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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
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
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
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
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
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
August 29
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 29, 2018 ... CMS questions global payment codes Non-physician clinicians bill more dermatologic procedures Can machine learning exacerbate health care disparities in dermatology? Mediterranean diet may help ease psoriasis severity
May 29
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 29, 2019 ... Academy issues statement on sunscreen safety DW Insights and Inquiries : Life is just a bowl of cherry angiomas AccessDerm: Serving the underserved Anthem enforces modifier 25
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023
Patient education licensing opportunities
Written and vetted by dermatologists, the AAD’s patient education content is accurate, up-to-date, and most importantly easy to understand. ... Doctors are always looking for reliable and accurate patient education resources for their patients. And now, with your support, your company can use this tool to provide the doctors in
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
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.
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
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
March 29, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 29, 2023 ... Low-dose isotretinoin for severe seborrheic dermatitis? DermWorld Insights and Inquiries : Can we chat? Risk of melanoma in patients with BCC Is AD severity correlated with food
September 29, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 29, 2021 ... Is HPV vaccination associated with clearance of common warts? DermWorld Insights and Inquiries : Positively perplexing — Determining the meaning of CD30 positivity FDA proposes new guidance
June 29, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 29, 2022 ... Psoriasis treatment adherence: Adalimumab vs. ixekizumab DermWorld Insights and Inquiries : When to see red in linear erythronychia — Malignant onychopapilloma Dermatologist Jack Resneck Jr., MD, FAAD,
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
Member benefits — CME benefits are easier and more convenient than ever
The AAD offers a variety of options to earn CME. You can access more than 60 hours of convenient CME, simply by being a member of the Academy. You also have access to more than 110 hours of discounted CME through your Academy membership. ... Thousands of you have taken
Here comes summer (and sunscreen conversations)!
By Warren R. Heymann, MD April 29, 2020 Vol. 2, No. 17 As the summer solstice approaches, days will lengthen, as will patient-related conversations regarding sunscreen use. In this anxiety-ridden age, with all the information overload, patients’ questions have expanded beyond what sunscreen we recommend. Concerns for safety — both
Herpes zoster, immunosuppression, and vaccination: Far from a blistering pace
By Warren R. Heymann, MD July 5, 2016 Do you recognize the name Chris Gueffroy? He was the last person shot trying to escape from East Berlin, before the wall came down. I had long promised myself that I would get Zostavax when I turned 60. Now 61, I am
January 29, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 29, 2025 ... Female pattern hair loss: Topical 17α-ethinyl estradiol with minoxidil vs. topical minoxidil DermWorld Insights and Inquiries : Necrotizing infundibular crystalline folliculitis — Not yet crystal clear Treatment
April 29, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 29, 2026 ... A timeline for increased hair shedding from topical minoxidil DermWorld What’s Hot: Basal cell nevus syndrome CMS updates Advance Beneficiary Notice (ABN) form: What practices need to
May 29, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 29, 2024 ... Isotretinoin plus desloratadine vs. isotretinoin alone in patients with acne DermWorld Insights and Inquiries : Reflections on infantile perianal pyramidal protrusion and Hippocrates AADA president delivers powerful
November 29, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 29, 2023 ... Effects of probiotic supplementation in adults with atopic dermatitis DermWorld Insights and Inquiries : Sweet sounds of the "SKINphony" — Incorporating music into daily dermatologic practice Is
October 29, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 29, 2025 ... Does nicotinamide supplementation prevent skin cancer? DermWorld Insights and Inquiries : The 2025 Allergen of the Year is to dye for GLP-1 receptor agonists and isotretinoin Adalimumab
I’ll have a necrobiotic xanthogranuloma to go – with mustard!
By Warren R. Heymann, MD May 11, 2016 Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma. He had 20% body surface area involvement, including
July 29, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 29, 2020 ... COVID-19: The impact on employed dermatologists DW Insights and Inquiries: The profound dermatological manifestations of COVID-19 part VI — Going to the dogs Young Physician Focus :
You’ve been using the AAD’s Diversity Toolkit
The AAD is continuing to expand on offerings in its ... Diversity Toolkit . If you don’t know about it, you should. ... The ... Skin of Color Curriculum is a complete, definitive inpatient and outpatient curriculum for the diagnosis and effective treatment of skin of color diseases and conditions
Getting steamed over vaping
By Danielle DeHoratius, MD January 29, 2020 Vol. 2, No. 4 Danielle DeHoratius, MD ... To call vaping an epidemic is an understatement. As of Oct. 15, 2019, the CDC has confirmed 33 deaths among the 1,479 lung injuries associated with the use of e-cigarettes (1). Every state but Alaska
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
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
April 29, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 29, 2020 ... Derm Coding Consult answers COVID-19 telehealth coding FAQs DW Insights and Inquiries: Here comes summer (and sunscreen conversations)! Congress passes legislation to provide further COVID-19 relief funding
January 29, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 29, 2020 ... Patients are using YouTube to get information on isotretinoin. Here’s what you need to know. DW Insights and Inquiries: Getting steamed over vaping Derm Coding Consult: A
Your Academy CME roundup: Highlights from 2022
By now you know that the AAD offers its members a variety of options to earn CME. You can access more than 60 hours of convenient CME, simply by being a member of the Academy. You also have access to more than 110 hours of discounted CME through your Academy
When to see red in linear erythronychia — Malignant onychopapilloma
By Warren R. Heymann, MD, FAAD June 29, 2022 Vol. 4, No. 26 With every passing year, I take increasing comfort in the stability of the linear erythronychia of my left fifth digit. The presumed diagnosis of an onychopapilloma (OP) is very reassuring because every article I ever read about
Positively perplexing: Determining the meaning of CD30 positivity
By Warren R. Heymann, MD, FAAD Sept. 29, 2021 Vol. 3, No. 39 I’ll wager that most readers of DWI&I have experienced receiving a biopsy report, obtained from an inflammatory lesion, stating "scattered CD30+ cells were observed," accompanied by a comment that "clinicopathologic correlation is necessary to rule out the
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
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:
Can we chat?
By Warren R. Heymann, MD, FAAD March 29, 2023 Vol. 5, No. 13 Flying back from the annual AAD meeting in New Orleans, I reflected on the past few days with newly acquired knowledge, joy (how wonderful it was to see my mentors, mentees, colleagues, and friends), pain (sore feet
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:
Advocacy Update Jul 29, 2025
IN THIS ISSUE / July 29, 2025 AADA VP-elect pushes for Medicare payment reform through SkinPAC AADA releases impact tables for 2026 Medicare Physician Fee Schedule Proposed Rule AADA outlines Medicare Advantage concerns in statement for House Ways & Means Subcommittees hearing CMS clarifies CLIA lab director requirements favorable to
Advocacy Update Apr. 29, 2025
IN THIS ISSUE / Apr. 29, 2025 AADA urges CMS to address No Surprises Act burden requirements for good faith estimates Colorado allows dental hygienists to administer fillers, Botox despite dermatologist opposition AADA and DermCAC highlight dermatologists’ qualifications for superficial radiation therapy AADA members appointed to RUC workgroups and subcommittees
Treating psoriatic patients with associated inflammatory bowel disease: A personal bias
... By Warren R. Heymann, MD Feb. 20, 2017 My late brother Andrew succumbed to complications of Crohn disease (CD) at age 29. His brief, but valiant life was punctuated by multiple hospitalizations, surgeries, remissions, and exacerbations. Although prednisone and azathioprine offered an occasional respite, he suffered. Sharing a
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
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
2026 AAD Annual Meeting: Exhibit hall information
Connect with more than 350 exhibiting companies showcasing the latest in devices, pharmaceuticals, publishing, recruitment, and more. Experience the newest solutions firsthand in the Exhibit Hall through Exhibitor Product Theaters featuring live product demonstrations. ... Exhibit hall map ... View the exhibitor listing and floor plan . ... Exhibit hall
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
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
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
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
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
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
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
June 22, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 22, 2022 ... Molluscum contagiosum: 35% trichloroacetic acid vs. autoinoculation DermWorld Insights and Inquiries : Is it a waste for dermatologists to order fecal calprotectin? Physician experience with virtual scribes
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,
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
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
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,
Taking it on the shin: Part one
By Warren R. Heymann, MD, FAAD May 31, 2023 Vol. 5, No. 22 I am intentionally skeptical of medical literature that purports "new" entities. Are they novel and distinct or just minor variations of long-recognized dermatoses? This two-part commentary will focus on two disorders that involve the pretibial region —
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
Dermatomyositis oddities: Could one be responsible for the other?
By Warren R. Heymann, MD Sept. 19, 2016 So much about dermatomyositis (DM) has intrigued me since medical school. Over the years, I have probably read more about this disease than any other malady. I am always amazed how I much more there is to learn. ... There were two
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: ...
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
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. ...
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 ... ...
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
What's hot?
What's hot ... May 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... You may be surprised to learn that a ... new organ’ in the skin was recently identified.
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
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
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 ...
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
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
Step therapy legislation
Fast facts ... Step therapy is a tool used by health plans to control spending on patients' medications. ... In 2010, nearly 60% of commercial insurers were using step therapy. As of 2014, 75% of large employers reported offering employees plans that use step therapy. ... Step therapy has been
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
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
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)
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
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
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 ...
October 7, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 7, 2020 ... The costs of prior authorizations in a dermatology department DermWorld Insights and Inquiries : Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
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
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:
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
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
2018: Merit-based Incentive Payment System (MIPS)
Eligibility: Physicians, PAs, NPs, Clinical Nurse Specialists, and Certified Nurse Anesthetists who billed ≥ $90,000 in Medicare Part B allowed charges and saw more than 200 Medicare Part B patients ... Reporting year: January 1st, 2018 – December 31st, 2018 ... Data completeness: At least 60% of All Payer Data
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
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
Despite concerns, dermatologists retain primary control of their practices
Facts at your Fingertips ... By Emily Margosian, assistant editor, June 3, 2019 Amid ongoing debate about the evolution of dermatology practice settings and the role of equity-backing in the specialty, new AAD survey data indicates that dermatologists have maintained both primary ownership and management of their practices. According to
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
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: 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
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
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
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. ...
