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The H syndrome – Understanding Y
Read the April 15, 2020 DermWorld Insight and Inquiries on H syndrome.
Nom de plume: Affaire risquée
Performing laser surgery is risky business for the patient and the laser surgeon. Potential hazards may be due to the beam itself causing ocular or cutaneous injury. Nonbeam hazards may arise from the laser device or its interaction with material in the surgical environment. Nonbeam risks include fire and electrical
Is 3D total-body photography effective in early detection of melanoma?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, December 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with H. Peter Soyer, MD, FACD, FAHMS, and Monika Janda, PhD, about their JAMA Dermatology ... paper ‘ 3D Total-Body Photography in Patients at High Risk
Andrew H. Weinstein, MD, MPH, FAAD, elected American Academy Of Dermatology president for 2027
ROSEMONT, Ill. (March 31, 2025) — Florida-based board-certified dermatologist and Mohs surgeon Andrew H. Weinstein, MD, MPH, FAAD, has been elected to lead the American Academy of Dermatology. He will be installed as president-elect in March 2026 and hold the office of president for one year beginning in March 2027.
April 15, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 15, 2020 ... Telehealth coding, documentation, and reimbursement during COVID-19: What you need to know. DW Insights and Inquiries : The H syndrome – Understanding Y Academy encourages participation in
Evaluation and management in 2021: Part 1
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, September 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 1 ... Take the quiz to see
April
Issue ... April 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 ... Coding and documentation clarity Acta Eruditorum ... Treating metastatic melanoma: Understanding a
July 14, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 14, 2021 ... Acne scarring treatments: What’s most effective? DermWorld Insights and Inquiries : Assessing the significance of a L ong- D eveloped H abit — The role of LDH
Coding and reporting for immunohistochemistry (IHC) staining in dermatology
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, July 1, 2022 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Immunohistochemistry (IHC) staining is used to
How to care for skin with vitiligo
Board-certified dermatologist’s tips to prevent vitiligo from spreading ROSEMONT, Ill. (June 13, 2023) — Vitiligo is a disease that causes the skin to lose its natural color, resulting in light or white patches of skin. This condition, which affects people of all ages and ethnicities, not only affects patients’ skin,
American Academy of Dermatology elects new officers, board members
ROSEMONT, Ill. (March 31, 2025) — The American Academy of Dermatology has announced the results of its annual election. The Academy’s new officers and board members will lead the world’s largest dermatologic society, representing more than 21,000 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment of
Cosmetic complications
Dermatologists offer insight and instruction for approaching procedural afflictions. ... Feature ... By Laura Vernaci, Contributing Writer, September 1, 2025 It goes without saying that dermatologists do everything in their power to keep their patients safe and avoid complications or adverse events. However, stay in the business long enough and
Session handouts and meetings archive
View previous AAD meeting sessions, handouts, poster exhibits, and floor plans.
CME & session evaluation archive
Claim CME credit and submit session evaluations for attending previous Academy meetings.
Ca$h only
Go to AAD Home ... Go to AAD Home ... Menu ... Examining the viability and ethical implications of opting out of insurance ... Examining the viability and ethical implications of opting out of insurance ... By Emily Margosian, content specialist Dealing with insurance would likely be at the bottom
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.
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.
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
See the light in reporting phototherapy services
Derm Coding Consult ... By Cynthia Stewart, CPC, CPMA, COC, CPC-I, Manager, Coding and Reimbursement Resources, May 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . AAD/A Coding and Reimbursement staff have received several questions from
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.
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.
The nexus of VEXAS syndrome
Read the December 1, 2021 DermWorld Insights and Inquiries on VEXAS syndrome.
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.
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.
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
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.
New data to recall when considering radiation recall dermatitis
Read the September 30, 2020 DermWorld Insights and Inquiries on radiation recall dermatitis.
Taking the challenge: Social media, adolescents, and the skin
Learn more about Taking the challenge: Social media, adolescents, and the skin at aad.org
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.
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.
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.
Donor Spotlight: Grizzly bears, African summits, and other joys
Celebrating a decade of AAD’s Skin Cancer, Take a Hike!™ with its founder ... Donor Spotlight ... By Dean Monti, Managing Editor, Special Publications, May 1, 2024 In this new column, DermWorld ... highlights individual members who have gone above and beyond with their Academy contributions. This year marks the
Former officers of the AAD
Access this comprehensive list of former officers of the AAD, including former presidents, vice presidents, and secretary-treasurers.
Glucose monitors: Not as sweet as they seem
Learn more about Glucose monitors: Not as sweet as they seem at aad.org
Leishmania episode 1a: attack of the clones
Read the February 10, 2021 DermWorld Insights and Inquiries on Leishmania.
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
Read the June 17, 2020 DermWorld Insights and Inquiries on capillary malformation.
Taking woolly hair to heart
Read the October 27, 2021 DermWorld Insights and Inquiries on woolly hair.
Triskaidekaphobia legitimized: Fatal Factor XIII deficiency
Read the April 12, 2023 DermWorld Insights and Inquiries on triskaidekaphobia legitimized and fatal factor XIII deficiency.
Our donors
The AAD welcomes this year's generous donors and thanks them for their commitment to advancing the programs and services of the Academy.
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.
Do not take a pass on the PAS stain
My threshold for obtaining a Periodic acid-Schiff (PAS) on inflammatory lesions rivals the opinion of most Americans’ opinion of tomorrow’s election as reported in the New York Times – very low.
Granular C3 dermatosis in granular detail
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, May 1, 2026 Vol. 8, No. 5 Except for straightforward cases of bullous pemphigoid, my ability to predict direct immunofluorescence (DIF) results in cases of presumed autoimmune blistering diseases leaves much to be desired. Recently, my humility in this
Key messages about rosacea for social media
By communicating these key messages on rosacea, you can help position the specialty while increasing your credibility and raising the profile of your practice. Rosacea affects 16 million Americans. Learn key messages here.
