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Session handouts and meetings archive
Handouts ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023 Innovation Academy, Tampa, FL, August 10-13 2023 Annual Meeting, New Orleans, LA, March 17-21 Sessions ... 2025 Innovation
CME & session evaluation archive
Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2026 Annual Meeting, Denver, CO, March 27-31, 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual
Not just for boys: X-linked erythropoietic protoporphyria
By Warren R. Heymann, MD Sept. 7, 2017 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
For patients with erythropoietic protoporphyria the tide has come in
By Warren Heymann, MD May 12, 2021 Vol. 3, No. 19 Oct. 8, 2019, was an eventful day for patients with erythopoietic protoporphyria (EPP) in the United States, when the FDA announced its approval of afamelanotide (Scenesse). (1) The drug was first approved in Italy in 2010. (2) ... Patients
Immunohistochemistry
AADA Advocacy to EviCore Leads to Positive Changes on Immunohistochemistry (IHC) Policy ... In response to AADA advocacy, EviCore acknowledged that it has updated its IHC guidelines used by several health plans. The AADA continues to advocate to EviCore and changes to date include: ... It removed management of the
Focusing attention on X-linked ichthyosis
Ichthyosis vulgaris ... Credit: ... JAAD By Warren R. Heymann, MD Jan. 2, 2019 I thought it was me. Like every dermatologist, I learned the classical appearance of the ichthyoses, and wonder why I’m not sure if I am looking at a patient with ichthyosis vulgaris (IV) or X-linked ichthyosis
August 8
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 8, 2018 ... August Access Hero: Cory Simpson, MD USP publishes proposed revisions to chapter on compounded sterile preparations CDC offers infection prevention guide as patient infection incidents increase Severity
Memories of pneumocystis pneumonia and thoughts of prophylaxis
By Warren R. Heymann, MD ... Nov. 27, 2017 ... A chest x-ray examination demonstrated a ground-glass appearance throughout the bilateral mid lung zones with sparing of the apices (Fig. 1). ... Credit: ... JAAD My childhood friend Alan was a rotating surgical resident at Methodist Hospital in Houston
May 8
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 8, 2019 ... Skin scratching and intestinal changes: What’s the link? DW Insights and Inquiries : Progress for progressive multifocal leukoencephalopathy Sunscreen study supports FDA call for additional data New
Intro to ICD-10
The International Classification of Diseases (ICD) is used worldwide to identify health trends and statistics. ICD-10 is the most current U.S. version. It is a set of diagnostic codes that provides information for clinical, research, and reimbursement purposes — the information that Medicare and other payers need to justify medical
New pitfalls in the diagnosis of Kaposi sarcoma
By Warren R. Heymann, MD June 16, 2016 Human Herpes Virus-8 (HHV-8) is the common denominator in all forms of Kaposi sarcoma (KS) — classic, endemic, post-transplant/immunosuppressive, and epidemic/HIV. Virtually all cases will demonstrate HHV-8 by immunohistochemistry in all types. ... Manuraj et al present the instructive case of a
For the win! Championing the use of the term “reactive granulomatous dermatitis” in clinical practice
By David A. Wetter, MD, FAAD March 8, 2023 Vol. 5, No. 10 Growing up in the 1980s in suburban St. Louis, Missouri, I spent many evenings listening to Cardinals’ baseball on the local AM radio station, KMOX 1120. After the final out of each Cardinals’ victory, the late Hall-of-Fame
The nexus of VEXAS syndrome
By Warren R. Heymann, MD, FAAD December 1, 2021 Vol. 3, No. 47 You may not be familiar with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) syndrome, but it is conceivable that you have already unknowingly encountered patients with the disorder. ... To appreciate the clinical nuances of the VEXAS
Documenting the specificity of ICD-10-CM
The key to successfully coding ICD-10-CM: In a nutshell ... ICD-10-CM codes have greater specificity than previous coding sets. ... Coding the highest level of specificity requires documentation that captures the necessary details identified in the code description. ... Failing to document specific information in the medical record results in
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.