Where do Americans get pricing information for health care services?
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, November 1, 2022 New survey data released this year by Akasa, a health care AI developer, found that Americans most often turn to health insurers for pricing information over other sources, placing new emphasis on the need for price transparency
Are you part of our AAD Clinical Community?
Launched earlier this year, your new online ... AAD Clinical Community is living up to its name and growing into a large, vibrant community! This new member benefit provides AAD members a moderated space to collaborate on clinical cases, advance medical skills and knowledge, and participate in a forum to
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
Blasé about the acronym BLAISE (Blaschko Linear Acquired Inflammatory Skin Eruptions)
By Warren R. Heymann, MD April 29, 2017 Lichen striatus. A, Erythematous, scaly, papular eruption following the lines of Blaschko on the right leg. B, Detail of lichenoid lymphocytic interface dermatitis. C, Lymphocytic infiltrate involving eccrine gland coils (B and C, Hematoxylin-eosin stain; original magnifications: ×100). ... Credit: ... JAAD
Prior authorization’s impact during COVID-19
Facts at your fingertips ... By Emily Margosian, Assistant Editor, October 1, 2021 In December 2020, the American Medical Association (AMA) conducted a survey on the effects of prior authorization (PA) on physicians and patients in their care. The survey was administered to a sample of 1,000 practicing physicians, made
Life is just a bowl of cherry angiomas
By Warren R. Heymann, MD May 29, 2019 Vol. 1, No. 13 "Dr. Heymann, I’ve noticed a number of these spots appearing lately." ... "They’re called cherry angiomas — totally benign." ... "Why I am getting them?" ... "Maturity." ... "You mean I’m getting old!" ... "I did not say
2026 AAD Annual Meeting: Donor Lounge
The AAD Donor Lounge is located in Room 107/109 in the Colorado Convention Center. The lounge will be open Friday, March 27 through Monday, March 30 during the hours listed below. Stop by and take advantage of a place to relax during the meeting, enjoy coffee or a bite, and
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
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
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
Is it a waste for dermatologists to order fecal calprotectin?
By Warren R. Heymann, MD, FAAD June 22, 2022 Vol. 4, No. 25 I am still haunted by my initiation to Crohn disease. My late brother Andrew, who succumbed to the illness because of a confluence of complications at 29 years-old, first manifested symptoms as a child. It was a
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
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
2026 AAD Annual Meeting: Plenary
Plenary ... Sunday, March 29 | 9:30 a.m. - 12:00 p.m. Join Academy leadership for the latest updates at the Annual Business Meeting, followed by president and president-elect remarks and recognition of this year's award recipients. ... Susan C. Taylor, MD, FAAD 2025 President, American Academy of Dermatology / Association
2021 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 29 - 2021: Best of DermWorld Insights and Inquiries Dec. 22 - DWI&I Holiday Greeting 2021 Dec. 15 - Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa Dec. 8 - Propranolol and neutrophilic dermatoses: Can
2023 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 20 - DWI&I Holiday Greeting 2023 Dec. 13 - Sparking the interest in Spark nevus Dec. 6 - Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years November ... Nov. 29 -
Voluntary repayments: Contractual clawbacks
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., November 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney
Member benefits
From residency to retirement, you can rely on us for premier educational opportunities, as a hub for innovation in patient care, and for the latest information impacting the specialty. ... Gold standard of education ... Created by dermatologists for dermatologists, our educational resources help you stay up to date on
Member benefits
From residency to retirement, you can rely on us for premier educational opportunities, as a hub for innovation in patient care, and for the latest information impacting the specialty. ... Gold standard of education ... Created by dermatologists for dermatologists, our educational resources help you stay up to date on
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
2025 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 24 - DWI&I Holiday greeting 2025 Dec. 17 - Long COVID has a lot of nerve Dec. 10 - The illusions of IgG4-related skin disease Dec. 3 - Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas
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,
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
Keeping abreast of the expanding literature of implant-associated Anaplastic Large Cell Lymphoma (ALCL)
By Warren R. Heymann, MD July 6, 2016 Silicone gel implants were removed from the US market in 1992 because of health concerns, only to be reintroduced in 2006, with the provision for increased surveillance of health outcomes (1). I was under the (apparently mistaken) impression that the FDA put
Academic Dermatology Leadership Program (mentee)
The Academic Dermatology Leadership Program (ADLP) is a comprehensive program that requires a full-year commitment. ... Applications for the 2027 Academic Dermatology Leadership Program will open July 2026 ... Please send me an email reminder when the application opens . ... By applying for this program, you are agreeing to
How can I use DataDerm to report for MIPS?
Asked and Answered ... November 29, 2018 DataDerm™ can help you report for all three MIPS categories in 2018: ... Quality Promoting interoperability (PI) Improvement activities (IA) Here’s how to get started: ... 1. Step one: Sign up. ... Complete the sign-up portal at ... https://dataderm.aad.org/signup/Login.aspx by ... Dec. 7,
Hidden in plain sight: Satoyoshi syndrome
By Warren R. Heymann, MD Feb. 19, 2018 I was inspired by the conclusion of a report detailing an 11 year-old boy from India diagnosed Satoyoshi syndrome: "We present this case to emphasize the importance of recognizing Satoyoshi syndrome, which could go unnoticed if not suspected." (1) ... I have
Telangiectasia macularis eruptiva perstans revisited
By Warren R. Heymann, MD April 29, 2016 I have always struggled with the diagnosis of telangiectasia macularis eruptive perstans (TMEP). Aside from taking the first 6 months of my residency to remember how to say it, I have never been confident of securing the diagnosis. It would always enter
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
Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow
By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD July 20, 2022 Vol. 4, No. 29 One of the joys of practicing in the Delaware Valley is participating in the Philadelphia Dermatological Society (PDS). The local institutions each provide superlative patient presentations and lectures — the range of case presentations is stunning. For
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
Expert dermatologists present latest information at 2022 AAD Annual Meeting
ROSEMONT, Ill. (March 23, 2022) — The 2022 American Academy of Dermatology Annual Meeting is back. The meeting will take place March 25-29 at the Boston Convention and Exhibition Center in Boston. The meeting will feature 300 educational sessions on the latest information on skin, hair and nails, presented by
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
What's hot?
What's hot ... November 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... On Oct. 5, the ... U.S. FDA approved the Gardasil 9 human papillomavirus (HPV) vaccine for men
More women join the physician workforce, however pay disparities remain
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, December 1, 2023 The face of medicine is changing. Results from ... Medscape’ s 2022 "Physician Compensation Report" found that among specialties, pediatrics had the highest percentage of female physicians, followed by OB-GYN, endocrinology, and dermatology. ... For the report,
Measuring physician mental health
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, May 1, 2024 May is Mental Health Awareness Month, and its message continues to be of growing importance among the medical community. In 2022, over half (53%) of physicians reported burnout according to Medscape’s 2023 Burnout & Depression Report —
2022: Best of DermWorld Insights and Inquiries
December 29, 2022 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 2022 — starting with the most popular issue of the year. ... 1. Coming full circle (almost)
What is the status of MAC implementation of the NCCI new procedure to procedure edits for the new biopsy codes?
Asked and Answered ... August 1, 2019 As of July 1, 2019, service modifiers 59 and XE, XS, XP, and XU may be appended to either Column 1 or Column 2 codes in the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits table, when appropriate. On March 29, the Centers
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
Adding protothecosis to the protocol
By Warren R. Heymann, MD, FAAD April 23, 2025 Vol. 7, No. 16 As a dermatology resident at the outset of the AIDS epidemic, I quickly learned that all bets are off when diagnosing infectious diseases in immunocompromised hosts. That experience taught me to culture broadly for bacterial, atypical mycobacterial,
Primary sclerosing cholangitis associated with pyostomatitis vegetans and pyodermatitis vegetans: A potentially bilious situation
By Warren R. Heymann, MD Aug. 29, 2016 Inflammatory bowel disease may be associated with multiple cutaneous manifestations including pyoderma gangrenosum (PG), erythema nodosum, or directly by fistulae or "metastatic" Crohn disease. Seven cases of pyostomatitis vegetans-pyodermatitis vegetans (PSV-PDV) were reviewed. All 7 patients had inflammatory bowel disease (IBD) —
A heartfelt thank you note to my psoriasis research colleagues
... By Warren R. Heymann, MD May 11, 2017 Dear psoriasis researcher: ... I first met Casey (not his real name) when he was a child, referred to me for awful psoriasis. He was always upbeat and resilient, but clearly the disease adversely affected his life and that of
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
2026 Board Prep Plus Raffle
Official Rules & Regulations ... How to enter the Board Prep Plus "Board Bonanza" Raffle ... Residents can earn a raffle ticket by: ... Doing a test-drive of Board Prep Plus at the AAD Resource Center. ... Leaving a review of Board Prep Plus March 26 – March 29 (current
The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma
By Warren R. Heymann, MD, FAAD July 19, 2023 Vol. 5, No. 29 I was aghast when I opened the PUVA unit when Joe told me that his mycosis fungoides (MF) was worsening — I understood why Alibert first described the disorder as resembling mushrooms in 1806. (1) His lesions
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
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
Sweet Sounds of the “SKINphony”: Incorporating Music into Daily Dermatologic Practice
By David A. Wetter, MD, FAAD Nov. 29, 2023 Vol. 5, No. 47 It is amazing how music instantaneously transports us back in time. For me, Kool & The Gang’s catchy tune " ... Celebration " ( ... "Celebrate good times, come on!") hearkens back to the 1980s when my
What's hot?
