Search
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.
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,
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
May 2
Learn more about May 2 at aad.org
Secukinumab for pityriasis rubra pilaris: Tread lightly
Every dermatology resident preparing for their board examination can rattle off Griffiths’ classification of pityriasis rubra pilaris (PRP) – Type I (Classical Adult), Type II (Atypical Adult), Type III (Classic Juvenile), Type IV (Circumscribed Juvenile), and Type V (Atypical Juvenile). Type VI, associated with HIV infection was subsequently added to
October 2, 2019
Learn more about October 2 at aad.org
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
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
The journey of focal dermal hypoplasia: From description to inspired therapy
The dermatologic community lost a giant in 2014 with the passing of Robert W. Goltz, MD at the age of 90. Dr. Goltz was not only responsible for describing focal dermal hypoplasia (FDH), but also multicentric reticulohistiocytosis, generalized elastolysis, and the nevoid basal cell carcinoma syndrome (with his good friend
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
Read the Nov. 2, 2022 DermWorld Insights and Inquiries on lipodystrophia semicircularis.
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.
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
I thought it was my imagination, but apparently not – there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities.
OIG report supported dermatologists’ use of modifier 25, CMS requires no further actions
A recent report by the Office of the Inspector General found that dermatologists are appropriately using modifier 25 the vast majority of the time. The report was compiled in response to scrutiny by CMS of how dermatologists use the modifier. In 90 out of 100 instances sampled, dermatologists are following
The profound dermatological manifestations of COVID-19: Part II
Read the March 25, 2020 DermWorld Insight and Inquiries on COVID-19, part 2.
Controlling High Blood Pressure — Measure 236
Access reporting information on measure 236: Controlling High Blood Pressure. Review the maximum points available, the measure type, measure specifications, and much more.
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
Dermatopathology’s taste of honey
Read the September 2, 2020 DermWorld Insights and Inquiries on dermatopathology’s taste of honey
The rhythm of RIME
Read the March 2, 2022 DermWorld Insights and Inquiries on RIME.
Pigmented onychomatricoma: Avoid getting nailed by misdiagnosis
Read the Dec. 2, 2020 DermWorld Insights and Inquiries on pigmented onychomatricoma.
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.
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.
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.
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
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.
Direct-to-consumer telemedicine websites: Caveat emptor, a prediction, and proposal
Two weeks ago, I experienced pain extending from my right groin to my buttock to the degree that I almost could not bear weight. I felt as though I was 90, and if anyone saw my gait, they would have reached that conclusion. If there were an app for my
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.
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 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.]
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
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.
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.
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.
Melanoma Reporting — Measure 397
Access reporting information on measure 397: Melanoma Reporting. Review the maximum points available, the measure type, measure specifications, and much more.
Melanoma Reporting — Measure 397
Access reporting information on measure 397: Melanoma Reporting. 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.
Advance Care Plan — Measure 47
Access reporting information for MIPS measure 47: Advance Care Plan. Review the maximum points available, the measure type, measure specifications, and more.
Advance Care Plan — Measure 47
Access reporting information for MIPS measure 47: Advance Care Plan. Review the maximum points available, the measure type, measure specifications, and more.
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.
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.
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.
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).
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Access reporting information on measure 358: Patient-Centered Surgical Risk Assessment and Communication. Review the maximum points available, the measure type, measure specifications, and much more.
Patient-Centered Surgical Risk Assessment and Communication — Measure 358
Access reporting information on measure 358: Patient-Centered Surgical Risk Assessment and Communication. Review the maximum points available, the measure type, measure specifications, and much more.
Documentation of Current Medications in the Medical Record — Measure 130
Access reporting information on measure 130: Documentation of Current Medications in the Medical Record. Review the maximum points available, the measure type, measure specifications, and much more.
Documentation of Current Medications in the Medical Record — Measure 130
Access reporting information on measure 130: Documentation of Current Medications in the Medical Record. Review the maximum points available, the measure type, measure specifications, and much more.
Screening for Social Drivers of Health — Measure 487
Access reporting information on measure 487: Screening for Social Drivers of Health. Review the maximum points available, the measure type, measure specifications, and much more.
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.
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
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.
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Access reporting information on measure 374: Closing the Referral Loop: Receipt of Specialist Report. Review the maximum points available, the measure type, measure specifications, and much more.
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Access reporting information on measure 374: Closing the Referral Loop: Receipt of Specialist Report. Review the maximum points available, the measure type, measure specifications, and much more.
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).
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.
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.
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection — QCDR measure AAD 18
Access reporting information for QCDR measure AAD 18: Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection. Review the maximum points available, the measure type, measure specifications, and much more.
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
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Access reporting information for MIPS measure 485: Psoriasis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Access reporting information for MIPS measure 486: Dermatitis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Access reporting information for MIPS measure 485: Psoriasis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Access reporting information for MIPS measure 486: Dermatitis: Improvement in Patient-Reported Itch Severity. Review the maximum points available, the measure type, measure specifications, and much more.
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.
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.
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.
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.
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Access reporting information for MIPS measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. Review the maximum points available, the measure type, a measure flowchart, 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.
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.
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
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Access reporting information on QCDR measure AAD6: Skin Cancer: Biopsy Reporting Time — Clinician to Patient — Measure AAD 6. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Access reporting information on QCDR measure AAD6: Skin Cancer: Biopsy Reporting Time — Clinician to Patient — Measure AAD 6. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
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.
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Access reporting information for QCDR measure AAD8: Chronic Skin Conditions: Patient Reported Quality-of-Life. Review the maximum points available, the measure type, 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.
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.
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Access reporting information for QCDR measure AAD 12: Melanoma: Appropriate Surgical Margins. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Connection to Community Service Provider — Measure 498
Access reporting information on measure 498: Connection to Community Service Provider. Review the maximum points available, the measure type, measure specifications, and much more.
Quality Resources Provided by the AAD
See a summary of quality resources provided by the Academy, grouped by type.
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.