July 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 8, 2020 ... Chilblains and COVID-19: Is there an association? DW Insights and Inquiries : Et tu, ibrutinib? How to treat nail lichen planus during the COVID-19 pandemic CMS publishes
Going retro: Reactivation of incontinentia pigmenti
By Warren R. Heymann, MD Oct. 11, 2016 The concept of reactivating incontinentia pigmenti (IP) has always fascinated me — I have only encountered cases in my readings. Of course you will recall the vesicular, verrucous, hyperpigmented, and hypopigmented (atrophic) phases of this X-linked dominant disease. Eighty percent of
July 10
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2019 ... FDA clears new body sculpting device DW Insights and Inquiries : The pachydermoperiostosis prostaglandin paradigm Increase in demand triggers shortage of intravenous immunoglobulin Patient Access Hero: Dallas
Demand for “Brotox” grows, along with other minimally invasive cosmetic trends
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, July 1, 2024 More men are investing in non-invasive cosmetic procedures, according to new data from the American Society of Plastic Surgeons (ASPS). 2022 survey data indicate that over 1.4 million male patients sought out minimally invasive cosmetic procedures —
April 10
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 10, 2019 ... ‘Inactive’ ingredients in pills may cause allergic reaction DW Insights and Inquiries: Is there a best approach to widespread actinic keratoses? What’s the optimal way to perform
October 10
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 10, 2018 ... CMS to make physicians’ offices fax-free by 2020 Are you smarter than DataDerm™? Issue breakdown: Compounding standard would disrupt care AI trained to classify common dermatopathology diagnoses
What are keratoacanthomatous lesions of the legs in mature women?
By Warren R. Heymann, MD Dec. 11, 2017 ... Right thigh, keratoacanthomatous atypical squamous proliferation. (Hematoxylin-eosin stain; original magnification: ×10.) ... Credit: ... JAAD I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. "Why am I getting these? Are they cancer? Why
The profound dermatological manifestations of COVID-19: Part III
By Warren R. Heymann, MD April 8, 2020 Vol. 2, No. 14 Disclaimers: This commentary was written on April 5, 2020 for a publication date of April 8, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
2021 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 29 - 2021: Best of DermWorld Insights and Inquiries Dec. 22 - DWI&I Holiday Greeting 2021 Dec. 15 - Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa Dec. 8 - Propranolol and neutrophilic dermatoses: Can
December 8, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 8, 2021 ... Factors that may predict chronic spontaneous urticaria recurrence DermWorld Insights and Inquiries : Propranolol and neutrophilic dermatoses — Can beta-blockade be better blockade? Feedback requested: Actinic keratosis
Propranolol and neutrophilic dermatoses: Can beta-blockade be better blockade?
By Warren R. Heymann, MD, FAAD December 8, 2021 Vol. 3, No. 48 Ask any dermatology resident what the first-line treatment is for infantile hemangiomas (IH) and you will get a matter-of-fact response — "propranolol" — as if this has been an entrenched fact for decades. Barely more than a
A shot in the dark
By Danielle M. DeHoratius, MD March 10, 2021 Vol. 3, No. 10 Danielle DeHoratius, MD ... For the past few Mondays, I have been asked to see the following "emergency" patients who called in with the diagnosis of cellulitis after the COVID-19 vaccination. Typically, these patients were seen in urgent
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
April 8, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 8, 2026 ... Does oral spironolactone improve acne in women? DermWorld What’s Hot: mRNA COVID vaccine and immune checkpoint inhibitor response Herbal medicines for psoriasis Efficacy of PDT and fractional
Dupilumab’s growing pains
By Warren R. Heymann, MD January 8, 2020 Vol. 2, No. 1 Dupilumab has been a valuable addition to dermatologists’ therapeutic palette in managing atopic dermatitis (AD). The biologic agent was released in 2017, indicated for moderate to severe AD, and is now approved for patients who are at least
May 8, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 8, 2024 ... A review of topical treatments for AK field therapy DermWorld Insights and Inquiries : Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia Derm Coding
Our clinical education benefits continue to grow
We offer you the updated resources you need to stay current on clinical and quality advances that optimize patient care. ... AAD Clinical Community ... Last year, we launched the AAD Clinical Community — a free, secure forum by dermatologists for dermatologists to discuss clinical issues and more. The forum
February 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant
The ACA: 10 years later...during a pandemic
Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10
EHR use cases: Streamline operations and improve practice efficiency
Are you thinking about transitioning your paper-based practice to start using an electronic health record (EHR)? Or have you recently implemented an EHR and feeling overwhelmed with all the features? According to the American Academy of Dermatology 2020 Practice Profile Survey, 8 in 10 practices have adopted EHRs and while
January 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 8, 2020 ... FDA’s biotin warning: Was it enough to educate physicians, patients about the risks? DW Insights and Inquiries : Dupilumab’s growing pains 2020 kicks off with revised ICR
Sweating over acquired idiopathic generalized anhidrosis
By Warren R. Heymann, MD, FAAD June 8, 2022 Vol. 4, No. 23 As I am composing this commentary, I find myself daydreaming about the warmth that will envelop the Delaware Valley later this week — it has been a long, cold, lonely COVID-19 winter. Rising temperatures mean outdoor exercise
January 8, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 8, 2025 ... Topical finasteride with minoxidil vs. topical minoxidil alone for male-pattern androgenic alopecia DermWorld Insights and Inquiries : The treatment of systemic juvenile xanthogranulomas matures Academy mourns the
Et tu, Ibrutinib?
