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May 2
Learn more about May 2 at aad.org
October 2, 2019
Learn more about October 2 at aad.org
The rhythm of RIME
Read the March 2, 2022 DermWorld Insights and Inquiries on RIME.
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
Read the Nov. 2, 2022 DermWorld Insights and Inquiries on lipodystrophia semicircularis.
Dermatopathology’s taste of honey
Read the September 2, 2020 DermWorld Insights and Inquiries on dermatopathology’s taste of honey
Pigmented onychomatricoma: Avoid getting nailed by misdiagnosis
Read the Dec. 2, 2020 DermWorld Insights and Inquiries on pigmented onychomatricoma.
An old dog with a new trick: High dose intralesional steroids in hidradenitis suppurativa
Read the February 2, 2022 DermWorld Insights and Inquiries on high dose intralesional steroids in hidradenitis suppurativa.
The profound dermatological manifestations of COVID-19: Part II
Read the March 25, 2020 DermWorld Insight and Inquiries on COVID-19, part 2.
Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod
Read the June 2, 2021 DermWorld Insights and Inquiries on contact pemphigus and pemphigus-like eruptions due to imiquimod.
We’ve gotta recognize GATA2 deficiency
Dermatologists need to recognize patients GATA 2 deficiency because it can be successfully treated with hematopoietic stem cell transplantation (HSCT).
Tofacitinib for dermatomyositis: A potential belle of the ball?
JAK1/3 signaling participates in the pathogenesis of inflammatory disorders while JAK1/2 signaling plays a role in the development of several malignancies including leukemias, lymphomas, and myeloproliferative neoplasms. Tofacitinib (Xeljans) is a pan-JAK inhibitor that is approved by the FDA for the treatment of rheumatoid arthritis and ruxolitinib (Jakafi) is a
Excludes notes
Learn about how Excludes notes work. Excludes 1 exclusions indicate when two codes cannot be billed at the same time. Excludes 2 exclusions indicate that the codes are separately billable.
Being there
DW Weekly talked to Diana Bartenstein, MD, a PGY-2 dermatology resident at Massachusetts General Hospital, about her work as a responding clinician on an inpatient COVID-19 ward.
I don’t know JAK — but I will! Ruxolitinib improving chilblain lupus erythematosus
The JAK inhibitors are among the current darlings of treating autoimmune diseases. Recent articles about tofacitinib for vitiligo (1) and alopecia areata (2) have been reported in the lay press with considerable fanfare.
Incretin-based therapy for diabetes and dermatology: Promise and peril
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.
Topical crisaborole ointment for atopic dermatitis: Hoping for a painless introduction
Any dermatologist who treats atopic dermatitis (AD) must be eagerly awaiting the introduction of 2% Crisaborole ointment. This is equally true for patients (and their parents!) who are steroid-phobic and uncomfortable with the black box warning for calcineurin inhibitors (despite our reassurances).
Small group practice (6-15 practitioners)
Small group dermatology practices typically consist of 2-10 physicians who work collaboratively under private ownership. These practices offer a middle ground between solo practice and large groups, combining the benefits of shared responsibility with greater autonomy.
April 2, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 2, 2025 ... Oral vs. topical minoxidil in patients with androgenetic alopecia DermWorld Insights and Inquiries : Becoming ‘sensitized’ to the clinical utility of the term "urticarial dermatitis" (a subtype
September 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 2, 2020 ... What role can dermatologists play in developing a COVID-19 vaccine? DW Insights and Inquiries : Dermatopathology’s taste of honey Non-discrimination protections change under ACA Skin of color
August 2, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 2, 2023 ... Isotretinoin for seborrheic dermatitis: A review DermWorld Insights and Inquiries : Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr.,
July 2, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 2, 2025 ... Isotretinoin for seborrheic dermatitis DermWorld Insights and Inquiries : Turning our attention to melanoma risk in Turner syndrome CMS updates MUE limit for Ameluz — Effective July
February 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 2, 2022 ... A high-fiber diet may affect immunotherapy response for melanoma patients DermWorld Insights and Inquiries : An old dog with a new trick — High dose intralesional steroids
November 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 2, 2022 ... Factors that influence platelet rich plasma efficacy in androgenetic alopecia DermWorld Insights and Inquiries : Lipodystrophia semicircularis — A lipoatrophy not to get depressed about Underlying conditions
October 2, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2024 ... Risk of IBD in patients receiving isotretinoin DermWorld Insights and Inquiries : The pregnant pause in cutaneous lymphoma Hydroxychloroquine in patients with lichen sclerosus Abrocitinib vs. dupilumab
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
June 2, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 2, 2021 ... Acne and enthesitis: Is there an association? DermWorld Insights and Inquiries : Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod Derm Coding Consult : Applying
The concept of atrophoderma of pasini and pierini as morphea may be falling off a cliff
Diagnosing Atrophoderma of Pasini and Pierini (APP) is reasonably straightforward – it usually presents in adolescents and young adults, more often in females, with sharply defined, single or multiple round to oval, hyperpigmented, depressed lesions with a “cliff-drop” border. Unusual presentations may include congenital lesions (1) or with a Blaschkoid
Advocating for you — Preventing Medicare cuts
Medicare is front and center again as we build on last year’s win, successfully fending off physician payment cuts due to the Medicare sequester during the COVID-19 public health emergency. After the moratorium on the regular 2% Medicare payment cuts was extended through March 31, 2021, the public health emergency
March 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 2, 2022 ... Biotin beware: Physician, patient knowledge about lab interference DermWorld Insights and Inquiries : The rhythm of RIME Infections in children treated with dupilumab Cutaneous adverse events are
Components of evaluation and management 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, June 1, 2018 Test your knowledge: Components of evaluation and management 2 ... Take the quiz to see if
Ustekinumab: A topic for atopics?
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 dupilimab (a human monoclonal antibody against interleukin-4 receptor alpha, that inhibits signaling of interleukin-4 and interleukin-13, type 2 cytokines that may be important drivers of
Biopsy coding in 2019: 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, December 3, 2018 Test your knowledge: Biopsy coding in 2019 — Part 2 ... Take the quiz to see
A Trumpian analysis of infliximab-induced follicular mucinosis: Something’s going on here
Williams et al presented two cases of biopsy-proven facial follicular mucinosis (FM), apparently induced by infliximab, with a normal tissue CD4/CD8 ratio of 2/1 and the presence of CD7, thereby ruling out CTCL. The first case was a 23 year-old man with Crohn disease; the other patient was a 16
June
Issue ... June January February March April May June View digital flipbook In this issue ... From the Editor ... Dermatology is bustin’ out all over What’s hot ... This month’s news from across the specialty DermWorld Insights and Inquiries ... A potential roadMAP for treating malignant atrophic papulosis Feature
Monthly Archives
Issue ... June January February March April May June View digital flipbook In this issue ... From the Editor ... Dermatology is bustin’ out all over What’s hot ... This month’s news from across the specialty DermWorld Insights and Inquiries ... A potential roadMAP for treating malignant atrophic papulosis Feature
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
CPT 2018: What's new, 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, January 1, 2018 Test your knowledge – CPT 2018: What's new, part 2 ... Take the quiz to see
Boards Fodder: Procedural dermatology
Access PDFs from Board Fodder, which are organized into six categories. This page covers procedural dermatology.
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
Intermediate and complex repairs 2020: 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, November 1, 2019 Intermediate and complex repairs 2020: Part 2 ... Take the quiz to see if you're up
Step 3: Small and large practice reporting options
See the various reporting options for small and large practices for MIPS 2024.
Step 3: Small and large practice reporting options
See the various reporting options for small and large practices for MIPS.
DermWorld
Optimizing financial efficiency: Part 2 Experts offer advice on best practices for documentation and filing claims. ... Tackling TEN/SJS: Part 2 Controversies and management. ... Healthcare consolidation As health entities combine, what is the impact on dermatology? ... Coding Consult Academy coding staff address important coding topics each month. ...
What MIPS deadlines are coming up and when do I have to submit?
Asked and Answered ... September 2, 2019 Mark your calendars with the following MIPS reporting deadlines: Oct. 2, 2019: ... Last day to begin an improvement activity (IA) or participate in promoting interoperability (PI) measures as these require 90 consecutive days of engagement ... Dec. 1, 2019 ... (for EHR
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
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
Working up pernio: How far should you dip your toe in the water?
By David A. Wetter, MD May 6, 2020 Vol. 2, No. 18 Dermatologists are rapidly becoming reacquainted with pernio (chilblains), given the increasing reports of pernio-like acral eruptions (and other dermatologic manifestations) occurring in association with COVID-19. (1, 2) This raises an important clinical question: under normal (non-COVID-19) circumstances, what
Moving the needle: Medicare physician payment
Advocacy News Roundup ... By Victoria Houghton, managing editor, July 1, 2021 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. For several years, physicians have endured a 2% Medicare payment reduction as part of sequestration — a component
April 7, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 7, 2021 ... Applying 2021 E/M coding concepts in everyday practice – Part 2 DermWorld Insights and Inquiries : Keeping an eye on melanoma AAD collaborates with OM1 to enhance
Session handouts and meetings archive
View previous AAD meeting sessions, handouts, poster exhibits, and floor plans.
Stress^2 + Hormones^2 = Acne^2
Learn more about Stress + Hormones = Acne at aad.org
CME & session evaluation archive
Claim CME credit and submit session evaluations for attending previous Academy meetings.
Find drug prices in your area
Use free online resources that help patients find prescription savings.
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.
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.
What is the minimum I need to report to meet the MIPS threshold in 2019?
Asked and Answered ... February 1, 2019 If you or your practice must participate in the Merit-based Incentive Payment System (MIPS) for 2019 and want to simply avoid the ... 7% penalty (penalty applied in 2021), the ... minimum score to avoid the penalty is 30 points — up from
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,
October 28, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 28, 2020 ... Drug may offer prolonged improvement in chronic spontaneous urticaria DermWorld Insights and Inquiries : Looking into the whites of the mouth Why will dermatology experience a 2%
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. ...
What challenges and barriers exist when patch testing children?
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, June 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with JiaDe (Jeff) Yu, MD, about
Treating metastatic melanoma: Understanding a brave new world
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, April 2, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jane Grant-Kels, MD, and Daniel
Support the AAD Teledermatology Program
Learn about supporting the AAD’s philanthropic teledermatology program, designed to deliver dermatologic expertise to underserved populations.
Life insurance 102: Five success factors when using permanent life insurance
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 In
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)
June
Issue ... June January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor What's hot ... What's hot? Cracking the Code ... Components of evaluation and management 2 Acta Eruditorum ... New urticaria guidelines
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
Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... This year, the ADA celebrates its 30th anniversary What's hot ... This month's news from across the specialty Clinical Applications ... What role can
Dermatology practice staff by the numbers
Facts at your Fingertips ... By Emily Margosian, July 2, 2018 Nurses, aestheticians, billers — who’s most likely to be spotted working in the average dermatology practice? Aside from dermatologists, medical assistants and practice administrators are the most widely employed across all practice settings, according the 2017 AAD Practice Profile
How can I get a receipt for payments made to the Academy?
Asked and Answered ... March 1, 2020 For all Academy-related payments — membership dues, past orders, a subscription to ... Dialogues in Dermatology — AAD members can access their receipts as follows: ... 1. Visit ... www.aad.org/members 2. Sign in to your member profile ... 3. Click the "Account" tab
Deeper thoughts about acne keloidalis nuchae
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, February 1, 2026 Vol. 8, No. 2 Wallace Clark taught me the truism that thinking often ceases when a diagnosis is rendered. The clinical diagnosis of acne keloidalis nuchae (AKN) is straightforward. Embarrassingly, I had not given much thought
July 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 27, 2022 ... Facial hyperhidrosis: Botulinum toxin A injection vs. topical glycopyrrolate DermWorld Insights and Inquiries : JAKne is on the horizon Dupilumab for chronic prurigo, chronic idiopathic pruritus Safety
August 20, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 20, 2025 ... Oral vs. topical finasteride: Sexual, neuropsychiatric AEs DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma Are topical
Congress must act to protect patients’ health care access
Statement from Terrence A. Cronin Jr., MD, FAAD, President of the American Academy of Dermatology Association WASHINGTON (Nov. 2, 2023) — CMS finalized cuts to the physician fee schedule for 2024, which will impact the ability of medical practices to cover expenses like equipment, rent, and nursing and office staff
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
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
March 25, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 25, 2020 ... C MS extends 2019 MIPS reporting deadline DW Insights and Inquiries : The profound dermatological manifestations of COVID-19 – Part 2 Young Physician Focus : A legitimate
December
Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor Asked and Answered ... How can I use DataDerm to report for MIPS? What's hot ... What's hot? Cracking the Code
New American Academy of Dermatology survey reveals most Americans say sun protection is more important now than five years ago, yet many misunderstand how to protect themselves
Dermatologists urge the public to protect themselves from the sun to reduce skin cancer risk ahead of Melanoma Monday (May 2) and Skin Cancer Awareness Month ROSEMONT, Ill. (April 26, 2022) — In a recent survey of more than 1,000 U.S. adults, the American Academy of Dermatology found that while
June 30, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 30, 2021 ... Treating atopic dermatitis with cognitive behavioral therapy: Does it work? DermWorld Insights and Inquiries : Deep learning in dermatopathology Sublingual tofacitinib for alopecia areata Biologic psoriasis treatments
January
Issue ... January January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor What's hot ... What's hot? Cracking the Code ... CPT 2018: What's new, part 2 Acta Eruditorum ... Can chimeric antigen
November
Issue ... November January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... So, what's a Kodachrome? What's hot ... This month's news from across the specialty Clinical Applications ... When is pyoderma gangrenosum not pyoderma gangrenosum?