Appropriate Documentation and Shared Decision Making of AK — QCDR measure AAD 21
Access reporting information for QCDR measure AAD 21: Appropriate Documentation and Shared Decision Making of AK. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
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.
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Access reporting information for MIPS measure 440: Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician. Review the maximum points available, the measure type, measure specifications, and much more.
Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440
Access reporting information for MIPS measure 440: Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician. Review the maximum points available, the measure type, measure specifications, and much more.
Medical research funding
Ask the Expert ... By Victoria Houghton, managing editor, August 1, 2021 DermWorld ... spoke to Jennifer Mangone, JD, manager of congressional policy for the American Academy of Dermatology Association (AADA), about the Academy’s advocacy efforts to support medical research funding. DermWorld: Advocating for medical research funding is a top
Addressing systems and administrative challenges
Running a successful dermatology practice hinges not only on exceptional patient care but also on efficient administration. While challenges vary based on practice type and other factors, most practices face common administrative burdens. These burdens are a major driver of burnout.
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Access reporting information for QCDR measure AAD8: Chronic Skin Conditions: Patient Reported Quality-of-Life. Review the maximum points available, the measure type, measure specifications, and much more.
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
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Access reporting information for QCDR measure AAD 12: Melanoma: Appropriate Surgical Margins. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?
I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently only a partial truth.
It's the last quarter of MIPS performance year 2019: Do you have a game plan?
Answers in Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, October 1, 2019 Another performance year for the Merit Based Payment System (MIPS) program is almost over —
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20
Access reporting information for QCDR measure AAD 20: Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience. This measure was developed by the AAD. Review the maximum points available, the measure type, measure specifications, and much more.
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).
Types of audits
There are four different types of Medicare contractors that are responsible for auditing records, claims, and payments. While each type of contractor can use different methods to conduct the appeals, they all must be compliant with Medicare guidelines for medical review, denials, appeals, and payment recovery.
Do skin cancer rates differ by transplanted organ type and patient age?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lee Wheless, MD,
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.
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
Here’s looking at you, KID
Keratitis, ichthyosis, and deafness (KID) syndrome is a rare genodermatosis associated with mutations in the GJB2 gene, which encodes connexin 26. Abnormalities of this gap junction protein presumably affects epithelial differentiation, resulting in myriad clinical features.
U.S. medical debt hits $195 billion
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, August 1, 2022 Although 90% of the United States population possesses some form of health insurance, medical debt remains a persistent — and potentially debilitating — problem for many. Data recently released by the U.S. Census Bureau found that Americans
October 23, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2024 ... Botulinum toxin type A with topical minoxidil vs. topical minoxidil alone in males with androgenetic alopecia DermWorld Insights and Inquiries : Shocking news — Heat shock protein
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
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
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
When Washington, D.C., comes to you
From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, November 1, 2020 If we’ve learned anything this year, it’s the importance of being flexible. For example, before COVID-19, less than 10% of our members were using telemedicine; now,
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
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 July 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
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Access reporting information for MIPS measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. Review the maximum points available, the measure type, a measure flowchart, measure specifications, and much more.
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
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
New treatments provide more options for people with alopecia areata
Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new
New study reveals that some children with common form of eczema should also be tested for allergic reactions
Study author highlights test used to differentiate between two types of eczema ROSEMONT, Ill. (September 26, 2023) — Eczema, which is a group of medical conditions that causes inflamed, irritated, and often itchy skin, affects millions of people worldwide. A new article published in the ... Journal of the American
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
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
Stress^2 + Hormones^2 = Acne^2
Learn more about Stress + Hormones = Acne at aad.org
Becoming pro-geriatric by understanding progeria
I have never seen a case of Hutchinson-Gilford progeria syndrome (HGPS). You probably haven’t either, given its incidence of 1 in 4 million. Why comment on a disease that will likely only be seen in a texbook?
Unrestricted fascination with restrictive dermopathy
Read the Nov. 16, 2022 DermWorld Insights and Inquiries on restrictive dermopathy.
Putting care into context
Considerations for navigating social drivers of health in general and pediatric dermatology. ... Feature ... By Emily Margosian, Senior Editor, January 1, 2026 A hot shower, reliable transportation, private living space. More than just everyday needs, these factors can have a serious impact on individual health. ... Literature suggests social,
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
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
Tressed to impress: tips for keeping your mane magnificent
6 tips for healthier looking and feeling hair from a board-certified dermatologist ROSEMONT, Ill. (Aug. 13, 2024) — Hair is as unique as its wearer, making care an important aspect in one’s overall health and wellness routine. From understanding your hair type to learning the best shampooing technique (yes, there
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
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
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
Dermatology antibiotic prescription trends
Facts at your fingertips ... By Emily Margosian, assistant editor, November 1, 2019 As antibiotic resistance has increasingly captured the attention of the media and global health organizations, physicians have found themselves under more pressure to monitor their antibiotic prescription habits. Although overall antibiotic prescribing by dermatologists decreased by 36.6%
Granulomatous slack skin: More than one type of mimicry
Read the November 18, 2020 DermWorld Insights and Inquiries on granulomatous slack skin.
AAD Event Advertising: Annual Meeting
For exhibitors looking to promote their products and services, build booth traffic, and facilitate face-to-face discussions, the Academy offers a wide selection of high-impact advertising opportunities during the Academy's Annual Meeting.
Session handouts and meetings archive
View previous AAD meeting sessions, handouts, poster exhibits, and floor plans.
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
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
This month’s news from across the specialty
What’s hot ... August 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to
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
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
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
Membership Committee portal
Welcome to the American Academy of Dermatology’s Membership Committee portal. The portal houses applications and their supporting documentation along with resources to help determine eligibility for membership. ... Applicant Name ... Type ... Category ... Country ... Status ... Review {{application.fullName}} ... {{application.pendingMemberType}} ... {{application.pendingMemberCategory}} ... {{application.businessAddressCountry}} ... {{application.status}} ...
CBD: Potential or placebo?
Go to AAD Home ... Go to AAD Home ... Menu ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... By Emily Margosian, assistant editor This recent Mother’s Day holiday, shoppers may have observed
Alleviate the ouch
Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology
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
What's hot?