By Warren R. Heymann, MD July 8, 2020 Vol. 2, No. 27 When it comes to medications that I never prescribe, I learn from my patients who present with findings that compel me to do my homework. Such was the case of a middle-aged woman with chronic lymphocytic leukemia (CLL)
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
By Warren R. Heymann, MD, FAAD Sept. 8, 2021 Vol. 3, No. 36 "The patient, a fat baby thriving on its mother’s milk, was suddenly attacked by purpura, urticaria and localized edema, lasting about ten days. There were only systemic symptoms from the result of pain. At first the bowels
Avascular necrosis in psoriasis: Avoiding “snap” judgments
By Warren R. Heymann, MD May 8, 2017 Of all the adverse reactions of corticosteroids, there is none more terrifying than avascular necrosis (AVN, aka osteonecrosis); this usually involves the femoral head (AVN of the hip), although the shoulders and knees may be affected. It is estimated that 25,000 new
2026 AAD Innovation Academy: Social Media Toolkit
We're excited to see you in New York City this summer at the 2026 AAD Innovation Academy! The following toolkit includes tips and guidelines for your social media activities at the event. Download the graphics below and share them on your accounts to let your followers know you will be
New data to recall when considering radiation recall dermatitis
By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For
November 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 8, 2023 ... Terbinafine for onychomycosis: Continuous- vs. pulse-dose DermWorld Insights and Inquiries : NSA (neutrophilic sebaceous adenitis) secrets revealed AAD releases updated guidelines for atopic dermatitis FDA approves secukinumab
September 8, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 8, 2021 ... A review of spironolactone for androgenetic alopecia DermWorld Insights and Inquiries : Alarming but benign – The enigma of acute hemorrhagic edema of infancy What are the
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
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 DermWorld What’s Hot: Treating isotretinoin-induced myalgias Ruxolitinib cream vs. triamcinolone cream for atopic dermatitis Which JAK inhibitor shows
March 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Efficacy of various concentrations of retinol in middle-aged women DermWorld Insights and Inquiries : For the win! Championing the use of the term ‘reactive granulomatous dermatitis’ in
June 8, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 8, 2022 ... The administrative burden of prescribing isotretinoin DermWorld Insights and Inquiries : Sweating over acquired idiopathic generalized anhidrosis AADA counters IPMG objections to iPLEDGE improvements Actinic keratosis guidelines
April 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 8, 2020 ... Employers’ legal responsibilities during COVID-19: What you need to know. DW Insights and Inquiries: The profound dermatologic manifestations of COVID-19: Part III ABD relaxes 2020 MOC requirements
Forty years of marriage, dermatology, inequities, and gratitude
By Warren R. Heymann, MD, FAAD Aug. 10, 2022 Vol. 4, No. 32 We have all been affected by the COVID-19 pandemic. There have been more than one million fatalities in the United States. Additionally, the associated sequelae of COVID — long-COVID in survivors, compounded by emotional, financial, and scholastic
The heartrending aspects of incontinentia pigmenti
By Warren R. Heymann, MD March 12, 2018 Incontinentia pigmenti (IP, aka Bloch-Sulzberger syndrome) provides lessons in genetics, immunology, and neuroectodermal development. Frankly, I have never given much (if any) thought about its cardiovascular manifestations. Albeit rare, they are part of the spectrum of IP. ... IP is a rare
The treatment of systemic juvenile xanthogranulomas matures
By Warren R. Heymann, MD, FAAD Jan. 8, 2025 Vol. 7, No. 1 Diagnosing juvenile xanthogranulomas (JXG) is simultaneously satisfying and slightly disconcerting. JXG’s clinical yellow appearance, the "setting sun" on dermoscopy, or the recognition of Touton giant cells histologically allows dermatologists to be reasonably confident of the diagnosis. It
January 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 10, 2024 ... Intralesional MMR vaccine after failure of intralesional Candida antigen in patients with recalcitrant warts DermWorld Insights and Inquiries : Beyond disfigurement — The potential for keratinocyte carcinoma
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
Advocacy Update Apr. 8, 2025
IN THIS ISSUE / Apr. 8, 2025 AADA asks FDA to continue collaboration on AI-enabled medical devices guidance New Jersey expands children’s access to sunscreen Support the second-largest physician PAC and federal dermatology champions Regulatory Affairs AADA asks FDA to continue collaboration on AI-enabled medical devices guidance ... On April
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Ashley Decker, MD, FAAD, and Naomi Lawrence, MD, FAAD Feb. 8, 2023 Vol. 5, No. 6 Ashley Decker, MD, FAAD ... Naomi Lawrence, MD, FAAD ... A commonly held belief in dermatologic surgery is that second intention wounds have a lower risk of surgical site infection (SSI) than primary