What's hot ... January 29, 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 ... Many of us struggle with patients with refractory pruritus who have tried many combinations of antihistamine, tricyclic,
Sebaceous carcinoma — Double trouble
By Warren R. Heymann, MD, FAAD July 23, 2025 Vol. 7, No. 29 Sebaceous carcinoma (SC, aka sebaceous gland carcinoma) is double trouble — the cancer itself and its potential association with the Muir-Torre syndrome (MTS). ... SC is an aggressive malignancy that develops from the sebaceous glands. SC is
A Frank discussion about earlobe creases
By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied
2026 AAD Annual Meeting: Resource Center
AAD Resource Center Booth 427 Resource Center Hours ... Date ... Time ... Friday, March 27 ... 10:00 a.m. - 5:00 p.m. ... Saturday, March 28 ... 10:00 a.m. - 5:00 p.m. ... Sunday, March 29 ... 10:00 a.m. - 3:00 p.m. ... Your AAD Membership. Elevated. ... Visit the
The neutrophil-to-lymphocyte ratio in cancer: Beauty in simplicity
By Warren R. Heymann, MD ... Sept. 29, 2016 ... The world was stunned and saddened on January 28th, 1986 when the Space Shuttle Challenger exploded. Six months later, during the meeting of the Rogers Commission analyzing the disaster, the famed physicist Richard Feynman demonstrated how O-rings lost their
Obituaries
Obituaries ... By Jerry Graff, MD, December 1, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... MARGARET C. DOUGLASS, MD, of Beverly Hills, Michigan, May 29, 2019, at age 75. Trained in dermatology at University of Chicago and practiced
Reflections on infantile perianal pyramidal protrusion and Hippocrates
By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as
Trial balloons of gene expression profiles of calloon cell melanoma predict the future
By Warren R. Heymann, MD Jan. 29, 2018 Satellite metastasis of balloon cell melanoma. Graft scar of melanoma and satellite bluish skin–colored indurated papules with pseudovesiculation (black arrow points to the papule examined with dermoscopy). ... Credit: ... JAAD The site of balloons is joyous; however, I am always nervous
A potentially life-threatening association of autoimmune blistering disease we bloody well need to be aware of: Acquired hemophilia A
By Warren R. Heymann, MD Oct. 29, 2018 I have been treating patients with autoimmune bullous disorders for nearly four decades. The diseases’ vagaries and associations always astound me. I have never encountered (nor have been aware of) acquired hemophilia A (AHA) in the context autoimmune bullous diseases (ABD), until
The 2025 Allergen of the Year is to dye for
By Christen Mowad, MD, FAAD Oct. 29, 2025 Vol. 7, No. 43 The "Allergen of the Year" announcement is always much anticipated in the world of contact dermatitis and patch testing. This year the honor has gone to toluene-2,5-diamine sulfate (PTDS). (1) PTDS is an aromatic amide that is used
Sun exposure taking a toll: new AAD survey shows sharp increase in sun damage across the U.S.
Practice safe sun ahead of Melanoma Monday (May 5) ROSEMONT, Ill. (April 29, 2025) — A recent survey of more than 1,000 U.S. adults showed that nearly all Americans believe sun protection is important, with 1 in 4 citing the influence of a dermatologist as the reason. However, Americans have
Contemplating the association of hydrochlorothiazide to nonmelanoma skin cancer raises my blood pressure
By Warren R. Heymann, MD March 29, 2018 Photosensitivity secondary to hydrochlorothiazide (HCTZ) use. Well-demarcated erythema on sun-exposed region of the forearm of this patient who was taking HCTZ. ... Credit: ... JAAD If you asked me to name the most important cutaneous adverse reactions to the thiazide diuretic hydrochlorothiazide
Changes to the Placement of Modifiers Starting on July 1st
On July 1, 2019, the Centers for Medicare and Medicaid Services National Correct Coding Initiative (CMS/NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.2 will go into effect. The MLN Matters Number: MM11227 (CR 11227) released on March 29 announced the release of the 2019 third quarter updates to the NCCI/PTP edits. ...
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
Reassuring patients with sclerosing lymphangitis of the penis that they will not get shafted
By Warren R. Heymann, MD, FAAD July 17, 2024 Vol. 6, No. 29 Over the past decade of using our electronic medical record, I must have clicked on the word "reassurance" thousands of times for anxious patients with lesions of no biological concern. Today you will calm patients who are
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have
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
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
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
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
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
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
A team effort
COVID has fast-tracked crowdsourcing in health care — how will it affect future medical research? ... Feature ... By Emily Margosian, assistant editor, April 1, 2021 Although the term "crowdsourcing" was officially coined by ... Wired in 2006, the practice has long had deep roots within science. One of the
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}} ...
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
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
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
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
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
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
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)
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%
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
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
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
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. ... {{
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
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
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
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
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
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
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
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
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
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
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
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
4 cradle cap tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your
AAD's guidance on resources related to workplace violence
Unfortunately, violence in the workplace has become more common in health care and incidences are slowly rising. Has someone at your dermatology practice ever experienced any type of violence at work? Is your practice equipped or prepared to handle violence, if it were to occur? Dermatologists are not always trained
How to prevent keloid scars
Board-certified dermatologist shares tips to reduce your risk ROSEMONT, Ill. (Dec. 6, 2023) — Keloids are a type of raised scar that can occur after an injury, and over time they can grow much larger than the wound itself. Although keloids are not dangerous to a person’s health, they can
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
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,
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:
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
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
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
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
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
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
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. ...
Educating the public — AAD stories seen over 29 billion times in 2021
2021 was an extremely effective year for our media relations efforts. We encourage the media to educate the public about skin, hair, and nail conditions, with the overarching goal of encouraging the public to seek treatment from licensed dermatologists. ... As a result of our media relations activities, our messages
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,
FAQ: New CME opioid requirement for DEA registered practitioners
Q. What is required? A. By July 27, 2023, all Drug Enforcement Administration (DEA)-registered practitioners (physicians and non-physician clinicians) must complete a new one-time, eight-hour training requirement for the treatment and management of patients with opioid or other substance use disorders offered by an accredited group (please see below). ...
AADA hosts 10th annual Capitol Hill Skin Cancer Check and Health Fair
Moving the needle ... By Apoorva Stull, Senior Manager, Advocacy Communications, May 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. On May 15, the AADA hosted its 10th annual Capitol Hill Skin Cancer Check and Health
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was
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
Old stains leaving new marks in dermatology
... By Warren R. Heymann, MD Oct. 15, 2018 A new blue-gray papule was noted on the left side of the neck and was excised as outlined by gentian violet surgical marker. ... Credit: ... JAAD Periodically I will pull an ancient tie from my rack. I’m delighted if
Evaluation and management (E/M) coding changes are coming in 2021 – Part 2
Recognizing the 2021 E/M code descriptor revisions ... Changes to E/M coding will go into effect on Jan. 1, 2021. This article follows up on ... part one of our series which introduced the reasoning for these coding changes. We will now focus on key changes for each of the
Skin cancer snapshot: National rates fall, men remain vulnerable
Facts at your fingertips ... By Emily Margosian, assistant editor, May 1, 2020 The results of the American Cancer Society’s (ACS) 2020 projections are in. Each year, the ACS estimates the number of new cancer cases and deaths in the United States by compiling the most recent data on population-based
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
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive
The 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
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,
The ultimate prognosis of eosinophilic fasciitis may not be groovy
By Warren R. Heymann, MD Sept. 18, 2017 Presentation in March 2017 with diffuse hyperpigmented sclerodermoid lesions of the bilateral upper extremities with palpable fasciitis and tightening of the distal forearm muscles. ... Credit: ... JAAD My patients with eosinophilic fasciitis (EF, Shulman syndrome) have been fortunate. They have been
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
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
Joining the bullae pulpit: PD-1 inhibitors
By Warren R. Heymann, MD Aug. 25, 2016 As the use of immune checkpoint inhibitors has increased, so have the number of severe immunotherapy-related adverse events (irAEs). Although discontinuation of therapy may result in resolution of these untoward reactions, long-term sequelae and death have been reported. In a recently published
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.
Becoming “sensitized” to the clinical utility of the term “urticarial dermatitis” (a subtype of the dermal hypersensitivity reaction pattern)
By David A. Wetter, MD, FAAD April 2, 2025 Vol. 7, No. 13 I suspect many of us have been confounded when confronted with a patient presenting with cutaneous findings suggestive of a "dermal hypersensitivity reaction." What is the cause? How should it be evaluated and treated? What do we
A sweeter approach to treating scleroderma?
By Warren R. Heymann, MD March 14, 2017 Scleroderma fingernail changes. A, Longitudinal ridging and pitting. B, Brachyonychia. C, Trachyonychia. D, Thickened and enlarged cuticles. E, Thickened, enlarged, and irregular cuticles. F, Nailfold capillaroscopy: presence of enlarged and giant capillaries. G, Nailfold capillaroscopy: presence of enlarged and giant capillaries,
Taking the challenge: Social media, adolescents, and the skin
By Albert C. Yan, MD June 12, 2019 Vol. 1, No. 14 Patterned skin injury can raise the specter of non-accidental trauma. However, over the past decade or so, striking examples of patterned skin injury have emerged among adolescents and pre-teens that share certain features: these are self-induced voluntarily; the
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure
By Warren R. Heymann, MD, FAAD Jan. 31, 2024 Vol. 6, No. 5 The recent passing of Mikhail Gorbachev reminded me of the teaching value of his port wine stain. The following brief article published in the ... Washington Post in 1987 reflects the state of knowledge 36 years ago.