COVID-19 dermatology registry
The Academy is bringing together dermatologists to report on the dermatologic manifestations of COVID-19. This anonymous reporting registry is helping the Academy gather and disseminate important information regarding the infection and how it impacts patients.
Board of Directors
Learn about the Academy's Board of Directors. This page lists all the current Board of Directors, along with incoming members. It also includes board minutes and a link to email the board.
Named lectureships
See this year's winners of named lectureships, which honor both the members who established the rewards and the distinguished recipients. You can also access the nomination forms.
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.
The treatment of systemic juvenile xanthogranulomas matures
Advances in genetics and molecular biology have identified pathways confirming the usefulness of targeted therapies such as dabrafenib and alectinib in those patients with systemic juvenile xanthogranulomas harboring specific mutations in BRAF or ALK translocations, respectively.
Sweating over acquired idiopathic generalized anhidrosis
Read the June 8, 2022 DermWorld Insights and Inquiries on acquired idiopathic generalized anhidrosis.
Eosinophilic pustular folliculitis: Six decades of progress
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Vol. 8, No. 3 Eosinophilic pustular folliculitis (EPF) is a quizzical disorder. In 1965, Ise and Ofuji described the case of a 42-year-old woman who "repeatedly developed crops of small pustules on the face, the trunk,
Shingles and the battle of the bulge
Learn more about Shingles and the battle of the bulge at aad.org
Most common skin signs of human trafficking
Information for dermatologists about the most common skin signs of human trafficking.
The pressure to prevent pressure ulcers
Read the Aug. 24, 2022 DermWorld Insights and Inquiries on the pressure to prevent pressure ulcers.
Unrestricted fascination with restrictive dermopathy
Read the Nov. 16, 2022 DermWorld Insights and Inquiries on restrictive dermopathy.
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.
Gold Medal Award
The Gold Medal award is the Academy’s highest honor. It is presented on a highly selective basis in recognition of outstanding and exceptional service to the specialty of dermatology in the science, teaching and practice of cutaneous medicine and surgery. It is also considered for those who have made an
Always another worry for patients with hidradenitis suppurativa: Amyloid A amyloidosis
For patients with chronic hidradenitis suppurativa, a simple urinalysis can screen for renal amyloidosis, the most common manifestation of amyloid A amyloidosis.
Eccrine syringofibroadenoma: Sweating over the details
Read the January 26, 2022 DermWorld Insights and Inquiries on eccrine syringofibroadenoma.
I never wanted chaperones — until now
Learn more about I never wanted chaperones — until now at aad.org
Clarence S. Livingood, MD, Memorial Award and Lectureship
Learn more about the Clarence S. Livingood, MD, Memorial Award and Lectureship. The selected lecturer will receive a cash award in the amount determined by the trustees of the Livingood Lectureship and Education Fund, which is currently $10,000. The recipient will also have the honor of presenting a lecture during
Chanarin-Dorfman syndrome: Shifting out of neutral
Lipid vacuoles (Jordans’ anomaly) in white blood cells in patients with ichthyotic disorders (resembling nonbullous congenital erythroderma or the erythrokeratodermas) are indicative — but not pathognomonic — of the Chanarin-Dorfman syndrome. In documented cases of CDS, acitretin may be used with caution.
Further dermatologic observations in cystic fibrosis
The Cystic Fibrosis Dermatitis Arthritis Syndrome should be suspected in young (mostly female) cystic fibrosis patients presenting with episodic arthritis and rash.
When to see red in linear erythronychia — Malignant onychopapilloma
Read the June 29, 2022 DermWorld Insights and Inquiries on linear erythronychia — Malignant onychopapilloma.
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
Read the September 8, 2021 DermWorld Insights and Inquiries on acute hemorrhagic edema of infancy.
Advocacy Update Jul 22, 2025
The AADA submitted nomination materials recommending AADA Dermatopathology Committee Chair Alina Bridges, DO, FAAD, for membership on the CDC’s Advisory Committee to the Director.
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
Getting steamed over vaping
Read the January 29, 2020 DWII on vaping and the skin.
Acquisition and loss: A tribute to Jouni Uitto, MD, PhD
Read the Jan. 11, 2023 DermWorld Insights and Inquiries on acquisition and loss, a tribute to Jouni Uitto, MD, PhD.
Shocking news: Heat shock protein inhibition finally enters the realm of dermatologic therapy
Heat shock protein inhibition is a novel approach that may prove valuable for dermatologists treating inflammatory, autoimmune, bullous, and oncologic diseases.
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,
Advocacy Update Jul 29, 2025
AADA Vice President-elect Larry Green, MD, FAAD, represented dermatologists on behalf of SkinPAC at an event in Washington, D.C., with his member of Congress, Sarah Elfreth (MD-03) to urge support for Medicare physician payment reform.
An appealing step closer to targeted topical therapies
Read the April 5, 2023 DermWorld Insights and Inquiries on an appealing step closer to targeted topical therapies.
No longer flailing with Flegel disease
Read the April 19, 2023 DermWorld Insights and Inquiries on Flegel disease.
CXCR4 antagonist therapy based on a WHIM syndrome
Advances in understanding the pathomechanisms of WHIM syndrome are the prelude to treating this syndrome — and other diseases — with CXCR4 antagonists.
Melanoma in situ: The power of one (centimeter)?