What's hot?
What's hot ... January 2, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Many dermatologists still check baseline labs prior to prescribing oral terbinafine or griseofulvin for adults and children with dermatophyte
Skin in the news
Facts at your Fingertips ... By Emily Margosian, content specialist, April 2, 2018 In 2017, the Academy generated more than 8.8 billion media impressions in print and online — akin to reaching each person in the United States more than 26 times. Nevertheless, the year’s overall total marked a slight
Top drivers of dermatologist happiness
Facts at your Fingertips ... By Emily Margosian, assistant editor, September 2, 2019 What do a solo practitioner and employee at a large health system have in common? The same things make them pretty happy. According to data from the AAD’s 2019 Life in Practice Study, dermatologists across all practice
New Medicare cards
In Practice ... Rachna Chaudhari is the AAD's practice management manager. Her column offers tips in response to common member questions. ... By Rachna Chaudhari, MPH, director of practice management, April 2, 2018 ... The Centers for Medicare and Medicaid Services (CMS) recently announced that it would be changing your
Skin cancer incidence and related deaths projected to rise in 2024
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2024 The latest data from the American Cancer Society (ACS) are in — offering new insights into the impact of skin cancer on public health in the United States. Each year, the ACS estimates the number of new
Life insurance 101: Options and considerations
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 Life
How can I get involved with this year’s Legislative Conference?
Asked and Answered ... July 1, 2024 The 2024 AADA Legislative Conference will take place Sept. 8-10, at the JW Marriot in Washington, D.C. ... Attending the conference is as easy as 1, 2, 3. You can expect: ... Two days of networking and learning from political experts about the
Taking the challenge: Social media, adolescents, and the skin
Learn more about Taking the challenge: Social media, adolescents, and the skin at aad.org
Skin cancer incidence and related deaths projected to increase in 2025
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, May 1, 2025 The latest data from the American Cancer Society (ACS) are in — offering new insights into the impact of skin cancer on public health in the United States. Each year, the ACS estimates the number of new
Should systemic steroids be avoided in atopic dermatitis?
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, July 2, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jonathan I. Silverberg, MD, PhD,
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
How can I get involved with this year’s Legislative Conference?
Asked and Answered ... July 1, 2023 The 2023 AADA Legislative Conference will take place Sept. 10-12, at the Conrad Hotel, in Washington, D.C. ... Attending the conference is as easy as 1, 2, 3. You can expect: ... Two days of networking and learning from political experts about 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
JAAD ranks no. 1 among dermatology journals
The Journal of the American Academy of Dermatology’s impact factor remains #1 in field ROSEMONT, Ill. (July 2, 2024) — The ... Journal of the American Academy of Dermatology remains the top peer-reviewed journal in its field, according to the 2023 journal impact factor rankings recently published by Clarivate’s Journal
American Academy of Dermatology warns that homemade sunscreens are not proven to be effective and may leave users vulnerable to skin cancer
American Academy of Dermatology Secretary-Treasurer Daniel D. Bennett, MD, FAAD ROSEMONT, Ill. (July 2, 2024) — While the American Academy of Dermatology is aware of reports of people using homemade sunscreens, research shows that most homemade sunscreens lack effective sun protection, leaving users vulnerable to sunburn, premature skin aging and
AAD letter to the Wall Street Journal in response to “$500,000 Pay, Predictable Hours: How Dermatology Became the ‘It’ Job in Medicine”
American Academy of Dermatology President Seemal R. Desai, MD, FAAD Letter to the editor originally submitted to the Wall Street Journal ... on Nov. 20, 2024 ROSEMONT, Ill. (Dec. 2, 2024) — On behalf of the American Academy of Dermatology and its 21,000 members, I am writing to express very serious concerns
Obituaries
Obituaries ... By Jerry Graff, MD, September 2, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JOHN L. AELING, MD, of Orlando, Florida, Oct. 26, 2018, at age 82. Trained at National Capital Area Consortium Dermatology Residency Program. ...
Providing consistent quality care requires due diligence.
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, July 2, 2018 Sometimes the news makes me cringe, especially reports about a physician or their non-physician providers making questionable treatment decisions. Even though the stories are usually about
Coding and documentation clarity
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, April 2, 2018 You biopsy a suspected drug eruption and document the following: "Punch biopsy done. Return in 1
Focus on modifier 25
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, September 2, 2019 Test your knowledge: Focus on modifier 25 ... Take the quiz to see if you're up
How should dermatologists manage contact allergies to botanicals?
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, June 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Mark
New evaluation and management (E/M) coding changes are coming in 2021 – Practical applications of the 2021 E/M coding changes
Selecting the E/M level of service ... Part 3 of the "E/M coding changes are coming in 2021" series will focus on the practical application of the changes to dermatology-specific encounters based on ... medical decision making (MDM) or ... time . (Review ... part 1 and ... part 2
MIPS 2025 FAQs
Get answers for frequently asked questions about MIPS. These resources include a MIPS/MACRA glossary, information on participation thresholds and deadlines, how to avoid the penalty, how to earn an incentive, and much more.
MIPS 2026 FAQs
Get answers for frequently asked questions about MIPS. These resources include a MIPS/MACRA glossary, information on participation thresholds and deadlines, how to avoid the penalty, how to earn an incentive, and much more.
AccessDerm: Serving the underserved
In Practice ... Dr. Simpson serves in the Department of Dermatology at University of Pennsylvania. ... By Dean Monti, managing editor, special publications, September 2, 2019 Dermatology World speaks with Cory Simpson, MD, PhD, about why he uses AccessDerm — the Academy's volunteer teledermatology platform — how it works, and
What does it mean when all of a patient's patch tests come back negative?
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 2, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Erin Warshaw, MD, MS, about
Cannabis arteritis: Getting higher on the differential diagnosis list of ulcerative lesions
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, January 1, 2026 Vol. 8, No. 1 Marijuana use is on the rise. In 2022, nearly 22% of people had used the drug in the past year, with steep increases in the number of people 65 and older who
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, July 2, 2018 I love a good disaster movie. Epic, poorly overacted tales of impossibly large hurricanes, tsunamis, tornados (even sharknados), and cataclysmic blizzards amuse me like no other movie genre. Like
Advocacy Update Feb. 4 2025
The AADA is pleased that physician champions in the U.S. House introduced a bipartisan bill to address the 2025 Medicare Physician Fee Schedule cut.
The evolution of practice settings
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, April 2, 2018 In my ... introductory column as your Academy President, I addressed the many changes facing dermatology and medicine. Over time we have found ourselves adapting to
2021 is finally here
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, January 1, 2021 While 2020 started off innocently enough, the cancellation of the Annual Meeting, shocking as it seemed at the time, was perhaps the first hint that this was not to
The times they are a-changin'
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, September 2, 2019 Who knew more than 50 years ago, that this iconic Bob Dylan song could apply to health care? The U.S. health care system has weathered
Shining a light on the Sunshine Act
Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., July 2, 2018 The "Sunshine Act" as it has come to be known (stemming from Sen. Charles Grassley’s position that sunshine is the best disinfectant)
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, Physician Editor, September 2, 2019 Last month, we introduced you to digital marketing. Many of our younger members already use their websites and social media platforms to successfully manage and highlight their
Optimizing prior authorization documentation
Answers in Practice ... By Swapna Bhatia, MPH, December 1, 2020 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Swapna Bhatia, MPH, the Academy’s health technology and informatics manager, explains prior authorization optimization. Do you know everything that prior authorizations entail? Have prior authorization requirements increased
What to expect for MIPS 2024
Answers in Practice ... By Olivia Barry, Manager, Practice Management, April 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains what to expect for MIPS 2024. On Nov. 2, 2023, CMS released the final Quality Payment Program (QPP) Rule which includes
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
Diabetes and your skin
Dermatologist explains how diabetes affects the skin and the importance of proper skin care ROSEMONT, Ill. (November 2, 2022) — Your skin is a window to your overall health, and what happens on your skin is often an indicator of what’s happening inside your body. Skin, hair, and nail conditions
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, April 2, 2018 I hope you enjoyed the AAD Annual Meeting in San Diego. I certainly did. I came home yet again feeling renewed, returning to the clinic armed with new knowledge
Melanoma controversies
Screening, biopsy practices questioned as incidence rate increases ... Feature ... By Jan Bowers, contributing writer, September 1, 2021 At first glance, dermatologists would seem to be wildly successful in their decades-long effort to detect and remove cutaneous melanoma lesions before they can metastasize and become deadly. According to the
Is your dermatology practice's website ADA compliant?
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Christina L. Krysinski, JD, and Robert M. Portman, JD, September 2, 2019 The Americans with Disabilities Act of 1990 (ADA) is a comprehensive federal civil rights
Trialing it out
In Practice ... Craig Leonardi, MD, from Central Dermatology in St. Louis, specializes in treatment of moderate to severe psoriasis and other dermatologic diseases. He is also an adjunct professor of dermatology at St. Louis University Medical School. ... By Victoria Houghton, assistant managing editor, July 2, 2018 Dermatology World
Smoke and the skin
Experts discuss the cutaneous impact of occupational and natural exposure to smoke. ... Feature ... By Emily Margosian, Senior Editor, June 1, 2025 From wildfires to cigarettes, smoke drifts through every corner of life. ... Nearly 90% of the world’s population lives with unhealthy air caused by smoke, according to
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
Read the June 17, 2020 DermWorld Insights and Inquiries on capillary malformation.
2024 MIPS update
What dermatologists need to know about this year’s MIPS reporting. ... Feature ... By Allison Evans, Assistant Managing Editor, May 1, 2024 "If you provide Medicare services, MIPS is a must when it comes to your reimbursement," said Florida dermatologist Shawna Flanagan, MD, FAAD, member of the Academy’s Practice Management
Glucose monitors: Not as sweet as they seem
Learn more about Glucose monitors: Not as sweet as they seem at aad.org
Volunteer duty, chapter 2
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, June 1, 2021 Volunteer, n...person who performs/gives his/her services of own free will; v...to give/offer to give on one’s own initiative. I highlighted the main AAD volunteering opportunities in
Optimizing financial efficiency: Part 2
Experts offer advice on best practices for documentation and filing claims. ... Feature ... By Megan Bennett, Staff Writer, June 1, 2026 Proper documentation of a patient’s care during and after an appointment can make or break the chances of timely and appropriate reimbursement. ... "Overall, the issue isn’t just
Advocacy Update June 2, 2026
The House Ways and Means Committee unanimously passed H.R. 8163, the Provider Reimbursement Stability Act, which would reform budget neutrality policy in Medicare physician payment.
Advocacy Update May 5, 2026
In response to advocacy by the AADA and other specialty societies, UnitedHealth Care will delay any adverse payment decisions related to Medicare Advantage referral requirements starting on May 1.
Advocacy Update Dec 9, 2025
The AADA endorsed a House bill that would include an annual inflationary update to the Medicare physician fee schedule, the Academy’s top federal advocacy priority.
Key messages to communicate about Indoor tanning
By communicating these key messages on indoor tanning, you can help position the specialty while increasing your credibility and raising the profile of your practice.
Directions in Residency archive
Access the Directions in Residency archive. Directions in Residency is published each quarter. This archive includes issues going back to 2016. Users can download PDF versions of Directions in Residency.