What's hot ... February 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Isn’t it interesting how some common warts that we treat seem to go away almost instantly but others persist
March
Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I always knew firefighting was a dangerous occupation What’s hot ... This month’s news from across the specialty Clinical Applications ... Do skin cancer
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
Read the June 17, 2020 DermWorld Insights and Inquiries on capillary malformation.
Malpractice insurance 101
Experts offer advice on navigating malpractice insurance policies. ... Feature ... By Andrea Niermeier, Contributing Writer, February 1, 2025 While medical malpractice suits first regularly appeared in the United States in the 1800s, the frequency of claims has only increased since the 1960s, with lawsuits relatively common today. Medical malpractice
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)
The doctor will see you...soon?
Facts at your Fingertips ... By Emily Margosian, assistant editor, July 1, 2019 As efforts to improve access to dermatologic care remain ongoing (Read ... Dermatology World ’s 2017 feature "Access Granted" at ... www.aad.org/dw/monthly/2017/october/access-granted for strategies to broaden patient access), how long can the average patient expect to wait
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
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
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
Demand for cosmetic procedures resumes after COVID
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2023 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions due to the ebb and flow in national and regional caseloads. ... The release of new
Ransomware attacks on U.S. health care double
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, February 1, 2024 Ransomware is on the rise. A recent ... JAMA Health Forum study found that the annual number of ransomware attacks on health care organizations more than doubled from 2016 to 2021, exposing the personal health information (PHI)
Melanoma incidence rising, deaths decreasing
Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2019 According to data from the National Institutes of Health (NIH) Surveillance, Epidemiology, and End Results Program (SEER), there were an estimated 96,480 new cases of melanoma of the skin in 2019 — making it the fifth most
COVID’s impact on cosmetic procedures
Facts at your fingertips ... By Emily Margosian, Assistant Editor, April 1, 2022 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions throughout the year due to the ebb and flow in national and regional caseloads. The release
Glucose monitors: Not as sweet as they seem
Learn more about Glucose monitors: Not as sweet as they seem at aad.org
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
Recognizing Trichophyton indotineae
In the last decade, a recently emerged dermatophyte species, Trichophyton indotineae, has been causing major outbreaks of severe, difficult-to-treat, and frequently relapsing infections in South Asia among immunocompetent patients.
CME & session evaluation archive
Claim CME credit and submit session evaluations for attending previous Academy meetings.
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.
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
4 cradle cap tips from dermatologists
Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your
How to prevent keloid scars
Board-certified dermatologist shares tips to reduce your risk ROSEMONT, Ill. (Dec. 6, 2023) — Keloids are a type of raised scar that can occur after an injury, and over time they can grow much larger than the wound itself. Although keloids are not dangerous to a person’s health, they can
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
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.
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.
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
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
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
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)
2026 dermatology match data released
Dermatology remains one of the most competitive specialties, nearly all positions filled ... Facts at your Fingertips ... By Megan Bennett, Staff Writer, July 1, 2026 The results of the 2026 residency match are in, including a new class of dermatologists-in-training. ... This year, there were 39 dermatology positions available
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
Are teens tanning less?
Go to AAD Home ... Go to AAD Home ... Menu ... Signs point to progress, but work remains ... Signs point to progress, but work remains ... By Ruth Carol, contributing writer It appears that fewer teens are indoor tanning in recent years, but the data are sparse. Regulations
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
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?
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
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
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)
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,
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
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
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
Taking the challenge: Social media, adolescents, and the skin
Learn more about Taking the challenge: Social media, adolescents, and the skin at aad.org
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
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
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
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
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.
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
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 ... ® ...
Focusing attention on X-linked ichthyosis
This commentary focuses on some new literature about XLI that demands our attention.
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?”
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.
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.
MIPS 2022 program highlights
Learn about important updates to the Merit-based Incentive Payment System (MIPS) for 2022. Learn about new eligibility requirements, thresholds, category weights, and more.
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.
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
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
Coding and documentation for hyperhidrosis
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Clear and concise documentation is essential
2023 MIPS and telehealth highlights
The 2023 MIPS program remains mostly the same from 2022, but there are also important changes, such as the end of performance bonuses, the start of MVPs, and more.
Tofacitinib: A JAK inhibitor of all trades
Learn more about Tofacitinib: A JAK inhibitor of all trades at aad.org
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.
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.
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.
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.
Advocacy Update June 30, 2026
AADA President Murad Alam, MD, MSCI, MBA, FAAD, met with federal legislators on Medicare physician payment reform in Washington, DC.
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.
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.
'Stepping up' to off-label dosing of biologics
Read the April 6, 2022 DermWorld Insights and Inquiries on off-label dosing of biologics.
Not just for boys: X-linked erythropoietic protoporphyria
I was anxiously awaiting the results of erythrocyte protoporphyrin levels obtained from a 4 year-old boy who avoids sunlight because his “skin hurts” when not in the shade. Until I read the article by Balwani, et al (1), I was unaware of the existence of X-linked erythropoietic protoporhyria (XLEPP), also
The mysteries of malakoplakia
Any dermatology resident preparing for their board exam will tell you that malakoplakia is defined by Michaelis-Gutmann bodies and von Hansemann cells. Somehow reciting those terms can give a person a false sense of understanding. My perspectives about malakoplakia are based solely on my reading – I have never seen
Happy 95th birthday, Mom! A Birthday vish in the Era of “Value-based” healthcare
I am blessed that my mother is in reasonable health with a keen intellect. She’s a prolific reader, politically engaged, and still independent in mind, body, and spirit.
Coming to grips with lymphocytic thrombophilic arteritis
Read the May 18, 2022 DermWorld Insights and Inquiries on lymphocytic thrombophilic arteritis.
This month’s news from across the specialty
What’s hot ... October 1, 2025 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Rosalie Elenitsas, MD, FAAD Pathologists and dermatopathologists frequently encounter poorly differentiated tumors that fail to reveal a defined lineage. In cutaneous specimens, these are
MIPS Highlights for 2021
Access the Academy's highlights of the Final Rule for MIPS for the 2021 reporting year. These updates are tailored to include the information most important to dermatologists. Program updates for 2021 are relatively modest compared to some previous years, but higher participation thresholds and other changes merit careful review.