June 10, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 10, 2020 ... Where is teledermatology most useful? Patient web searches may provide clues. DW Insights and Inquiries : Lichenoid and granulomatous dermatitis — Points to ponder During the COVID-19
September 10, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 10, 2025 ... Most effective monotherapy for androgenetic alopecia DermWorld Insights and Inquiries : Twenty-first century pellagra Is there an association between JAKis and malignancy risk in alopecia areata? PRP
Eosinophilic pustular folliculitis: Six decades of progress
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Vol. 8, No. 3 Eosinophilic pustular folliculitis (EPF) is a quizzical disorder. In 1965, Ise and Ofuji described the case of a 42-year-old woman who "repeatedly developed crops of small pustules on the face, the trunk,
Best of DermWorld Insights and Inquiries
Dec. 27, 2023 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 2023 — starting with the most popular issue of the year. ... 1. After 23 years, a
The vexing verruciform xanthoma
By Warren R. Heymann, MD, FAAD February 23, 2022 Vol. 4, No. 8 Verruciform xanthomas (VX) were first described 50 years ago, and they are still a source of debate. Only the most astute dermatologists will make the diagnosis clinically, with the possible exception of recognizing such lesions in patients
British Journal of Dermatology
The pachydermoperiostosis prostaglandin paradigm Tofacitinib: A JAK inhibitor of all trades Focusing attention on X-linked ichthyosis We’ve gotta recognize GATA2 deficiency Sirolumus’s merit for the Kasabach-Merritt phenomenon Aha! The iodide paradox now makes sense! Changing perceptions of pediatric mastocytosis A string of (clinical) pearls about drug-induced linear IgA disease Dupilumab’s
Advocacy win: Blue Cross Blue Shield of North Carolina to rescind modifier 25 policy
As a direct result of the AADA’s advocacy, Blue Cross Blue Shield of North Carolina (BCBS NC) is rescinding its modifier 25 payment reduction policy. ... Without AADA’s advocacy, the policy would have gone into effect July 10 and reduced payment for non-preventive evaluation and management services by 50% when
Cost (30%)
Unlike the other MIPS categories, dermatologists and other eligible clinicians do not have to actively report data for the cost category. Instead, CMS automatically calculates the clinician’s performance score using information from claims data. ... If dermatologists have at least 10 melanoma resection episodes that meet the eligibility criteria for
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
Leishmania episode 1a: attack of the clones
By Kiran Motaparthi, MD February 10, 2021 Vol. 3, No. 6 Cutaneous leishmaniasis (CL), although not life-threatening, can progress to a disfiguring disease with prominent scarring. Humans serve as reservoirs for > 20 species of ... Leishmania, which are transmitted as flagellate promastigotes by sandflies. Within humans, the organisms convert
Nailing the diagnosis of psoriatic arthritis
By Warren R. Heymann, MD Oct. 30, 2017 ... A to E, Patient with psoriatic arthritis. A, Dactylitis of 4th toe. B, Enthesitis of Achilles tendon. C, X-Ray of dactylitis of 4th toe. D, Severe nail dystrophy. E, Large discoid plaques on elbows. ... Credit: ... JAAD Nail psoriasis (NP)
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
Members demand Medicare physician payment reform at AADA Legislative Conference
On Sept. 8, over 200 dermatologists and patient advocates gathered in Washington, D.C. to urge Congress to reform Medicare physician payment, AADA’s sole federal congressional priority. This was the largest Legislative Conference in the Academy’s history with over 190 advocates holding 217 meetings with their federal legislators. ... The conference
This month's news from across the specialty
What's hot ... December 1, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... BRYAN CARROLL, MD, PhD X marks the spot — PRAME expression for marking melanoma. PRAME ( ... PR eferentially expressed ... A
A niche within NICH
By Warren R. Heymann, MD February 26, 2020 Vol. 2, No. 8 Just when I thought I grasped the concept of congenital hemangiomas, new data raises novel questions. ... Compared to infantile hemangiomas that grow rapidly after birth and then involute, congenital hemangiomas arise and proliferate in utero. Although two
December 10, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 10, 2025 ... Hydrocolloid dressing vs. petroleum for scar appearance after dermatologic surgery DermWorld Insights and Inquiries : The illusions of IgG4-related skin disease Recovering from SJS and TEN Vitamin
Quick coding guides
Download these coding tip sheets for practical guidance on common coding. All of the links are PDFs. ... ICD-10 tip sheets ICD-10-CM Quick Coder Contact Dermatitis Quick Coder Insect Bites and Stings Quick Coder E/M coding tip sheet E/M Quick Coder Ancillary checklists Definitions for the MDM Elements Terminology CPT