Biotin supplementation for hair and nail health: Does it pass the test?
Read the November 17, 2021 DermWorld Insights and Inquiries on biotin supplementation for hair and nail health.
Advocacy Update Feb. 18 2025
The AADA joined over 130 national and state physician organizations led by the AMA demanding Congress act to reform Medicare physician payment.
Advocacy Update Mar. 18, 2025
The AADA is outraged that Congress once again passed a government funding bill that did not include relief to stop this year’s 2.8% Medicare physician payment cut.
Leaders in medicine – Part 2
DermWorld talks to dermatologists in leadership roles in the house of medicine. ... Feature ... By Matthew Walsh, Member Communications Specialist, June 1, 2023 This is the second part of a series of interviews in which ... DermWorld spoke with nine board-certified dermatologists who serve or have served in important
COVID-19 impact on employed dermatologists: Part 2
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, October 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking."
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
Read the Aug. 17, 2022 DermWorld Insights and Inquiries on cutaneous lupus erythematosus and interferon.
Tackling Stevens-Johnson syndrome/toxic epidermal necrolysis: Part 2
Controversies and management ... Feature ... By Emily Margosian, Senior Editor, June 1, 2026 How would you treat a confirmed case of Stevens-Johnson Syndrome (SJS)/toxic epidermal necrolysis (TEN)? ... Corticosteroids ... Cyclosporine ... Intravenous immunoglobulin (IVIG) ... A tumor necrosis factor (TNF) inhibitor ... A combination of the above ...
Step 2: Learn the MIPS categories
Determining what you have to report depends on the MIPS categories and their various requirements. These tools and resources will help you learn more about the MIPS categories ahead of the next step, which gives guidance on how to meet the requirements.
Dermatology coding essentials part 2: Reporting dermatology procedures and services
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding & Reimbursement, June 1, 2026 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . Current Procedural Terminology (CPT ... ® ...
After 23 years, a syndrome converted me into an eflornithine believer
Polyamines are integrally involved with the hair cycle. The Bachmann-Bupp syndrome has shed new light on the role of ornithine decarboxylase, and how it’s inhibition by eflornithine can be used as an advantage to either slow or stimulate hair growth.
The nexus of VEXAS syndrome
Read the December 1, 2021 DermWorld Insights and Inquiries on VEXAS syndrome.
One size does not fit all
Dermatologists discuss considerations and complexities in caring for older adults with skin cancer. ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2024 In the same way that children cannot be treated as little adults, older adults (65+ years old) cannot be treated the same as younger adults.
Impact Report — Vol 5, Issue 2
In a time of shifting health care policy, workforce challenges, and evolving public expectations, your Academy’s commitment to protecting and advancing our specialty has never been more critical. This issue of the AAD/A Impact Report highlights the measurable impact of these efforts and the collective strength we’ve built together.
Impact Report — Vol 4, Issue 2
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Impact Report — Vol 3, Issue 2
The AAD/A Impact Report isn’t just a chronicle of Academy wins for our members (although it is that, too), it’s an ongoing confirmation that we are listening to you, responding to your needs, and giving you the tools you require to grow in your profession.
Impact Report — Vol 3, Issue 2
The AAD/A Impact Report isn’t just a chronicle of Academy wins for our members (although it is that, too), it’s an ongoing confirmation that we are listening to you, responding to your needs, and giving you the tools you require to grow in your profession.
Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma
Eccrine mucin-producing sweat gland carcinomas are low-grade malignancies that rarely metastasize. They are characterized by mucin and neuroendocrine markers. Immunostaining for insulinoma-associated protein 1 helps to secure the diagnosis.
Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease
FcRn antagonists, currently approved for treating myasthenia gravis, show potential for treating pemphigus and other autoimmune diseases.
Applying the 2021 E/M coding concepts in everyday practice – Part 2
The introduction of the revised 2021 evaluation and management (E/M) coding guidelines has generated a plethora of questions from dermatologists in the application of the concepts used in the medical-decision making table (MDM). To help members navigate the E/M changes in a simplified and relatable manner in everyday practice, the
Evaluation and management (E/M) coding changes are coming in 2021 – Part 2
This article, the second in a series, focuses on key changes for each of the E/M service codes and related code descriptors. Understanding these changes is essential to selecting the correct level of E/M service.
Information freeway
Accessibility and technology drive changes to clinical publication model. ... Feature ... By Andrea Niermeier, Contributing Writer, June 1, 2024 These days, discovery in medicine is a freeway of innovation, an autobahn in the science world where the pace is only limited by the speed of minds — and perhaps
An appetite for healthy skin
Can diet affect dermatologic health? Experts weigh in on the evidence. ... Feature ... By Emily Margosian, assistant editor, November 1, 2020 You are what you eat — more than just a mantra, the phrase encapsulates a growing public desire for food-based solutions to targeted health outcomes. However, mixed media
PDF of Boards Fodder for Surgical complications Part 2: Long-term complications of cutaneous surgery
Keeping up is hard to do: The need for true grit
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, I am a dermatologist, not a psychologist, nor
Does the JAK inhibitor baricitinib raise the bar on treating lupus?
Undeniably, the JAK inhibitors have been at the forefront of advances in immunologically-based diseases, including alopecia areata, vitiligo, psoriasis, rheumatoid arthritis, atopic dermatitis, graft-versus-host disease, and other disorders.
The congenital perineal groove: Defective recognition of a dermal defect
It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features.
Digital media kit: DermWorld editorial calendar
View the editorial calendar for the American Academy of Dermatology's print publication, DermWorld.
Digital media kit: DermWorld rate card
View advertising rates and specifications for the American Academy of Dermatology's print publication, DermWorld.
Modifier madness
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, April 1, 2019 Test your knowledge: Modifier madness ... Take the quiz to see if you're up to date.
Intralesional triamcinolone for hidradenitis suppurativa and thoughts on confirmation bias
Anyone who has treated the scourge of hidradenitis suppurativa (HS) has probably injected inflamed nodules and cysts with triamcinolone (TAC) successfully, resulting in very grateful patients.
Amount and/or complexity of data to be reviewed and analyzed
Learn about data as one of the three considerations in selecting the correct E/M code.
Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?
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 diagnosis.
An acne vaccine to make patients happy CAMPers?
When walking back to my office after receiving my flu shot, I thought about how wonderful it be to have a preventive therapy for common dermatologic disorders such as acne. That may not be so far-fetched.
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Access reporting information on measure 509: Melanoma: Tracking and Evaluation of Recurrence. Review the maximum points available, the measure type, measure specifications, and much more.
Melanoma: Tracking and Evaluation of Recurrence — Measure 509
Access reporting information on measure 509: Melanoma: Tracking and Evaluation of Recurrence. Review the maximum points available, the measure type, measure specifications, and much more.
CMS creates permanent drug code for treating molluscum contagiosum
CMS has created a permanent drug code, J7354, for cantharidin, a drug used to treat molluscum contagiosum in adult and pediatric patients two years and older. The new J-code became effective on April 1, 2024.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Access reporting information on measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226
Access reporting information on measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
February 6
Learn more about February 6 at aad.org
New melanoma cases projected to increase in 2026
Facts at your Fingertips ... By Megan Bennett, Staff Writer, June 1, 2026 New American Cancer Society (ACS) data predicts a growing rate of melanoma incidence and a slight increase in deaths in the United States this year. ... According to the report, skin cancer is the most commonly diagnosed
The profound dermatological manifestations of COVID-19 Part VI: Going to the dogs
Read the July 29, 2020 DermWorld Insights and Inquiries on the COVID-19 pandemic.
Rounds on pityriasis rotunda
Pityriasis rotunda is a striking dermatosis with many reported associations, most notably as a paraneoplastic process in some cases.
Red alert: Avoid brimonidine and oxymetazoline as hemostatic agents
As a youth, I recall that “rosy cheeks” were a sign of good health and would watch amusingly as my late aunt Hilda would excuse herself to put on her rouge. No more. In 2017, it’s time to get the red out, whether masked by green-tinted makeup, treated by intense
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Access reporting information on measure 503: Gains in Patient Activation Measure (PAM) Scores at 12 Months. Review the maximum points available, the measure type, measure specifications, and much more.
Make no bones about it: Primary cutaneous ewing sarcoma is for real
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.
Short duration cyclosporine may undress DRESS
DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) is a severe drug-induced hypersensitivity syndrome (DIHS) that may affect adults and children.
Tarrying for tapinarof
Read the January 12, 2022 DermWorld Insights and Inquiries on tapinarof.
Low dose isotretinoin for recalcitrant rosacea: I pledge to use it sporadically
While rosacea can usually be reasonably managed with a combination of topical agents (metronidazole, azelaic acid, ivermectin, sulfacetamide, brimonidine), oral antibiotics (the tetracycline family), vascular lasers, intense pulsed light and surgery (for phymatous disease), some cases are recalcitrant to standard therapy.
A novel sebum inhibitor for acne vulgaris: A slick maneuver
What a pleasure it is to think about a novel treatment for acne! Honestly, have you gotten excited learning that the “same old, same old” is now available in a cloth or foam?
DermCatalyst: Accelerating Access and Innovation in Dermatology
DermCatalyst is a collaborative, solutions-oriented workshop that convenes leaders from across the dermatology ecosystem – including academic medicine, private practice, training, and organized medicine – to advance practical approaches to access, workforce development, and innovation in dermatologic care.
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
Read the January 27, 2021 DermWorld Insights and Inquiries on tirbanibulin for actinic keratosis therapy.
Glomus tumors point a finger at neurofibromatosis
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 should raise suspicion for neurofibromatosis type I” (1).
2018: Merit-based Incentive Payment System (MIPS)
Learn about important updates to the Merit-based Incentive Payment System (MIPS) that occurred in 2018. This information may be useful to dermatologists who wish to understand their payment year results in 2020. It may also be useful to those who wish to better understand how the MIPS program has evolved
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Access reporting information on measure 503: Gains in Patient Activation Measure (PAM) Scores at 12 Months. Review the maximum points available, the measure type, measure specifications, and much more.
Topical amelioration of neuropathic pain and pruritus leading to painful consequences
Increasingly, compounded amitriptyline and ketamine have been utilized for the management of neuropathic pain and pruritus. A review of PubMed reveals its utility in erythomelalgia and diverse neuropathic disorders (peripheral neuropathy, radiation-induced neuropathy, chemotherapy-induced neuropathy, post-herpetic neuralgia, proctodynia, and pain associated with hidradenitis suppurativa).
Key messages in social media about eczema
By communicating these key messages on eczema, you can help position the specialty while increasing your credibility and raising the profile of your practice. Review key messages about contact dermatitis and atopic dermatitis.
Predicting malignancies in Sweet syndrome has become sweeter
For a disease that was described more than half a century ago, I find it humbling that controversy still swirls around Sweet syndrome (SS), especially for malignancy-associated cases.
Use of High-Risk Medications in Older Adults — Measure 238
Access reporting information on measure 238: Use of High-Risk Medications in Older Adults. Review the maximum points available, the measure type, measure specifications, and much more.
Naltrexone therapy for Hailey-Hailey disease: Confirming my addiction to evidence-based medicine
I was fascinated by a presentation at the recent World Congress of Pediatric Dermatology discussing improvement of epidermolysis bullosa wounds with topical CBD (cannabis) oil. I asked the presenter how he came up with his hypothesis. He acknowledged that the idea was not his – it came from EB families
Say it ain’t so: Dark chocolate exacerbates acne!
Diet and acne has always been controversial. When I was a child I heard that pizza and chocolate could lead to break-outs; over time that was relegated to be a myth (thank goodness).
Public Health and Clinical Data Exchange objective bonus measures
Access this page to learn more about the optional bonus measures for the Public Health and Clinical Data Exchange objective, a part of the MIPS Promoting Interoperability (PI) category. There is also a separate page that covers the required measures under this objective.
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab
Anifrolumab, a monoclonal antibody that blocks type 1 interferon signaling, has been increasingly reported as an effective treatment in patients with recalcitrant chronic cutaneous lupus erythematosus.
Raising a toast to advances in treating alcohol-induced flushing
Read the November 11, 2020 DermWorld Insights and Inquiries on advances in treating alcohol-induced flushing
Men in the Twilight Zoon
Read the February 19, 2020 DermWorld Insight and Inquiries on treating Zoon balanitis.
