broad, ranging from Staphylococcal Scalded Skin Syndrome (SSSS), Toxic Epidermal Necrolysis (TEN), Epdermolysis Bullosa, Bullous Congenital Ichthyosiform Erythroderma
2021: Best of DermWorld Insights and Inquiries
December 30, 2021 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2021 — starting with the most popular issue of the year. ... 1. Biotin supplementation for hair
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,
Dermatopathology reports about basal cell carcinoma margins cannot be marginal
By Warren R. Heymann, MD July 30, 2018 ... Significant portions of residual basal cell carcinoma can be missed in the dermis (A) or subcutaneous fat (B). Small nests are highly unlikely to be detected by serial cross-sections (C). The line from the transparency is visible in A and B
Pityriasis rubra pilaris: Check a TSH!
By Warren R. Heymann, MD ... June 10, 2016 ... There are myriad ways to mine the data from the review of 100 cases of PRP by Ross et al, however, one key finding will change the way I will assess these patients — 20% were hypothyroid! (1) ... There
RAC audits: Target areas
This page has quick tips, facts, and links for you to keep on hand so that you can stay on top of the audit game. ... Where a RAC will catch you ... It goes without saying that you must be careful about many procedures when you’re a physician. However,
2024 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
Alleviate the ouch
Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology
Got milk? Got acne?
By Warren R. Heymann, MD July 30, 2016 I loved to drink milk as a kid — I would guzzle it. I was on the chunky side, so my mother encouraged me to have skim milk to cut down on the calories. I never really cared for it, but she
CMS Targeted Probe and Educate (TPE) reviews are now in full swing
What is a Targeted Probe and Educate program? ... A Targeted Probe and Educate (TPE) program is a claim review process utilized by the Medicare Administrative Contractor (MACs) designed to help dermatologists reduce claim and billing denials as well as appeals through "one-on-one" corrective action assistance and is overseen by
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
Brentuximab vedotin update and the #MeToo saga of the Reed-Sternberg cell
By Warren R. Heymann, MD Jan. 1, 2018 Myxoinflammatory fibroblastic sarcoma. High-power view showing large Reed-Sternberg–like cells (A) and mitotic figures (B). ... Credit: ... JAAD There has been increasing dermatological literature about the use of brentuximab vedotin (BV) for a variety of CD30+ cutaneous lymphomas. The thrust of this
Stiff skin syndrome: Hard in many ways
By Warren R. Heymann, MD July 4, 2016 Stiff skin syndrome (SSS) is a noninflammatory, fibrosing condition of the skin and fascia, often affecting the limb girdle region, notably the buttock and thighs, resulting in a lordotic posture. It may be accompanied by subtle hypertrichosis and hyperpigmentation. The course tends
American Academy of Dermatology launches innovative project to improve outcomes for patients with hidradenitis suppurativa
ROSEMONT, Ill. (Oct. 30, 2024) — A new initiative by the American Academy of Dermatology aims to shed light on an often misunderstood and debilitating condition, hidradenitis suppurativa (HS). HS is a chronic progressive condition that can cause painful and boil-like bumps, particularly in a patient’s armpits, thighs, and groin.
Dermatology resident develops face masks from recycled medical supplies
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld Weekly talks with Aditi Sharma, MD, a third-year resident in the department of dermatology at the University of California, Irvine, about how she produced a new type of protective face mask made from recycled
Contract reimbursement review
When deciding whether to sign a contract with a payer, reimbursement is one of the most important considerations. Adequate reimbursement is critical to the viability of your practice. Therefore, be sure to review contract language on reimbursement carefully. ... Aspects of reimbursement are often negotiable, though the extent to which
Returns and exchanges
What is the AAD's return or exchange policy? ... Returns ... The AAD takes great pride in the quality of its products. You may return products for any reason for a full refund within 30 days of receiving your shipment if the items are in their original condition and unopened.
A 2019 resolution: Talk more, Tweet less
By Warren R. Heymann, MD Dec. 30, 2018 Long ago, and far away, I encountered a patient that changed the way I practice. I was with a medical student while examining a middle-aged woman who presented with a dramatic eruption that was probably DRESS syndrome (DRESS syndrome was not yet
Advocacy Update May 6, 2025
IN THIS ISSUE / May 6, 2025 AADA meets with CMS on revising CLIA laboratory director requirements Minnesota dermatologists oppose allowing optometrists to perform injections New York dermatologists host Advocacy Symposium Keep pressure on Congress and register for 2025 Legislative Conference Contribute to SkinPAC Regulatory Affairs AADA meets with CMS
If want to be a true leader, emulate the first president
By Warren R. Heymann, MD July 30, 2017 I recently had a discussion with our departing chief resident as he was about to embark on his academic career at UCLA. He was looking for sage advice — I focused on the need to maintain enthusiasm, wonder, curiosity, and dedication to
Frontal fibrosing alopecia: Bewitched, bothered, and bewildered
By Warren R. Heymann, MD Feb. 13, 2017 Women given the diagnosis of frontal fibrosing alopecia (FFA) with different severity grades. A, FFA grade I/V in a premenopausal 30-year-old woman, with a less than 1-cm wide area of cicatricial skin produced by the recession of the frontal and temporal hairline.
March is a strange month
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, March 1, 2021 Other than the AAD Annual meeting (sadly, canceled for the second year, courtesy of the ongoing COVID-19 pandemic), there’s usually not much to look forward to in March. Sure,
No pain, no gain?
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, January 1, 2025 It may be true for sports (although I remain skeptical), but pain associated with doing our jobs does not bode well for a long and happy career in
Life is not always pretty.
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, May 1, 2024 I have been a doctor for more than 30 years and have practiced in a wide variety of regions, ranging from a small rural community to a larger
Advocacy Update Apr. 22, 2025
IN THIS ISSUE / Apr. 22, 2025 AADA urges CMS to amend CLIA lab director requirements Dermatologists support truth in advertising bill in North Carolina AADA advocates for reduced regulatory burden through information requests AADA offers support, encourages CMS collaboration following Administrator Oz’s appointment Join your colleagues and contribute to
Getting within a hair’s breadth of understanding prurigo pigmentosa
By Warren R. Heymann, MD March 2, 2017 Prurigo pigmentosa is an uncommon, acquired inflammatory disorder with a predilection for young adults of Asian descent. A 30-year-old Chinese man presented with reticulated erythematous and hyperpigmented papules on his back and shoulders (A and B). The eruption was present for 2
Nailing the diagnosis of psoriatic arthritis
By Warren R. Heymann, MD Oct. 30, 2017 ... A to E, Patient with psoriatic arthritis. A, Dactylitis of 4th toe. B, Enthesitis of Achilles tendon. C, X-Ray of dactylitis of 4th toe. D, Severe nail dystrophy. E, Large discoid plaques on elbows. ... Credit: ... JAAD Nail psoriasis (NP)
July 30, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 23, 2025 ... Intralesional acyclovir vs. quadrivalent HPV vaccine for recalcitrant warts DermWorld Insights and Inquiries : PRIDE without prejudice FDA approves delgocitinib for chronic hand eczema Efficacy of hedgehog
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
Coming to an ICU Near You — Candida auris
By Warren R. Heymann, MD ... Nov. 30, 2017 ... I first became aware of Candida auris (C. auris) during my 96-year-old mother’s most recent hospitalization in New York for congestive heart failure. The infectious disease epidemiologist called to ask permission to swab my mother’s skin for the yeast,
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
Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”
By Warren R. Heymann, MD June 18, 2018 ... A 45-year-old woman with cutaneous sarcoidosis at (A) baseline before treatment and (B) with koebnerization after BBLT (560 nm filter at 20 J/cm2, pulse width 30 msec, 20°C cooling, 7-mm square spot size, repetition rate 10 Hz). ... Credit: ... JAAD
The breathless complications of anti-MDA-5-positive dermatomyositis
By Warren R. Heymann, MD, FAAD Oct. 30, 2024 Vol. 6, No. 44 Dermatologists are familiar with the spectrum of dermatomyositis (DM) — classic DM, juvenile DM, amyopathic DM, and cancer-associated DM. Clinically, amyopathic DM is a form in which the patients typically develop characteristic cutaneous features of DM [heliotrope
Can chowing down improve pseudoxanthoma elasticum?