2026 AAD Annual Meeting: Industry Non-CME Programs
Don’t miss out on the latest innovations from the industry at the 2026 AAD Annual Meeting! ... The Industry Non-CME (INC) Programs offer a unique opportunity to learn directly from industry leaders. These sessions, developed and presented by the sponsoring companies, showcase new research findings, demonstrate specialty innovations, and host
The rosy reality of coffee
Ronnie and me enjoying our rosacea prevention tour of Madrid in 2012 ... By Warren R. Heymann, MD Nov. 5, 2018 To paraphrase Justice Kavanaugh, I loved coffee. I still love coffee. I have probably been drinking coffee since my time in utero. My mother was a coffee addict; she
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
Shocking news: Heat shock protein inhibition finally enters the realm of dermatologic therapy
By Warren R. Heymann, MD, FAAD Oct. 23, 2024 Vol. 6, No. 43 Heat shock proteins (HSP) were serendipitously discovered by the brilliant Professor Ferruccio Ritossa in 1962 while studying nucleic acid synthesis in chromosomal puffs of ... Drosophila salivary glands. De Maio states, "Ritossa noticed something unexpected when cells
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.
Sulzberger Institute Grant
The Sulzberger Institute for Dermatologic Education, part of the American Academy of Dermatology, provides grant support for innovative initiatives in education and technology. Grants typically provide funds to help dermatologists begin projects that will improve patient care. Apply below! There is also a ... separate award for a lectureship .
Red genitals: New roads to recovery
By Warren R. Heymann, MD July 23, 2018 ... Red scrotum syndrome. Sharp border between the erythematous skin and the normal scrotum skin in a 65-year-old male patient. ... Credit: ... JAAD I searched PubMed for Quality of Life (QoL) studies on the Red Scrotum Syndrome (RSS) and Red Vulva
How should I prepare for a CLIA inspection?
CLIA inspections are performed every two years if you are in a moderate- or high-complexity lab. The top 10 deficiencies found in CLIA inspections among all labs over the past several years have been: ... Director qualifications ... Test reports missing ... General systems/written policies incomplete ... Director not following
Checking in on immune checkpoint inhibitors
Immune checkpoint inhibitors offer hope for non-melanoma skin cancer patients ... Feature ... By Heidi Splete, Contributing Writer, July 1, 2022 Patients with advanced non-melanoma skin cancer see new hope on the horizon, thanks to recent developments in the number and effectiveness of new drugs to improve survival. ... "Patients
Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?
By Warren R. Heymann, MD Sept. 18, 2019 Vol. 1, No. 28 Chatting with my chief resident, Tia Pyle, I was lamenting the recent comparative report that ingenol mebutate (and other treatments) did not fare as well as 5-fluorouracil (5-FU) for treating actinic keratoses (AKs). (1) (See previous ... Dermatology
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
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
CXCR4 antagonist therapy based on a WHIM syndrome
By Warren R. Heymann, MD, FAAD June 12, 2024 Vol. 6, No. 24 Emelio* had a delightfully whimsical personality that matched his syndrome’s acronym — WHIM ( ... W arts, ... H ypogammaglobulinemia, ... I nfections, and ... M yelokathexis). His smile was as infectious as his verrucae, and he
AMA introduces new prolonged service code for 2021
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, January 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Coding based on time ... As previously discussed
February 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 19, 2025 ... Red and green LED light therapy in individuals with androgenetic alopecia DermWorld Insights and Inquiries : Treatments for renal IgA vasculitis are beginning to flow Safety of
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
Coding for preventive skin examination in 2021 and beyond
To understand the new evaluation and management (E/M) coding guidance, the AAD/A recommends reviewing and applying the coding guidelines holistically. When coding is based on medical decision making (MDM), documentation for the encounter must meet or exceed two of the three elements as described in the ... E/M Office Visit
Evaluation and management in 2021: Part 2
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 2 ... Take the quiz to see
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)
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
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Ashley Decker, MD, FAAD, and Naomi Lawrence, MD, FAAD Feb. 8, 2023 Vol. 5, No. 6 Ashley Decker, MD, FAAD ... Naomi Lawrence, MD, FAAD ... A commonly held belief in dermatologic surgery is that second intention wounds have a lower risk of surgical site infection (SSI) than primary
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
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
Eruptive pseudoangiomatosis is real
By Warren R. Heymann, MD, FAAD May 4, 2022 Vol. 4, No. 18 The term "pseudo" (defined as false, fake, or unreal) is used liberally in dermatology, much to the chagrin of students of the discipline and non-dermatologists. There are dozens of examples (pseudofolliculitis barbae, pseudo-Kaposi sarcoma, pseudolymphoma, etc. —
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.
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
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
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
Systemic amyloidosis presenting as nail dystrophy (and inducing onychophagia in the reviewer)
By Warren R. Heymann, MD June 20, 2016 I admit it — I am plagued with onychophagia (nail biting). It is a life-long habit, and now that I’m 61, I presume that this foible will remain with me to the end. It is worse with anxiety — after reviewing the
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
Patient as pawn
Go to AAD Home ... Go to AAD Home ... Menu ... With the introduction of the 'copay accumulator,' the battle between insurers and drug makers has escalated. Meanwhile, patients pay the price ... With the introduction of the 'copay accumulator,' the battle between insurers and drug makers has escalated.
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
Protect your ability to practice
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, June 3, 2019 For
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
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
March 31, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 31, 2021 ... Studies show skin rashes are highly predictive of positive COVID-19 results DermWorld Insights and Inquiries : Netherton syndrome — From apex to nether New AAD research grant
October 2, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2019 ... Does gluten increase risk for psoriasis and AD in women? DW Insights and Inquiries : Cutting giant congenital nevi down to size molecularly Upcoming coding changes: Differentiating
March 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Topical cetirizine with minoxidil vs. minoxidil in androgenetic alopecia DermWorld Insights and Inquiries : A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus DermWorld Young Physician Focus
What's hot?
What's hot ... August 27, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD ... Identifying the origin of head and neck squamous cell carcinoma of an unknown primary can inform prognosis and
LIDA* rose the insulin requirement
By Warren R. Heymann, MD April 14, 2021 Vol. 3, No. 15 * Localized insulin-derived amyloidosis ... Amyloidosis, I thought I knew ye. But alas, you fooled me again. ... Amyloid is an insoluble protein folded in ... β -pleated sheets that is deposited extracellularly. Amyloid can accumulate in one
MIPS Highlights for 2021
CMS announces automatic exemption for MIPS 2020 performance period & extended deadline for COVID relief ... In response to the ongoing COVID-19 public health emergency, CMS recently announced that it will apply an automatic extreme and uncontrollable circumstance (EUC) policy for all eligible clinicians for the MIPS program for the
March 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 1, 2023 ... Isotretinoin: Risk of IBS, ulcerative colitis, and Crohn’s disease? DermWorld Insights and Inquiries : Seeing red with dupilumab IL-17 inhibitors in psoriasis patients in the real world
April 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 5, 2023 ... What’s the effect of probiotics on skin photoaging? DermWorld Insights and Inquiries : An appealing step closer to targeted topical therapies Does nicotinamide prevent keratinocyte cancers in
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
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
Saving face: The importance of recognizing facial discoid dermatosis
By Warren R. Heymann, MD, FAAD Feb. 22, 2023 Vol. 5, No. 8 I get excited when astute dermatologists describe and label dermatoses that I have seen but could not adequately diagnose. Two recent examples include acute inflammatory edema and alpha-gal syndrome. I (and presumably you too) have encountered patients
Isotretinoin and diabetes: Of familiarity and surprise
By Warren R. Heymann, MD, FAAD July 6, 2022 Vol. 4, No. 27 On a gloriously sparkling, warm spring afternoon in 2009 I sat with my family in the right field bleachers of the new Yankee Stadium as the Bronx Bombers took on the Phillies. I relished the expansive majesty
May 5, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 5, 2021 ... Is dutasteride an effective treatment for frontal fibrosing alopecia? DermWorld Insights and Inquiries : Digging deeper into lupus erythematosus panniculitis Which herbal supplements may affect autoimmune skin
December 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 2, 2020 ... Surgical vs non-surgical interventions for basal cell carcinoma DermWorld Insights and Inquiries : Pigmented onychomatricoma — Avoid getting nailed by misdiagnosis Derm Coding Consult : Coding for
Not aging like fine wine: The myths and mysteries of acquired port wine stains
By Warren R. Heymann, MD January 13, 2021 Vol. 3, No. 2 Port wine stains (PWS, aka nevus flammeus, nevus simplex, salmon patch) are cutaneous capillary malformations that are characteristically congenital (CPWS) but may be acquired (APWS). APWS was first described in a German publication by Fegeler in 1949, hence
COVID-19 dermatology registry
Thank you for agreeing to take part in this important effort on behalf of the American Academy of Dermatology and the International League of Dermatologic Societies. Our hope is that information you and others provide will help us understand dermatologic manifestations of the COVID-19 virus, as well as skin reactions
Till death do you part: Love, marriage, melanoma, and more
By Warren R. Heymann, MD May 21, 2018 ... "What brings you to the office today"? ... "My wife wanted me to get my skin checked." ... If it wasn’t for wives, I wouldn’t have any male patients. ... Seven years ago, my wife noted a lesion on my back,
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
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
Appealing an audit
Appealing an audit: In a nutshell ... If you disagree with an audit decision, you can discuss it with your recovery audit contractor (RAC), rebut it, and file an appeal ... There are five levels of an appeal ... Make sure that your appeal letters include all the necessary information
Striae due to bartonella is a stretch
By Warren R. Heymann, MD May 1, 2018 ... A, Localized striae distensae on the left upper limb (flexor aspect). B, Clinical improvement 9 weeks after treatment. ... Credit: ... JAAD I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections
May 3, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 3, 2023 ... Oral oxybutyloride for hidradenitis suppurativa patients? DermWorld Insights and Inquiries : Necrobiosis lipoidica in a Wink Exposure to anesthesia and alopecia areata Do study authors accurately report
Paradoxical biological reactions and Grandma Dora’s waterbed
By Warren R. Heymann, MD January 22, 2020 Vol. 2, No. 3 My late maternal grandmother Dora — a real ... balabusta (Yiddish for "mistress of the house") — was the first person I knew to get a waterbed. That raised eyebrows, until I explained that it comforted her octogenarian
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
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
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 ...