CMS announces new Place of Service code for telehealth services provided to patients in their homes
CMS has announced a new Place of Service code, POS 10, for use in reporting telehealth services provided to patients who are in their own homes. Additionally, CMS has revised POS 02 for reporting telehealth services provided to patients not located in their own homes. ... Place of Service 02
July 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2024 ... Efficacy of probiotics in the treatment of patients with acne DermWorld Insights and Inquiries : Vasculitis on the run Cosmetic tattoos, permanent makeup may cause allergic contact
This month's news from across the specialty
What's hot ... January 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Sylvia Hsu, MD, FAAD Diagnostic conundrums are often presented at dermatology teaching conferences in which the presenter asks the audience for a differential
Injecting ideas (and therapies) in digital mucous cysts
By Warren R. Heymann, MD, FAAD Oct. 8, 2025 Vol. 7, No. 40 I am almost embarrassed to admit it, but I go on clinical autopilot when it comes to digital mucous (myxoid) cysts (DMCs). I offer a brief explanation, reassure the patient that the lesion is benign, refer the
Choosing wisely: Recommendations about treatments, tests, and procedures
The ABIM Foundation’s Choosing Wisely ... ® ... campaign is focused on encouraging physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm. To join, a medical society must provide expert guidance on five medical tests or treatments commonly used in its field.
Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —
April 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 10, 2024 ... Whey protein consumption and acne severity in men with acne DermWorld Insights and Inquiries : Anticipating Iceland — Ice-pack dermatosis Derm Coding Consult : CMS creates permanent
2020 ICD-10-CM Coding Updates
Dermatology has a few new or newly updated ICD-10-CM codes for 2020. Listed below are new categories/subcategories of codes that will impact dermatology as of October 1, 2019. ... Below are some of the proposed revisions and/or updates to the diagnosis codes that dermatology practices need to focus on. Italicized
November 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 10, 2021 ... CMS, OSHA release rules expanding workforce vaccination requirements DermWorld Insights and Inquiries : Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP Prognostic value of lymphovascular invasion
February 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 10, 2021 ... FDA clears device to improve cellulite DermWorld Insights and Inquiries: Leishmania episode 1a — attack of the clones Distance traveled: Dr. Lim’s diversity focus as Academy president
August 10, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 10, 2022 ... Tetracyclines may pose greater hyperpigmentation risk DermWorld Insights and Inquiries : Forty years of marriage, dermatology, inequities, and gratitude Registry now accepting monkeypox cases AAD statement on
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
Best of DermWorld Insights and Inquiries
Dec. 26, 2024 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 2024 — starting with the most popular issue of the year. ... 1. Weighing in on glucagon-like
Granular C3 dermatosis in granular detail
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, May 1, 2026 Vol. 8, No. 5 Except for straightforward cases of bullous pemphigoid, my ability to predict direct immunofluorescence (DIF) results in cases of presumed autoimmune blistering diseases leaves much to be desired. Recently, my humility in this
ICD-10-CM diagnosis coding updates for 2024
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The CDC and the National Center
Best of DermWorld Insights and Inquiries
Dec. 31, 2025 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 2025 — starting with the most popular issue of the year. ... 1. Loss and legacy: A
May 10, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 10, 2023 ... Is spironolactone use for acne associated with increased risk for venous thromboembolism? DermWorld Insights and Inquiries : PRAME sets its eyes on the road to fame How
What’s up in Down syndrome?
By Warren R. Heymann, MD, FAAD October 13, 2021 Vol. 3, No. 41 Being married to a geneticist has served me well as a dermatologist. Just as dermatologists can instantly diagnose many dermatoses based on pattern recognition, geneticists skilled in dysmorphology can identify many syndromes in a heartbeat. Physicians of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Skin cancer fact sheet
Incidence rates ... Skin cancer is the most common cancer in the United States. (1-3) ... Current estimates are that one in five Americans will develop skin cancer in their lifetime. (4) ... It is estimated that approximately 9,500 people in the U.S. are diagnosed with skin cancer every day.
Diagnosing pyoderma gangrenosum? Consider cocaine/levamisole as a potential culprit!