Here comes the sun: The role of polypodium leucotomos extract
It’s the time of year when patients ask “What sunscreen should I use?” After recommending broad-spectrum sunscreens that are water-resistant to 80 minutes, I try to steer the conversation analogizing sun protection to driving.
Tofacitinib for adolescent alopecia areata: Balancing the risk-benefit ratio
There has been acute interest in utilizing Janus kinase (JAK) inhibitors for alopecia areata (AA). Does the media’s fervor touting tofactinib’s success translate into a rational decision to prescribe it for young patients?
Getting within a hair’s breadth of understanding prurigo pigmentosa
Prurigo pigmentosa (PP) is an uncommon dermatosis consisting of a network of erythematous, pruritic papules evolving into reticulated hyperpigmentation with a specific predilection for the trunk. It seen mostly in young adults, mostly in women.
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
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 medical cannabis. (1)
Desquamative gingivitis: Sinking your teeth in miagnosis and management
Patients presenting with desquamative gingivitis (DG) are typically some of the most frustrated, aggravated patients I encounter. Frequently, they have not been adequately evaluated, are in pain, and are desperate for help.
Can oral ivermectin cure pediatric periorificial dermatitis? It mite!
Ask any child when how long it is until their next birthday and they can usually give you a precise answer. If I’m treating a child with periorificial dermatitis (POD, also granulomatous POD or perioral dermatitis), I can’t wait until they turn 8, so I can prescribe doxycycline.
Mucho de Mucha-Habermann
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 they would mesh in our division.
A sweeter approach to treating scleroderma?
We’re like licorice. Not everybody likes licorice, but the people who like licorice really like licorice – Jerry Garcia. Patients with scleroderma may learn to love licorice.
Spot on! Lentigines in resolved psoriatic plaques
Having treated psoriatic patients throughout my career, there have been innumerable occasions where patients were concerned about pigmentary changes following successful treatment of the plaques. I have usually reassured them that these are postinflammatory pigmentary alterations that should abate with time. Recently, however, there have been a spate of articles
You like tomato, I like tomahto, you soak with steroids, I use them dry…
I have been a firm believer in the “Soak and Smear” approach to treating recalcitrant dermatoses, including atopic dermatitis, as detailed by Gutman et al, more than a decade ago.
Psoriasiform eruptions during Kawasaki disease (KD): A prognosis that lets the good times roll
Psoriasiform skin changes have been rarely described in the literature in both acute (1-4 weeks) and convalescent phases (4-12 weeks) of KD.
What is the Academy’s preferred vendor program?
Asked and Answered ... June 1, 2026 Made possible through partnerships with some of the most prestigious and well-respected companies in their respective industries, the AAD is pleased to bring you this carefully crafted collection of programs and services that have been specially negotiated with our members in mind. ...
Increasing evidence for the use of topical timolol for pyogenic granulomas
There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion.
The alphabetization of lymphomatoid papulosis: Focus on “F”
The 50th anniversary of Warren Macaulay’s seminal description of lymphomatoid papulosis (LyP) is approaching.
Eye-opening news about oxymetazoline
Read the April 27, 2022 DermWorld Insights and Inquiries on eye-opening news about oxymetazoline.
Eruptive pseudoangiomatosis is real
Read the May 4, 2022 DermWorld Insights and Inquiries on eruptive pseudoangiomatosis.
The appeal of molecular medicine for the peeling skin syndrome
This may not be the most appropriate dermatologic admission, but as a child, I really enjoyed peeling away my post-sunburn desquamation. What joy ensued when it came off with glistening new skin underneath! Of course, I’m from the “now we know better” generation – this should never happen in 2018
Collodion babies and endocrine disorders: Another concern
Collodion baby (CB) describes an infant who is born with a cellophane-like, or parchment-like “membrane” resembling collodion. CB is not a specific diagnosis, but rather a phenotype seen in several forms of ichthyosis.
Old stains leaving new marks in dermatology
Dermatologists are often confronted by patients who simply cannot afford prescription medications. Repurposed, inexpensive drugs for new indications are satisfying both medically and economically. The “rediscovery” of gentian violet is such an agent.
Understanding the risk of Wilms Tumor in hemihypertrophy: Are we halfway there?
Wilms tumor (WT, nephroblastoma) is the most common pediatric renal cancer, characteristically found in children younger than 5 years old. When should dermatologists be concerned?
The medical word to watch in 2018: Dysbiosis
With increasing rapidity, new words enter the dermatological lexicon, reflecting concepts that change our perceptions of disease and treatment. Recent examples include “comorbidities”, “programmed cell death inhibition” and “teledermatology”. The word to watch in 2018 is “dysbiosis”.
August 27, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 27, 2025 ... A tool to assess patients at high-risk for cutaneous squamous cell carcinoma DermWorld Insights and Inquiries : Chanarin-Dorfman syndrome — Shifting out of neutral Carbon dioxide laser
The aryl hydrocarbon receptor: Tapinarof is taking off
The aryl hydrocarbon receptor plays a key role in inflammation. Understanding its pathophysiology has led to new therapeutic agents such as tapinarof, which is approved for psoriasis and atopic dermatitis, and used off-label in lupus, vitiligo, ichthyotic diseases, and perioral dermatitis.
Breaking through
Go to AAD Home ... Go to AAD Home ... Menu ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... By Allison Evans, assistant managing editor
Oral tranexamic acid to treat melasma: Are you bloody kidding me?
Tranexamic acid (TA) is a synthetic derivative of lysine utilized as an antifibrinolytic agent to prevent bleeding (for dental surgery in patients with hemophilia, post-cardiac bypass surgery patients, or in women with menorrhagia) and as a treatment option for hereditary angioedema.
Differentiating lichen planopilaris from chronic cutaneous lupus may be as easy as 1,2,3 (actually CD123)
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 alteration of the follicular epithelium. I signed the
Diminishing diagnostic cognitive bias: Anchors away
All dermatologists are subject to cognitive biases that could result in diagnostic and therapeutic errors. Embrace metacognition (self-analysis) as a pathway to determine how to be a more effective clinician.
A revelation: Drug-induced pseudoglucagonoma syndrome
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).
The pachydermoperiostosis prostaglandin paradigm
Learn more about The pachydermoperiostosis prostaglandin paradigm at aad.org
Monitoring infantile hemangiomas: What’s the score?
Read the August 11, 2021 DermWorld Insights and Inquiries on monitoring infantile hemangiomas.
Leishmania episode 1a: attack of the clones
Read the February 10, 2021 DermWorld Insights and Inquiries on Leishmania.
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD 17
Access reporting information for QCDR measure AAD 17: Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures. Review the maximum points available, the measure type, measure specifications, and much more.
Yeast rising: Predicting the efficacy of candida antigen immunotherapy for warts
Perhaps I’m paranoid, but I always think that warts are laughing at me, or at least at whatever I throw at them — cryosurgery, curettage, electrosurgery, laser, salicylic acid, cantharadin, squaric acid dibutyl ester, 5 fluorouracil, imiquimod, podophylloltoxin, sinecatechins, or cidofovir. I think the wart has a grand time scheduling
Olmsted syndrome patients can finally put their foot down
Read the January 20, 2021 DermWorld Insights and Inquiries on Olmsted syndrome.
Pineapple and cicatricial pemphigoid: A need to dole out more studies
The benefits of pineapples have been touted in folk medicine for years. Increasing knowledge of its active ingredient bromelain has lead to a therapeutic pineapple renaissance.
The brave new world of melanoma gene expression markers
Epidermolysis bullosa nevi (EBN) are clinically alarming lesions that may display “pseudomelanoma” features histologically. Changes within these lesions may be disconcerting, necessitating repeated biopsies. Any advances to predict biologic behavior would be welcome.
Interfering with interferon Gamma: The mechanisms behind acquired resistance to PD-1 inhibitors for melanoma
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 with the combination of anti-PD-1 and anti-CTLA-4 antibodies.
An incisive approach to chronic paronychia: The square flap technique
I cannot begin to guess how many patients I have seen with chronic paronychia (CP) since I started my residency 36 years ago. I know precisely how many patients I have referred for surgical correction of CP – zero! The reason for that is that I never thought about this
BASCULE syndrome: Is something brewing with Bier spots?
Read the Sept. 7, 2022 DermWorld Insights and Inquiries on BASCULE syndrome.
AESOP: The ants and the grasshopper
Dermatologists should consider the diagnosis of AESOP (Adenopathy and Extensive Skin patch Overlying a Plasmactyoma) presented as predominantly truncal erythematous patches or sclerodermoid plaques. A significant number of cases are associated with polyneuropathy and/or POEMS syndrome.
Perianal dermatologic exams are looking up
Every dermatologist confronts how to ask a person to disrobe for a full body skin examination. Ultimately, I came up with the following line when asked what should be exposed: “The more of you I see, the better off you are – please get undressed to your level of comfort”.
Covfefe and the art of the diagnostic deal
I don’t know what’s more frightening — making diagnoses on autopilot or being genuinely stumped and having to think like a first-year resident.
Of every possible solution for elastosis perforans serpiginosa, fractional carbon dioxide laser may be the best
My initial attraction to dermatology, which still offers great appeal, is the challenge and joy of differential diagnosis and clinical-pathologic correlation. I learned quickly, however, that patients don’t want to be interesting – they want a specific diagnosis for one reason only – to get the right treatment, preferably curative.
Treating psoriatic patients with associated inflammatory bowel disease: A personal bias
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.
Of strife and SDRIFE
A conceivable Yelp review: I was so uncomfortable with a nasty rash on my butt, armpits and groin – I called a dermatologist who was recommended to me by my mother-in-law. I was so upset with that doctor – I waited for an hour and a half! When he finally
Red genitals: New roads to recovery
I searched PubMed for Quality of Life (QoL) studies on the Red Scrotum Syndrome (RSS) and Red Vulva Syndrome (RVS); I found no such manuscripts. On a practical level, none are needed – every person I have encountered with either condition has been in misery due to any combination of
December 22, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 22, 2021 ... Can COVID-19 be transmitted through the skin? DermWorld Insights and Inquiries : Holiday greeting 2021 Derm Coding Consult : Anthem updates virtual visit policies No Surprises Act
Sézary syndrome and Shakespeare: What’s in a name?
O Sézary, Sézary! Wherefore art thou Sézary? Deny thy erythema and refuse thy name Or, if thou wilt not, but sworn by biome, And you’ll no longer be a syndrome. Dermatologists have contended with entities such as zoster sine herpete and aleukemic leukemia cutis, but now reports of Sézary syndrome (SS) without erythroderma challenge
April 16, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 16, 2025 ... Is isotretinoin linked to psychiatric events for acne patients? DermWorld Insights and Inquiries : The not-so-full body skin examination What every dermatologist should know about measles Is
Reduce Drug Code Denials Related to Incomplete Claims Data
Learn how to reduce drug code denials related to incomplete claims data.
Will PD-1 inhibitors be msed for Mastocytosis?
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.
Aluminum can cause allergic contact dermatitis: Allergen of the Year 2022
Read the June 15, 2022 DermWorld Insights and Inquiries on aluminum as Allergen of the Year 2022.
Biopsy coding in 2019: Part 3
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, January 1, 2019 Test your knowledge: Biopsy coding in 2019 — Part 3 ... Take the quiz to see
MUE, MAI, and you
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, June 3, 2019 Test your knowledge: MUE, MAI, and you ... Take the quiz to see if you're up
The pressure to prevent pressure ulcers
Read the Aug. 24, 2022 DermWorld Insights and Inquiries on the pressure to prevent pressure ulcers.
Taking woolly hair to heart
Read the October 27, 2021 DermWorld Insights and Inquiries on woolly hair.
Professionalism and Ethics
The AAD’s Professionalism and Ethics Committee has proposed a five-part voluntary statement, now ratified by the AAD Board of Directors. The statement sets the basic framework for an ethical practice; it is not designed to set unattainable or unrealistic standards. As such, it is hoped that AAD members will strive
Mogamulizumab for CTCL: Targeted therapy and immunotherapy crossing paths
Read the August 12, 2020 DermWorld Insights and Inquiries on mogamulizumab for CTCL.
Homing in on hornerin: Breaking down the barrier to understand its crucial role in atopic dermatitis
Maintaining the skin barrier is crucial in managing patients with atopic dermatitis. The pathomechanism(s) of barrier impairment is complex and integrally associated with immune dysregulation. Research on newly discovered proteins in the stratum corneum, such as hornerin, may lead to novel therapeutic interventions.