Time to reassess messing around with steroids and psoriasis
By Warren R. Heymann, MD March 3, 2021 Vol. 3, No. 9 You don't tug on Superman ’ ... s cape You don't spit into the wind You don't pull the mask off that old Lone Ranger And you don't mess around with Jim If the late Jim Croce was
The H syndrome – Understanding Y
By Warren R. Heymann, MD April 15, 2020 Vol. 2, No. 15 It has been more than a decade since the H syndrome was described by Molho-Pessach et al, in their report of 10 patients from 6 Arab consanguineous families. (1) More than 100 cases have now been reported worldwide.
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
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
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
OIG Report Finds MA Claim Denials Are Rarely Appealed
A common complaint we hear from our members concerns Medicare Advantage (MA) claim denials, with or without a preauthorization. This same issue has been addressed in a recent report "Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns about Service and Payment Denials" from the Office of Inspector General’s (OIG’s),
Digital media kit: DermWorld editorial calendar
Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...
Protecting patient privacy
DermWorld offers six key tips for cultivating habits to improve cybersecurity in your practice. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2024 Viruses, infections, safety plans: these days health care workers not only use these words to discuss patient wellness but also to protect patient privacy. Protected
February 7, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 7, 2024 ... Androgenetic alopecia: topical minoxidil vs. low-dose oral minoxidil DermWorld Insights and Inquiries : Short anagen syndrome — The long and short of it Skin cancer incidence in
An appealing step closer to targeted topical therapies
By Warren R. Heymann, MD, FAAD April 5, 2023 Vol. 5, No. 14 Although advances in molecular genetics have revolutionized our understanding of the pathogenesis of disease, the road to developing topical therapies based on these discoveries is in its infancy. ... Healthy maintenance of our stratum corneum is essential
E/M codes: Change is here
What dermatologists need to know about the restructured evaluation and management codes to ensure correct reimbursement ... Feature ... By Allison Evans, assistant managing editor, January 1, 2021 Evaluation and management (E/M) visit codes are by far the most heavily used codes across all specialties. They accounted for about 15%
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
Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —
How can functionality assessments help determine appropriate treatment for NMSCs in elderly patients?
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, September 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Michael Renzi, MD, and Naomi
Sky high
PBM tactics increase drug prices, lower patient access ... Feature ... By Ruth Carol, Contributing Writer, September 1, 2022 Last month, ... DermWorld discussed the role pharmacy benefits managers (PBMs) play in the drug distribution chain. This month, we will discuss some of the tactics PBMs use that are driving
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
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
Something from nothing: The role of random skin biopsies
By Warren R. Heymann, MD Sept. 22, 2017 There are a few reports suggesting the usefulness of the random or blind skin biopsy from normal-appearing skin for diagnosis of intravascular lymphoma. Punch biopsy results from the abdomen. A, Intravascular large lymphoid cells. B, CD20+ tumor cells. (A, Hematoxylin-eosin stain; B,
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
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,
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 28, 2020 Vol. 2, No. 43 How often do you perform an oral examination? If you’re like me, probably only under two circumstances — when the patient has specific complaints (soreness, a raised lesion, or a discoloration noted by their dentist), or when we
November 6, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 6, 2019 ... SPF 50+ vs. 100+ — is there a difference? DW Insights and Inquiries : Getting the gist of GIST cutaneous hyperpigmentation disease Academy announces new Executive Director
Coding and reimbursement for teledermatology
Telehealth flexibilities extended through Dec. 31, 2027 ... CMS will continue reimbursing eligible Medicare clinicians for covered telehealth services through Dec. 31, 2027. These flexibilities apply retroactively, as though there had been no interruption. ... Originating site/geographic location and audio-only ... Patients may receive telehealth services anywhere in the U.S.
The nerve of Zika!
By Warren R. Heymann, MD April 17, 2017 Zika virus–associated skin exanthem. Peripheral edema of bilateral hands (A) and feet (B). Generalized lymphadenopathy was also present. ... Credit: ... JAAD Zika virus infections have dominated the headlines, most notably because of its association with microcephaly. According to the valuable CDC
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).
Side gig
Go to AAD Home ... Go to AAD Home ... Menu ... What can physicians do in addition to clinical services, and how do you get started? ... What can physicians do in addition to clinical services, and how do you get started? ... By Emily Margosian, assistant editor While
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
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
Nonepidemic Kaposi sarcoma: The fifth dimension
By Warren R. Heymann, MD Oct. 16, 2019 Vol. 1, No. 32 ... For more than a century, since first described in 1872 by Moritz Kaposi* as "idiopathic multiple pigmented sarcoma," dermatologists focused on classical Kaposi sarcoma (KS) — violaceous patches, plaques, and tumors on the lower extremities of
Coming to grips with lymphocytic thrombophilic arteritis
By Warren R. Heymann, MD, FAAD May 18, 2022 Vol. 4, No. 20 As a medical student, I was introduced to the concept that bilaterally symmetrical palpable purpura is leukocytoclastic vasculitis until proven otherwise. Although that bromide has served me well over the years, with experience, vasculitis perpetually befuddles me.
A new wrinkle in the diagnosis of cystic fibrosis?
By Warren R. Heymann, MD, FAAD March 23, 2022 Vol. 4, No. 12 Sir, - I have observed that the skin of children with cystic fibrosis wrinkles excessively early when soaked with tap water. The physical sign is highly reliable irrespective of the degree of nutrition of the patient…It is
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
This month’s news from across the specialty
What’s hot ... September 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 The HPV vaccine is a safe and effective method of preventing cancer, but parental hesitancy toward vaccine
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 Annual Meeting: Mobile app
The 2026 Annual Meeting app is now available for download! ... Gear up for the meeting with the official AAD meeting app. View the complete event schedule, build a list of favorites, search our helpful knowledge-base, and much more. Now available on both iOS and Android. ... Access the Web
Pediatric melanoma: A wolf in sheep’s clothing
By Warren R. Heymann, MD ... Sept. 27, 2016 ... Despite its rarity, the incidence of pediatric melanoma (PM) has been increasing. Every practicing dermatologist, past or present, has been humbled or fooled by the clinical appearance of melanomas, examples being amelanotic or desmoplastic variants. ... The A (asymmetry),
Becker’s nevus: Mutations that shoulder responsibility
By Warren R. Heymann, MD Aug. 31, 2017 Systematized, bilateral Becker nevus with hypoplasia of left areola in 19-year-old man (Courtesy of Dr Carlos de la Torre, Pontevedra, Spain). ... Credit: ... JAAD My wife insisted I take a break from studying for the dermatology boards. ... "Warren, give it
Adjusting the screen door: Developing a rational approach to assessing for thyroid disease in patients with alopecia areata
By Warren R. Heymann, MD Jan. 11, 2018 Loss of the sideburns and marked frontal-temporal scarring alopecia with lonely hairs. ... Credit: ... JAAD Since my residency, I have been perplexed about how to screen patients with alopecia areata (or vitiligo) for thyroid disease. What tests should (or should not)
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 ... July 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Social media can be a very useful tool for practices to grow their practice population, and has become a
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
A metabolic pathway that may allow dermatologists to run rings around porokeratoses
By Warren R. Heymann, MD July 31, 2019 Vol. 1, No. 21 "I know the variants of porokeratoses and can recite them as though I am the very model of a modern major general — Mibelli, linear, punctate, palmoplantar, DSAP [disseminated superficial actinic porokeratosis], superficial disseminated, immunosuppression-related, and porokeratosis ptychotropica.
Dermatology World Weekly
DermWorld Weekly is a brief, concise digest of the latest news, hand-picked by ... DW’s editorial team with analysis of why it matters to dermatologists. ... Each week editors review the landscape of health care news in ... DermWorld's core areas of practice management, policy, and patient care, and highlight
Taking a hard look at eosinophilic fasciitis on its golden anniversary
By Warren R. Heymann, MD, FAAD Aug. 14, 2024 Vol. 6, No. 33 In 1974, Dr. Lawrence E. Shulman identified two male patients (aged 53 and 19 years old) with a scleroderma-like illness that he subsequently published as "Diffuse fasciitis with hyperglobulinemia and eosinophilia: A new syndrome?" Both had a
March 6
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 6, 2019 ... FDA approves self-injection of guselkumab for plaque psoriasis Nearly 80% of public find drug prices 'unreasonable' Biotin supplementation unnecessary for most patients, may lead to misdiagnosis Why
Advisory Board Call for Nominations
Nominations closed Friday, Feb. 27, 2026. One Advisory Board Executive Committee seat will become open at the conclusion of the 2026 Annual Meeting. This is a great opportunity to become involved in a leadership position on the Advisory Board! ... You’re eligible to seek a seat on the Executive Committee
Responding to a breach
HIPAA requires security measures primarily to prevent breaches of protected health information (PHI). A breach is the theft, loss, or unauthorized access of PHI. When clinicians breach PHI, the law requires notification of both patients and HHS. ... What causes breaches ... Most breaches are caused by human error and
Negotiating fee schedules
When negotiating with private payers, knowing your worth can pay off. ... Feature ... By Ruth Carol, contributing writer, November 1, 2020 If you think medical school and residency were difficult, wait until you try to negotiate a higher fee schedule with a payer. ... "My experience has been that,
Voluntary repayments and false claims liability
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, 2026 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author Daniel F. Shay, Esq., is a health care attorney
Navigating drug shortages and more: Strategies and solutions
Answers in Practice ... By Olivia Barry, Manager, Practice Management, February 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains how to navigate drugs shortages and more. Prescription drug shortages are a persistent and complex challenge across dermatology. What is the
This month’s news from across the specialty
What’s hot ... January 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ (MIS) has risen sharply in the U.S., surpassing invasive melanoma in 2025 ( ...