By Warren R. Heymann, MD May 1, 2016 The authors presented 8 patients with PG following exposure to levamisole-contaminated cocaine. All patients had lower extremity involvement, and 6 also had PG on the upper extremities. Retiform purpura was only observed in 3 patients. Most had elevated titers for p-ANCA and
Will PD-1 inhibitors be msed for Mastocytosis?
By Warren R. Heymann, MD May 8, 2016 Kuklinski L, Kim J. Expression of PD-L1 in mastocytosis. J Am Acad Dermatol 2016; 74: 1010-2. ... The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens. Of the12
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Paraneoplastic syndromes (PNS) associated with merkel cell carcinoma are analogous to small cell cung Cancer: A comparison to other lung cancers
By Warren R. Heymann, MD Sept. 2, 2016 Merkel cell carcinomas (MCC) are neuroendocrine tumors associated with the Merkel cell carcinoma polyomavirus in >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
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Digital media kit: DermWorld editorial calendar
Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...
Saving face: The importance of recognizing facial discoid dermatosis
By Warren R. Heymann, MD, FAAD Feb. 22, 2023 Vol. 5, No. 8 I get excited when astute dermatologists describe and label dermatoses that I have seen but could not adequately diagnose. Two recent examples include acute inflammatory edema and alpha-gal syndrome. I (and presumably you too) have encountered patients
InCYSTing on searching for explosives
By Warren R. Heymann, MD Sept. 8, 2016 I have enjoyed medical writing and editing since publishing my first article in 1983 when I wrote about a penile Fibroepithelioma of Pinkus (my medical school roommate’s father was the patient). Once in a great while, some interest would be generated from
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of
Lichenoid and granulomatous dermatitis: Points to ponder
By Kiran Motaparthi, MD June 10, 2020 Vol. 2, No. 23 Clinical-pathologic correlation is the foundation of dermatologic diagnosis; often this is straightforward, but on occasion, getting to the precise diagnosis requires great thought and sleuthing. If you receive a report from your dermatopathologist with a descriptive diagnosis of "lichenoid
Living with trimethylaminuria: Research awaiting the smell of success
By Warren R. Heymann, MD, FAAD Feb. 26, 2025 Vol. 7, No. 8 I was mesmerized watching (and listening to) the PBS episode of ... Great Performances devoted to Rodgers and Hammerstein’s 80th anniversary. Rodgers’ melodious scores and Hammerstein’s poignant lyrics remain the ultimate standard of the musical theatre genre.
ICD-10-CM diagnosis coding updates for 2025
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and
ICD-10-CM diagnosis coding updates for 2023
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2022 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and
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. ... In 2023, the Community surpassed 10 million views on discussions. 80% of all discussions in the AAD Clinical Community have received a response from a dermatology
Advocacy Update March 10, 2026
IN THIS ISSUE / March 10, 2026 AADA, DermCAC urge targeted revisions to allergy diagnostic testing Dermatology hammers to stop SRT LCD policy Academy advocates against scope expansion, for sunscreen access in New Hampshire Contribute to SkinPAC Regulatory Advocacy AADA, DermCAC urge targeted revisions to allergy diagnostic testing ... The
Advocacy Update Jun 10, 2025
IN THIS ISSUE / June 10, 2025 AADA President advocates for Medicare payment reform at House Doctors Caucus Roundtable AADA continues advocating on CLIA lab director requirements Attention Residents: Scholarships available for 2025 Legislative Conference Join your colleagues and contribute to SkinPAC Medicare physician payment reform AADA President advocates for
Advocacy Update Feb 10, 2026
IN THIS ISSUE / Feb. 10, 2026 FDA finally confirms iPLEDGE changes reducing patient and prescriber burdens Dermatology and allergy groups demand FDA preserve patch testing access Five Medicare contractors will require additional training for superficial radiation therapy AADA urged FDA to advance sunscreen innovation Join your colleagues and contribute
Preferentially expressed antigen in melanoma (PRAME)
By Jason B. Lee, MD, FAAD May 10, 2023 Vol. 5, No. 19 In 1980, the discovery of S100 protein expression in cultured metastatic melanoma cell lines (1) stirred excitement in the pathology community for its potential role as a diagnostic marker for melanoma. The excitement was short-lived once it
Cost (30%)
Cost field test on non-pressure ulcers ... CMS will conduct field testing from Jan. 29 to Feb. 27, 2026, for a new episode-based cost measure on non-pressure ulcers. Field testing does not impact Medicare payments, but CMS encourages recipients to review their report in the Quality Payment Program (QPP) portal
Coughing up a new warning for ustekinumab
By Warren R. Heymann, MD May 15, 2019 Vol 1, No. 10 After using a drug for years, physicians become comfortable with the benefits and risks of the frequently prescribed agent. I have utilized ustekinumab extensively — learning of new adverse reactions is sobering. ... Ustekinumab has been in use
ICD-10-CM diagnosis coding updates for 2022
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding & reimbursement, September 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . The National Center for Health Statistics (NCHS) within
Advisory Board considers five resolutions at General Business Meeting
The American Academy of Dermatology’s Advisory Board met on March 10 at its General Business Meeting during the 2024 AAD Annual Meeting in San Diego and considered five member-submitted resolutions. ... The Advisory voted to not adopt the following resolutions, and they will not move forward for consideration by the
Sirolumus’s merit for the Kasabach-Merritt phenomenon
By Warren R. Heymann, MD Oct. 8, 2018 KHE patient after 15 months of sirolimus therapy. ... Credit: ... JAAD Thrombopenic purpura associated with benign hemangioma is rare. In fact, we have not been able to find a record of a combination of these two conditions in the medical literature.