Order from chaos: Conceptualizing atypical fibroxanthomas, pleomorphic dermal sarcomas, and undifferentiated pleomorphic dermal sarcomas
Learn more about Order from chaos: Conceptualizing atypical fibroxanthomas, pleomorphic dermal sarcomas, and undifferentiated pleomorphic dermal sarcomas at aad.org
Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”
When considering paraneoplastic dermatoses, several disorders come to mind, such as erythema gyratum repens, dermatomyositis, acanthosis nigricans, among others. Sarcoidosis does not. Should it?
Teprotumumab: An eye-opening advance for pretibial myxedema?
Having just completed the chapter on the treatment of pretibial myxedema (PTM, also known as thyroid dermopathy) for the upcoming 5th edition of Treatment of Skin Disease (which I edit with my esteemed colleagues Mark Lebwohl, John Berth-Jones, and Ian Coulson), I am amazed at how little progress there has
PDT for erosive pustular dermatitis of the scalp: Seeing the light (but reaching a different conclusion)
Erosive Pustular Dermatitis of the Scalp (EPDS) is a relative common condition, typically seen on the actinically damaged scalps of the elderly men. Lesions characteristically present as hyperkeratotic, crusted erosions with varying degrees of pustulation. Lesions may become secondarily infected.
Paraneoplastic syndromes (PNS) associated with merkel cell carcinoma are analogous to small cell cung Cancer: A comparison to other lung cancers
Merkel cell carcinomas (MCC) are neuroendocrine tumors associated with the Merkel cell carcinoma polyomavirus in greater than 80% of tumors (1). Small cell lung cancer, another neuroendocrine tumor, is associated with paraneoplastic syndromes (PNS) in up to 20% of cases, notably the syndrome of inappropriate antidiuretic hormone (SIADH) and Lambert-Eaton
Become a Corporate Partner of the AAD
The Academy’s partnership and membership programs offer numerous opportunities to enhance your company’s visibility with AAD leaders and members, patients and the public, and the specialty.
Public Health and Clinical Data Exchange objective required measures
Access this page to learn more about the required measures for the Public Health and Clinical Data Exchange objective, a part of the MIPS Promoting Interoperability (PI) category . There is also a separate page that covers the optional bonus measures available under this objective.
Public Health and Clinical Data Exchange objective required measures
Access this page to learn more about the required measures for the Public Health and Clinical Data Exchange objective, a part of the MIPS Promoting Interoperability (PI) category . There is also a separate page that covers the optional bonus measures available under this objective.
Digital media kit: DermWorld classified rates
DermWorld is published monthly by the American Academy of Dermatology to a circulation of more than 16,000 U.S. AAD member dermatologists, which includes all dermatology residents.
Giving a NOD2 to Yao syndrome
There are several autoinflammatory disorders that may present in adults. The number of cases of Yao syndrome due to mutations in NOD2 has been increasing. It should be in the differential diagnosis of patients manifesting recurrent fever, rashes, musculoskeletal, gastrointestinal, and sicca-like symptoms.
Advances in pruritus therapeutics: It’s Greek to us
Recent studies on the oral kappa-opioid receptor difelikefalin demonstrate benefit in treating pruritus in several dermatoses such as atopic dermatitis, notalgia paresthetica, and chronic kidney disease.
Teatime for radiation dermatitis (and beyond)
Epigallocatechin-3-gallate, derived from green tea, has many properties with the potential for multiple uses in dermatology when used topically. It may prove especially useful for patients with radiation-induced dermatitis.
Choosing wisely: Recommendations about treatments, tests, and procedures
Learn more about 10 evidence-based recommendations that can support conversations between patients and dermatologists about treatments, tests, and procedures that may not be needed.
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Congenital juvenile xanthogranulomas usually appear early in life, although they may occur in adults.
Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?
Learn more about Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo? at aad.org
Can topical ketoconazole tip the scales for acne vulgaris?
Read the October 21, 2020 DermWorld Insights and Inquiries on topical ketoconazole and acne vulgaris.
A potentially effective itsy-bitsy therapy for spider angiomas: Topical timolol
Spider angiomas are common lesions that may be secondary to underlying conditions, notably pregnancy or chronic liver disease. Although destructive modalities such as lasers are highly effective, topical timolol may be a valuable option for those who prefer a nonsurgical approach to therapy.
One less headache to worry about: Using Isotretinoin in patients with a history of pseudotumor cerebri
I have been prescribing isotretinoin since it was first introduced over thirty years ago, having encountered just a few patients with truly suspect pseudotumor cerebri (PTC).
Spironolactone: An increasingly recognized hero in acne therapy
Read the July 1, 2020 DermWorld Insights and Inquiries on spironolactone.
The vexing verruciform xanthoma
Read the February 24, 2022 DermWorld Insights and Inquiries on verruciform xanthoma.
Focusing attention on X-linked ichthyosis
This commentary focuses on some new literature about XLI that demands our attention.
The rosy reality of coffee
I have never discouraged caffeine in rosacea patients, because of a brilliant study by Jonathan Wilkin that I read early in my residency.
APACHE no more
This commentary is about being DC (Dermatologically Correct), not PC (Politically Correct as in the Washington Redskins controversy). The time to retire the acronym APACHE (Acral Pseudolymphomatous Angiokeratoma of Children) is overdue.
Angiosarcomas and morbid obesity: An enormous problem
More than a third of US adults are obese (body mass index, BMI greater than 30), per the CDC website. Patients with severe obesity (BMI greater than 40) or morbid obesity (BMI greater than 50) have far more serious health consequences than those who are moderately obese.
Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying
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.
Topical minocycline for acne: A good Idea?
Concerns about the safety of minocycline have been increasing over the past two decades, with rare, serious adverse immunologic reactions including DRESS syndrome, pneumonitis, nephritis, autoimmune hepatitis, and a lupus-like syndrome.
Boards Fodder: Drugs and drug reactions
Access PDFs from Board Fodder, which are organized into six categories. This page covers drugs and drug reactions.
Long COVID has a lot of nerve
COVID-19 is associated with multiple neurological complications. Dermatologists may encounter patients experiencing paresthesias due to a small fiber neuropathy affecting A-delta and C dermal neuronal fibers.
Epidermolysis bullosa: The need for novel topical care
The advances in epidermolysis bullosa (EB) have been spellbinding.
Scarred by dogma: Revising recommendations for surgery and isotretinoin use
I have had the privilege of prescribing isotretinoin since its release in 1982. Is there any other dermatologic medication that has benefited our patients so greatly?
The challenge of identifying identical twins: Advances in differentiating lupus erythematosus panniculitis from subcutaneous panniculitis-like T-cell lymphoma
Did you ever have trouble telling identical twins apart? Most parents can do so by differentiating minor features that others might overlook, such as the way one laughs, wrinkles their nose, or exhibits a subtle smile. Such is the story of differentiating some cases of lupus erythematosus panniculitis (LEP, lupus
Pityriasis rubra pilaris: Check a TSH!
There are myriad ways to mine the data from the review of 100 cases of PRP by Ross et al, however, one key finding will change the way I will assess these patients – 20% were hypothyroid! (1)
A trend I cannot endorse
A patient with a morbilliform eruption was assessed at our clinic. My resident evaluated him first before presenting the case to me.
COVID-19 can nail you in so many ways
Read the July 13, 2022 DermWorld Insights and Inquiries on COVID-19 and nails.
Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is
Early recognition and treatment of the Cronkhite-Canada syndrome may significantly improve the prognosis of this potentially lethal disease.
The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma
Patients with cutaneous T-cell lymphoma are at risk for Staphylococcal skin infection and sepsis. Staphylococcus aureus colonization and infection may also fuel CTCL progression. Judicious use of antibiotics and preventive measures are essential in treating these patients. Current research may yield novel non-antibiotic management strategies.
Fooled again: Misdiagnosing cutaneous follicle center lymphoma
Learn more about Fooled again: Misdiagnosing cutaneous follicle center lymphoma at aad.org
Propranolol for infantile hemangiomas: Start to finish
Propranolol is first-line therapy for patients with infantile hemangiomas that warrant therapeutic intervention. Studies suggest that starting at the targeted dose and maintaining therapy until age 13 months and 3 months after the lesion has regressed may be appropriate management guidelines.
Becoming “sensitized” to the clinical utility of the term “urticarial dermatitis” (a subtype of the dermal hypersensitivity reaction pattern)
Consider using the term “urticarial dermatitis” in your dermatologic practice. This can help guide your diagnostic evaluation, enhance therapeutic relationships, and set expectations for prognosis.
Parabens — A common allergen with lots of hype and no real harm
Learn more about Parabens — A common allergen with lots of hype and no real harm at aad.org
Dupilumab’s conjunctivitis conundrum
Having worn glasses since kindergarten, and being virtually helpless without them, I am particularly sympathetic to patients with eye disorders.
Asking psoriasis patients to open their mouths and say “Ahhh”
A thorough cutaneous examination includes the hair, nails, and mucous membranes (lips, intraoral mucosa, conjunctiva, genital).
Get your KICS on Route IL-6
Hemophagocytic lymphohistiocytosis (HLH) is a syndrome caused by hypercytokinemia (notably Th1 cytokines — interferon-gamma, tumor necrosis factor-alpha, and IL-6). Clinical manifestations are dramatic, presenting as fever, hepatosplenomegaly, hemophagocytosis, and cytopenias. (See the addendum for diagnostic criteria of HLH). Primary forms of HLH are genetic disorders; secondary HLH is
Radical chik: Chikungunya fever presenting as a toxic epidermal necrolysis-like eruption
I have seen only one documented case of Chikungunya fever (CF), in a young woman who returned from Puerto Rico, presenting with high fever, joint pains, and a morbilliform rash (see image). Unfortunately, she will not be the last.
Something from nothing: The role of random skin biopsies
As dermatologists we hone our skills on visual diagnostic clues, allowing us to choose optimal lesions to biopsy for clinical-pathologic correlation. The concept of random skin biopsies (RSB) of normal skin searching for pathology may seem foreign (or heretical); however, in the right circumstances, it may yield vital diagnostic information.
Itching to prescribe the right treatment for scabies: Topical permethrin or oral ivermectin?
Three weeks after confirming the diagnosis of crusted scabies on an HIV-positive patient, I started to scratch while driving in the parking lot at Cooper University Hospital. I didn’t give it much thought until the next day, when this stinging-itching sensation wouldn’t relent (interestingly the scratching felt soooo gooood). I
Sirolumus’s merit for the Kasabach-Merritt phenomenon
We wish to report the following case of an extensive hemangioma of the skin associated with diffuse purpuric manifestations. The course and management of the condition, we believe, are of unusual interest.
Toxicity of topical timolol for infantile hemangiomas in preterm infants: Size matters
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.
Scratching from A Hard Day’s Night? Meet the beetles!
One of my least favorite encounters in dermatology is telling patients that it looks like they have insect bites.
Primary sclerosing cholangitis associated with pyostomatitis vegetans and pyodermatitis vegetans: A potentially bilious situation
Inflammatory bowel disease may be associated with multiple cutaneous manifestations including pyoderma gangrenosum (PG), erythema nodosum, or directly by fistulae or “metastatic” Crohn disease.
Cimetidine offers a ray of sunshine for patients With erythropoietic protoporphyria
Only once in a great while an article makes me want to break into my happy dance – the report of 3 pediatric cases of erythropoietic protoporhyria (EPP) by Tu et al had that effect. Recently, I ran a post on EPP where I discussed the new findings of EPP
Evaluation and management: Selecting the codes
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, September 3, 2018 You have evaluated a patient, and now it is time to select an appropriate level of
NSA (neutrophilic sebaceous adenitis) secrets revealed
Neutrophilic sebaceous adenitis (NSA) usually manifests as arciform lesions of the face and upper trunk, most frequently in younger men, and often photo-induced. Occasionally there are systemic symptoms. Further research is warranted to understand this possibly underrecognized disorder.
January 23
Learn more about January 23 at aad.org
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
Necrotizing infundibular (ostial) crystalline folliculitis is an underrecognized disorder characterized by folliculocentric waxy papules in the seborrheic areas of adult patients. An increasing number of cases are drug related. The diagnosis requires histopathologic confirmation demonstrating intrafollicular filamentous birefringent crystalline deposits.
Expanding indications of the excimer laser for disorders of hypopigmentation: Equivocally seeing the light
The excimer laser is a reasonably effective modality for treating vitiligo. Other disorders of hypopigmentation, such as a nevus depigmentosus (ND), or post-inflammatory hypopigmentation (PIH) secondary to lichen striatus (LS) may be distressing to patients (or their parents). Is the excimer laser a viable option for these patients?