I remember Marie. She was a delightful elderly woman whom I would see for routine follow-up following an excision of her melanoma in situ (MIS) from her right arm. I will never forget my astonishment upon feeling the large lymph node in her right axilla, the first metastasis of her
Lichenoid and granulomatous dermatitis: Points to ponder
Read the June 10, 2020 DermWorld Insights and Inquiries on lichenoid and granulomatous dermatitis.
Clinical Pearls archive
Access the Clinical Pearl archives of DermWorld Directions in Residency. Get top tips from experts about the key information residents should know about a topic before they begin their careers in practice.
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.
Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses
Reflectance confocal microscopy may obviate the need for biopsies of benign lichenoid keratoses (and other lesions).
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.
Atopic dermatitis hide and seek: The impending role of OX40 inhibition
The OX40/OX40 ligand signaling pathway is involved in the pathogenesis of atopic dermatitis. Current trials using OX40/OX40 ligand inhibitors are underway, which are promising.
Technology vs. skin cancer
Go to AAD Home ... Go to AAD Home ... Menu ... A new generation of non-invasive tools and apps reduces unnecessary biopsies, promotes self-surveillance ... A new generation of non-invasive tools and apps reduces unnecessary biopsies, promotes self-surveillance ... By Jan Bowers, contributing writer Improving diagnostic accuracy, avoiding unnecessary
Treatments for renal IgA vasculitis are beginning to flow
Renal disease is the most severe complication of IgA vasculitis. New treatments such as iptacopan (an alternative complement inhibitor) and atrasentan (an endothelin type A receptor inhibitor) are promising novel therapies for this challenging disease.
IL-36 and generalized pustular psoriasis: L’chaim!
Read the March 9, 2022 DermWorld Insights and Inquiries on IL-36 and generalized pustular psoriasis.
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?
2021 Annual Meeting Cancellation
The American Academy of Dermatology‘s 2021 Annual Meeting has been canceled due to continuing COVID-19 restrictions.
Standard postoperative wound care practice may be all wet
Water exposure in the immediate postoperative period does not increase the risk of infection and allows the patient to continue their water-related hygiene routines.
Skin conditions by the numbers
Find facts and statistics for reporting about dermatology and dermatologic conditions.
Digging deeper into lupus erythematosus panniculitis
Read the May 5, 2021 DermWorld Insights and Inquiries on lupus erythematosus panniculitis.
Making a pitch for the C-reactive protein/albumin ratio
The C-reactive protein/albumin ratio (CAR) is a new measure for assessing disease severity and prognosis in inflammatory and neoplastic disorders. Dermatologists will increasingly encounter the CAR in daily practice.
Insult to injury: COVID-19-associated mucormycosis
Read the June 9, 2021 DermWorld Insights and Inquiries on COVID-19-associated mucormycosis.
March 14
Learn more about March 14 at aad.org
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)
Terra Firma-Forme Dermatosis
Terra firma-forme dermatosis is diagnosed by a simple alcohol wipe. Recognition of this disorder may ease fears and embarrassment and avoid unnecessary diagnostic tests.
Fever, rash, and lymphadenopathy may be wearing more than one DRESS
Learn more about Fever, rash, and lymphadenopathy may be wearing more than one DRESS at aad.org
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
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
The human (and skin) microbiome is intricately involved in health and disease. Recent studies suggest that dysbiosis may be pathogenic in disorders of hypopigmentation, such as progressive macular hypomelanosis and lichen striatus.
Telangiectasias: When is it TEMPI time?
Read the Oct. 19, 2022 DermWorld Insights and Inquiries on telangiectasias.
Understanding Multiple Procedure Payment Reduction Rule
Have you ever wondered how Medicare determines when to apply the multiple procedure payment reduction rule (MPPR) and how it affects claim-reimbursement amounts? ... The American Medical Association’s (AMA’s) Current Procedural Terminology (CPT®) code manual describes individual services and procedures. The AMA/Specialty Society Relative Value Scale (RVS) Update Committee (RUC)
A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma
he clinically distinctive medallion-like dermal dendrocyte hamartoma is a benign lesion that must be differentiated from congenital atrophic dermatofibrosarcoma protuberans, especially in patients with adenosine deaminase-deficient severe combined immunodeficiency.
The appropriate dermatologic response when considering the capillary malformation-arteriovenous malformation syndrome: Fast flow to referral
The diagnosis of the Capillary Malformation-Arteriovenous Malformation (CM-AVM) syndrome should be recognized by vascular lesions surrounded by pallor. Although the prognosis is excellent for most patients, the risk of associated central nervous system AVMs mandates diagnostic confirmation and appropriate imaging assessment.
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.
Deep learning in dermatopathology
Read the June 30, 2021 DermWorld Insights and Inquiries on deep learning in dermatopathology.
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 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).
Create your legacy at the AAD - Make a planned gift
Establish your legacy by including the AAD in your will, life insurance, or other estate planning documents.
Eyebrow-raising complications of microblading
Microblading is a new and increasingly popular technique primarily used for eyebrow restoration. As with all procedures, practitioner knowledge and experience will help minimize attendant risks.
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.
COVID-19 can nail you in so many ways
Read the July 13, 2022 DermWorld Insights and Inquiries on COVID-19 and nails.
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
Read the January 27, 2021 DermWorld Insights and Inquiries on tirbanibulin for actinic keratosis therapy.
Netherton syndrome: From apex to nether
Read the March 31, 2021 DermWorld Insights and Inquiries on Netherton syndrome.
Metformin mania: Is it an adequate chemopreventive agent for skin cancer?
Read the Aug. 31, 2022 DermWorld Insights and Inquiries on metformin as a chemopreventive agent for skin cancer.
The emergence of rituximab-induced pyoderma gangrenosum: An alert to dermatologists
Read the Sept. 21, 2022 DermWorld Insights and Inquiries on rituximab-induced pyoderma gangrenosum.