By Warren R. Heymann, MD Oct. 30, 2019 Vol. 1, No. 34 ... I have diagnosed pseudoxanthoma elasticum (PXE, OMIM # 264800) a few times in my career. The immediate excitement of rendering the diagnosis is quickly tempered by the realization that so far there is no definitive treatment
Retaining the right staff
Answers in Practice ... By Megan Bennett, Staff Writer, May 1, 2026 DermWorld ... talks with Cyndi Yag-Howard, MD, FAAD, of Yag-Howard Cosmetic Dermatology in Naples, Florida, about staff retention strategies. DermWorld: Tell us about your practice. Dr. Yag-Howard: I started my practice nearly 30 years ago in Naples, Florida,
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
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
Academy physician leaders meet with federal legislators
On June 4, AADA physician leaders met with legislators in Washington, D.C., as part of the House Call on the Mall fundraiser hosted by the National Republican Congressional Committee and Rep. John Joyce, MD, FAAD (R-PA). During the event, AADA leaders reiterated the importance of Medicare physician payment reform. ...
Granulomatous slack skin: More than one type of mimicry
By Warren R. Heymann, MD November 18, 2020 Vol. 2, No. 46 My chief resident presented a case to me enamored with his clinical diagnosis of granulomatous slack skin (GSS). Although I was delighted that he considered the disorder, I explained why I thought these inguinal and submammary pink-white subtly
Tackling Stevens-Johnson syndrome/toxic epidermal necrolysis: Part 1
Diagnosis and common mimickers. ... Feature ... By Emily Margosian, Senior Editor, May 1, 2026 Among serious diseases treated by dermatologists, Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) often top the list. ... Rare disorders of the skin and mucous membranes, SJS and TEN are thought to be clinically
What's hot?
What's hot ... December 30, 2017 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Annie Chiu, MD ... Body contouring is not only in demand among patients but presents a unique challenge for physicians to achieve consistent
Giving a NOD2 to Yao syndrome
By Warren R. Heymann, MD, FAAD March 5, 2025 Vol. 7, No. 9 The 21 ... st ... century has witnessed an expanding array of systemic autoinflammatory disorders (SAIDs) due to innate immunity dysfunction. SAIDs are characterized by recurrent attacks of fever, cutaneous signs, chest or abdominal pain, lymphadenopathy, vasculopathy,
Key messages for social media about aging skin
Key messages ... Exposure to ultraviolet radiation from the sun and indoor tanning beds is the most preventable cause of early skin aging. (1-3) ... The most effective ways to prevent wrinkles and sun damage are to protect yourself from the sun by seeking shade, wearing protective clothing and applying
What's hot?
What's hot ... October 30, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you familiar with "fish pedicures" and their risks? Fish pedicures are pedicures in which the feet are immersed
Granular detail on granular parakeratosis
By Warren R. Heymann, MD, FAAD October 6, 2021 Vol. 3, No. 40 After attending a clinic at the University of Pennsylvania 30 years ago, I recall relaxing in the cafeteria, coffee in one hand and ... JAAD in the other, being impressed with an article by Northcutt et al
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
Cutting giant congenital nevi down to size molecularly
By Warren R. Heymann, MD Oct. 2, 2019 Vol. 1, No. 30 Personally, I find giant congenital melanocytic nevi (GCMN) to be among the most unnerving skin lesions imaginable. The risk of melanoma, leptomeningeal melanocytosis, and psychosocial stresses are profoundly burdensome to patients, their families, and health care professionals. With
Putting a finger on the diagnosis of Achenbach syndrome
By Warren R. Heymann, MD, FAAD July 28, 2021 Vol. 3, No. 30 Please study the image below first. Castillo et al reported the case a 48-year-old woman complaining of acute pain, swelling, and ecchymosis of the volar aspect of her right third finger, sparing the fingertip, when walking her
Chanarin-Dorfman syndrome: Shifting out of neutral
By Warren R. Heymann, MD, FAAD Aug. 27, 2025 Vol. 7, No. 34 In nearly all neutrophil, eosinophil and basophil leukocytes and in the monocytes, several clear vacuoles of varying size were observed in the cytoplasm, which after vital staining…revealed a red colour, i.e. contained a fatty substance. The erythrocytes
Pancreatic panniculitis: Getting spooked by ghost cells
By Warren R. Heymann, MD, FAAD July 24, 2024 Vol. 6, No. 30 I am at the age where the diagnosis of pancreatic cancer is a looming fear, punctuated by the loss of my dear aunt Helen and two friends who have succumbed to the ravages of this vicious malignancy.
Twenty-first century pellagra
By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly
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
Widening the circle
AAD’s Camp Discovery is looking to make this meaningful opportunity accessible to even more kids and volunteers in the years to come ... Feature ... By Amy Freed Stalzer, Contributing Writer, November 1, 2022 For nearly 30 years, the American Academy of Dermatology (AAD) has offered a camp program for
Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis: The aftermath
By Warren Heymann, MD May 26, 2021 Vol. 3, No. 21 The American Academy of Dermatology’s SkinSerious ... ® ... campaign highlights how dermatologists treat serious diseases. Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) top the list. (1) Justifiably, all attention focuses on the immediate issues in an attempt
Pediatric dermatology toolbox
Advocacy groups and innovators provide key resources for patients and physicians — learn where to get help. ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2024 Pediatric dermatology care is in demand. Studies estimate that 10-30% of pediatric primary care visits include a skin-related problem. However, historically, pediatricians
Lagging ahead: LAG-3 checkpoint inhibition for advanced melanoma
By Warren R. Heymann, MD, FAAD May 11, 2022 Vol. 4, No. 19 Checkpoint inhibition has revolutionized the treatment of advanced melanoma over the past decade, beginning with the release of the anti-CTLA4 checkpoint inhibitor ipilimumab (Yervoy). This was followed by the development of the anti-PD-1 inhibitors pembrolizumab (Keytruda) and
Diagnosis coding updates for 2026
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, November 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention
Lightening the cutaneous and emotional burden of melasma: Cysteamine’s role
By Warren R. Heymann, MD, FAAD February 9, 2022 Vol. 4, No. 6 Melasma is a frustrating disorder for patients and practitioners alike. Facial gray-brown patches may cause psychosocial distress and embarrassment, thereby diminishing quality of life. (1) Melasma most frequently occurs in women with Fitzpatrick skin types III-VI with
Treatments for renal IgA vasculitis are beginning to flow
By Warren R. Heymann, MD, FAAD Feb. 19, 2025 Vol. 7, No. 7 The alliterative phrase "palpable purpura" will instantly conjure the diagnosis of leukocytoclastic vasculitis (LCV) for dermatologists. IgA vasculitis (IgAV, aka Henoch-Schönlein purpura [HSP]) is the most common vasculitis in children but is much less frequent in adults.
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
Acne: The drought is over
After years of recycling the same ingredients, dermatologists have novel acne treatments and formulations available — with more on the horizon. ... Feature ... By Allison Evans, assistant managing editor, February 1, 2021 Over the past few years, an incredible amount of innovation has taken place for the treatment of
Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.
By Warren R. Heymann, MD Sept. 4, 2017 Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever
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
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
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
Twenty years of imiquimod taking its toll on lentigo maligna — Where are we?