Treating acrodermatitis continua of hallopeau in 2018? Try guselkumab!
Acrodermatitis continua of Hallopeau (ACH) is a disorder well known to dermatologists, but absolutely mysterious to everyone else. It is now considered a localized form of pustular psoriasis of the digits that may be accompanied by onychodystrophy and osteolysis.
My core incompetencies
It is time for our semiannual ritual – the meeting of our Clinical Competency Committee (CCC). Our dermatology program is small, having twice as many faculty members as residents, so everyone serves on the committee. The process has changed dramatically from the time I was our program director (which ended
A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus
Read the March 15, 2023 DermWorld Insights and Inquiries on immune checkpoint inhibitor-induced subacute cutaneous lupus.
The globalization of monkeypox
Read the May 25, 2022 DermWorld Insights and Inquiries on the globalization of monkeypox.
Coming to grips with lymphocytic thrombophilic arteritis
Read the May 18, 2022 DermWorld Insights and Inquiries on lymphocytic thrombophilic arteritis.
Histologic overreliance on mucin for diagnosis may prove…sticky
I am certain that I would have diagnosed tumid lupus in the patient presented by Gottesman et al – a 31 year-old man with edematous papules and nodules with histologic features demonstrating subtle vacuolar alteration at the epidermal-dermal junction, a superficial and deep perivascular and periadnexal lymphocytic infiltrate, and abundant
My fair-weather therapeutic friends for alopecia areata
We were never best of friends, but we got along well most of the time. The relationship seemed to work, with rare moments of ecstasy, but was irritating all too often. There were no major conflagrations; we just drifted apart.
Difficulty differentiating palmar psoriasis from eczema: Can dermatopathologists lend a Hand?
I have had the privilege of learning from a master clinician, Ed Bondi, at Penn since I was a dermatopathology fellow. Ed is a brilliant dermatologist who “inherited” Walter Shelley’s practice right out of his residency. Can you imagine that? One of Ed’s teachings is to be careful diagnosing chronic
This month’s news from across the specialty
What’s hot ... December 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Craig Burkhart, MD, MPH, MSBS, FAAD New parents are participating in a new "nutty" trend where they give healthy infants their first taste of
Are you at risk for pityriasis rubra type V? It’s in the cards!
In a recent post advising to tread lightly before prescribing secukinumab for pityriasis rubra pilaris (PRP), I suggested that the Griffiths classification of PRP be expanded from types I –VI to include type VII (paraneoplastic) and type VIII (Sézary syndrome presenting as PRP). In my opinion, of all the types,
Eyeing the use of cryotherapy for eyebrow alopecia areata
I am always looking for alternatives to injecting eyebrow alopecia areata with triamcinolone acetonide (TAC).
The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy
Residents jump for joy when they see the characteristic “jigsaw puzzle” appearance of cylindromas under the microscope. Histopathology, however, takes us only so far.
Dermatomyositis oddities: Could one be responsible for the other?
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.
Thyroid hormone, mitochondria, photoaging and April 7, 2017
On April 7, 1997 I filed a patent entitled “Method for the treatment of dry skin”, utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017.
The retiring type?
“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 to my rabbi, there are three stages of life – youth, middle age, and
Laboratory testing for syphilitic alopecia: Time to renew old habits?
I’m not sure how this happened. I used to check several laboratory studies in patients presenting with alopecia, including a rapid plasma reagin (RPR) for syphilis (in addition to a CBC, TSH, iron binding studies, ANA and vitamin D; testosterone and DHEAS would also be obtained if there was a
Aha! The iodide paradox now makes sense!
In the pre-direct immunofluorescence days of yore (before my time in dermatology), the exacerbation of dermatitis herpetiformis (DH) by oral or topical iodides could be used as a diagnostic tool.
Taking psoriasis by the throat
Once the transient satisfaction of explaining the association of streptococcal infections with psoriasis (guttate, vulgaris, or pustulosis palmaris et plantaris) passes, the reality of treatment must be addressed. Of course we’ll prescribe the usual regimens – topical steroids, phototherapy, retinoids, biologics, etc., but targeting the streptococcal trigger should be considered.
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Access reporting information for MIPS measure 410: Psoriasis: Clinical Response to Systemic Medications. Review the maximum points available, the measure type, measure specifications, and much more.
Reflectance confocal microscopy, driverless cars, and Uber: The future of dermatopathology
In a matter of days, you will be able to use Uber to hail a driverless car to your destination in Pittsburgh. During these trials, initially there will be a human monitor (1). You know where this is going – within a decade you will arrive in style without anyone
A point to make about punctate, pigmented, and verrucous papillomatosis
What is your mental image of the Gougerot-Carteaud (GC) syndrome? I equate it with confluent and reticulated papillomatosis, presenting on the trunk with hyperpigmented minimally raised plaques. The KOH examination is negative and there is a quick, characteristic response to antibiotics such as minocycline.
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Access reporting information for QCDR measure AAD 15:Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Public Health and Clinical Data Exchange objective bonus measures
Access this page to learn more about the optional bonus measures for the Public Health and Clinical Data Exchange objective, a part of the MIPS Promoting Interoperability (PI) category. There is also a separate page that covers the required measures under this objective.
Impact Report
The AAD/A Impact Report highlights the Academy's efforts for its members, including the ways it advocates for them, educates the public, offers meaningful benefits, and more.
Fighting detrimental Medicare payment cuts
As our top federal legislative priority, your Academy fought all year against Medicare payment cuts of 8.5% or more that were scheduled to begin on Jan. 1, 2023.
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
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
Weighing in on glucagon-like peptide-1 receptor agonists in dermatology
Glucagon-like peptide-1 (GLP-1) receptor agonists are now approved for weight loss, which may benefit dermatoses associated with excess weight. Dermatologists should be familiar with the potential adverse effects and benefits of these drugs.
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
Read the Feb. 1, 2023 DermWorld Insights and Inquiries on treating the “salt and pepper” dyspigmentation of systemic sclerosis.
Reduced Medically Unlikely Edits for Certain Lesion Removals
The 2019 first quarter CCIv25.0 Medically Unlikely Edits (MUEs) have been reduced for a selection of dermatology codes. These edits are developed from clinical data by the National Correct Coding Center (NCCI) provider by the Centers for Medicare & Medicaid Services (CMS). The MUEs limit the total number of units
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
Read the July 20, 2022 DermWorld Insights and Inquiries on JAK inhibition and multicentric reticulohistiocytosis.
June 5
Learn more about June 5 at aad.org
Bowel-associated dermatosis-arthritis syndrome (BADAS): The story behind the acronym
Read the March 30, 2022 DermWorld Insights and Inquiries on bowel-associated dermatosis-arthritis syndrome (BADAS).
An encapsulation of palisaded encapsulated neuromas
Case reports and retrospective studies have demonstrated dupilumab’s efficacy in treating bullous pemphigoid. Preliminary data from a prospective trial confirms dupilumab’s therapeutic value. Perhaps approval of dupilumab for bullous pemphigoid is on the horizon.
Studying skin aging never gets old: The potential role of oxytocin
Read the October 14, 2020 DermWorld Insights and Inquiries on oxytocin and aging skin.
Making your voice heard: Medicare payment reform, cultivating legislators, and the AADA Legislative Conference
From the President ... Dr. Alam is the Academy’s current president. ... By Murad Alam, MD, FAAD, June 1, 2026 Dear members, ... There is some positive news on Medicare payment reform. The U.S. House of Representatives recently introduced legislation that addresses budget neutrality requirements by raising the amount that
Danazol for telomerase disorders: Prolonging the end — For chromosomes (yes), for dyskeratosis congenita (perhaps)
Telomeres are located at the ends of chromosomes; they are repaired by telomerases. Shortening of telomeres leads to cell senescence, apoptosis, and chromosome instability.
Rheumatoid vasculitis? Rule-out methotrexate-associated EBV
Rheumatoid vasculitis (RV) is a serious complication of rheumatoid arthritis (RA) causing high morbidity and mortality, despite aggressive immunosuppressive treatment.
Pseudomolluscoid papules: A more accurate description than pseudoverrucous papules
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.
Going retro: Reactivation of incontinentia pigmenti
The concept of reactivating incontinentia pigmenti (IP) has always fascinated me – I have only encountered cases in my readings. Of course you will recall the vesicular, verrucous, hyperpigmented, and hypopigmented (atrophic) phases of this X-linked dominant disease.
Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia
The most important complication of subcutaneous fat necrosis of the newborn is hypercalcemia. Recent studies suggest that it may be more common than previously reported.
Coughing up a new warning for ustekinumab
Learn more about Coughing up a new warning for ustekinumab at aad.org
In the Know
CMS/NCCI Workgroup Announces July 2019 Changes to Procedure to Procedure (PTP) Edits ... Have you noticed any issues to your claims processing reported with modifiers lately? ... That is because effective January 1, 2019, the Centers for Medicare & Medicaid Services (CMS) National Correct Coding Initiative (NCCI) implemented unexpected changes
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Access reporting information on measure 431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling. Review the maximum points available, the measure type, measure specifications, and much more.
Sun safety
By communicating these key messages on sun safety, you can help position the specialty while increasing your credibility and raising the profile of your practice. Access key messages on sun safety, including the hazards of ultraviolet exposure.
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
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431
Access reporting information on measure 431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling. Review the maximum points available, the measure type, measure specifications, and much more.
JAKne is on the horizon
Read the July 27, 2022 DermWorld Insights and Inquiries on JAK and acne.
Antihypertensive agents and eczema: New data for older patients
Antihypertensive agents, especially diuretics and calcium channel blockers, may cause eczematous dermatoses in older patients.
Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years
Although most often idiopathic, aquagenic pruritus should trigger a work-up for myeloproliferative neoplasms (MPN), particularly polycythemia vera.
A shot in the dark
Read the March 10, 2021 DermWorld Insights and Inquiries on COVID arm.
Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and Carteaud
Confluent and Reticulated Papillomatosis of Gougerot and Carteaud is usually seen in adolescents and young adults. Antibiotics (most commonly minocycline or doxycycline) are first-line therapy. The etiology of CARP remains to be determined, and further studies will judge its precise relationship to acanthosis nigricans.
Trial balloons of gene expression profiles of calloon cell melanoma predict the future
The site of balloons is joyous; however, I am always nervous blowing them up, because of a nagging fear that they would explode in my face. Similarly, the histologic site of balloon nevus cells may bring a smile, but is tempered by the concern that the lesion could be a
Debunking the myth of the aggressive nature of acantholytic squamous cell carcinomas
For years, I have taught my residents that acantholytic squamous cell carcinomas (aSCCs, aka “pseudoglandular” SCCs) were more aggressive than typical SCCs. Two recent studies suggest otherwise. In medicine (and life) there should be no room for “post-truths” – we need facts to confirm or refute long-standing assumptions.
A potentially life-threatening association of autoimmune blistering disease we bloody well need to be aware of: Acquired hemophilia A
I have been treating patients with autoimmune bullous disorders for nearly four decades. The diseases’ vagaries and associations always astound me.
Platelet rich plasma: Good for whatever ails you?
Okay, okay, I admit it. The first time I ever heard of injecting autologous platelet rich plasma (PRP) for pattern alopecia, my suspicion was that it was being sold by the proverbial snake-oil salesman. I did my utmost to ignore it, but increasingly its use is being reported, and patients
Can steroids extinguish the fire of erythromelalgia?
The burning sensation of erythromelalgia is matched by a burning desire to help these patients. According to Tang et al: “This rare and debilitating disorder was first reported and named “erythromelalgia” according to its main symptoms (erythros-red, melos-limbs, algos-pain) by Mitchel in 1878.
DI&I encore: Better than a back scratcher?
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.
As molecular knowledge of PROS expands, lesions contract
Somatic activating mutations in the phosphatidylinositol-3-kinase/AKT/mTOR pathway manifest as heterogeneous segmental overgrowth phenotypes Historically, the clinical diagnoses in patients with PIK3CA activating mutations have included Fibroadipose Hyperplasia or Overgrowth (FAO), Hemihyperplasia Multiple Lipomatosis (HHML), Congenital Lipomatous Overgrowth, Vascular Malformations, Epidermal Nevi, Scoliosis/Skeletal and Spinal (CLOVES) syndrome, macrodactyly, Fibroadipose Infiltrating Lipomatosis,
Decomplexing plexiform neurofibromas
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.