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.
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
Tarrying for tapinarof
Read the January 12, 2022 DermWorld Insights and Inquiries on tapinarof.
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.
Support system
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... By Ruth
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.
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.
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.
FAQs
Learn about CMS "incident-to" office guidelines.
MIPS 2020 is here. Here are the highlights
Answers in Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, April 1, 2020 Each month Dermatology World ... tackles issues "in practice" for dermatologists. This month Faiza Wasif,
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."
Diagnosing infectious diseases in 2028: Let the good times roll
You may be overwhelmed by the “omics” – genomics, epigenomics, transcriptomics, proteomics, metabolomics, with good reason. “Big Data” are changing the diagnostic landscape in infectious diseases and oncology at breakneck speed. Warning: By the time this is posted, it may be obsolete!
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.
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.
Step 3: Small and large practice reporting options
See the various reporting options for small and large practices for MIPS.
Step 3: Small and large practice reporting options
See the various reporting options for small and large practices for MIPS 2024.
Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis
I was taken aback by the report of anhydramnios in two women with pemphigoid gestationis (PG) resulting in the death of the newborn babies within days of birth. Each child died of sepsis. (1)
Surviving and thriving after a natural disaster
Answers in Practice ... By Emily Margosian, Assistant Editor, September 1, 2023 DermWorld ... talks to Mary Lupo, MD, FAAD, from the Lupo Center for Aesthetic and General Dermatology in New Orleans, about how to prepare your practice for a natural disaster. Mary Lupo, MD, FAAD ... DermWorld: Tell us
This month’s news from across the specialty
What’s hot ... February 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD The Nation’s Health by the American Public Health Association published a ... special report on improving health
The woolly culprit: Lanolin revealed as an uncommon cause of dermatitis on normal skin
Lanolin is the 2023 Allergen of the Year and is present in many personal care and industrial products. For those who have a positive patch test to lanolin, it is important to remember the “lanolin paradox” where patients have a positive patch test but tolerate lanolin on normal skin.
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 ...
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
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.
Preventing payment appeals
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 3, 2016 Prior Cracking the Code columns have focused upon common billing errors and appeals strategies. However, a
The alphabetization of lymphomatoid papulosis: Focus on “F”
The 50th anniversary of Warren Macaulay’s seminal description of lymphomatoid papulosis (LyP) is approaching.
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
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.
Appealing an audit
If you disagree with an audit decision, you can discuss it with your RAC, rebut it, and file an appeal. Learn about the five levels of audit appeals, when they are available, and how they each function.
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)
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).
2025 MIPS and telehealth highlights
The 2025 MIPS program features some changes, including the introduction of a MIPS value pathway for dermatology. See our highlights on what dermatologists need to know about participating in MIPS.
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.
Probing pediatric pigmented purpuras
Read the October 20, 2021 DermWorld Insights and Inquiries on pediatric pigmented purpuras.
Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure
Patients presenting with extensive capillary malformations (port wine stains) on the trunk and extremities should be routinely screened for early-onset hypertension.
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
Eruptive nevi: Trying to connect the dots
Eruptive nevi are striking – they may appear after a variety of disorders, including Stevens-Johnson/toxic epidermal necrolysis, primary blistering diseases, trauma, immunosuppression (from disease or iatrogenically-induced), PUVA therapy, or idiopathically. There are also several reports in the literature for eruptive Spitz nevi and blue nevi.
Taking woolly hair to heart
Read the October 27, 2021 DermWorld Insights and Inquiries on woolly hair.
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.
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
So many questions. So little time.
Experts offer best practices on efficiently addressing patients’ questions about sunscreen. ... Feature ... By Andrea Niermeier, April 1, 2023 Aisles of products, numerous social media top 10 lists, and abundant information on the internet: Consumers can be quickly overwhelmed with sunscreen questions related to types, usage, and safety —
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
Improving insomnia by increasing the diagnostic accuracy of desmoplastic melanomas
Desmoplastic melanomas (DM) may only represent up to 4% of melanomas, however, they are responsible for 50% my insomniac nights. It is easy to lose sleep worrying if that the slightly indurated lesion that I reassured the patient was a “scar”, or the spindle cell lesion I diagnosed histologically as
I’ll have a necrobiotic xanthogranuloma to go – with mustard!
Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma.
Move over Lues: Graft-versus-host disease is the new mimicker king
I have always been intrigued by graft-versus-host disease (GVH). I first learned of the disorder in my college immunology course when it was referred to as a cause of “runting syndrome” in mice.
2024 MIPS and telehealth highlights
The 2024 MIPS program remains mostly the same from 2023. See our highlights on what dermatologists need to know about participating in MIPS.
Changing perceptions of pediatric mastocytosis
I have always been disquieted by mastocytosis. Its constellation of clinical presentations from childhood to adulthood, spectrum of systemic involvement, variable prognoses, and therapeutic challenges, never allow for complacency or certainty.
Preparing for 2025 MIPS and the new dermatological care MVP
Answers in Practice ... By Oliva Barry, Manager, Practice Management, April 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss what to expect for MIPS 2025. MIPS program timeline ... In November, CMS released the ... final rule for the Quality
Top-selling U.S. baby moisturizers and pediatric sunscreens: Data on price, allergens, and marketing claims
Facts at your Fingertips ... By Emily Margosian, Senior Editor, July 1, 2025 Public perception of pediatric skin care products often centers on concerns about ingredient safety, with a preference for formulations that are fragrance-free, hypoallergenic, and endorsed by medical professionals. ... In a recent study, the top 50 best-selling
June 17, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 17, 2020 ... Treating patients during the COVID-19 pandemic? Here’s how to minimize your malpractice liability risk. DW Insights and Inquiries : Researching therapeutic reformation of the capillary malformation —
Olmsted syndrome patients can finally put their foot down
Read the January 20, 2021 DermWorld Insights and Inquiries on Olmsted syndrome.