By Warren R. Heymann, MD February 12, 2020 Vol. 2, No. 6 Although Y2K never amounted to much, a solitary case report that year changed the dynamic in treating a vexing problem — melanoma in situ of the lentigo maligna (LM) subtype. Ahmed and Berth Jones reported treating an 88-year
Documentation and reporting requirements for adjacent tissue transfer or rearrangement
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, June 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Adjacent tissue transfer (ATT) or rearrangement procedures
No Surprises Act
The No Surprises Act (NSA) provides patients with new protections against surprise billing because of insurance network rules. Like other clinicians, dermatologists must follow new NSA rules beginning on Jan. 1, 2022. The rules were issued jointly by HHS and agencies in the Labor and Treasury departments. ... The NSA
August 21
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 21, 2019 ... FDA grants breakthrough therapy designation to advanced melanoma treatment DW Insights and Inquiries : Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections Quality
September 15, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 15, 2021 ... Worsening psoriasis after COVID-19 vaccination DermWorld Insights and Inquiries : Is ivermectin an old drug with new tricks? Frontal fibrosing alopecia and facial care products Biden administration
Injecting ideas (and therapies) in digital mucous cysts
By Warren R. Heymann, MD, FAAD Oct. 8, 2025 Vol. 7, No. 40 I am almost embarrassed to admit it, but I go on clinical autopilot when it comes to digital mucous (myxoid) cysts (DMCs). I offer a brief explanation, reassure the patient that the lesion is benign, refer the
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
Humbled again: Alopecic and aseptic nodules of the scalp
By Warren R. Heymann, MD, FAAD November 3, 2021 Vol. 3, No. 44 "To confess ignorance is often wiser than to beat about the bush with a hypothetical diagnosis." - Sir William Osler I confess. I had never heard of alopecic and aseptic nodules of the scalp (AANS) and have
What's hot?
What's hot ... March 27, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Alopecia areata is frustrating to patients, parents, and practitioners, all of whom may be left with unsatisfactory
Payer advocacy: Prior authorization
The Academy advocates that prior authorization determinations should be standardized, and the speed of determination should be quantified and minimized. Unduly delays and poorly designed prior authorization protocols can cause irreparable harm to patients. ... Notable payer advocacy updates ... CMS issued new regulations on prior authorization that provide important
May 12, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 12, 2021 ... Telogen effluvium diagnosis during the COVID-19 pandemic DermWorld Insights and Inquiries : For patients with erythropoietic protoporphyria the tide has come in Derm Coding Consult : How
Deep penetrating thoughts about deep penetrating nevi
By Warren R. Heymann, MD Jan. 14, 2019 Histopathological features of deep penetrating nevus (DPN). A, At low power, the punch biopsy specimen demonstrates a well-circumscribed, wedge-shaped, pigmented dermal lesion, tapering toward the subcutaneous fat. B, DPN typically track along adnexal structures and neurovascular bundles, as shown on this high-power
The Term “Dermal Hyperneury” Hits a Nerve
By Warren R. Heymann, MD Dec. 21, 2017 ... A, On hematoxylin-eosin stain, the borders of this nerve bundle are sharply demarcated from the surrounding connective tissue with no associated inflammation or fibrosis. A thin layer of epithelium can be seen encapsulating the intersecting fascicles of nerve fibers. Within the
September 22, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 22, 2021 ... What treatment is most effective for refractory spontaneous urticaria? DermWorld Insights and Inquiries : Following up on "A Trend I Cannot Endorse" DermWorld Young Physician Focus :
February 16, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 16, 2022 ... A review of calcipotriol plus 5-fluorouracil for actinic keratosis DermWorld Insights and Inquiries : Vascular Ehlers-Danlos syndrome: From rupture to rapture? Delayed complications for FDA-approved HA dermal
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 Jul 22, 2025
IN THIS ISSUE / July 22, 2025 AADA nominates dermatologist for CDC Advisory Committee Aetna expanding E/M downcoding policy Dermatologists urge Massachusetts lawmakers to pass truth in advertising legislation Step therapy reform enacted in Alaska AADA submits comments to HHS on Medicare payment reform and drug shortages Contribute to SkinPAC
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
Types of audits
RAC audits: In a nutshell ... There are four different types of Medicare contractors that are responsible for auditing records, claims, and payments. ... You need to notify your MAC if you notice errors during a self-audit. ... It doesn’t matter whether you are being audited for the first time
Maximizing knowledge about infantile hemangioma with minimal or arrested growth
By Warren R. Heymann, MD Feb. 3, 2017 Areas affected by segmental infantile hemangioma (IH) and IH with minimal or arrested growth (IH-MAG) of the arms (A to E) with correlating arterial supply areas. ... Credit: ... JAAD Knowledge about hemangiomas is proliferating at a rate the compares with the
Viva ex vivo dermoscopy?
By Warren R. Heymann, MD March 12, 2017 Evaluation of dermoscopic features on a formalin-fixed specimen (ex vivo dermoscopy) using a smartphone attached to a dermoscope. ... Credit: ... JAAD It has been said that the best "special stain" is a deeper section — wise words indeed. While always gratifying
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented ... Measure calculation example ... Dr. Taylor saw 221 adult patients during the reporting period. Three patients are excluded from the denominator because they have an active diagnosis of hypertension. After the exclusion, the denominator is 218. ...
Advocacy Update Feb. 18 2025
IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to
Advocacy Update Mar. 18, 2025
IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key
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
January 6, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 6, 2021 ... Managing pain in hidradenitis suppurativa patients: A proposed algorithm DermWorld Insights and Inquiries : Itching to see if polymerase chain reaction mite be the future of diagnosing
The alphabetization of lymphomatoid papulosis: Focus on “F”
By Warren R. Heymann, MD April 3, 2017 Follicular lymphomatoid papulosis. Recurrent papulonodular lesions on face (A to C). Patient had similar lesions on extremities. ... Credit: ... JAAD Seven years ago, today (April 3rd, 2010) my wife purchased an iPad on its inaugural release date. The only choices to
Fixating on doxycycline-induced fixed drug eruptions
By Warren R. Heymann, MD, FAAD May 21, 2025 Vol. 7, No. 20 When reading medical journals, I am intrigued by titles that inspire me to learn more about the topic. Happening upon a letter to the editor titled "Doxycycline-induced fixed drug eruption: The new epidemic?" (1) gave me pause.
The rhythm of RIME
By Warren R. Heymann, MD, FAAD March 2, 2022 Vol. 4, No. 9 Mucosal ulceration urgently gets everyone’s attention. How many times have you been asked to evaluate a patient for suspected Stevens-Johnson syndrome (SJS)? It is not always an easy task to differentiate erythema multiforme (EM) from pemphigus vulgaris,
CMS Pays for Communication Technology-based Services, Effective 2019
Given the recent ubiquitous nature of synchronous audio and video applications available for download and the increased use of patient-facing health portals, the Center for Medicare & Medicaid Services (CMS) has determined that a broad range of services can be provided by healthcare professionals via communication technology. ... Remote Evaluation
Surviving and thriving after a natural disaster
Answers in Practice ... By Emily Margosian, Assistant Editor, September 1, 2023 DermWorld ... talks to Mary Lupo, MD, FAAD, from the Lupo Center for Aesthetic and General Dermatology in New Orleans, about how to prepare your practice for a natural disaster. Mary Lupo, MD, FAAD ... DermWorld: Tell us
Educating the public – Choose a derm
Choose A Dermatologist campaign increases public awareness of dermatology ... Every month, our public education social posts are seen by 1.75 million people on Instagram, Twitter, and Facebook! Through the Choose A Dermatologist campaign, we empower you to communicate the value of choosing a dermatologist on your individual channels so
May 25, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 25, 2022 ... Placebo regrowth rate in alopecia areata trials DermWorld Insights and Inquiries : The globalization of monkeypox AADA renews calls for iPLEDGE improvements with IPMG, FDA Seeking comments
Appropriate Documentation and Shared Decision Making of AK — QCDR measure AAD 21
Actinic Keratosis: Appropriate Documentation and Shared Decision Making of AK ... DESCRIPTION: Percentage of adult patients (18 years old and older) diagnosed with Actinic Keratosis (AK) whose healthcare provider has recorded the following information in the patient’s medical record 1) documentation of the number or range of AKs, 2) location(s)
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.