Granulomatous cheilitis: Back to the Future
By Warren R. Heymann, MD, FAAD June 1, 2022 Vol. 4, No. 22 I opened my dermatology practice in 1985 — looking retrospectively, life was then both simpler and more complicated. It was the pre-computer era when patients paid their fee at the time of their visit, utilizing a peg-board
Applying the 2021 E/M coding concepts in everyday practice – Part 8
Part eight of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes continue those of part 7 in this series, demonstrating how a common dermatologic condition, actinic keratosis, can be classified under different categories of problem addressed during the encounter depending
Dermatofibrosarcoma protuberans recurrence: Size matters
By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered
Innovative Dermatology Education Award (IDEA)
Grant overview ... Through a generous contribution from the Elsevier Foundation and the Skin Disease Education Foundation (SDEF), both of whom share the American Academy of Dermatology’s (AAD) commitment to continuing excellence in dermatology, the AAD has created an educational program called the Innovative Dermatology Education Award (IDEA). ... The
2026 AAD Annual Meeting: Childcare
Bring the family for the adventure with our convenient childcare service! ... We are pleased to offer childcare services at the 2026 AAD Annual Meeting in Denver, Colorado. Our childcare service offers a safe and entertaining environment for children ages 6 months to 12 years. ... In partnership with KiddieCorp,
Do not take a pass on the PAS stain
By Warren R. Heymann, MD Nov. 7, 2016 My threshold for obtaining a Periodic acid-Schiff (PAS) on inflammatory lesions rivals the opinion of most Americans’ opinion of tomorrow’s election as reported in the New York Times — very low. ... When I read the article by Elbendary et al I
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE
Filling the medicine cabinet
Go to AAD Home ... Go to AAD Home ... Menu ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... By Victoria
COVID rules of the road
What do dermatologists need to know about new practice regulations — and how have they adapted? ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2022 As the COVID-19 pandemic passes the two-year mark, lawmakers have begun proposing new regulations to promote public health and safety, giving shape to
The ACA: 10 years later...during a pandemic
Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10
Alopecia areata incognita in Cronkhite-Canada syndrome suggests an autoimmune etiology – and that’s the way it is.
By Warren R. Heymann, MD Sept. 14, 2017 Cronkhite–Canada syndrome. A, Onycholysis. B, Alopecia. ... Credit: ... JAAD I have always been intrigued by the mysterious nature of the Cronkhite-Canada syndrome (CCS) — although I have considered the disorder in my differential diagnosis, I have never seen a case. ...
Seeing red with dupilumab
By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used
Demodectic eruptions: More than you mite have imagined
By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the
Can tocilizumab deep six recalcitrant morphea?
By Warren R. Heymann, MD, FAAD Sept. 20, 2023 Vol. 5, No. 38 Glenda’s middle-aged ankles still hurt badly. I have been treating morphea enveloping her ankles for several years. With therapies including methotrexate, mycophenolate mofetil, clobetasol, calcipotriene, and physical therapy, her tenderness has improved from exquisite to barely tolerable.
March 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 23, 2022 ... Acitretin: A new therapy for onychomycosis? DermWorld Insights and Inquiries : A new wrinkle in the diagnosis of cystic fibrosis? Injury and litigation in cutaneous laser surgery
Advocacy Update 2025 archive
Explore ... Advocacy Update articles by publication date. ... 2025 ... December ... Dec. 16 - The AADA applauded the FDA for proposing to permit use of a new sunscreen ingredient, bemotrizinol (BEMT). ... Dec. 9 - The AADA endorsed a House bill that would include an annual inflationary update
This month’s news from across the specialty
What’s hot ... September 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD What’s Hot? Capsaicin! The popular spice has been shown to decrease inflammation through a mechanism that is independent
2026 AAD Annual Meeting: Industry Product Sessions
Discover the latest industry insights at the 2026 Annual Meeting through engaging educational and product-focused sessions. These presentations give exhibiting companies a platform to unveil groundbreaking research, showcase product innovations, perform live demonstrations, and highlight their newest offerings. ... These sessions are solely promotional and are not eligible for CME
The role of GLP-1s in dermatology
Dermatologists discuss how the use of GLP-1s has offered potential new avenues for patients with chronic inflammatory skin diseases. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2026 Over the past five years, the approvals of glucagon-like peptide-1 receptor agonists (GLP-1s), particularly semaglutide and tirzepatide, have sparked
A burning question: Should patients receive the zoster vaccine after an episode of shingles?
By Warren R. Heymann, MD Oct. 26, 2016 The question as to whether a patient should receive the vaccine after having had herpes zoster (HZ) has been asked since the initial release of the vaccine. There has been remarkably little data to help guide the clinician. ... The importance of
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
Piecemeal policy
Go to AAD Home ... Go to AAD Home ... Menu ... Trump administration addresses health care policies in small bites ... Trump administration addresses health care policies in small bites ... By Ruth Carol, contributing writer While the Trump administration has raced to eliminate the Affordable Care Act (ACA),
These codes are no secret
The Academy’s ... DermWorld is committed to developing robust resources to help you navigate your practice and patient care. ... In recognition of the high-quality content that’s a must-read for the specialty, ... DermWorld received awards from four different organizations in five categories this year, including: ... Folio – Folio
Toxicity of topical timolol for infantile hemangiomas in preterm infants: Size matters
By Warren R. Heymann, MD Aug. 13, 2016 I have been using topical timolol (0.5% gel) for the past few years for infants with infantile hemangiomas (IH) with reasonable success, but I am always nervous about prescribing it, as data on the degree of topical absorption remains to be defined.
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
The malignant risk in circumscribed palmar or plantar hypokeratosis: Summoning Charles Dickens and Freddie Mercury
By Warren R. Heymann, MD, FAAD May 14, 2025 Vol. 7, No. 19 Smitten by the seminal article in 2002 by Pérez et al. describing circumscribed palmar or plantar hypokeratosis (CPPH), I have diagnosed the disorder several times, reassuring patients that this oddity is of no concern. More than 100
Hemochromatosis: Beyond 50 shades of gray
By Warren R. Heymann, MD, FAAD March 6, 2024 Vol. 6, No. 10 As a medical student, I was enamored by the term "bronze diabetes" as a depiction of hemochromatosis; ever since I have been magnetically attracted to the disease. Hereditary (primary) hemochromatosis is a common autosomal-recessive disorder, with a
Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is
By Warren R. Heymann, MD, FAAD Aug. 28, 2024 Vol. 6, No. 35 Part of the folklore at the Albert Einstein College of Medicine when I rotated as a fourth-year medical student in dermatology was that a prior resident made the correct diagnosis of Cronkhite-Canada syndrome (CCS). The constellation of
Diminishing diagnostic cognitive bias: Anchors away
By Warren R. Heymann, MD, FAAD Sept. 27, 2023 Vol. 5, No. 39 We have all been there, probably daily. You’re an hour behind schedule, and the patient in front of you has a laundry list of complaints demanding that you address them. You shift to autopilot, using your keen
The billing company relationship: A most significant ‘other’
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., July 1, 2025 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is a health care attorney at Alice G. Gosfield
Keeping up is hard to do: The need for true grit
By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
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
AADA Congressional Advocacy Agenda
The American Academy of Dermatology Association advocates on issues and prioritizes work on those that are most pressing and impactful for our membership. ... 2026 Sole Federal Congressional Advocacy Priority: Protecting Medicare Access to Physicians. ... To establish a positive annual inflation adjustment. ... To replace or eliminate budget neutrality
My Green Doctor to add environmental sustainability to your offices
The Academy is pleased to offer a valuable membership benefit: ... My Green Doctor . This free program shows how to add environmental sustainability to your offices. It requires adding only five minutes of Green Team to each staff meeting. You will save money — as much as $2000 per
Cutaneous complications of immune checkpoint inhibitors
DermWorld highlights some of the common (and not-so-common) skin complications associated with ICIs and shares expert tips for management. ... Feature ... By Heidi Splete, Contributing Writer, March 1, 2024 Immune checkpoint inhibitors (ICIs) are a mainstay of immunotherapy for many cancer types — including breast, colon, liver, lung, skin,
Are you a rash whisperer?