Complications of silicone injections: persistence, stigma, and treatment
Read the Jan. 18, 2023 DermWorld Insights and Inquiries on complications of silicone injections.
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
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.
January 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 3, 2024 ... Efficacy of minoxidil for cancer treatment–induced hair loss DermWorld Insights and Inquiries : Malignant syphilis — History in the making Most effective medications for plaque psoriasis Cardiovascular,
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
Read the February 16, 2022 DermWorld Insights and Inquiries on Vascular Ehlers-Danlos syndrome.
Hiring high-quality clinical and non-clinical staff
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, August 1, 2018 Every aspect of a physician practice is important to delivering the highest quality of care to
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.
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.
March 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 17, 2021 ... COVID-19 in melanoma patients DermWorld Insights and Inquiries : Hoops and happiness — Having the courage to take a shot DermWorld Young Physician Focus : Forging ahead
Triskaidekaphobia legitimized: Fatal Factor XIII deficiency
Read the April 12, 2023 DermWorld Insights and Inquiries on triskaidekaphobia legitimized and fatal factor XIII deficiency.
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
XXXXXXXX
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.
Caveat mTOR revisited: Neurofibromatosis
Targeting the MAPK/ERK and PI3K/AKT/mTOR pathway has led to the use of topical sirolimus for neurofibromas and oral selumetinib for children with plexiform neurofibromas.
This month’s news from across the specialty
What’s hot ... July 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Chris Mowad, MD, FAAD For all the contact dermatitis patch testing enthusiasts out there, this hot topic is about the Allergen of the Year
The nexus of VEXAS syndrome
Read the December 1, 2021 DermWorld Insights and Inquiries on VEXAS syndrome.
October 8, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 8, 2025 ... KOH vs. diclofenac for the treatment of actinic keratosis DermWorld Insights and Inquiries : Injecting ideas (and therapies) in digital mucous cysts FDA approves remibrutinib for chronic
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
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.
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.
I never wanted chaperones — until now
Learn more about I never wanted chaperones — until now at aad.org
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.
A plasma cell dyscrasia fable: AESOP and POEMS presenting concurrently
There is a moral to every fable. In this commentary, it is that VEGF (vascular endothelial growth factor) may have multiple cutaneous manifestations, even in the same patient.
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
Summary of MIPS 2021 changes
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Faiza Wasif, MPH, the Academy’s Practice Management manager, offers a summary of MIPS changes in 2021. CMS released the final Quality Payment Program (QPP)
Waiting for Wong
The Wong variant of dermatomyositis was originally described by O’Leary during the Eisenhower administration (1953) and named for Wong during Nixon’s tenure (1969). I have been involved with dermatology since Carter’s term in office (1979). Since that time (Reagan, Bush, Clinton, Bush, Obama) I have yet to see a case
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
November 5, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 5, 2025 ... An OTC finasteride alternative? DermWorld Insights and Inquiries : Diagnosing the primary cutaneous SMARCA4 deficient cutaneous tumor — You don’t know what you got ‘til it’s gone
July 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2024 ... Tazarotene vs. imiquimod in patients with plane warts DermWorld Insights and Inquiries : Fire ant stings: From pain to gain — The therapeutic potential of solenopsin Efficacy
June 16, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 16, 2021 ... Rituximab vs. mycophenolate mofetil for pemphigus vulgaris DermWorld Insights and Inquiries: Like the tumor itself, knowledge about DFSP is expanding wider and deeper Derm Coding Consult: Applying
Trichophyton rubrum resistant to terbinafine
T. rubrum, a dermatophyte fungus, is the most common cause of dermatophytosis worldwide. Cases of terbinafine-resistant T. rubrum are increasingly being reported worldwide and in the United States.
Improvement activities (15%)
Access Academy resources on the Improvement Activities reporting category, which makes up 15% of a dermatologist's MIPS score. Learn about the reporting requirements and the distinction between medium- and high-weighted activities. Clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety.
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?
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
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
Why you should hear about the red ear syndrome
Read the July 22, 2020 DermWorld Insights and Inquiries on red ear syndrome.
Maximizing your retirement wealth
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. Synder, JD, CLU, December 3, 2018 For
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
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?
Dermatologists cannot be lax about acquired cutis laxa
From the time I was a medical student, I have always been fascinated by the “little old man” appearance of patient with cutis laxa (CL).
Necrobiosis lipoidica in a Wink
Read the May 3, 2023 DermWorld Insights and Inquiries on Necrobiosis lipoidica in a Wink. Necrobiosis lipoidica is usually associated with diabetes, but may also be accompanied by thyroid disease, hypertension, hyperlipidemia, and other disorders. JAK inhibitors are on the horizon in treating the granulomatous component of the disorder.
AAD Clinical Community surpasses 10 million views
In 2022, we launched the AAD Clinical Community — a free, secure forum by dermatologists for dermatologists to discuss clinical issues and more.
A string of (clinical) pearls about drug-induced linear IgA disease
The late sage Wallace Clark taught me that once a diagnosis is secured, thinking ceases. Admittedly in cases of drug-induced linear IgA dermatosis (DI-LAD) that I have encountered (due to vancomycin), once the diagnosis was suspected and confirmed, I never gave it too much thought. Recent findings in the DI-LAD
Research suggests connection between hair loss in women and other diseases
Board-certified dermatologist discusses common types of hair loss seen in women with darker skin tones NEW ORLEANS (March 17, 2023) — Hair loss in women can be emotionally devastating and may negatively impact quality of life, and new research suggests that it can also be associated with having other common
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.
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).
LIDA* rose the insulin requirement
Read the April 14, 2021 DermWorld Insights and Inquiries on localized insulin-derived amyloidosis.
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
A shot in the dark
Read the March 10, 2021 DermWorld Insights and Inquiries on COVID arm.
Scratching under the surface: The Temple Itch Center experience
Nothing raises more questions than the development of a database. Nothing needs a database more than the study of chronic pruritus. Mollanazar et al reviewed their data from the Temple Itch Center in Philadelphia, encompassing 920 visits by 597 patients, in the first year of the center’s existence.