A shot in the dark
By Danielle M. DeHoratius, MD March 10, 2021 Vol. 3, No. 10 Danielle DeHoratius, MD ... For the past few Mondays, I have been asked to see the following "emergency" patients who called in with the diagnosis of cellulitis after the COVID-19 vaccination. Typically, these patients were seen in urgent
April 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2019 ... Having trouble accessing compounded quinacrine tablets? Here’s why. DW Insights and Inquiries : A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Lessons
Hair straightening and acute renal injury: The latest data straight up
By Warren R. Heymann, MD, FAAD April 3, 2024 Vol. 6, No. 14 The global hair straightener market has experienced significant growth, with a market size of US$ 587.9 million in 2022, projected to be US$ 759.9 million by 2028. (1) I expected the market to already be in the
Predicting malignancies in Sweet syndrome has become sweeter
By Warren R. Heymann, MD Feb. 8, 2018 Histiocytoid Sweet syndrome. A, Multiple round erythematous papules and plaques on trunk and upper limbs. B, Multiple erythematous papules and plaques grouped in figurate pattern on the right thigh of a pediatric patient. C, Erythematous figurate annular plaques with erythematous elevated borders
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
CMS prior authorization final regulation incorporates AADA’s recommendations
Moving the needle ... By Apoorva Stull, Senior Manager, Advocacy Communications, July 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. The AADA advocated tirelessly for prior authorization reform. As a result, several policy changes will take
Digital media kit: E-newsletter rates and specs
Click image to enlarge ... Reach the full AAD membership weekly (of those who haven’t opted out, approximately more than 16,000 globally) with two e-newsletters. ... DermWorld Academy Insider 30.3%* open rate Delivered each Thursday, ... DermWorld Academy Insider includes the Academy’s most popular education content, Question of the Week.
August 13, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 13, 2025 ... Effects of GLP-1RA on inflammatory skin diseases DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma Beta-HPV virus can
2025 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as in 2025 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month
Quality Resources Provided by the AAD
Quality Measures ... AAD continues to develop ... dermatology-specific measures available to dermatologists . Dermatology measures are needed to meet CMS reporting requirements, can be used to drive quality improvement, and may be required by additional organizations. ... Learn more about quality measures available for reporting, a ... measure selection
Standard postoperative wound care practice may be all wet
By Warren R. Heymann, MD, FAAD July 9, 2025 Vol. 7, No. 27 Dermatologists perform procedures throughout the day, including straightforward skin biopsies, electrodesiccation, curettage, cryosurgery, laser treatments, etc. Postoperatively, many of these wounds are dressed, and patients are given instructions for caring for them. ... The following, entitled "After
Differentiating lichen planopilaris from chronic cutaneous lupus may be as easy as 1,2,3 (actually CD123)
By Warren R. Heymann, MD June 4, 2016 My last dermatopathology case of the week was that of a woman with scarring alopecia, which was clearly well advanced. Hardly any follicles remained, and on one section there was a small follicular unit with a peri-infundibular mononuclear infiltrate and slight vacuolar
The expanding horizon of anti-IL-36 therapy
By Warren R. Heymann, MD, FAAD Sept. 25, 2024 Vol. 6, No. 39 An abridged version of this commentary was published in "A Clinician’s Perspective" in the April 2024 issue of the JAAD ... . We last explored the relationship between IL-36 and generalized pustular psoriasis (GPP) and the use
Rounds on pityriasis rotunda
By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and
Idiopathic facial aseptic granuloma — Have we met?
By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise
This month’s news from across the specialty
What’s hot ... March 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Harry Dao Jr., MD, FAAD Injectable biologics remain the gold standard for achieving optimal clinical responses in psoriasis, but fear of injections leads many
Nailing the diagnosis of the BAP1 tumor predisposition syndrome
By Warren R. Heymann, MD, FAAD June 5, 2024 Vol. 6, No. 23 I never imagined that I would be writing another commentary on onychopapillomas (Ops) so soon. The initial commentary was devoted to rare malignant Ops. (1) Unsurprisingly, additional reports of malignant Ops have been reported. (2) What else
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
Social media skin care trends: Dermatologists reveal the facts
Board-certified dermatologists provide tips for healthy skin ROSEMONT, Ill. (Oct. 29, 2024) — With the growing popularity of beauty influencers and viral skin care routines, social media is playing an integral role in shaping how people care for their skin. Popular trends like the glass-skin look, the Russian manicure, and
Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
By Warren R. Heymann, MD, FAAD Dec. 4, 2024 Vol. 6, No. 48 Consultative medical dermatology is stressful because challenging patients come with high hopes. Usually, the referring dermatologist is thorough, thoughtful, and on-target diagnostically and therapeutically. The key is setting expectations — if the dermatosis is easily manageable, they
Susan Boiko, MD, FAAD
Offering support and skills, from clinic to camp. ... Donor Spotlight ... By Dean Monti, Managing Editor, Special Publications, November 1, 2024 In this column, DermWorld ... highlights individual members who have gone above and beyond with their Academy contributions. Susan Boiko, MD, FAAD ... As you’re reading this, Susan
Obituaries
Obituaries ... By Jerry Graff, MD, March 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ALGIE C. BROWN, MD, of Roswell, Georgia, May 14, 2018, at age 82. Trained in dermatology at Johns Hopkins followed by a fellowship
Getting a toehold on subungual tumors: Aneurysmal bone cysts join the club
By Warren R. Heymann, MD Aug. 26, 2016 Subungual tumors make me nervous. I realize that most are benign (subungual exostosis, osteochondroma, onycholemmal cyst, glomus tumor, pyogenic granuloma, wart, fibroma, acral fibromyxoma), however subungual malignant lesions (squamous cell carcinoma, keratoacanthoma, melanoma) occur. A delayed diagnosis can result in a profoundly
Hairdressers’ dermatologic odyssey: From dye to death prevention
... By Warren R. Heymann, MD Dec. 18, 2017 My younger daughter Deborah was destined to be a hair stylist. When she was a camper in the Poconos, I received an urgent call from the staff about her. Assuming the worst, my heart palpitating in fear, all I could
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
MIPS 2022 program highlights
Eligible clinicians ... Revised the definition of a MIPS eligible clinician to include: ... Clinical social workers ... Certified nurse mid-wives ... Eligibility criteria ... The low volume threshold remains the same as 2021 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients
March 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 17, 2021 ... COVID-19 in melanoma patients DermWorld Insights and Inquiries : Hoops and happiness — Having the courage to take a shot DermWorld Young Physician Focus : Forging ahead
Making a pitch for the C-reactive protein/albumin ratio
By Warren R. Heymann, MD, FAAD Feb. 12, 2025 Vol. 7, No. 6 Studying the PhanaVision jumbotron at Citizens Bank Park on a warm Friday evening in June, I realized that when analyzing baseball data, I am "old school." In my youth, the critical measure of a pitcher’s success was
Reopening the dermatologic surgery office in the COVID-19 era
By Ashley Decker, MD, Henry Heaton, MD, and Naomi Lawrence, MD May 20, 2020 Vol. 2, No. 20 Authors Ashley Decker, MD, Naomi Lawrence, MD, and Henry Heaton, MD, wearing PPE. ... The coronavirus disease 2019 (COVID-19) presents extraordinary challenges to the health care community, including dermatology and dermatologic surgery.