Fixating on doxycycline-induced fixed drug eruptions
Dermatologists routinely prescribe doxycycline. Historically, doxycycline rarely causes a fixed drug eruption. A case series of patients with doxycycline-induced fixed drug eruptions in patients receiving doxycycline for post-exposure prophylaxis or treatment of sexually transmitted disease has been reported. More study is required to determine if the incidence of doxycycline-induced fixed
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.
Rounds on pityriasis rotunda
Pityriasis rotunda is a striking dermatosis with many reported associations, most notably as a paraneoplastic process in some cases.
What's hot?
What's hot ... January 29, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Many of us struggle with patients with refractory pruritus who have tried many combinations of antihistamine, tricyclic,
2020 DW Insights and Inquiries archive
Explore past issues of DW Insights and Inquiries that were published in 2020.
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
Paraneoplastic Merkel cell carcinoma: Searchin’ for my lost shaker of salt
Merkel cell carcinoma may be associated with several paraneoplastic phenomena, including the syndrome of inappropriate anti-diuretic hormone secretion, ectopic Cushing syndrome, and others.
May 1
Learn more about May 1 at aad.org
Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr., MD
Cellular neurothekeomas are benign lesions of presumed fibrohistiocytic origin. Rendering this diagnosis is essential to avoid misdiagnosis and potential overtreatment.
Coming clean on chlorhexidine-induced dermatoses
Chlorhexidine may induce allergic contact dermatitis or other dermatoses. This should be kept in mind to avoid delay in diagnosis.
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
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
Inclusivity champions: Presentations and resources
Learn more about Inclusivity Champions presentations and resources. Download presentations for students, staff, and community audiences developed by Nkanyezi Ferguson, MD, FAAD, Assistant Professor, Dermatology Department, University of Iowa.
High-dose vitamin D may be a ray of sunshine for treating sunburn
High-dose vitamin D, which has shown benefit in toxic erythema of chemotherapy and acute radiation dermatitis, may also be helpful for treating sunburn.
Leadership succession: Sunrise, sunset
Advancing to become a chair of dermatology, or any position of authority, can be daunting. The skills that promoted you may not provide the skills necessary for success. Take advantage of educational resources, mentors, and colleagues for their collective wisdom.
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).
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
Obituaries
Obituaries ... By Jerry Graff, MD, December 1, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... MARGARET C. DOUGLASS, MD, of Beverly Hills, Michigan, May 29, 2019, at age 75. Trained in dermatology at University of Chicago and practiced
Advances in dermatopathology
Dermatopathologists discuss the latest trends and developments in dermpath. ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2023 The field of dermatopathology is experiencing much growth and change. From how to use PRAME to aid in determining whether a lesion may be malignant, to digitizing glass slides
Indoor tanning fact sheet
Find facts and statistics for reporting about indoor tanning.
Can tocilizumab deep six recalcitrant morphea?
The IL-6 inhibitor tocilizumab may have a therapeutic role in cases of recalcitrant morphea.
Lupus miliaris disseminatus faciei: A Simon and Garfunkel playlist
Lupus miliaris disseminatus faciei is an idiopathic granulomatous disorder that needs to be treated early to prevent scarring.
BASCULE syndrome: Is something brewing with Bier spots?
Read the Sept. 7, 2022 DermWorld Insights and Inquiries on BASCULE syndrome.
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
Read the Nov. 2, 2022 DermWorld Insights and Inquiries on lipodystrophia semicircularis.
Turning our attention to melanoma risk in Turner syndrome
Patients with Turner syndrome have an increased risk of melanoma, possibly related to the number of nevi. The use of human growth hormone may contribute to the appearance of a larger number of acquired melanocytic nevi. Patients with Turner syndrome should be routinely screened for melanoma and practice standard sun
Sniffing out the meaning of perialar intertrigo
Read the Jan. 4, 2023 DermWorld Insights and Inquiries on the meaning of perialar intertrigo.
Lipoid proteinosis’ weak, hoarse cry is crying for targeted therapeutic intervention
Lipoid proteinosis was described almost a century ago. Although the genetics of the disease have been deciphered due to mutations in ECM-1, these discoveries have yet to translate into precise therapeutic interventions. Acitretin remains the systemic treatment of choice.
Which treatment modality of pyogenic granuloma is worth its weight in salt?
There are many modalities to treat pyogenic granulomas. If removal of the lesion is impractical, and salt is as effective as preliminary studies suggest, it will be worth its weight in salt, indeed.
Can we chat?
Read the March 29, 2023 DermWorld Insights and Inquiries on new chatbot AI technologies.
Incysting on understanding pilar cysts
Read the July 15, 2020 DermWorld Insights and Inquiries on pilar cysts.
Keeping abreast of the expanding literature of implant-associated Anaplastic Large Cell Lymphoma (ALCL)
Silicone gel implants were removed from the US market in 1992 because of health concerns, only to be reintroduced in 2006, with the provision for increased surveillance of health outcomes. I was under the (apparently mistaken) impression that the FDA put the brouhaha of a potential association of silicone
In the event of an emergency: Be prepared
Answers in Practice ... By Emily Margosian, Assistant Editor, January 1, 2024 DermWorld ... talks to Kevin Crawford, MD, FAAD, from Forefront Dermatology in Seymour, Indiana, about office preparedness planning for emergency events. DermWorld: Tell us about your practice. Dr. Crawford: I practice medicine in the state of Indiana and
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.
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.
Olmsted syndrome patients can finally put their foot down
Read the January 20, 2021 DermWorld Insights and Inquiries on Olmsted syndrome.
The vexing verruciform xanthoma
Read the February 24, 2022 DermWorld Insights and Inquiries on verruciform xanthoma.
Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma
Squamoid eccrine ductal carcinomas may be highly aggressive malignancies characteristically observed on the head and neck of older men. Biopsies must be deep enough to ensure that these lesions are not diagnosed as squamous cell carcinomas.
Keeping abreast of drug-induced cutaneous lupus
Read the August 4, 2021 DermWorld Insights and Inquiries on drug-induced cutaneous lupus.
April 24
Learn more about April 24 at aad.org
We are living in a new golden age for dermatology
From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, April 1, 2023 Like the rest of you, I have just returned from an invigorating and rewarding AAD Annual Meeting in New Orleans. We had an
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
Does your dermatopathologist recommend treatment suggestions for melanocytic lesions? My two cents (and sense)
The question raised by the title is important for patient care and medicolegal concerns. The format of my commentary will differ from the usual. I have copied the abstract from the article by Lee et al (1) – my comments will appear underlined in italics within the abstract itself. (You
Slivers of skin may diagnose silver hair syndromes
Simple tests may help distinguish the rare silver hair syndromes (SHS): Chediak-Higashi (CHS) and Griscelli (GS).
Advocacy Update Sept 16, 2025
The annual AADA Legislative Conference concluded Sept. 9, with advocates participating in over 200 meetings with congressional offices to urge Medicare physician practice payment reform.
Advocacy Update Jan 13, 2026
The AADA urges New York to pass legislation requiring medspas to clearly disclose that they are not licensed to perform medical procedures.
Supplement secrets unveiled: debunking common myths about beauty boosters
Board-certified dermatologist discusses what to consider before taking three common supplements ROSEMONT, Ill. (Sept. 17, 2024) — Nutritional supplements offer a convenient way to easily increase your daily intake of vitamins, minerals, and other nutrients without making significant lifestyle changes. Despite their growing popularity for achieving thicker hair and better
Obituaries
Obituaries ... By Jerry Graff, MD, June 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ROBERT AUERBACH, MD, of New York, Nov. 1, 2017, at age 85. Trained in dermatology at University of Chicago. Was a well-known expert
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.
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.
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.
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.
Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders
Idiopathic granulomatous mastitis (IGM) should be considered in inflammatory dermatoses of the breast in women of reproductive age. The diagnosis is confirmed by ruling out inflammatory, infectious, and malignant conditions that clinically mimic the disease. There are an increasing number of reports of IGM accompanied by extramammary manifestations, notably erythema
Demodectic eruptions: More than you mite have imagined
Read the April 26, 2023 DermWorld Insights and Inquiries on Demodectic eruptions. Although the precise role of Demodex mites remains to be defined in disorders such as rosacea, these mites could play a role in other diseases, the most under-recognized possibly being so-called pigmented demodicidosis.
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.
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).
International collaboration is vital to a greater future!
From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, July 1, 2023 Drs. Cronin, Alexander Stratigos, and Mark Kaufmann in Milan. ... As you read this, I am likely on my way to attend the ...
Clear cell papulosis: Clearly distinctive, clearly underrecognized
Read the June 3, 2020 DermWorld Insights and Inquiries on clear cell papulosis.
Dermatofibrosarcoma protuberans recurrence: Size matters
Dermatofibrosarcoma protuberans can be locally destructive and may rarely be fatal. Having the lesion excised (preferably with Mohs micrographic surgery) is the definitive foundation of treatment.
Melanoma fact sheet | AAD
Find facts and statistics for reporting about melanoma skin cancer.
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
2017’s management of Stevens-Johnson/toxic epidermal necrolysis: The pendulum is swinging
As in any controversial subject, it is essential to sort out areas of consensus versus disagreement. Most dermatologists would recommend managing Stevens-Johnson syndrome/Toxic Epidermolysis Necrolysis (SJS/TEN) by eliminating the culprit drug, monitoring fluid and electrolytes, being vigilant for secondary infection, and adhering to strict wound care, possibly in a burn
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.
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.
It has been an incredible journey.
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, March 1, 2020 It boggles the mind how quickly 12 months can pass. As I sit here thinking back on the past year serving as your Academy president,
The alphabetization of lymphomatoid papulosis: Focus on “F”
The 50th anniversary of Warren Macaulay’s seminal description of lymphomatoid papulosis (LyP) is approaching.
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.
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.
We’re in hot water! Vibrio vulnificus infections are heading north
Read the December 16, 2020 DermWorld Insights and Inquiries on Vibrio vulnificus infections.
A simple stripe or a red flag?
Experts share advice for the often-tricky triage of nail pigmentation. ... Feature ... By Heidi Splete, Contributing Writer, November 1, 2025 Lines or streaks on the nails are not uncommon, but deducing the cause of these discolorations is essential for separating benign melanonychia from nail unit melanoma (NUM). ... Melanonychia,
June 19
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Keeping an eye on retinoids as treatment for the ectropion of lamellar ichthyosis
In patients afflicted with several variants of ichthyosis, ocular complications, such as ectropion, lagophthalmos (the inability to close the eyes completely), and exposure keratopathy can be observed.
Going green: The complexities of the green nail syndrome
Read the February 3, 2021 DermWorld Insights and Inquiries on green nail syndrome.
This month’s news from across the specialty
What’s hot ... April 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD The American Academy of Pediatrics (AAP) has released updated guidance on the diagnosis and management of head lice (
Thinking about seborrheic keratoses: A rare event
Can you envision a practice free of seborrheic keratoses (SKs)? How many times a day do you encounter a panicky patient convinced that they have a melanoma, when it is just an SK?