Vulvar hidradenoma papilliferum and mammary-like gnogenital glands: The whole story
I had always assumed that hidradenoma papilliferum (HP), which characteristically appears in the vulvar region, was derived from apocrine glands. Until I read the article by El-Khoury et al (1) I had never even heard of mammary-like anogenital glands (MLAGs).
JAKne is on the horizon
Read the July 27, 2022 DermWorld Insights and Inquiries on JAK and acne.
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
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.
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.
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
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Congenital juvenile xanthogranulomas usually appear early in life, although they may occur in adults.
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.
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.
April 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 27, 2022 ... A novel treatment for molluscum contagiosum? DermWorld Insights and Inquiries : Eye-opening news about oxymetazoline Trends in prescribing spironolactone for acne, HS in adolescents Racial biases in
Improvement activities (15%)
Access Academy resources on the Improvement Activities reporting category, which makes up 15% of a dermatologist's MIPS score. Learn about the reporting requirements and the distinction between medium- and high-weighted activities. Clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety.
New CDC treatment guidelines for sexually transmitted infections
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Kimberly A. Workowski,
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.
ECHO on the front lines of COVID-19
Karen Edison, MD, senior medical director for the Missouri Telehealth Network & Show-Me ECHO, discusses the use of the Extension for Community Healthcare Outcomes (ECHO) Project during the COVID-19 pandemic.
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.
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.
The ultimate prognosis of eosinophilic fasciitis may not be groovy
My patients with eosinophilic fasciitis (EF, Shulman syndrome) have been fortunate. They have been “classic” cases with mostly upper extremity lesions, precipitated by exercise, and have responded to corticosteroids. My sanguine impression of EF has been tempered by recent literature – it may not be so benign.
The ongoing ordeal of maintaining Medicare enrollment
Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., March 1, 2019 The Medicare system continues to struggle with the burden of demographics and an increasingly aging population. The Centers for Medicare and Medicaid
July 31, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 31, 2024 ... Does an increase in omega-3 fatty acids improve acne? DermWorld Insights and Inquiries : Which treatment modality of pyogenic granuloma is worth its weight in salt? Is
How and when to report prolonged services
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Coding Consult articles . Prolonged services in dermatology are often necessary
Maximizing knowledge about infantile hemangioma with minimal or arrested growth
Knowledge about hemangiomas is proliferating at a rate the compares with the first few days of an infantile hemangioma (IH) itself. Over the past decade a “new” lesion is coming into focus – the infantile hemangioma with minimal or arrested growth (IH-MAG).
JAK inhibitors battle in the heavyweight class
JAK inhibitors may cause weight gain. Although the precise pathomechanism is unknown, leptin dysregulation may be involved. Dermatologists must counsel patients treated with JAK inhibitors about the risk of weight gain and provide them with appropriate counseling.
February 20
Learn more about February 20 at aad.org
September 26
Learn more about September 26 at aad.org
Leishmania episode 1a: attack of the clones
Read the February 10, 2021 DermWorld Insights and Inquiries on Leishmania.
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.
During the COVID-19 pandemic, “Leaders eat last.”
DW Weekly talked to Vinh Chung, MD, from, from Vanguard Skin Specialists in Colorado Springs, about his experiences helping his staff manage during the COVID-19 pandemic.
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
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.
What barriers to care exist for American Indian individuals in rural communities?
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, October 1, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Arash Mostaghimi, MD, MPA, MPH,
Skin conditions by the numbers
Find facts and statistics for reporting about dermatology and dermatologic conditions.
To 78 or 79: Coding for procedure services during the global period
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Reporting dermatology procedures and services during
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
Digital marketing for dermatologists 101
Go to AAD Home ... Go to AAD Home ... Menu ... Use these basics to build the perfect practice website ... Use these basics to build the perfect practice website ... By Emily Margosian, assistant editor Why should dermatologists care about how they’re portrayed online? “It’s like the yellow
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.
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.
What is the AAD Clinical Community?
Asked and Answered ... August 1, 2024 In 2022, the Academy launched the AAD Clinical Community — a secure online forum by dermatologists for dermatologists to discuss a range of clinical issues, based on members’ areas of interest. The forum is secure, organized, and moderated. It is also free to
Melanoma: A family affair
It has now been 5 years since I was diagnosed with melanoma. Six years ago, my wife Ronnie found a tick on my back; when she noted a lesion in the same region a year later, I remember asking her “What did you find, another tick?” No, it was melanoma
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
September 29, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 29, 2021 ... Is HPV vaccination associated with clearance of common warts? DermWorld Insights and Inquiries : Positively perplexing — Determining the meaning of CD30 positivity FDA proposes new guidance
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.
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
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.
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.
Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?
Learn more about Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo? at aad.org
Key messages when communicating about skin cancer
By communicating these key messages on skin cancer, you can help position the specialty while increasing your credibility and raising the profile of your practice. Skin cancer is the most common cancer in the United States. These are core messages to urge patients to seek screening.
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.
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.
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.
Is ivermectin an old drug with new tricks?
Read the September 15, 2021 DermWorld Insights and Inquiries on ivermectin.
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.
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.
January 24
Learn more about January 24 at aad.org
Teledermatology workflow for small practices
Use the workflow below to help you implement or improve your teledermatology operations. This version is designed for solo or small practices.
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.
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.
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
Coming down the payment pike
Go to AAD Home ... Go to AAD Home ... Menu ... While Medicare reimbursement changes were minimal in 2020, what's in store for dermatology down the road? ... While Medicare reimbursement changes were minimal in 2020, what's in store for dermatology down the road? ... By Melanie Padgett Powers,
June 10, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 10, 2026 ... Suicidality reports in acne patients treated with isotretinoin, antidepressants Academy praises FDA for approving new sunscreen ingredient DermWorld What’s Hot: Treating isotretinoin-induced myalgias Ruxolitinib cream vs. triamcinolone
Is dyshidrosiform pemphigoid really anti-p200 pemphigoid?