Lending a helping hand to our patients with Dupuytren’s disease
By Warren R. Heymann, MD, FAAD Oct. 26, 2022 Vol. 4, No. 43 When patients trust you, they want your opinion, even if the disorder in question is out of your bailiwick. Although likely to refer patients with Dupuytren’s disease (DD, aka Dupuytren’s contracture, DC) directly to an orthopedic (hand)
The odd couples
Unlikely partners fuel new consolidation trends ... Feature ... By Ruth Carol, contributing writer, June 1, 2021 While the number of physicians becoming hospital employees and the number of hospitals merging into health systems continue to grow, some unlikely players are changing the consolidation landscape. Pharmacy benefits managers are merging
Write this down if your patient has multiple PENS: Look further
By Warren R. Heymann, MD June 18, 2016 Papular Epidermal Nevus with Skyline Basal Cell Layer (PENS) was first described by Torrelo et al. They detailed 5 infants with solitary or multiple 1 to 7 mm congenital keratotic papules. Lesions were randomly distributed and did not follow Blaschko lines. They
Homing in on hornerin: Breaking down the barrier to understand its crucial role in atopic dermatitis
By Warren R. Heymann, MD, FAAD Oct. 16, 2024 Vol. 6, No. 42 Atopic dermatitis (AD) is characterized by skin barrier dysfunction, inflammation, and chronic pruritus. The etiology of AD, however, is complicated and incompletely understood, with genetic, environmental (soaps, surfactants, stress), and immunological factors causing skin barrier abnormalities and
Professionalism and Ethics
Ethics and medicine have been intertwined since the dawn of our profession. From the ancient Hippocratic Oath to the principle of ... primum non nocere to modern-day principlism, medical ethics have evolved over time. ... As public and professional interest in medical ethics increases, it is important for clinicians, researchers,
Coding and documentation for hyperhidrosis
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Clear and concise documentation is essential
Skin Cancer Awareness Month a public success
This May was Skin Cancer Awareness Month. As one of the most important public education campaigns we undertake, the Academy was dedicated to ensuring that patients across the country stayed well informed about the dangers of skin cancer and the variety of steps they could take to help reduce their
Vaccines, maintenance, and PEP
The information below is provided for informational purposes only and does not represent treatment or vaccine guidelines from the AAD. Please refer to your local, state, or national guidelines for treatment and vaccine guidelines. ... 1. What are the guidelines for routine MMR vaccination? ... 1,2 ... The routine vaccination
Raising a toast to advances in treating alcohol-induced flushing
By Warren R. Heymann, MD November 11, 2020 Vol. 2, No. 45 Whether with pride or embarrassment, we have all blushed. Also known as flushing, the process is defined as a visible reddening of the skin accompanied by a sensation of warmth, characteristically affecting the face, ears, neck, and upper
So many questions. So little time.
Experts offer best practices on efficiently addressing patients’ questions about sunscreen. ... Feature ... By Andrea Niermeier, April 1, 2023 Aisles of products, numerous social media top 10 lists, and abundant information on the internet: Consumers can be quickly overwhelmed with sunscreen questions related to types, usage, and safety —
Why you should hear about the red ear syndrome
By Warren R. Heymann, MD July 22, 2020 Vol. 2, No. 29 Is it my imagination that the "by the way" comments at the presumed end of a patient encounter cause the most angst? Usually, it’s something like "Oh, I forgot to mention that I’m losing my hair!" Recently, at
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,
Avoid the opioid
Experts offer advice on effective pain management in dermatology. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2026 Many dermatoses and dermatologic procedures are painful, but consensus on pain management in dermatology is limited, and complicated not only by the individual and varied experience of pain, but also
Protecting privacy
Physicians and other clinicians have both ethical and legal obligations to protect patient privacy. Patient privacy is protected both by state laws and by the federal Health Insurance Portability and Accountability Act (HIPAA). Any physician that electronically transmits billing information in the U.S. must comply with HIPAA. ... Protecting patient
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
Getting to the heart of neonatal lupus erythematosus
By Warren R. Heymann, MD, FAAD July 21, 2021 Vol. 3, No. 29 I have found that rendering the diagnosis of neonatal lupus erythematosus (NLE) is fraught with emotional challenges. Not only are mothers concerned for their children, frequently they are unaware of the fact that they are also at
Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma
By Warren R. Heymann, MD, FAAD Aug. 20, 2025 Vol. 7, No. 33 As I write this commentary, March Madness is underway. According to the NCAA, the odds of predicting all 63 NCAA tournament games correctly are approximately 1 in 9.2 quintillion (a quintillion is 10 to the 18th power).
March 26, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 26, 2025 ... What’s the best way to dissolve fillers with hyaluronidase? DermWorld Insights and Inquiries : Propranolol for infantile hemangiomas — Start to finish 2025 Allergen of the Year
Telemedicine coding basics: What you need to know now
Teledermatology visits ... Teledermatology services are used in lieu of an in-person visit when medically appropriate to address the care of the patient and when the patient and/or family/caregiver agree to this format of care. Teledermatology services are performed using virtual technology in one of the two ways: ... Live-interactive
Pineapple and cicatricial pemphigoid: A need to dole out more studies
By Warren R. Heymann, MD Oct. 4, 2016 The benefits of pineapples have been touted in folk medicine for years. Increasing knowledge of its active ingredient bromelain has lead to a therapeutic pineapple renaissance. Bromelain is a complex natural mixture of proteolytic enzymes derived from pineapple (Ananas cosmosus) and possesses
Stepping back from the abyss: A kinder, gentler variant of calciphylaxis
By Warren R. Heymann, MD March 16, 2017 My reaction to the diagnosis of calciphylaxis is Pavlovian — I automatically think about an end-stage renal insufficiency patient with an abysmal prognosis. Increasingly there are reports of nonuremic forms of the disease, where the prognosis may not be as bleak (*although
2023 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as 2022 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments of
Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder
By Warren R. Heymann, MD, FAAD Sept. 1, 2021 Vol. 3, No. 35 Hydroa vacciniforme (HV) has always mystified me in every respect — its clinical presentation, pathophysiology, prognosis, and even its name. I understand "vacciniforme" because residual scars may resemble those of smallpox. I was surprised to learn that
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
By Warren R. Heymann, MD, FAAD Nov. 2, 2022 Vol. 4, No. 44 A colleague asked me if I could evaluate his 26-year-old daughter while she was briefly on break from her graduate studies in Barcelona. He was concerned that she had developed lipodystrophy. Of course, I agreed, without his
A potential roadMAP for treating malignant atrophic papulosis
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, June 1, 2026 Vol. 8, No. 6 Certain skin lesions evoke dread in the dermatologist who encounters them, fearing a poor prognosis for their patient. Examples include a Sister Mary Joseph nodule, a thick melanoma, or rhinocerebral mucormycosis, among
March 25, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 25, 2026 ... Finasteride and dutasteride: Depression, suicidal ideation DermWorld What’s Hot: Need for expanded patch testing FDA approves icotrokinra for plaque psoriasis Cutaneous malignancy after biologic therapy Adverse events
Taking psoriasis by the throat
By Warren R. Heymann, MD Nov. 2, 2016 Once the transient satisfaction of explaining the association of streptococcal infections with psoriasis (guttate, vulgaris, or pustulosis palmaris et plantaris) passes, the reality of treatment must be addressed. Of course we’ll prescribe the usual regimens — topical steroids, phototherapy, retinoids, biologics, etc.,
How dry I am: The white scale sign of xerosis
By Warren R. Heymann, MD Dec. 22, 2016 When winter approaches my skin dries out. Fortunately, it doesn’t bother me at all. For others, especially in the elderly, xerosis be a predisposing factor for asteototic eczema, nummular dermatitis or dyshidrotic eczema (1). With so many people presenting with dry
Bringing pigmented lupus to light
By Warren R. Heymann, MD Dec. 7, 2017 ... Cutaneous lupus. Biopsy of the left distal thigh shows interface dermatitis, dyskeratosis, superficial perivascular lymphocytic infiltrate, focal red blood cell extravasation, and pigment incontinence. ... Credit: ... JAAD Lettie (not her real name) was an elderly, charming, courtly, soft-spoken African-American woman
Sézary syndrome and Shakespeare: What’s in a name?