2025 AAD Innovation Academy takes Windy City by storm
More than 1,100 attended the unique program. ... The 2025 AAD Innovation Academy took place in Chicago, July 10–13, with more than 1,100 attendees — an increase from last year’s attendance. ... Participants heard talks on leadership, business, and innovation in dermatology. The event kicked off with an address from
Vasculitis on the run
By Warren R. Heymann, MD, FAAD July 10, 2024 Vol. 6, No. 28 I am not a runner, but I live vicariously through my residents who are. This weekend, our first-year resident, Erika Tvedten, will run the Philadelphia marathon for the first time. I have been intrigued (and impressed!) by
Board of Directors meeting minutes
Below are the approved minutes from the AAD and AAD Association Board of Directors meetings for the past year. Please email Kim N. Andersen, DipESG, at ... knoelleandersen@aad.org with any questions or if you would like to request the minutes from a particular past Board meeting. ... Board of Directors
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ... ... MEASURE ID:
2026 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, January 1, 2026 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention
Teprotumumab: An eye-opening advance for pretibial myxedema?
By Warren R. Heymann, MD May 8, 2017 Histologic images of PME. (A, Hematoxylin-eosin stain; original magnification, ×40. B, Colloidal iron stain; original magnification, ×100.) ... Credit: ... JAAD Having just completed the chapter on the treatment of pretibial myxedema (PTM, also known as thyroid dermopathy) for the upcoming
Atopic dermatitis hide and seek: The impending role of OX40 inhibition
By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside
Get your KICS on Route IL-6
By Warren R. Heymann, MD March 1, 2018 Hemophagocytic lymphohistiocytosis (HLH) is a syndrome caused by hypercytokinemia (notably Th1 cytokines — interferon-gamma, tumor necrosis factor-alpha, and IL-6). Clinical manifestations are dramatic, presenting as fever, hepatosplenomegaly, hemophagocytosis, and cytopenias. (See the addendum for diagnostic criteria of HLH). Primary forms of HLH
Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons
By Warren R. Heymann, MD April 10, 2017 Histopathologic features of Kimura's disease. A, Scanning view shows prominent germinal center formation. B, Higher magnification of a germinal center with abundant number of eosinophils. C, Focally, blood vessels may show prominent endothelial cells with vacuolated cytoplasm. (A-C, Hematoxylin-eosin stain; original magnifications:
2023 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 20 - DWI&I Holiday Greeting 2023 Dec. 13 - Sparking the interest in Spark nevus Dec. 6 - Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years November ... Nov. 29 -
The H syndrome – Understanding Y
By Warren R. Heymann, MD April 15, 2020 Vol. 2, No. 15 It has been more than a decade since the H syndrome was described by Molho-Pessach et al, in their report of 10 patients from 6 Arab consanguineous families. (1) More than 100 cases have now been reported worldwide.