Dyshidrosiform pemphigoid (DP) was initially reported in a 72 year-old man with large, tense bullae on the plantar aspect of his feet, with some lesions on an erythematous base. He also had an “ill-defined papular eruption” of the trunk and an erosion of the posterior pharynx. Routine microscopy demonstrated a
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.
COVID-19 can nail you in so many ways
Read the July 13, 2022 DermWorld Insights and Inquiries on COVID-19 and nails.
Selectivity and the choice of beta-blockers for infantile hemangiomas
Has there ever been a more radical change in therapy following a serendipitous discovery than the use of propranolol for infantile hemangiomas (IHs)? Since the landmark report of Léauté-Labrèze in 2008 (1), propranolol has rapidly become the first-line treatment for IHs; nearly 800 papers detailing its use have been
September 25, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 25, 2024 ... Cyclosporine vs. dupilumab vs. methotrexate for patients with AD DermWorld Insights and Inquiries : The expanding horizon of anti-IL-36 therapy FDA approves new treatment for immune-mediated vasculitis
2025 Medicare Physician Fee Schedule Final Rule
Access information on the final rule for the 2025 Medicare Physician Fee Schedule, with a focus on issues that are most important to dermatologists.
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.
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
This month’s news from across the specialty
What’s hot ... May 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ has increased to epidemic proportions, rising 50-fold since 1975. Lentigo maligna is the most
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
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
PD1 blockade: The next step for aggressive basal cell carcinomas?
I was about to start the weekend, relishing that delightful TGIF feeling, with one final task – go through lab reports in my bin. My mood became morose when I read the follow-up letter about Sue (not her real name). She is a lovely woman in her 40’s who did
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.
Academy protects revelers’ skin at White House Fourth of July celebration
The AADA joined the White House’s Fourth of July Celebration and partnered with the White House Cancer Moonshot team to distribute AAD-branded sunscreen, lip balm, and informational flyers.
Keeping pace
Life-changing advances and a multidisciplinary approach give new hope to patients with Merkel cell carcinoma ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2021 When Paul Nghiem, MD, PhD, FAAD, first started treating patients with skin cancer almost 20 years ago, physicians had little understanding of how
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.
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.
June 19, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 19, 2024 ... Neuropsychiatric diagnoses after isotretinoin initiation in pediatric acne patients DermWorld Insights and Inquiries : Advances in pruritus therapeutics — It’s Greek to us Efficacy of treatment options
June 24, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 24, 2026 ... Skin care ingredients recommended by cosmetic dermatologists DermWorld What’s Hot: Fusion gene rearrangement in advanced melanoma Severe psoriasis relapse following tralokinumab for atopic dermatitis Is timolol gel
American Academy of Dermatology survey shows sun protection during common outdoor activities lacking
Board-certified dermatologist discusses how people can protect themselves from the sun ROSEMONT, Ill. (May 23, 2023) — Andy Jacobs spent a lot of time playing outdoor sports during his childhood, but infrequently used sun protection. Yet it came as a shock to Jacobs when his dermatologist diagnosed a spot on
Learning about proton pump inhibitor-induced dermatologic adverse reactions is ulcerogenic
How many of your patients are on protein pump inhibitors (PPI) such as Nexium [esomeprazole], Prevacid [lansoprazole], or Prilosec [omeprazole] for GERD? Let me rephrase the question. How many of your patients are NOT on PPI’s?
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.
State advocacy win: Step therapy reform enacted in Alaska
A step therapy and prior authorization reform bill enacted in Alaska will require insurers to establish a streamlined prior authorization process that minimizes administrative burdens on physicians. The legislation provided a clear and convenient process for requesting exceptions to step therapy protocols and conditions for automatic approval of step therapy
Digital media kit: DermWorld print advertising
DermWorld provides unmatched coverage of dermatology practice issues and goes beyond the news to provide analysis and valued interpretation of what issues mean to dermatologists and their practice. We are the voice of dermatologists, mailing to all AAD members in the United States.
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.
Oncolytic virotherapy and the dermatologist
My late British cousin Tim, a brilliant, kind, benevolent husband, father, gastroenterologist, and MBA, lost his battle with glioblastoma in 2016 at age 55.* I was hoping that he might be able to get into a trial using an oncolytic virus (OV), but that was not possible.
Striae due to bartonella is a stretch
I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections with multiple courses of antibiotics. During my examination, I noted several old white atrophic striae on her hip and leg. Her mother, who was accompanying her, stated matter-of-factly, “Those are due
This month's news from across the specialty
What's hot ... November 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Health care support workers (phlebotomists, medical assistants, licensed practical nurses, nursing aides, and medical secretaries) are essential
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
Positively perplexing: Determining the meaning of CD30 positivity
Read the September 29, 2021 DermWorld Insights and Inquiries on determining the meaning of CD30 positivity
Scent-sitive skin
Contact dermatitis experts discuss regulatory complexities of the fragrance industry and share tips for identifying and managing allergens. ... Feature ... By Emily Margosian, Assistant Editor, November 1, 2024 Ask a contact dermatitis expert — what’s one of the toughest allergies to manage? ... "Probably fragrance," said Christen Mowad, MD,
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.
Taking a hard look at eosinophilic fasciitis on its golden anniversary
Eosinophilic fasciitis (Shulman syndrome) remains a fascinating disorder half a century after its recognition. Newer literature links the disease to immune checkpoint inhibitors, increasingly recognizes the value of imaging in diagnosing and managing the disease, and suggests that IL-5 inhibition may have therapeutic value.
Benzene in consumer products
What dermatologists and patients should know. ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2025 From dry shampoo to acne medication — benzene, a known human carcinogen, has been detected in multiple cosmetic and cutaneous products over the past several years. ... The International Agency for Research on
Fooled again: Misdiagnosing cutaneous follicle center lymphoma
Learn more about Fooled again: Misdiagnosing cutaneous follicle center lymphoma at aad.org
2026 MIPS and telehealth highlights
The 2026 MIPS program features some changes, including the continuing rollout of the MIPS Value Pathway for dermatology. See our highlights on what dermatologists need to know about participating in MIPS.