By Warren R. Heymann, MD ... March 24, 2017 ... Initial clinical presentations of Sézary syndrome without erythroderma. Normal-appearing skin with moderate pigmentation on back of patient 2 (A), several seborrheic keratoses and a hematoma secondary to skin biopsy for patient 3 (B), no apparent lesion on back of
Resorcinol’s resourcefulness in hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD March 22, 2023 Vol. 5, No. 12 Management of hidradenitis suppurativa (HS) is challenging, including medical and surgical approaches, which are often combined for best outcomes. Lifestyle changes, pain management, and emotional/psychiatric issues must be addressed. Therapeutic approaches include the use of topical therapies
April 12, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 12, 2023 ... Perioperative imaging for high-stage cutaneous SCC may guide management DermWorld Insights and Inquiries : Triskaidekaphobia legitimized: Fatal Factor XIII deficiency Contact allergens in nail products DataDerm™: 2022
March 6, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 6, 2024 ... Benzyl benzoate vs. permethrin in treating scabies DermWorld Insights and Inquiries : Hemochromatosis — Beyond 50 shades of gray Oral acitretin plus topical triamcinolone vs. topical triamcinolone
Asking psoriasis patients to open their mouths and say “Ahhh”
By Warren R. Heymann, MD March 5, 2018 Classification based on the pattern of tongue fissures. A, Central longitudinal pattern. B, Central transverse pattern. C, Lateral longitudinal pattern. D, Branching pattern. E, Diffuse pattern. ... Credit: ... JAAD A thorough cutaneous examination includes the hair, nails, and mucous membranes (lips,
Danger in the workplace
Occupational associations of skin cancer ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2023 In 1775, English physician Sir Percivall Pott made history, publishing the first report of cancer caused by occupational exposure. Pott had noted an unusually high incidence of skin sores on men working as chimney
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Positivity for CD68 stain is limited in center of specimen, where changes of juvenile xanthogranuloma exist. ... Credit: JAAD ... By Warren R. Heymann, MD Dec. 17, 2018 "Lost to follow-up" has implications that go beyond the obvious. Following up with patients is an essential part of learning for physicians
American Academy of Dermatology survey shows outdoor workers more at risk for skin cancer than average Americans
Board-certified dermatologist encourages those who work outside to utilize proper sun protection ROSEMONT, Ill. (May 7, 2024) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that outdoor workers — like those who work in construction, landscaping, emergency medical services, and postal delivery —
Life insurance 102: Five success factors when using permanent life insurance
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 In
October 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 24, 2018 ... Drug shortages affecting your patients? Tell the FDA. When dealing with payers, the data can speak for itself Are you smarter than DataDerm™? Adalimumab biosimilar launches in
May 15, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 15, 2024 ... Sexual dysfunction with 5-alpha reductase inhibitors for androgenetic alopecia DermWorld Insights and Inquiries : Acne necrotica — A real head-scratcher Benzoyl peroxide in acne: Risk of acute
Life insurance 101: Options and considerations
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 Life
Coming clean on chlorhexidine-induced dermatoses
By Warren R. Heymann, MD, FAAD March 13, 2024 Vol. 6, No. 11 Dermatologic surgeons use a variety of products that may cause an irritant or allergic contact dermatitis, including antiseptics, anesthetics, gloves, suture materials, tissue adhesives, topical antibiotics, and bandages. Antiseptic agents are the most frequent cause of contact
February 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 23, 2022 ... Frontal fibrosing alopecia: The effects of sunscreens and moisturizers DermWorld Insights and Inquiries : The vexing verruciform xanthoma DermWorld Young Physician Focus : The patient experience —
Fooled again: Misdiagnosing cutaneous follicle center lymphoma
By Warren R. Heymann, MD Nov. 9, 2016 I had never been so happy to misdiagnose a lesion. The patient was an 88 year-old man who I had known for years, as he is a life-long friend of my mother in-law. When he was examined for a variety of skin
Advocacy Update Mar. 4, 2025
IN THIS ISSUE / Mar. 4, 2025 AADA urged CMS, CDC to recognize dermatologists as CLIA lab directors AADA offers to be a resource to new HHS Secretary AADA asked Colorado legislators to support truth in advertising Donate to SkinPAC for Annual Meeting events Regulatory Affairs AADA urged CMS, CDC
This month's news from across the specialty
What's hot ... November 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Health care support workers (phlebotomists, medical assistants, licensed practical nurses, nursing aides, and medical secretaries) are essential
A dermatologist’s guide to skincare from growing up to glowing up
Board-certified dermatologist (and mom) shares holiday shopping tips for teens and tweens. ROSEMONT, Ill. (Oct. 28, 2025) — As online skincare trends continue to capture the attention of tweens and teens (and major retailers roll out early holiday promotions), an AAD board-certified dermatologist offers guidance to help families cut through
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
By Warren R. Heymann, MD, FAAD Jan. 15, 2025 Vol. 7, No. 2 Perhaps dupilumab won’t be the game-changing biologic that patients are pining for. At the least, it represents the dawn of the biologic era for AD [atopic dermatitis] ... . That alone offers hope for our long-suffering patients,
Truth in advertising
... Alabama Licensure identification Board certification (BC) Derm-specific BC Misleading advertising Licensees are prohibited from using a title in which in any way represents such person as engaged in the practice of any branch of the healing arts for which such person holds no license. ... n/a ... n/a
I always knew firefighting was a dangerous occupation
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 I grew up in a very small town where firemen, all of whom were volunteers from the community, were called to action with a very loud siren that
How to treat dandruff
Board-certified dermatologist’s tips ROSEMONT, Ill. (Dec. 12, 2023) — Dandruff, a common scalp condition, affects people of all ages, especially in the cold winter months. If you notice small pieces of dry skin flaking from your scalp or persistent itching, it may be time to seek treatment options. ... "It is
Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and Carteaud
By Warren R. Heymann, MD, FAAD Feb. 5, 2025 Vol. 7, No. 5 Congratulations to Aaron Judge for setting the American League seasonal record in 2023 for the most home runs — 62 — a remarkable feat. I was only six years old when Roger Maris* slammed his 61st home
This month’s news from across the specialty
What’s hot ... February 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD The Nation’s Health by the American Public Health Association published a ... special report on improving health
This month’s news from across the specialty
What’s hot ... March 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD New, but not new, but maybe new, but not good = ... Candida auris is looking worse with
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
Sirolumus’s merit for the Kasabach-Merritt phenomenon
By Warren R. Heymann, MD Oct. 8, 2018 KHE patient after 15 months of sirolimus therapy. ... Credit: ... JAAD Thrombopenic purpura associated with benign hemangioma is rare. In fact, we have not been able to find a record of a combination of these two conditions in the medical literature.
A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus
By Warren R. Heymann, MD, FAAD March 15, 2023 Vol. 5, No. 11 Keeping up with the expanding indications and adverse reactions to immune checkpoint inhibitors (ICIs) can be a full-time job. These drugs are anti-neoplastic because of cytotoxic T-cell activation. ICIs include the anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) agent ipilimumab,
February 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant
Crystallizing thoughts about crystalglobulinemia
By Warren R. Heymann, MD Dec. 14, 2017 ... A, Necrotic purpuric lesions on the dorsum of the foot in a patient with crystalglobulinemia. The thumb had been previously amputated because of necrotic gangrene secondary to occluded vessels. B, Histopathologic features in cutaneous lesions of crystalglobulinemia. Scanning power showing a
Methotrexate toxicity: What’s in a name?
By Warren R. Heymann, MD Aug. 24, 2017 Methotrexate-induced skin toxicity: photographs of 4 illustrative cases. A, Erosions in psoriatic plaques over the torso (patient 1). B and C, Ulcerated and reticulated psoriatic plaques over the arms (patient 2). D, Small shallow cutaneous erosions (patient 4). E, Mucosal erosions over
The opioid epidemic: Coma blisters and beyond
By Warren R. Heymann, MD Aug. 4, 2017 The opioid crisis in the United States is responsible for at least 90 fatalities every day. This dire situation has been aggravated by the increased availability of very potent synthetic opioids such as fentanyl and carfentanil, which are 50 and 5000 times
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
Shining a light on the Sunshine Act
Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., July 2, 2018 The "Sunshine Act" as it has come to be known (stemming from Sen. Charles Grassley’s position that sunshine is the best disinfectant)
April 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 3, 2024 ... Safety of DEET insect repellent in children: Do the natural alternatives work? DermWorld Insights and Inquiries : Hair straightening and acute renal injury — The latest data
Of strife and SDRIFE
By Warren R. Heymann, MD May 17, 2017 Patient 3. SDRIFE. Frontal view (A) and right lateral view (B) with erythema and blanching papules coalescing into plaques with vesicles on back, abdomen, and bilateral inframammary and inguinal folds. ... Credit: ... JAAD A conceivable Yelp review: I was so uncomfortable
2024 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as in 2023 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments
On the offense: Workplace safety
Experts discuss common occupational hazards in dermatology and how to mitigate risks and avoid penalties. ... Feature ... By Allison Evans, Assistant Managing Editor, March 1, 2026 Nonfatal occupational injury and illness rates for health care workers are among the highest of any industry. Health care workers face a wide
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
This month’s news from across the specialty
What’s hot ... August 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD SARMs is a growing and dangerous social media trend. ... The U.S. Food and Drug Administration (FDA)
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%
Contract language review
Before signing an agreement with a payer, always request the full contract text, which is called the base agreement. Thoroughly review the contract’s terms before you sign so you can flag areas of concern and negotiate alternative language. Contract language can be negotiated at the same time as rates. ...