Go to AAD Home ... Go to AAD Home ... Menu ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat patients with allergic contact dermatitis. ... Patch test. Identify allergens. Avoid them. If only it was that simple to diagnose and treat
Examining the monograph
Dissecting the FDA’s proposed rule on the over-the-counter sunscreen monograph and what dermatologists might expect in the coming years. ... Feature ... By Allison Evans, assistant managing editor, November 1, 2020 The U.S. Food and Drug Administration (FDA) has been regulating sunscreen since the beginning of the monograph system in
July 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2019 ... Academy comments on FDA sunscreen proposal DW Insights and Inquiries : Oy, another "Oid" to worry about — cryptococcoid lesions VA launches Community Care Network to provide
No longer flailing with Flegel disease
By Warren R. Heymann, MD, FAAD April 19, 2023 Vol. 5, No. 16 I was a toddler in 1958 when Heinz Flegel described ... hyperkeratosis lenticularis perstans (HLP) a 50-year-old man with persistent lesions on his dorsal feet and lower extremities. (1) In the ensuing decades, other than the clinical
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
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
A revelation: Drug-induced pseudoglucagonoma syndrome
By Warren R. Heymann, MD Aug. 21, 2016 Although only having diagnosed the glucagonoma syndrome (GS) once, I have always been fascinated by necrolytic migratory erythema (NME), and conditions that mimic NME, the so-called pseudoglucagonoma syndrome (PGS). ... PGS has been reported with the following conditions: liver disease, inflammatory bowel
Running dry
Identifying the steps needed to ease the looming physician workforce shortage ... Feature ... By Ruth Carol, Contributing Writer, December 1, 2021 For years, there has been concern that a physician workforce shortage is looming. The United States could see a shortfall of 37,800 to 124,000 physicians by 2034, according
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
September 10, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 10, 2025 ... Most effective monotherapy for androgenetic alopecia DermWorld Insights and Inquiries : Twenty-first century pellagra Is there an association between JAKis and malignancy risk in alopecia areata? PRP
Preparing for a successful HIPAA audit
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, April 1, 2019 Typically, when the word audit’ comes up, it brings feelings of anxiety and fear. However, it
My diagnostic blind spot: Erythema elevatum diutinum
By Warren R. Heymann, MD Feb. 15, 2018 Erythema elevatum diutinum depicted by erythematous-to-violaceous papules and plaques affecting the extensor surfaces of the patient's arms, legs, and buttocks. ... Credit: ... JAAD I’m certain that every dermatologist — myself included — has a diagnostic blind spot. I came to this
Sophie’s choice: Assessing atypical Spitz tumors in the molecular era
Atypical Spitz tumor category. Higher magnification reveals severe cytologic atypia. Although cells exhibit a spindled appearance typical of the Spitz nevus, they appear severely dysplastic with nuclear hyperchromasia and an immunogenic host response. (Hematoxylin-eosin stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 10, 2018
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
2026 AAD Annual Meeting: Non-member registration
Categories that don't require additional documentation ... The following two categories do not require any additional documentation but must meet the requirements below to register. ... Non-member physician ... For those who treat patients in an office-like setting ... Non-member non-physician ... For non-member corporate individuals, pharmacists, distributors, industry representatives,
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
Tips for avoiding fraud and abuse liability – Part II
Legally Speaking ... By Christina A. Hughes, JD, MPH, Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, February 1, 2022 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, D.C. Portman
2023 skin cancer projections: Amid a decreasing caseload, deaths creep higher
Facts at your Fingertips ... By Emily Margosian, Assistant Editor , September 1, 2023 The latest data from the American Cancer Society (ACS) are in — and offer new insight into the impact of skin cancer on U.S. public health. Each year, the ACS estimates the number of new cancer
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. ...
2026 AAD Annual Meeting: Media resources
The American Academy of Dermatology is pleased to welcome media to the 2026 AAD Annual Meeting from Friday, March 27, through Tuesday, March 31, in Denver, Colorado. ... Important dates ... Advance press registration closed on Wednesday, Feb. 25, 2026, at 12 p.m. CT. If you are still interested in
The not-so-full body skin examination
By Warren R. Heymann, MD, FAAD April 16, 2025 Vol. 7, No. 15 It is not my imagination. With every passing year, an increasing number of new patients schedule an appointment for a full (or total) body skin examination (FBSE, TBSE) to be checked (or, as some patients say, "scanned")
What's hot?
What's hot ... March 28, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The title says it all: ... Lack of a U.S. Food and Drug Administration indication should not
International Society Annual Meeting Travel Grant
The AAD offers grants for travel to international dermatology meetings. The grants are open to dermatology residents, fellows, or young dermatologists who are within five years of completing residency from the United States and Canada. The grants are for travel to dermatology meetings in Asia, Europe, and Latin America. The
2026 AAD Annual Meeting: Registration and session fees
Registration is open ... Level up your learning at the can't miss meeting of the year! ... Register today Session fees ... Seats for (F) forums, (U) focus sessions, (S) symposia, and Plenary are non-ticketed and are available on a first come, first serve basis for eligible registration categories. (C)
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
Make no bones about it: Primary cutaneous ewing sarcoma is for real
By Warren R. Heymann, MD Aug. 15, 2016 Recently my partner biopsied a verrucous papule from the face of a young boy, without being confident of his clinical impression. Histologically, I knew I was looking at a malignant lesion, but could not identify it. I sent the slide for a
The emergence of rituximab-induced pyoderma gangrenosum: An alert to dermatologists
By Warren R. Heymann, MD, FAAD Sept. 21, 2022 Vol. 4, No. 38 Recognizing cutaneous adverse drug reactions is medical dermatologist’s forte. This commentary will focus on rituximab-induced pyoderma gangrenosum (RIPG) that characteristically presents as vulvovaginal pyoderma gangrenosum (VVPG) — a condition that I have not encountered (and hope that
AAD builds strong relationships with dermatologist social media influencers
Part of the Your Dermatologist Knows strategy involves collaborating with social media influencers to help spread the Academy’s message beyond the reaches of AAD social media accounts. The Academy engaged in a series of influencer engagement activities in 2023 to help build and maintain those important relationships. ... At the
AAD Licensing program
High quality content that can't be found elsewhere ... An unbiased source of scientifically accurate, reliable and up-to-date content from respected experts in the dermatology field, as well as clinical and market data representing 93% of all U.S. dermatologists. ... Need the AAD's expertise? No problem. ... Launch your dermatological
Emergency supply drive for front line COVID-19 workers
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... ... Dermatology World Weekly talked to Ronda Farah, MD, assistant professor in the department of dermatology at the University of Minnesota Medical School, about her efforts to collect emergency supplies for front line workers.
Support the AAD Teledermatology Program
Throughout the U.S., there are many underserved areas where primary care physicians do not have easy access to dermatologists. Through the ... AAD Teledermatology Program , these physicians can easily consult with volunteer dermatologists and better serve patients in need. As more clinics sign up and physicians become trained to
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
Quality assured
Engaging in quality improvement activities can boost patient outcomes, practice efficiencies, and satisfaction all around ... Feature ... By Ruth Carol, Contributing Writer, November 1, 2021 Quality improvement (QI) efforts can boost reimbursement but engaging in QI activities can have an even more positive impact on a dermatology practice’s overall
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
Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia
By Warren R. Heymann, MD, FAAD May 8, 2024 Vol. 6, No. 19 Neonatal dermatoses are anxiety-provoking for both physicians and parents because of crucial questions — Are there associated systemic problems? What are long-term sequelae? How should the infant be followed? One of the most striking neonatal disorders is
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
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
July 21, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 21, 2021 ... AADA secures iPLEDGE win DermWorld Insights and Inquiries : Getting to the heart of neonatal lupus erythematosus DermWorld Young Physician Focus : Advancing the cause Cutaneous reactions
Progress for progressive multifocal leukoencephalopathy
By Warren R. Heymann, MD May 8, 2019 Vol. 1, No.9 Progressive multifocal leukoencephalopathy (PML) is a nightmare. For any dermatologist seeing patients with autoimmune diseases, HIV, lymphoproliferative disorders, or who are on immunosuppressive medications (azathioprine, chlorambucil, cyclophosphamide, glucocorticoids methotrexate, TNF inhibitors, and rituximab), PML is a "sword of Damocles,"
CMS announces new Place of Service code for telehealth services provided to patients in their homes
CMS has announced a new Place of Service code, POS 10, for use in reporting telehealth services provided to patients who are in their own homes. Additionally, CMS has revised POS 02 for reporting telehealth services provided to patients not located in their own homes. ... Place of Service 02
Educating our public — Educating patients through social media
Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on our @AADskin Twitter, Facebook, and Instagram platforms. ... Your patients = our followers ... Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on
Claim CME and view transcript
Use the American Academy of Dermatology's (AAD) online Continuing Professional Development Transcript (CPD) Program to document your CME to send to a licensing body. This service is a member benefit at no additional fee.* ... With the CPD Transcript Program you can: ... Access and review ... AMA PRA Category
New pitfalls in the diagnosis of Kaposi sarcoma
By Warren R. Heymann, MD June 16, 2016 Human Herpes Virus-8 (HHV-8) is the common denominator in all forms of Kaposi sarcoma (KS) — classic, endemic, post-transplant/immunosuppressive, and epidemic/HIV. Virtually all cases will demonstrate HHV-8 by immunohistochemistry in all types. ... Manuraj et al present the instructive case of a
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
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
Antihypertensive agents and eczema: New data for older patients
By Warren R. Heymann, MD, FAAD March 12, 2025 Vol. 7, No. 10 "Anyone who recalls the 1971 Loving Care commercial exclaiming, ‘You’re not getting older. You’re getting better!’ is getting older. America is graying — in 2019, people older than 65 years accounted for 16% of the population; in
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
Turning our attention to melanoma risk in Turner syndrome
By Warren R. Heymann, MD, FAAD July 2, 2025 Vol. 7, No. 26 "…at the endocrine clinic and in private practice, I had seen a few young girls who had not matured, and they were short in stature and they had short necks with a low hair line and increased
June 17, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 17, 2020 ... Treating patients during the COVID-19 pandemic? Here’s how to minimize your malpractice liability risk. DW Insights and Inquiries : Researching therapeutic reformation of the capillary malformation —
For the win! Championing the use of the term “reactive granulomatous dermatitis” in clinical practice
By David A. Wetter, MD, FAAD March 8, 2023 Vol. 5, No. 10 Growing up in the 1980s in suburban St. Louis, Missouri, I spent many evenings listening to Cardinals’ baseball on the local AM radio station, KMOX 1120. After the final out of each Cardinals’ victory, the late Hall-of-Fame
Skin and hair legislation: What’s happening?