A metabolic pathway that may allow dermatologists to run rings around porokeratoses
Learn more about A metabolic pathway that may allow dermatologists to run rings around porokeratoses at aad.org
Tinea gone wild: The emergence of Trichophyton indotineae as a global phenomenon
Trichophyton indotineae dermatophytosis is an extensive, recalcitrant disease frequently resistant to terbinafine, spreading worldwide. Dermatologists should consider this diagnosis when tinea infections do not respond to standard therapy and use itraconazole as the current treatment of choice.
Pathway to reducing medical errors
Although the overall error rate may be low, there are specific areas and opportunities to further reduce errors in the diagnostic pathway. Being vigilant and recognizing steps prone to errors facilitates detecting errors before any potential harm comes to the patient.
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.
Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum
When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting hours of the week were Thursday mornings at the Duhring Conference. Throngs of Delaware Valley dermatologists would attend, listening to the entertaining (and often iconoclastic) pontifications of dermatologic luminaries such
Thoughts on hyaluronidase and The House of God
Read the January 15, 2020 DWII on hyaluronidase and The House of God.
Progress for progressive multifocal leukoencephalopathy
Learn more about Progress for progressive multifocal leukoencephalopathy at aad.org
Oy, another “Oid” to worry about: Cryptococcoid lesions
Learn more about Oy, another “Oid” to worry about: Cryptococcoid lesions at aad.org
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.
Snitching on Schnitzler syndrome: The continuing search for an optimal biomarker
Learn more about Snitching on Schnitzler syndrome: The continuing search for an optimal biomarker at aad.org
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.
Key messages for social media about hair loss
By communicating these key messages on hair loss, you can help position the specialty while increasing your credibility and raising the profile of your practice. Review key messages on causes of hair loss, the psychosocial impacts, and treatment options.
Short anagen syndrome: The long and short of it
Short anagen syndrome (SAS) is an underrecognized disorder usually observed in children and typically resolves after puberty. It may be accompanied by psychological distress. Topical minoxidil and oral biotin may help therapeutically. Novel research has associated WNT10A variants with SAS and male pattern alopecia, opening the door for new areas
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.
Skin cancer fact sheet
Find facts and statistics for reporting about skin cancer.
Early recognition of Rituximab-induced late onset neutropenia is essential
Read the April 13, 2022 DermWorld Insights and Inquiries on early recognition of Rituximab-induced late onset neutropenia.
A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn
Pediatric dermatologists must carefully assess any neonate with dermatologic findings. Many are benign and transient. A new neonatal entity has been described — transient abdominal telangiectasia of the newborn (TANT). TANT is a benign disorder. Ultrasound imaging to rule out intrabdominal pathology is indicated if abdominal distention is observed.
Loss and legacy: A tribute to Robert F. Duffy, MD
Moments such as these force us to stop, reflect, and prioritize what is important in life. Dr. Duffy enriched my life in so many ways. I want to honor him by asking you to spend a few moments reading the eulogy I delivered on May 22, 2025 — all of
Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018
As a first-year dermatology resident in 1980, I struggled with the concept of parapsoriasis. In trying to conceptualize the process, I recall being distressed after seeing Louis Brocq’s diagram from his classic paper, “Les parapsoriasis,” published in 1902 — Would I ever understand this? What is the relationship to
Probing pediatric pigmented purpuras
Read the October 20, 2021 DermWorld Insights and Inquiries on pediatric pigmented purpuras.
Humbled again: Alopecic and aseptic nodules of the scalp
Read the November 3, 2021 DermWorld Insights and Inquiries on alopecic and aseptic nodules of the scalp.
Taking it on the shin: Part two
Obesity-associated lymphedematous mucinosis and stasis mucinosis can be differentiated from euthyroid pretibial myxedema. Weight reduction and compression may improve these disorders.
Rituximab and dermatomyositis: Dr. Samitz would be proud
Read the November 20, 2019 DWII on rituximab and dermatomyositis.
Topical retinoid therapy for acanthosis nigricans: In the thick of it
Read the December 11, 2019 DWII on topical retinoid therapy for acanthosis nigricans.
Prurigo pigmentosa as the “keto rash”: I’m a believer
Read the February 5, 2020 DWII on prurigo pigmentosa.
Preferentially expressed antigen in melanoma (PRAME)
The immunohistochemical study PRAME is increasing utilized in the diagnosis of challenging melanocytic lesions.
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
Knuckling down on knuckle pads
Read the April 1, 2020 DermWorld Insight and Inquiries on knuckle pads.
On the cusp of extraordinary advances in extramammary Paget disease
Read the May 27, 2020 DermWorld Insights and Inquiries on EMPD.
May 29
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Other emerging severe and resistant dermatophytes of concern
Other emerging dermatophytes of concern include Trichophyton rubrum and Trichophyton mentagrophytes type VII. Learn about treatment and patient counseling.
Drug importation and cantharidin FAQs
Read answers to frequently asked questions to learn more about drug importation, including a section on cantharidin.
Psoriasis
By communicating these key messages on psoriasis, you can help position the specialty while increasing your credibility and raising the profile of your practice.
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.
Risk factors for herpes zoster: Age, immunosuppression, and…statins?
When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the patient), hope that either the disease will manifest recognizable features,
LIDA* rose the insulin requirement
Read the April 14, 2021 DermWorld Insights and Inquiries on localized insulin-derived amyloidosis.
What's hot?
What's hot ... March 27, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Alopecia areata is frustrating to patients, parents, and practitioners, all of whom may be left with unsatisfactory
The 2020 vision for nemolizumab in atopic dermatitis
Read the March 11, 2020 DermWorld Insight and Inquiries on nemolizumab and atopic dermatitis.
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
Read the Aug. 3, 2022 DermWorld Insights and Inquiries on JAK inhibition and multicentric reticulohistiocytosis.