2026 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as in 2026 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month
May 23
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 23, 2018 ... FDA declines to approve potential frown line treatment AAD Annual Meetings: Vital to resident education and the future of dermatology Dermatologist wins Republican nomination in Pennsylvania congressional
See the light in reporting phototherapy services
Derm Coding Consult ... By Cynthia Stewart, CPC, CPMA, COC, CPC-I, Manager, Coding and Reimbursement Resources, May 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . AAD/A Coding and Reimbursement staff have received several questions from
Prolactin and its role in stress-induced psoriasis: Milking the data
By Warren R. Heymann, MD Jan. 18, 2018 Patients will readily acknowledge that stress worsens their psoriasis. When asked how this happens, I respond by mentioning the "mind-body connection" using the term "psychoneuroimmunology;" patients nod in agreement, feigning understanding; appropriately so, because frankly, I don’t understand it either. ... The
A presidential viewpoint: “Nobody knew that benign vascular lesions of the lip could be so complicated”
By Warren R. Heymann, MD April 14, 2017 Well, maybe not as befuddling as replacing Obamacare, but there may be occasional difficulties in diagnosing benign vascular lesions of the lip, with implications for appropriate therapy. ... Tobouti et al, in a study from an oral pathology service, found that of
Dermatological Care MIPS Value Pathway (MVP)
The Dermatological Care MIPS Value Pathway (MVP) is a streamlined reporting system designed specifically for dermatologists to meet MIPS requirements. CMS is designing MVPs to allow physicians to report on measures that are more relevant to their specialties in a structured manner. Unlike traditional MIPS, participation in an MVP for
Preparing for 2025 MIPS and the new dermatological care MVP
Answers in Practice ... By Oliva Barry, Manager, Practice Management, April 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss what to expect for MIPS 2025. MIPS program timeline ... In November, CMS released the ... final rule for the Quality
Wolf’s isotopic response: Where and when
By Warren R. Heymann, MD, FAAD Oct. 18, 2023 Vol. 5, No. 42 Wolf’s isotopic response (WIR) has been a mysterious and controversial dermatological sign for almost 40 years. In 1984, the Doctors Wolf (Ronni and Danny) described two cases — a 52-year-old man and a 12-year-old girl — both
Elmer Fudd beware: Tularemia’s re-emergence
By Warren R. Heymann, MD Sept. 24, 2018 Ulcer on left thumb of patient with ulceroglandular tularemia. ... Credit: ... JAAD Practicing dermatology is humbling business. I tip my hat to Polat et al, who diagnosed tularemia in an 11 year-old girl presenting with targetoid papules and plaques of her
April 10
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 10, 2019 ... ‘Inactive’ ingredients in pills may cause allergic reaction DW Insights and Inquiries: Is there a best approach to widespread actinic keratoses? What’s the optimal way to perform
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 15, 2023 ... Platelet-rich plasma vs. minoxidil in androgenetic alopecia treatment DermWorld Insights and Inquiries : The woolly culprit — Lanolin revealed as an uncommon cause of dermatitis on normal
December 18, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 18, 2019 ... Which physicians were sued most in 2019? DW Insights and Inquiries: Holiday greeting 2020 — eyeing dermatology’s future New DW Academy Insider coming in 2020 Does teledermatology
November 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 3, 2021 ... Facial contact dermatitis from cosmetic allergens DermWorld Insights and Inquiries : Humbled again — Alopecic and aseptic nodules of the scalp Derm Coding Consult : Applying 2021
July 15, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 15, 2020 ... JAAD study demonstrates link between chilblains and COVID-19 DW Insights and Inquiries: Incysting on understanding pilar cysts Derm Coding Consult : Practical applications of 2021 E/M coding
Sparking the interest in Spark nevus
By Jason B. Lee, MD, FAAD Dec. 13, 2023 Vol. 5, No. 49 The late A. Bernard Ackerman has described and named a variety of dermatologic entities, expanding the lexicon of dermatology over his career. He has been known to come up with catchy and playful names for dermatologic entities
Intermediate and complex repair
Use the Academy’s intermediate and complex repair (ICR) tool to find the proper code and ease reimbursement. Coding guidance for two integumentary system repair procedures provides a clear distinction between intermediate and complex repair classifications. The guidelines require dermatologists to capture relevant distinctions within their documentation when performing intermediate and
Vitiligo, autoimmunity, and cancer?
By Warren R. Heymann, MD May 3, 2017 Disorders associated with autoimmune thyroid disease: systemic lupus erythematosus (A), progressive systemic sclerosis (B), bullous pemphigoid (C), pemphigus vulgaris (D), urticaria (E), and vitiligo (F). ... Credit: ... JAAD While attending the pre-AAD pediatric dermatology seminar in Orlando, I received a call
The mysteries of malakoplakia
By Warren R. Heymann, MD May 24, 2017 A, Dermal nodule with confluent sheets of histiocytes containing abundant granular amphophilic cytoplasm (arrows) admixed with an inflammatory infiltrate and scattered collection of neutrophils. B, Histiocytic inclusions staining positively for calcium on a von Kossa stain. These findings were consistent with malakoplakia.
New American Academy of Dermatology survey shows most Americans are not concerned about skin cancer, even if they are at risk
Board-certified dermatologists urge the public to practice safe sun ROSEMONT, Ill. (April 25, 2023) — As an African American female, Ilia Smith didn’t think she would get melanoma. However, after years of tanning and being outdoors, her life changed drastically when she was diagnosed with stage 2 melanoma. While Ilia
Eruptive nevi: Trying to connect the dots
By Warren R. Heymann, MD Sept. 15, 2016 Eruptive nevi are striking — they may appear after a variety of disorders, including Stevens-Johnson/toxic epidermal necrolysis, primary blistering diseases, trauma, immunosuppression (from disease or iatrogenically-induced), PUVA therapy, or idiopathically. There are also several reports in the literature for eruptive Spitz nevi
This month’s news from across the specialty
What’s hot ... June 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Emily Chu, MD, PhD, FAAD Genetic alterations underpinning melanoma have been increasingly well characterized over the last two decades — most notably point mutations
Step 3: Small and large practice reporting options
Access the PDF ... See a PDF version of the Academy ... ’ s ... practice reporting options . ... Review these reporting options for small practices (15 providers or fewer) and large practices (16 providers or more) to help achieve the minimum and maximum points needed to either avoid
Step 3: Small and large practice reporting options
Access the PDF ... See a PDF version of the Academy ... ’ s ... practice reporting options . ... Review these reporting options for small practices (15 providers or fewer) and large practices (16 providers or more) to help achieve the minimum and maximum points needed to either avoid
Coding for office visit evaluation and management (E/M) in 2021 and beyond: Frequently asked questions (FAQs)
The following scenarios of dermatology encounters have been developed by the American Academy of Dermatology Association (AAD/A) coding team. The 2021 office and other outpatient evaluation and management (E/M) coding guidelines were used to determine the appropriate E/M level of service. Dermatology practices are encouraged to use these examples to
AAD/A committee participation and ethical conduct: Policies and procedures
Legally Speaking ... By Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, January 1, 2020 Every month, ... Dermatology World covers legal issues in "Legally Speaking." This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, DC. Portman is also general counsel
Melanoma fact sheet | AAD
Q. What is melanoma? A. Melanoma, the most serious form of skin cancer, is characterized by the uncontrolled growth of pigment-producing cells. Melanoma may appear on the skin suddenly without warning but also can develop within an existing mole. The overall incidence of melanoma continues to rise. (1,2) ... Q.