Frontal fibrosing alopecia: Bewitched, bothered, and bewildered
It is not your imagination – undoubtedly you have made the diagnosis of frontal fibrosing alopecia (FFA) more frequently in recent years. FFA is considered a subtype of lichen planopilaris (LPP) based on the identical histology of a lymphocytic cicatrical alopecia localizing near the infundibulum and isthmus (at the hair
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes — QCDR measure AAD 20
Access reporting information for QCDR measure AAD 20: Actinic Keratosis: Self-reported AK Treatment or Management Outcomes. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Access reporting information for QCDR measure AAD16: Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Access reporting information for MIPS measure 410: Psoriasis: Clinical Response to Systemic Medications. Review the maximum points available, the measure type, measure specifications, and much more.
Adult Immunization Status — Measure 493
Access reporting information on measure 493: Adult Immunization Status. Review the maximum points available, the measure type, measure specifications, and much more.
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Access reporting information for QCDR measure AAD16: Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures. Review the maximum points available, the measure type, measure specifications, and much more.
Advocating for you — We prevented Medicare cuts in 2022
In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes with the evaluation and management (E/M) codes, sequestration, and the budget rules associated with the Pay-As-You-Go Act of 2010.
IL-36 and generalized pustular psoriasis: L’chaim!
Read the March 9, 2022 DermWorld Insights and Inquiries on IL-36 and generalized pustular psoriasis.
Dupilumab: The first year
When introduced as dermatologist to a new acquaintance, I’m sure you have heard: “Dermatology is a great field – you don’t cure anybody, so they keep coming back!” Trust me. It’s no joy to see patients with recalcitrant, severe, life-altering, debilitating diseases such as atopic dermatitis, psoriasis, recalcitrant mycosis fungoides, et
Trichobacteriosis: A salute to the Shelleys
Trichobacteriosis is the more accurate name for the corynebacterial infection with the misnomer of trichomycosis axillaris.
Getting a toehold on subungual tumors: Aneurysmal bone cysts join the club
Subungual tumors make me nervous. I realize that most are benign (subungual exostosis, osteochondroma, onycholemmal cyst, glomus tumor, pyogenic granuloma, wart, fibroma, acral fibromyxoma), however subungual malignant lesions (squamous cell carcinoma, keratoacanthoma, melanoma) occur. A delayed diagnosis can result in a profoundly adverse outcome.
2026 AAD Innovation Academy: Childcare
Learn how to register for childcare during the 2026 AAD Innovation Academy in New York, New York.
The profound dermatological manifestations of COVID-19: Part V – Pediatric multisystem inflammatory syndrome
Read the May 13, 2020 DermWorld Insights and Inquiries on COVID-19.
The Term “Dermal Hyperneury” Hits a Nerve
I was intrigued by the title “Dermal hyperneury and multiple sclerotic fibromas in multiple endocrine neoplasia type 2A spectrum” by Alegría-Landa et al. (1) [Please see the addendum for the definition of the multiple endocrine neoplasia (MEN) syndromes.]
Beef tallow for eczema: Grade A prime or just another bum steer?
Dermatologists must take the bull by the horns and inform patients that beef tallow for eczema is far from being an optimal moisturizer.
Avascular necrosis in psoriasis: Avoiding “snap” judgments
Of all the adverse reactions of corticosteroids, there is none more terrifying than avascular necrosis (AVN, aka osteonecrosis); this usually involves the femoral head (AVN of the hip), although the shoulders and knees may be affected.
Not aging like fine wine: The myths and mysteries of acquired port wine stains
Read the January 13, 2021 DermWorld Insights and Inquiries on acquired port wine stains.
Getting the GIST cutaneous hyperpigmentation disease
By Warren R. Heymann, MD Nov. 6, 2019 Vol. 1, No. 35 Gastrointestinal stromal tumors (GISTs) are mesenchymal malignancies arising from the interstitial cells of Cajal (cells that create bioelectrical slow wave potential, leading to smooth muscle contraction, thereby aiding peristalsis). GISTs were initially recognized by identification of KIT (CD117)
Key messages for social media about nails and nail health
By communicating these key messages on nails, you can help position the specialty while increasing your credibility and raising the profile of your practice. People who are diagnosed with melanoma of the fingernails are often diagnosed relatively late. These messages will help raise awareness.
Twenty-first century pellagra
Pellagra due to niacin deficiency still exists as a primary disorder in less developed countries and as a secondary disorder in industrialized countries.
Exploring the gamut of monoclonal gammopathy of cutaneous significance
Consider using terms such as “cutaneous manifestations of monoclonal gammopathy,” “gammopathic dermopathy,” “monoclonal gammopathy of cutaneous significance,” and/or “monoclonal gammopathy of clinical significance” in your dermatologic practice.
Do not get burned by missing Staphylococcal scalded skin syndrome
Read the April 28, 2021 DermWorld Insights and Inquiries on Staphylococcal scalded skin syndrome.
"Who you gonna call?"
Go to AAD Home ... Go to AAD Home ... Menu ... Which groups regulate which parts of medicine? ... Which groups regulate which parts of medicine? ... By Emily Margosian, assistant editor Health care policy is notoriously complex, and even physicians with years of experience may not be completely
A Frank discussion about earlobe creases
Read the Dec. 14, 2022 DermWorld Insights and Inquiries on earlobe creases as signs of disease.
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
Case reports and retrospective studies have demonstrated dupilumab’s efficacy in treating bullous pemphigoid. Preliminary data from a prospective trial confirms dupilumab’s therapeutic value. Perhaps approval of dupilumab for bullous pemphigoid is on the horizon.
Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.
Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever having seen BCH.
Methotrexate toxicity: What’s in a name?
I was called to the ICU to assess the dramatic presentation of a woman with hemorrhagic labial crusting and erosive psoriatic plaques. Despite my long-standing familiarity with methotrexate (MTX) I had never encountered a patient with flagrant MTX toxicity.
The opioid epidemic: Coma blisters and beyond
The opioid crisis in the United States is responsible for at least 90 fatalities every day. This dire situation has been aggravated by the increased availability of very potent synthetic opioids such as fentanyl and carfentanil, which are 50 and 5000 times as potent as heroin, respectively. According to Volkow
Clear cell papulosis: Clearly distinctive, clearly underrecognized
Read the June 3, 2020 DermWorld Insights and Inquiries on clear cell papulosis.
Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow
Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought much about kidney disease as part of the disease process.
Malassezia folliculitis: Simultaneously seen and invisible
If a rash could commiserate with Amos, the accused murderess Roxie Hart’s husband in the musical Chicago, Pityrosporum folliculitis (PF) would be a leading candidate. I have diagnosed it, but how many times have I missed it?
Unmasking the complications of personal protective equipment
Read the August 5, 2020 DermWorld Insights and Inquiries on PPE during COVID-19.
Merkel cell carcinoma in situ: Begin the beguine?
I have to admit, the concept of Merkel cell carcinoma in situ (MCCIS) was “below my radar screen”, until I read the intriguing article, from Jason Lee’s group, questioning whether an intraepidermal proliferation of Merkel cells (MC) within a seborrheic keratosis is MCCIS or MC hyperplasia.
Untangling the neurologic comorbidities of bullous pemphigoid
Comorbidities are the darlings of the dermatologic literature in the 21st century, based on an epidemiologic ability to sort through vast databases, finding associations and correlations that may or may not have direct clinical relevance.
OblIgEd to search for steroid-sparing agents in treating bullous pemphigoid
I’m always anxious to learn about alternative approaches for treating bullous pemphigoid (BP).
Prognosticating folliculotropic mycosis fungoides: Everything old is new again
I was dermatology resident in 1980 learning about mycosis fungoides when the late Peter Allen was in his glory singing “Everything Old is New Again”. The universe of cutaneous T cell lymphoma was simultaneously more confusing (how would you differentiate poikiloderma atrophicans vasculare from xanthoerythrodermia perstans?) and easier (there were
Fifty shades of black salve
Diet and acne has always been controversial. When I was a child I heard that pizza and chocolate could lead to break-outs; over time that was relegated to be a myth (thank goodness).
2022 DW Insights and Inquiries archive
Explore past issues of DW Insights and Inquiries that were published in 2022.
Practice impact of prior authorizations
Facts at your fingertips ... By Emily Margosian, assistant editor, October 1, 2020 Prior authorizations pose significant administrative burdens on dermatology practices, with the process often involving great expense and labor. According to the AAD 2020 Prior Authorization Survey, dermatology offices have spent on average over $40,000 on additional staff
Bank of America - Practice Solutions
Learn more about options for practice financing made possible through the Academy's partnership with Bank of America. For more than twenty years, Bank of America Practice Solutions has helped physicians across the nation reach their goals through smart financial solutions and expert guidance.
Trichophyton indotineae infections and other severe or antifungal-resistant dermatophytoses
Dermatophytosis (ringworm, tinea, jock itch, athlete’s foot) is a very common and typically minor infection of the skin caused by dermatophyte fungi. In the past decade, severe or antifungal-resistant dermatophytoses have become a global public health concern, including in the United States.
This month's news from across the specialty
What's hot ... October 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... ED COWEN, MD Why do a small percentage of young and apparently healthy patients with COVID-19 develop life-threatening infection or a Kawasaki syndrome-like
Hairdressers’ dermatologic odyssey: From dye to death prevention
My younger daughter Deborah was destined to be a hair stylist. When she was a camper in the Poconos, I received an urgent call from the staff about her. Assuming the worst, my heart palpitating in fear, all I could do was laugh when I was informed that she violated
Say “Cheese!” Three reasons why EMR photography makes me smile
It is difficult to recall medical photography (or life itself) in the pre-smartphone/pre-electronic medical record (EMR) era, even though it has only been ten years since the inception of the iPhone, and just four years since our practice transitioned to an EMR.
When to see red in linear erythronychia — Malignant onychopapilloma
Read the June 29, 2022 DermWorld Insights and Inquiries on linear erythronychia — Malignant onychopapilloma.
AADA Advocacy Win: CMS suspends CLIA lab director enforcement policy
As a direct result of advocacy by the AADA, CMS will exercise enforcement discretion on several provisions of its revised CLIA laboratory director policy that had excluded board-certified dermatologists from directing moderate- and high-complexity laboratories.
Digital media kit: E-newsletter rates and specs
Reach the full AAD membership weekly, approximately more than 16,000 globally, with two e-newsletters, DermWorld Weekly and DermWorld Academy Insider.
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
Rarely, life-threatening squamous cell carcinomas may complicate discoid lupus erythematosus (DLE). Securing the diagnosis of keratinocyte carcinoma (squamous cell carcinoma more likely than basal cell carcinoma) within DLE may be challenging. Preliminary evidence suggests that treating DLE may decrease the risk of malignancy.
The malignant risk in circumscribed palmar or plantar hypokeratosis: Summoning Charles Dickens and Freddie Mercury
There is a small risk for developing keratinocyte carcinomas in circumscribed palmar or plantar hypokeratosis. Patients require long-term monitoring.
Hemochromatosis: Beyond 50 shades of gray
There are multiple cutaneous manifestations of hemochromatosis, of which hyperpigmentation in sun exposed sites is most frequent. A significant association is with porphyria cutanea tarda. There is new data to suggest that hereditary hemochromatosis may be associated with nonmelanoma skin cancer, although this association warrants further investigation.
A nail-biting commentary
Read the Feb. 15, 2023 DermWorld Insights and Inquiries on nail biting.
Dermatology is bustin’ out all over
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, June 1, 2026 " ... June is Bustin’ Out All Over ", the spirited ensemble song embracing summer’s onset from Rogers and Hammerstein’s ... Carousel , is an appropriate
Preventing hair loss in breast cancer patients is very cool
The loss of my late aunt Millie to breast cancer was devastating; it was even harder to bear after learning that she was aware of the advancing breast tumors, but so afraid of chemotherapy that she delayed treatment until the cancer was too advanced. I do not know if it
Dupilumab and the dawn of the biologic era for atopic dermatitis
I have a list of patients with severe, recalcitrant atopic dermatitis (AD) eagerly awaiting the release of dupilumab. I first became aware of this biologic from the article by Beck et al, who noted that dupilumab, a fully humanized monoclonal antibody that blocks IL-4 and IL-13, previously reported to be
Write this down if your patient has multiple PENS: Look further
Papular Epidermal Nevus with Skyline Basal Cell Layer (PENS) was first described by Torrelo et al. They detailed 5 infants with solitary or multiple 1 to 7 mm congenital keratotic papules.