Experts offer a primer on what dermatologists should keep their eyes on. ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2023 On the heels of the start of the 118th U.S. Congress — which marks the first Republican House-Democratic Senate split in a decade — lawmakers and federal
Casting a wider net
Go to AAD Home ... Go to AAD Home ... Menu ... Will a new health care option for veterans expand access to dermatologic care? ... Will a new health care option for veterans expand access to dermatologic care? ... By Victoria Houghton, managing editor The U.S. Department of Veterans
Assessing the significance of a Long-Developed Habit: The role of LDH in dermatology
By Warren R. Heymann, MD, FAAD July 14, 2021 Vol. 3, No. 28 Upon ordering laboratory tests recently for a patient with cutaneous T cell lymphoma, I included a lactate dehydrogenase (LDH) level, as I have done for decades, without giving it much thought. When I came across an article
December 10, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 10, 2025 ... Hydrocolloid dressing vs. petroleum for scar appearance after dermatologic surgery DermWorld Insights and Inquiries : The illusions of IgG4-related skin disease Recovering from SJS and TEN Vitamin
It’s a leap year!
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, February 1, 2020 Forget what you were taught in school; a year really isn’t 365 days long. It’s closer to 365.24 days. This is, of course, why we add an extra day
Perspectives on peristomal pyoderma gangrenosum
By Warren R. Heymann, MD Oct. 28, 2016 Peristomal pyoderma gangrenosum (PPG) is a challenging problem, both physically and emotionally. The diagnosis may be delayed, often being mistaken for an irritant dermatitis or an infection. Barbosa et al have performed an extensive review of their experience in 44 patients
Summary of MIPS 2021 changes
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Faiza Wasif, MPH, the Academy’s Practice Management manager, offers a summary of MIPS changes in 2021. CMS released the final Quality Payment Program (QPP)
Digital media kit: DermWorld rate card
DermWorld print rates ... Download a PDF of the 2026 DermWorld print rate card. Download a PDF of the DermWorld print specifications . ... BW ... 1x ... 6x ... 12x ... 24x ... 36x ... Full page ... $3,185 ... $3,015 ... $2,760 ... $2,440 ... $2,350 ... Full
Support Skin Cancer Screenings
The AAD's ... SPOT Skin Cancer™ initiative is leading the fight against skin cancer. Your support helps reduce the incidence of skin cancer and saves lives by building shade structures, providing free skin cancer checks, and educating the public on the importance of skin cancer detection and prevention. ...
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
Double check, pause...and proceed
What dermatologists can learn from quality efforts in surgery ... Feature ... By Emily Margosian, content specialist, October 3, 2016 As the culture of health care and developing regulatory trends continue to move in an increasingly quality-focused direction, dermatologists may soon find themselves under more scrutiny. Wrong-site surgery is one
Cocaine-associated plasma cell orificial mucositis: Anything goes
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, April 1, 2026 Vol. 8, No. 4 Dermatologists will never be bored by cocaine. The mucocutaneous manifestations are so vast that one can almost say that "anything goes," but there are clinical scenarios where clinicians should suspect cocaine use
What's coming down the psoriasis pipeline?
Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer
Dermatology at a 'disadvantage'
Enrollment in Medicare Advantage continues to grow. What does it mean for you and your patients? ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2024 Over 67 million people in the United States receive health care coverage through Medicare. ... However, a growing number have begun to defect
February 6
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 6, 2019 ... Nearly half of U.S. physicians are burned out AAD/A CEO announces departure this spring Anthem to institute new modifier 25 payment policy Researchers create new protein that
The Venetian antithesis: Treating median canaliform nail dystrophy
By Warren R. Heymann, MD, FAAD Oct. 4, 2023 Vol. 5, No. 40 Tony Bennett may have left his heart in San Francisco, but mine remains in Venice. ... (The editorial staff of DWI&I offer our sincerest condolences to the families of those who perished, and our prayers for recovery
June 12
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2019 ... A new way to treat warts? Heat may be the answer. DW Insights and Inquiries : Taking the challenge: Social media, adolescents, and the skin Dollars and
iPLEDGE changes
Ask the Expert ... By Victoria Houghton, Managing Editor, July 1, 2023 DermWorld ... spoke to Stephanie Croney, JD, assistant director of regulatory policy for the American Academy of Dermatology Association (AADA), about the recent FDA advisory committee meeting on recommended changes to the iPLEDGE REMS program. DermWorld : Recently,
Taking biologics to heart
By Warren R. Heymann, MD Oct. 16, 2016 Comorbidities related to psoriasis have dominated the dermatologic literature for more than a decade since Joel Gelfand published his seminal paper (1). In my 2008 commentary for ... Dialogues in Dermatology , I stated that "It remains to be determined if treating
Tofacitinib for adolescent alopecia areata: Balancing the risk-benefit ratio
By Warren R. Heymann, MD Jan. 17, 2017 Alopecia areata with patient 4 after 2 months of treatment with 2% tofacitinib in VersaBase cream (A) and after 6 months of treatment with 2% tofacitinib in liposomal base (B). ... Credit: ... JAAD There has been acute interest in utilizing Janus
Reflections on “Being Mortal” by Atul Gawande
By Warren R. Heymann, MD Sept. 13, 2016 I was given this best-selling book as a holiday gift last winter. I wanted to read it, but somehow it was easier to deny my fears about aging by ignoring the text. With increasing rapidity, I am losing patients that I
Adherence to acne treatments: Flipped sides of the coin for physicians and patients
By Warren R. Heymann, MD Dec. 6, 2016 It takes a motivated, dedicated patient to adhere to their prescribed acne regimen. According to Moradi Tuchayi et al, primary nonadherence occurs when the medication is not even started. This may be due to lack of knowledge, confusion about usage, a weak
Mucho de Mucha-Habermann
By Warren R. Heymann, MD Dec. 19, 2016 As we approach interview season for our residency program, I try to think of some questions I haven’t asked before. I usually do not discuss dermatologic disorders per se, as I am more concerned about the interviewee as a person knowing how
Improvement activities (15%)
In this performance category, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. For 2026 MIPS reporting, this category is worth 15% of the MIPS score with a maximum of 40 points available. There are 67 dermatology-relevant practice improvement activities (IAs) to choose from. ...
Impact Report — Winter 2022
With the support of members like you, we are stepping up to meet the challenges of the specialty together. Even COVID-19 has not stopped us from raising the bar on our efforts to keep the specialty strong and your patients healthy and informed. This is the first anniversary of our
Academy CME opportunities abound
The alopecia frontier is open! In our last issue, we let you know that the Journal of the American Academy of Dermatology (JAAD) published a new CME supplement, " ... Alopecia: A New Frontier, " that can help you differentiate between the various types of alopecia and identify correct treatments
Using time to select the level for E/M services
Using time to determine the level of service: In a nutshell ... The level of service can be selected based on total time spent by the dermatologist or other qualified non-physician clinician on the date of the encounter. ... Time spent by clinical staff is not included in calculation of
Pseudomolluscoid papules: A more accurate description than pseudoverrucous papules
By Warren R. Heymann, MD April 28, 2016 When patients ask me how I made their diagnosis so quickly, I politely tell them that if any particular lesion takes more than 25 milliseconds to diagnose, they really do have a problem. ... Today I saw a patient that made me
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
Extending medicine's reach
DermWorld takes a look at the Interstate Medical Licensure Compact. ... Feature ... By Andrea Niermeier, Contributing Writer, January 1, 2023 In 1925, inventor and publisher Hugo Gernsback wrote in ... Science and Invention magazine of a "teledactyl," a device that would allow doctors to not only see their patients
Career launch
Moving from residency into full-time practice is a critical phase in a young dermatologist’s career. While your clinical skills are sharp, success in today’s environment demands mastery of a complex set of non-clinical responsibilities, from practice management and finance to regulatory compliance and team leadership. ... This definitive AAD guide
Emerging diseases registry
Thank you for taking part in this important effort on behalf of the American Academy of Dermatology and the International League of Dermatologic Societies. Our hope is that the information you and others provide will help us understand the dermatologic manifestations of drug-resistant dermatophytes. This survey is for all health
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
Dermatologists cannot be lax about acquired cutis laxa
By Warren R. Heymann, MD Jan. 28, 2019 Acral localized acquired cutis laxa. Loose, redundant skin on the volar finger pads bilaterally that gave them a flat, rounded appearance. ... Credit: ... JAAD From the time I was a medical student, I have always been fascinated by the "little old
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
New CDC treatment guidelines for sexually transmitted infections
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Kimberly A. Workowski,
FAQs on sunscreen ingredients including proposed rule on the final monograph
FAQs ... What does the FDA’s recent sunscreen proposal encompass? The FDA’s recently proposed rule is the first step in the process to establish a final over-the-counter sunscreen monograph and encompasses which sunscreen ingredients on the market are generally recognized as safe and effective (GRASE), meaning that they can be
What's hot?
What's hot ... August 23, 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 over-checking labs for your acne patients on isotretinoin? An article from the ... JAAD’ s Best of
What's new in dermatology?
Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2022 The history of medical diagnosis traces back to ancient Egypt, where the first recorded examples can be found in the writings of Imhotep dating 2630–2611 BC. In the
HIPAA for dermatology practices
Legally Speaking ... Jane Sitorius, JD, is a health care attorney with Barnes & Thornburg LLP in Washington, D.C. ... By Jane Sitorius, JD, January 1, 2026 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author Jane Sitorius, JD, is a health care attorney with Barnes
Reporting Evaluation and Management (E/M) Codes by Time
Can time alone be used to select an E/M code? ... In certain circumstances, time can be used as the key or controlling factor for determining the correct E/M code. When counseling and/or coordination of care dominates (e.g., more than 50%) the physician/patient encounter (e.g., face-to-face time in the office
When Washington, D.C., comes to you
From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, November 1, 2020 If we’ve learned anything this year, it’s the importance of being flexible. For example, before COVID-19, less than 10% of our members were using telemedicine; now,
Coding and documentation — Your best defense
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, October 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Accurate and thorough documentation in the medical