Adding protothecosis to the protocol
Protothecosis presents as a localized cutaneous infection, olecranon bursitis, or disseminated disease, especially in immunocompromised patients. Although rare, there have been increasing reports of the disease. Dermatologists should consider this diagnosis in patients presumed to have recalcitrant infectious disorders.
A cold abscess remains a cold case: Multiple neonatal staphylococcal cold abscesses of the large folds
Healthy neonates presenting with cold abscesses in skin folds and growing methicillin-sensitive Staphylococcus aureus on culture may have “Multiple Neonatal Staphylococcal Cold Abscesses of the Large Folds.” With appropriate treatment, this benign disorder will not have any untoward sequelae.
January 16
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Dermatopathology’s taste of honey
Read the September 2, 2020 DermWorld Insights and Inquiries on dermatopathology’s taste of honey
Eosinophilic dermatosis of hematologic malignancy: Reality bites
Learn more about Eosinophilic dermatosis of hematologic malignancy: Reality bites at aad.org
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
Reassuring patients with sclerosing lymphangitis of the penis that they will not get shafted
Sclerosing lymphangitis of the penis may be anxiety-provoking but is a self-limited disorder that characteristically resolves within weeks without residual complications.
'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.
Dupilumab’s growing pains
Read the January 8, 2020 DWII on dupilumab.
When is pyoderma gangrenosum not pyoderma gangrenosum?
Clinical Applications ... Dr. Hsu is a member of the ... DermWorld Editorial Advisory Workgroup. ... By Sylvia Hsu, MD, November 1, 2019 In this month’s Clinical Applications column, Editorial Advisory Workgroup member Sylvia Hsu, MD, talks with Emanual Michael Maverakis, MD, about his recent ... JAMA Dermatology and ...
Unity is our greatest responsibility.
From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, March 1, 2024 It has been my highest honor and privilege to serve as your president. I’ve made so many new friends along the way, and
Cutting giant congenital nevi down to size molecularly
Learn more about Cutting giant congenital nevi down to size molecularly at aad.org
Phacing the future: When patients with PHACE syndrome grow up
Read the June 24, 2020 DermWorld Insights and Inquiries on PHACE syndrome.
Getting to the heart of neonatal lupus erythematosus
Read the July 21, 2021 DermWorld Insights and Inquiries on getting to the heart of neonatal lupus erythematosus.
Lagging ahead: LAG-3 checkpoint inhibition for advanced melanoma
Read the May 11, 2022 DermWorld Insights and Inquiries on LAG-3 checkpoint inhibition for advanced melanoma.
Like the tumor itself, knowledge about DFSP is expanding wider and deeper
Read the June 16, 2021 DermWorld Insights and Inquiries on DFSP.
Forty years of marriage, dermatology, inequities, and gratitude
Read the Aug. 10, 2022 DermWorld Insights and Inquiries on gender inequities in medicine.
Till death do us part: Love, marriage, and cutaneous oncology
When partners encourage and assist in skin self-examinations, cancers are detected earlier, and prognosis improves.
Lending a helping hand to our patients with Dupuytren’s disease
Read the Oct. 26, 2022 DermWorld Insights and Inquiries on Dupuytren’s disease.
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.
June 5
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Acne necrotica: A real head-scratcher
Acne necrotica is a puzzling, under-recognized disorder that may be very distressing for afflicted patients. Further research into the pathogenesis of this lymphocytic folliculitis is warranted so that more specific therapies can be developed.
Complications of silicone injections: persistence, stigma, and treatment
Read the Jan. 18, 2023 DermWorld Insights and Inquiries on complications of silicone injections.
Nailing the diagnosis of the BAP1 tumor predisposition syndrome
Patients with polydactylous onychopapillomas mandate evaluation for the BAP1-tumor predisposition syndrome.
The rhythm of RIME
Read the March 2, 2022 DermWorld Insights and Inquiries on RIME.
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.
Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa
Read the December 15, 2021 DermWorld Insights and Inquiries on our incomplete knowledge of trichodysplasia spinulosa.
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
Hot coding topics from the field
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, June 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. ... Read more Derm Coding Consult articles . Payer denials for adjacent tissue
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
Juvenile lichen sclerosus: A loss of innocence
Read the August 17, 2020 DermWorld Insights and Inquiries on juvenile lichen sclerosus.
November 20, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 20, 2019 ... Which types of dermal fillers are associated with increased complications? DW Insights and Inquiries: Rituximab and dermatomyositis — Dr. Samitz would be proud An ode to the
Coming to grips with lymphocytic thrombophilic arteritis
Read the May 18, 2022 DermWorld Insights and Inquiries on lymphocytic thrombophilic arteritis.
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.
Wolf’s isotopic response: Where and when
Although the nature of Wolf’s isotopic response may be debated among dermatologists, clinicians must recognize that new rashes and tumors may appear in sites of previously healed sites from other disorders, most frequently herpes zoster.
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.
Tag, you’re it!
Read the Sept. 28, 2022 DermWorld Insights and Inquiries on Tag, you’re it!
Malignant syphilis: History in the making
Malignant syphilis has been increasingly reported in both immunocompromised and immunocompetent patients. Dermatologists should consider this diagnosis when encountering patients with an acute onset of well-defined necrotic ulcers that may be associated with rupioid crusts.
September 25
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Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
Read the November 10, 2021 DermWorld Insights and Inquiries on recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus.
The ironclad promise of ferroptosis
Read the Jan. 25, 2023 DermWorld Insights and Inquiries on the ironclad promise of ferroptosis.
Pancreatic panniculitis: Getting spooked by ghost cells
The presence of “ghost cells” in the adipose tissue indicates pancreatic panniculitis. Once that diagnosis is rendered, a careful assessment of the nature of pancreatic disease, especially pancreatitis and pancreatic cancer, is crucial.