Hidradenitis suppurativa and socioeconomic status: Food for thought (and benefit)
We see many patients with hidradenitis suppurativa (HS), especially in our Camden practice. I am certainly not surprised by the well-documented comorbidities of obesity and smoking, which may play a role in the pathogenesis of the disease.
DWI&I Holiday Greeting 2023
For me, this year will be a time for prayer instead. I am not naïve in expecting miracles overnight. I hope that rancor can be replaced by civil discourse and respect for others. Only then can we work toward a more peaceful world.
Rapalogs for vascular lesions: Caveat mTOR
Rapalogs are drugs that inhibit the mTOR pathway and include sirolimus (rapamycin), temsirolimus, everolimus, and deforolimus. All are immunosuppressive and have antineoplastic/antiproliferative effects.
Telangiectasia macularis eruptiva perstans revisited
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 the differential diagnosis when telangiectasias were observed, especially
Atopic dermatitis: Up in smoke!
The etiology of atopic dermatitis (AD) is multifactorial, with genetic mutations of the filaggrin mutations affecting barrier function, immunodysregulation of the TH2 pathway, and environmental triggers being of primary importance. AD has long been associated with autoimmune diseases such as vitiligo and alopecia areata.
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
Modifiers 58 and 78
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, March 1, 2019 Test your knowledge: Modifiers 58 and 78 ... Take the quiz to see if you're up
A potential roadMAP for treating malignant atrophic papulosis
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, June 1, 2026 Vol. 8, No. 6 Certain skin lesions evoke dread in the dermatologist who encounters them, fearing a poor prognosis for their patient. Examples include a Sister Mary Joseph nodule, a thick melanoma, or rhinocerebral mucormycosis, among
Here comes summer (and sunscreen conversations)!
Read the April 29, 2020 DermWorld Insights and Inquiries on suncreen.
The illusions of IgG4-related skin disease
The diagnosis of IgG4-related skin disease requires careful clinical-pathological correlation because of its varied cutaneous presentations. B-cell depletion therapy with biologic agents such as inebilizumab or obexelimab is promising a future surpassing steroid therapy for this disease.
Reflections on infantile perianal pyramidal protrusion and Hippocrates
Dermatologists must recognize infantile perianal pyramidal protrusion (and its clinical variants) to avoid inappropriate diagnostic and therapeutic measures.
Moving in to first place: Antimalarials for treating generalized granuloma annulare
At a University of Pennsylvania Duhring Conference years ago, an inquiring dermatologist asked Jim Leyden how he knew the patient had generalized granuloma annulare (GGA). “It’s easy” Jim replied. “It just looks like somebody poured a box of Cheerios on them, and they stuck”. I have never seen a patient
Is there a best approach to widespread actinic keratoses?
Learn more about Is there a best approach to widespread actinic keratoses? at aad.org
Should dermatologists be anti-antihistamine for atopic dermatitis?
Learn more about Should dermatologists be anti-antihistamine for atopic dermatitis? at aad.org
Clawing to understand lichen nitidus
I enjoy diagnosing lichen nitidus (LN). Only dermatologists are aware of the entity, it is of little significance, and usually resolves on its own.
Elmer Fudd beware: Tularemia’s re-emergence
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 face, trunk, and extremities (diagnosed as erythema multiforme minor).
Comprehending the association of orofacial granulomatosis and Crohn disease would be swell
Orofacial granulomatosis (OFG) represents a group of disorders characterized by noncaseating granulomatous inflammation affecting the soft tissues of the oral and maxillofacial region.
Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons
Controversy should be the middle name for angiolymphoid hyperplasia with eosinophilia (ALHE) and Kimura disease (KD). Throughout my career, I have read about these diseases, wondering why they were initially considered related entities but now viewed as distinct.
August 11, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 11, 2021 ... Topical tofacitinib for alopecia areata affecting facial hair DermWorld Insights and Inquiries : Monitoring infantile hemangiomas — What’s the score? Is there an effective treatment for skin
Yom Kippur and the physician payment Sunshine Act
Yom Kippur, the Jewish day of atonement, is upon us. It is Judaism’s most sacred holiday. It is a day of fasting and prayer to atone for sins of the past year. According to traditional teachings, a person’s fate is written in the Book of Life on Rosh Hashanah (the
Dyeing for a “new” topical agent for psoriasis? Think indigo
Despite the magnificent revolution of biologics for psoriasis, topical agents remain the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments.
Vitamin D fact sheet
Find facts and statistics for reporting about vitamin D.
Key messaging in social media about acne
By communicating these key messages on acne, you can help position the specialty while increasing your credibility and raising the profile of your practice. These include the causes of acne, how to care for it, and treatment options.
The new AAD website is great! Where can I find resources to ensure that my practice is compliant with government regulations?
Asked and Answered ... October 1, 2020 The new AAD site offers step-by-step guides and interactive tools to ensure that your practice meets compliance standards. ... CLIA ... Follow the tabs on this step-by-step guide to learn how to comply, depending on the lab work you conduct in your facility.
Frozen sections to diagnose epidermolytic ichthyosis: Very cool!
Is there anything more daunting than being called to the neonatal unit confronted by a desquamating, peeling, neonate? The differential diagnosis is broad, ranging from Staphylococcal Scalded Skin Syndrome (SSSS), Toxic Epidermal Necrolysis (TEN), Epdermolysis Bullosa, Bullous Congenital Ichthyosiform Erythroderma (Epidermolytic Hyperkeratosis, Epidermolytic Ichthyosis), Ichthyosis Bullosa of Siemens, Congenital Candidiasis,
Mee too: More than just arsenic
Mee’s lines is the eponym for linear leukonychia, presenting as transverse white bands of the nail plate. It is due to interrupted growth of the nail matrix, resulting in parakeratosis of the nail plate.
Happy 4th of July from DI&I
George Washington contracted smallpox when he was 19 years old. Although he nearly succumbed to the disease, he survived with pockmark scars and life-long immunity. (1) He and other founders recognized the severity of smallpox and its threat to their independence and took all measures at their disposal to
Forever young with chocolate
Recently we discussed how dark chocolate can exacerbate acne. How many times have you heard a patient complain that it’s just not fair – they’re getting wrinkles and are still breaking out? Here is some good news!
AADA advocacy win: CMS suspends CLIA lab director enforcement policy
As a direct result of advocacy by the AADA, CMS will exercise enforcement discretion on several provisions of its revised CLIA laboratory director policy that had excluded board-certified dermatologists from directing moderate- and high-complexity laboratories.
October 27, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 27, 2021 ... COVID-19 and nails: A review of clinical findings DermWorld Insights and Inquiries : Taking woolly hair to heart Derm Coding Consult : CMS revises Advance Beneficiary Notice
Positively perplexing: Determining the meaning of CD30 positivity
Read the September 29, 2021 DermWorld Insights and Inquiries on determining the meaning of CD30 positivity
Sophie’s choice: Assessing atypical Spitz tumors in the molecular era
One of the most challenging aspects of dermatopathology is prognosticating a so-called atypical Spitz tumor (AST) lying midway in the spectrum of a classical benign Spitz nevus and a Spitzoid melanoma.
LIDA* rose the insulin requirement
Read the April 14, 2021 DermWorld Insights and Inquiries on localized insulin-derived amyloidosis.
Injecting ideas (and therapies) in digital mucous cysts
Digital mucous (myxoid) cysts are often associated with osteoarthritis. Multiple therapeutic maneuvers may be utilized, but the best results remain with surgical excision.
2022 Allergen of the year: Aluminum
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, June 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Magnus Bruze, MD,
Becoming whipped up over flagellate dermatoses
The literature on flagellate dermatoses has been whipped into frenzy.
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
The “rope” sign is knot pathognomonic: Autoimmunity ties the etiologies together
The “rope” sign is a dramatic finding presenting as a linear to curvilinear cords (“cordonifom”) on the lateral chest. It was originally described as an uncommon, but specific feature of Interstitial Granulomatous Dermatitis with Arthritis (IGDA), and has been considered pathognomonic for that disorder. That perspective is no longer tenable.
Stepping back from the abyss: A kinder, gentler variant of calciphylaxis
My reaction to the diagnosis of calciphylaxis is Pavlovian – I automatically think about an end-stage renal insufficiency patient with an abysmal prognosis. Increasingly there are reports of nonuremic forms of the disease, where the prognosis may not be as bleak (*although clinically very significant).
Joining the “fold”: Squamous cell carcinoma complicating porokeratosis ptychotropica
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, superficial disseminated, immunosuppression-related, and porokeratosis ptychotropica (PP).
Patients’ (mis)understanding of their skin cancer diagnosis
Occasionally a patient’s misunderstanding of their dermatologic diagnosis can elicit a smile. How can you not chuckle when someone says that they suffer from “hanky-panky” (lichen planus) or that they have been plagued with acme since high school? In cases of skin cancer, the consequences of inaccuracy may not be
2025 DW Insights and Inquiries archive
Explore past issues of DW Insights and Inquiries that were published in 2025.
Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet
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 a variety of other syndromes.
Plantar melanoma and mechanical stress
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.
What's new in treating connective tissue disease
Dermatologists discuss the latest advances in treating cutaneous lupus, dermatomyositis, and systemic sclerosis. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2023 There are more than 200 disorders included within the term "connective tissue disease." Some of these disorders predominantly affect the skin or have skin-related implications,
Skin conditions by the numbers
Find facts and statistics for reporting about dermatology and dermatologic conditions.
Taming toxic erythema of chemotherapy with high-dose vitamin D
Toxic erythema of chemotherapy (TEC) is the umbrella term for multiple eruptions caused by chemotherapeutic agents. TEC may last for up to a month. Although confirmatory studies are warranted, research suggests that the anti-inflammatory action of high-dose vitamin D may be of therapeutic value in TEC.
Multiple Surgery Reduction Rule: Sometimes less is more
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, August 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Multiple Surgery Reduction Rule (MSRR)
Reopening the dermatologic surgery office in the COVID-19 era
Read the May 20, 2020 DermWorld Insights & Inquiries article on reopening dermatology offices in the COVID-19 era.
Applying the 2021 E/M coding concepts in everyday practice – Part 4
Part four of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how chronicity and severity impacts the level of service provided.
Intermediate and complex repairs 2020: Part 1
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2019 Test your knowledge: Intermediate and complex repairs 2020 — Part 1 ... Take the quiz to
COVID-19 impact on employed dermatologists: Part 1
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Ben Tesdahl, JD, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, September 1, 2020 Every month, Dermatology World ... covers legal issues in "Legally
Cutting giant congenital nevi down to size molecularly
Learn more about Cutting giant congenital nevi down to size molecularly at aad.org
Xylazine (“Tranq”): The potential for loss of life and limb
Read the Dec. 7, 2022 DermWorld Insights and Inquiries on xylazine and its threat to life and limb.
Isotretinoin and diabetes: Of familiarity and surprise
Read the July 6, 2022 DermWorld Insights and Inquiries on isotretinoin and diabetes.
Striving to alleviate the physical and emotional scars of central centrifugal cicatricial alopecia
Read the November 4, 2020 DermWorld Insights and Inquiries on central centrifugal cicatricial alopecia.
Granular detail on granular parakeratosis
Read the October 6, 2021 DermWorld Insights and Inquiries on granular parakeratosis.
'Stepping up' to off-label dosing of biologics
Read the April 6, 2022 DermWorld Insights and Inquiries on off-label dosing of biologics.
Lipschütz ulcers: Not only for women
Read the March 24, 2021 DermWorld Insights and Inquiries on Lipschütz ulcers.
Do tumor-infiltrating lymphocytes predict melanoma outcomes?
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, November 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with John T. Vetto,
This month’s news from across the specialty
What’s hot ... March 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD New, but not new, but maybe new, but not good = ... Candida auris is looking worse with
CMS releases 2025 third and fourth quarter NCCI edits
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, CPCD, CRCR Analyst, Coding & Reimbursement, March 1, 2026 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . CMS has released the third and fourth quarter updates to the
This month’s news from across the specialty
What’s hot ... January 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD In October’s ... Dialogues in Dermatology , Dr. Scott Elman, double board-certified internist and dermatologist, discusses important "new medications
What are keratoacanthomatous lesions of the legs in mature women?
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 do more of them appear after surgery?”
Transplantation dermatology: Race matters
December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late South African cardiothoracic surgeon, Christaan Barnard.