June 12, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2024 ... Acne in pregnancy: The safest options DermWorld Insights and Inquiries : CXCR4 antagonist therapy based on a WHIM syndrome Nonsteroidal approaches for treating patients with atopic dermatitis
June 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 13, 2018 ... FDA approves first hyaluronic acid filler for hands Feedback requested: Primary cutaneous melanoma treatment draft guidelines After 60 years, a new treatment for pemphigus vulgaris Jack Resneck
Tarrying for tapinarof
By Warren R. Heymann, MD, FAAD January 12, 2022 Vol. 4, No. 2 Today we held our first round of interviews for our dermatology residency program for 2023. Meeting dermatology resident applicants is a delight — they are brilliant, engaging, and a source of pride for our discipline. We started
2025 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
2026 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 13 through Tuesday, September 15, 2026, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
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
August 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 9, 2023 ... Emerging treatments for itch in atopic dermatitis DermWorld Insights and Inquiries : Prior authorization audits and innovations — Are we finally reducing the (PA)in? Adverse events in
Rituximab and dermatomyositis: Dr. Samitz would be proud
By Warren R. Heymann, MD Nov. 20, 2019 Vol. 1, No. 37 The gifted dermatologist clinician-educator Morris H Samitz, MD, has been honored with an annual lectureship at the Perelman School of Medicine at the University of Pennsylvania for the past 44 years. Dr. Samitz passed away in 1993, but
Beware: Discordance abounds among pathologists in the diagnosis of melanocytic neoplasms
By Jason B. Lee, MD Dec. 4, 2019 Vol. 1, No. 38 Discordance in the histological diagnosis of melanocytic lesions has been an underemphasized and understudied problem, and, therefore, the scale and the impact of the problem is largely unknown. Over the years, there were small studies and observations suggesting
Diagnosing the primary cutaneous SMARCA4-deficient cutaneous tumor: You don’t know what you got ‘til it’s gone
By Warren R. Heymann, MD, FAAD Nov. 5, 2025 Vol. 7, No. 44 Understandably, dermatologists are often surprised to receive a histopathologic diagnosis of Merkel cell carcinoma, given the relatively nondescript clinical features that suggest a basal cell carcinoma or inflamed cyst. The purpose of this commentary is to introduce
Trialing it out
In Practice ... Craig Leonardi, MD, from Central Dermatology in St. Louis, specializes in treatment of moderate to severe psoriasis and other dermatologic diseases. He is also an adjunct professor of dermatology at St. Louis University Medical School. ... By Victoria Houghton, assistant managing editor, July 2, 2018 Dermatology World
Applying the 2021 E/M coding concepts in everyday practice – Part 3
Part three of the AADA’s clinical vignettes focuses on the application of the more challenging concepts related to the review and analysis of data in the AMA Medical Decision-Making table. Understanding the application of these concepts will assist you in determining when data may impact the level of service provided.
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 ...
Putting the pieces together
Dermatologist hair experts share insights on what may play a role in frontal fibrosing alopecia and central centrifugal cicatricial alopecia. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2024 Most dermatologists have likely encountered patients with a scarring alopecia like frontal fibrosing alopecia (FFA) or central centrifugal
Sunscreen highlights
DermWorld offers updates on efficacy, regulations, and controversies. ... Feature ... By Megan Bennett, Staff Writer, March 1, 2026 As skin cancer diagnoses steadily rise in the U.S., the need for regularly applied, adequately protective sunscreen (along with other sun-safe practices) is more important than ever. ... Data on Americans’
September 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 6, 2023 ... Chemoprevention of keratinocyte carcinoma with imiquimod, 5-FU, and tretinoin DermWorld Insights and Inquiries : Paraneoplastic Merkel cell carcinoma: Searchin' for my lost shaker of salt Vitiligo patients
Unity in dermatology starts with putting patients first
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Unity of the specialty , an AAD strategic goal challenging all dermatologists to work together as one voice impacting all of dermatology, can only be achieved when patients are at the center. Seemal R. Desai,
November 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 17, 2021 ... Intralesional acyclovir for cutaneous warts DermWorld Insights and Inquiries : Biotin supplementation for hair and nail health — Does it pass the test? DermWorld Young Physician Focus
This month’s news from across the specialty
What’s hot ... December 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Our surgical prep may benefit non-surgical elderly patients. A study of extended bacterial decolonization in 28,956 nursing home
This month’s news from across the specialty
What’s hot ... January 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD In October’s ... Dialogues in Dermatology , Dr. Scott Elman, double board-certified internist and dermatologist, discusses important "new medications
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
Measles
Are we headed for an epidemic? ... Feature ... By Ruth Carol, Contributing Writer, August 1, 2025 Dermatologists routinely treat viral rashes, but they may not be familiar with the particular cluster of symptoms associated with measles. That’s because the disease was declared eliminated in the United States in 2000.
Research suggests connection between hair loss in women and other diseases
Board-certified dermatologist discusses common types of hair loss seen in women with darker skin tones NEW ORLEANS (March 17, 2023) — Hair loss in women can be emotionally devastating and may negatively impact quality of life, and new research suggests that it can also be associated with having other common
Taking woolly hair to heart
By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch
Turning a blind eye on second opinions
By Warren R. Heymann, MD, FAAD June 21, 2023 Vol. 5, No. 25 Whenever I encounter patients who ask for, or are being seen for, second opinions, I silently chuckle at Henny Youngman’s timeless one-liner about the subject (you can Google it). The fact is that second opinions are no
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
I never wanted chaperones — until now
By Warren R. Heymann, MD Sept. 25, 2019 Vol. 1, No. 29 My oldest brother George had just gotten his driver’s license — under no circumstances would my mother allow him to drive his date Ruth to the movies. George protested vehemently, but ultimately relented, with my mother sitting in
Negotiating tips
How to negotiate a contract like a pro ... You’ve made it through the hard parts. You have the knowledge, skills, and now the official opportunity to treat patients. But there’s one little thing standing in your way: The contract. ... Actually, it’s not so little. ... A contract does
Go your own way
Dermatologists share experiences and considerations practicing in a variety of practice models. ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2025 Whether you’re embarking on your career path, or you’re simply ready for a reset, there are a multitude of practice models to investigate. Each path offers
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
How and when to report prolonged services
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Coding Consult articles . Prolonged services in dermatology are often necessary
2026 AAD Innovation Academy: Schedule at-a-glance
Experience the energy of dermatology’s latest advancements in New York this summer! ... 2026 AAD Innovation Academy arrives in New York City with just as much momentum and energy as the city itself. Explore a future focused program featuring high-impact sessions, standout speakers, and immersive learning experiences designed to keep
What's hot?
What's hot ... May 31, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... There are several FDA-approved options available for field therapy for the treatment of multiple actinic keratoses, including
Paycheck Protection Program loan forgiveness 101
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld ... spoke to Alexander Gross, MD, and Joanne Gross, from Georgia Dermatology Center in Cumming, Georgia, about their successful attempts to obtain Paycheck Protection Program (PPP) loan forgiveness. DermWorld : Tell us about your
Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis
By Warren R. Heymann, MD April 26, 2018 ... Pemphigoid gestationis in 34-year-old primigravida at 28 weeks gestation. A, Urticated erythema with multiple tense blisters on both thighs. B, Histopathologic findings reveal subepidermal blister formation with abundant eosinophils, accompanied by superficial and middermal perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin stain; original magnification:
Thoughts on hyaluronidase and The House of God
By Warren R. Heymann, MD January 15, 2020 Vol. 2, No. 2 I was reminiscing about my internship at Bellevue-NYU forty years ago after reading Stephen Bergman’s (pseudonym Samuel Shem) reflections on the fortieth anniversary of his irreverent, but hilariously accurate, ... The House of God — a portrayal of
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
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
Disease reporting
Dermatologists play a vital role in local and global public health by reporting infectious diseases. ... Feature ... By Andrea Niermeier, Contributing Writer, December 1, 2024 In August 2024, the World Health Organization (WHO) declared a global health emergency due to a strain of Mpox that had spread rapidly in
Slivers of skin may diagnose silver hair syndromes
By Warren R. Heymann, MD Jan. 7, 2019 As my hair gets progressively grayer trying to keep up with molecular advances in dermatology, it is refreshing to read how simple tests may help distinguish the rare silver hair syndromes (SHS): Chediak-Higashi (CHS) and Griscelli (GS). ... CHS is an autosomal