The breathless complications of anti-MDA-5-positive dermatomyositis
Rapidly progressing interstitial lung disease and pneumomediastinum are potentially life-threatening complications of anti-MDA5-postiive dermatomyositis. Dyspneic patients with this disease mandate urgent assessment.
Mohs under review
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, 2020 Test your knowledge: Mohs under review ... Take the quiz to see if you're up to
Taking the lead
DermWorld shares stories of the Leadership Institute’s influence on dermatologists. ... Feature ... By Megan Bennett, Staff Writer, April 1, 2026 Just as it is when striving to become a great dermatologist, being a great leader is a learned skill, said Jeremy Bordeaux, MD, MPH, FAAD. ... That’s one of
Keyboard courage fuels cyberbullies
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss cyberbullying, its prevalence in medicine, and the impact on physicians ... Experts discuss cyberbullying, its prevalence in medicine, and the impact on physicians ... By Ruth Carol, contributing writer Remember the bully on the playground? Well,
Progress in pemphigus: Solidifying rituximab’s role
Read the July 7, 2021 DermWorld Insights and Inquiries on solidifying rituximab’s role in pemphigus treatment.
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.
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
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.
Erectile dysfunction in dermatology: A silent epidemic
Erectile dysfunction (ED) is associated with chronic inflammatory disorders, including psoriasis, seborrheic dermatitis, hidradenitis suppurativa, atopic dermatitis, and others. Dermatologists can help ED patients by acknowledging these associations and assisting them in receiving appropriate therapy.
Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis: The aftermath
Read the May 26, 2021 DermWorld Insights and Inquiries on Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis.
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.
Antihypertensive agents and eczema: New data for older patients
Antihypertensive agents, especially diuretics and calcium channel blockers, may cause eczematous dermatoses in older patients.
Metastatic uveal melanoma: Tebentafusp unobfuscated
Tebentafusp, a novel ImmTAC (immune mobilizing monoclonal T-cell receptors against cancer) approved for treating metastatic uveal melanoma, has a high incidence of cutaneous adverse reactions ranging from acute toxicity to depigmentation.
A shot in the dark
Read the March 10, 2021 DermWorld Insights and Inquiries on COVID arm.
Hoops and happiness: Having the courage to take a shot
Read the March 17, 2021 DermWorld Insights and Inquiries on hoops and happiness.
Here comes summer (and sunscreen conversations)!
Read the April 29, 2020 DermWorld Insights and Inquiries on suncreen.
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.
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.
A Frank discussion about earlobe creases
Read the Dec. 14, 2022 DermWorld Insights and Inquiries on earlobe creases as signs of disease.
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.
Resorcinol’s resourcefulness in hidradenitis suppurativa
Read the March 22, 2023 DermWorld Insights and Inquiries on resorcinol’s resourcefulness in hidradenitis suppurativa.
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.
Periocular hypopigmentation of the elderly: A new POTUS dermatosis?
Periocular hypopigmentation of the elderly (POHE) is a diagnosis of exclusion after vitiligo, post-inflammatory hypopigmentation to due contact dermatitis, or medication-induced hypopigmentation are ruled out. POHE is likely due to a combination of actinic damage and intrinsic ageing in those with lighter complexions.
The expanding horizon of anti-IL-36 therapy
The IL-36/IL-36R axis is crucial in the pathogenesis and treatment of generalized pustular psoriasis. Researchers have demonstrated that this pathway may be instrumental in several other inflammatory dermatoses, as already shown in pyoderma gangrenosum.
Coding lessons learned from frequently asked questions in 2023
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, December 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . 2023 has come to a close
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
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.
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
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.
Tarrying for tapinarof
Read the January 12, 2022 DermWorld Insights and Inquiries on tapinarof.
Exploring Spitz nevi in the molecular era
Dermatopathologists discuss how to approach spitzoid lesions and how molecular testing can aid in assessing their potential malignancy. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2026 Spitz nevi. Spitz tumor. Spitz melanoma. It has long been recognized that the histopathologic differential diagnosis between a Spitz nevus
How to hire a great practice manager
Go to AAD Home ... Go to AAD Home ... Menu ... Finding the right fit for your practice ... Finding the right fit for your practice ... By Emily Margosian, assistant editor Behind the scenes, who keeps your practice running? According to the 2017 AAD Practice Profile Survey, 64%
The globalization of monkeypox
Read the May 25, 2022 DermWorld Insights and Inquiries on the globalization of monkeypox.
Epidemic of melanoma or epidemic of scrutiny?
Read the May 19, 2021 DermWorld Insights and Inquiries on whether the rise in melanoma diagnoses represents an epidemic of the disease or of clinical scrutiny.
From Down Under to all over: Kava-induced cutaneous adverse reactions
As kava use increases, dermatologists should recognize the acute sebotropic eruption that may be accompanied by systemic symptoms. Classic kava dermopathy is a reversible acquired ichthyosis associated with heavy kava use.
Beyond dermoscopy
Emergent technologies enhance imaging, target rare diseases. ... Feature ... By Jan Bowers, Contributing Writer, August 1, 2023 Dermoscopy has arrived. "While there are established practicing dermatologists who are not using it, it’s integrated across the residency programs," said Ashfaq A. Marghoob, MD, FAAD, attending physician at Memorial Sloan Kettering
Recommended reading list
Access this recommended reading list to continue to cultivate your leadership skills. The attached leadership reading list is a vast collection of literature that provides an in-depth look at ways you can meet the challenges of your life and career by enhancing your leadership abilities.
AAD/A Presidential citations
See all of the recipients of AAD/A Presidential citations on this page, and navigate through all of the presidential citations.
Back in the day...
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... By Allison Evans, assistant managing editor
Dermatology World Weekly
An archive of issues of DermWorld Weekly.
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