Powering down
A step-by-step guide for physicians retiring from practice ... Feature ... By Ruth Carol, contributing writer, April 1, 2021 Opening your practice didn’t happen overnight and retiring from it won’t happen overnight either. However, with some thoughtful planning, your retirement can be a seamless transition to the next phase of
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
Reduce Drug Code Denials Related to Incomplete Claims Data
Learn how to reduce drug code denials related to incomplete claims data.
Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis
Of all the cutaneous manifestations of dermatomyositis (DM) – the heliotrope rash, Gottron’s papules, Gottron’s sign, shawl sign, holster sign, flagellate erythema, photosensitivity, poikiloderma, periungual erythema, periungual telangiectasis, Samitz sign, pruritic erythema of the scalp, and panniculitis – none has perplexed me more than mechanic’s hands (MH).
Tackling itch
Understanding and treating chronic itch ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2022 Itch, or pruritus, is a common symptom (and condition) that is considered one of the 50 most prevalent conditions worldwide — an estimated 15% of the population suffers from chronic pruritus. Speak to
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.
Dermatological Care MIPS Value Pathway (MVP)
The Dermatological Care MVP is a specialized MIPS reporting pathway for dermatologists that focuses on dermatology-specific measures, such as skin cancer screenings and biopsy follow-ups. It streamlines reporting, reducing administrative tasks, and ensures reporting on the four MIPS categories: Quality, Cost, Promoting Interoperability (PI), and Improvement Activities (IA), unless exempt.
Dermatological Care MIPS Value Pathway (MVP)
The Dermatological Care MVP is a specialized MIPS reporting pathway for dermatologists that focuses on dermatology-specific measures, such as skin cancer screenings and biopsy follow-ups. It streamlines reporting, reducing administrative tasks, and ensures reporting on the four MIPS categories: Quality, Cost, Promoting Interoperability (PI), and Improvement Activities (IA), unless exempt.
COVID rules of the road
What do dermatologists need to know about new practice regulations — and how have they adapted? ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2022 As the COVID-19 pandemic passes the two-year mark, lawmakers have begun proposing new regulations to promote public health and safety, giving shape to
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.
History and current status
Learn about the history measles in the U.S., from before their were vaccines through mass vaccination and measles elimination. This page also discusses the recent history of outbreaks, including the most recent.
Time to reassess messing around with steroids and psoriasis
Read the March 3, 2021 DermWorld Insights and Inquiries on reassessing steroids and psoriasis.
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.
Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas tale
Based on clinical, histologic, and laboratory criteria, pityriasis rosea may reliably be differentiated from pityriasis rosea-like eruptions caused by drugs, herbs, infections, or vaccinations.
Softening the blow of calcinosis cutis: The promise of intralesional sodium thiosulfate
Calcinosis cutis (CC) is a condition in which calcium salts are deposited in the skin and subcutaneous tissue. It is classified into five main types: dystrophic, metastatic, idiopathic, iatrogenic, and calciphylaxis.
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.
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”.
AAD advocates to reduce the impact of prior authorization
The Academy advocates with payers to reduce impact of payment policies on effective patient care and with Congress to standardize the process by which prior authorization determinations are made. Such standardization would help reduce physician burden and help patients access the therapies they need.
On the cusp of extraordinary advances in extramammary Paget disease
Read the May 27, 2020 DermWorld Insights and Inquiries on EMPD.
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.
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.
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.
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.
What's hot?
What's hot ... May 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... You may be surprised to learn that a ... new organ’ in the skin was recently identified.
What dermatology practices need to know about laws protecting pregnant and lactating employees
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, LLM, Jason Qu, JD, and Rob Portman, JD, MPP, September 1, 2024 Every month , DermWorld ... covers legal issues in "Legally Speaking."
Documentation and reporting requirements for adjacent tissue transfer or rearrangement
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, June 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Adjacent tissue transfer (ATT) or rearrangement procedures
Don’t let negative patient reviews bring down your practice
Answers in Practice ... By Olivia Barry, Manager, Practice Management, October 1, 2022 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff offer tips for managing online patient reviews. Online reviews can be one of the most influential factors when prospective patients choose a
Keeping current with Medicare enrollment
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., December 1, 2024 DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney at Alice
How to meet two common wealth-planning goals using the same ‘medicine'
Money Matters ... Mandell is an attorney and author of more than a dozen books for doctors. He is a partner in the wealth management firm OJM Group (www.ojmgroup.com), where he can be reached at 877-656-4362 or mandell@ojmgroup.com. ... By David B. Mandell, JD, MBA, April 1, 2026 In working
June 24, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 24, 2020 ... Derm Coding Consult : Are you ready for E/M coding changes? DW Insights and Inquiries : Phacing the future — When patients with PHACE syndrome grow up
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.
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.
Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill
Dilated, depressed frontal veins are a clinical sign of frontal fibrosing alopecia.
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.
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.
Systemic amyloidosis presenting as nail dystrophy (and inducing onychophagia in the reviewer)
I admit it – I am plagued with onychophagia (nail biting). It is a life-long habit, and now that I’m 61, I presume that this foible will remain with me to the end. It is worse with anxiety – after reviewing the following articles, I’m down to the hyponychium!
What's coming down the psoriasis pipeline?
Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer
Implications of the Corporate Transparency Act for physicians
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Allyn Rosenberger, JD, MPH, Jason Qu, JD, and Rob Portman, JD, MPP, April 1, 2024 Every month, DermWorld ... covers legal issues in "Legally Speaking." This
The role of GLP-1s in dermatology
Dermatologists discuss how the use of GLP-1s has offered potential new avenues for patients with chronic inflammatory skin diseases. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2026 Over the past five years, the approvals of glucagon-like peptide-1 receptor agonists (GLP-1s), particularly semaglutide and tirzepatide, have sparked
Reporting Mohs micrographic surgery with a simple repair
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, February 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The Integumentary System, Repair (Closure) guidelines were recently
Additional Reasons Payers Request Records
Learn about additional reasons why payers request records.