NSA (neutrophilic sebaceous adenitis) secrets revealed
By Warren R. Heymann, MD, FAAD Nov. 8, 2023 Vol. 5, No. 45 If asked what the acronym NSA means, most of us — dermatologists included — would respond, "National Security Agency." News of security leaks (think Edward Snowden or Jack Teixeira) are in the headlines, but neutrophilic sebaceous adenitis
Advocating for you — We prevented Medicare cuts in 2022
In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes with the evaluation and management (E/M) codes, sequestration, and the budget rules associated with the Pay-As-You-Go Act of 2010. The AADA focused on averting the steep cuts — looking for long-term solutions
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15
Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ... ... MEASURE ID:
Closing the Referral Loop: Receipt of Specialist Report — Measure 374
Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ... ... MEASURE ID: ... 374 ... ... Type: Process ... ... CMS Derm Specialty
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE
AADA hosts annual Capitol Hill skin cancer screening event
On May 10, the AADA, in conjunction with the Congressional Skin Cancer Caucus, held its ... Annual Congressional Skin Cancer Screening and Health Fair, which offered free skin cancer screenings to members of Congress, staff, and the public. ... Over 120 attended the event. In addition, 11 AADA physician members
Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis
By Warren R. Heymann, MD April 26, 2018 ... Pemphigoid gestationis in 34-year-old primigravida at 28 weeks gestation. A, Urticated erythema with multiple tense blisters on both thighs. B, Histopathologic findings reveal subepidermal blister formation with abundant eosinophils, accompanied by superficial and middermal perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin stain; original magnification:
Prior authorization’s growing footprint
Facts at your fingertips ... By Emily Margosian, assistant editor, June 1, 2020 While prior authorization requirements have existed since the 1980s, the policy’s impact on physicians, patients, and the larger health care system has evolved considerably over the past four decades. "Physicians expect challenges when prescribing newer specialty drugs,
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
Melanoma Reporting — Measure 397
Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ... ... MEASURE ID: ... 397 ... ... Type: Process
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
Excludes notes
ICD-10 Excludes notes: In a nutshell ... ICD-10-CM codes include two sets of exclusions. ... Excludes 1 exclusions indicate when two codes cannot be billed at the same time. ... Excludes 2 exclusions indicate that the codes are separately billable. ... Excludes 1 Note ... Within the ICD-10-CM manual, you
Getting a leg up on squamous cell carcinomas of the teratoacanthoma type
By Warren R. Heymann, MD Oct. 8, 2016 I thought it was my imagination, but apparently not — there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities. ... These patients are not
Community outreach toolkit: Good Skin Knowledge
What is this program? ... Good Skin Knowledge is the American Academy of Dermatology’s youth education program. The goal is to teach school-age and young teens, ages 8-13, the facts about common skin, hair, and nail conditions. Misunderstanding can lead to teasing and bullying, which is associated with anxiety and
Dupilumab: The first year
By Warren R. Heymann, MD ... Jan. 8, 2018 A patient with severe atopic dermatitis has benefited from dupilumab. ... Credit: Warren R Heymann ... When introduced as dermatologist to a new acquaintance, I’m sure you have heard: "Dermatology is a great field — you don’t cure anybody, so
The illusions of IgG4-related skin disease
By Warren R. Heymann, MD, FAAD Dec. 10, 2025 Vol. 7, No. 48 "The greatest enemy of knowledge is not ignorance; it is the illusion of knowledge." – Stephen Hawking Prior to researching this commentary, I had illusions that I grasped the fundamental concepts of IgG4-related disease (IgG4-RD); after writing
How can I get involved with Camp Discovery?
Asked and Answered ... December 1, 2025 There are several ways to support Camp Discovery, the Academy’s free summer camp for kids (ages 8-16) with moderate and severe skin conditions. ... Refer a camper: Camp Discovery needs participants to ensure its ongoing success. Dermatologists and parents can make referrals using
IL-36 and generalized pustular psoriasis: L’chaim!
By Warren R. Heymann, MD, FAAD March 9, 2022 Vol. 4, No. 10 In 1910, Leo Ritter von Zumbusch meticulously detailed the clinical course of "psoriasis pustulosa generalisata" (referred to herein as generalized pustular psoriasis, GPP) in a brother and sister, pondering if this was a variant of psoriasis or
Predicting malignancies in Sweet syndrome has become sweeter
By Warren R. Heymann, MD Feb. 8, 2018 Histiocytoid Sweet syndrome. A, Multiple round erythematous papules and plaques on trunk and upper limbs. B, Multiple erythematous papules and plaques grouped in figurate pattern on the right thigh of a pediatric patient. C, Erythematous figurate annular plaques with erythematous elevated borders
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
January 26, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 26, 2022 ... Allergens in hand sanitizers DermWorld Insights and Inquiries : Eccrine syringofibroadenoma — Sweating over the details Derm Coding Consult : Applying 2021 E/M coding concepts in everyday
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
Screening for Social Drivers of Health — Measure 487
Screening for Social Drivers of Health ... DESCRIPTION: Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. ... ... MEASURE ID: ... 487 ... ... Type: Process ... ... CMS Derm Specialty Set: ...
Small group practice (6-15 practitioners)
Best for: Dermatologists seeking clinical autonomy, peer collaboration, and work-life balance without solo ownership responsibilities. ... Quick summary: Join a privately owned dermatology group with a small number of physician partners. It offers more control than you’ll find in large settings, but also more help than a solo practice. A
Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma
By Warren R. Heymann, MD, FAAD Aug. 20, 2025 Vol. 7, No. 33 As I write this commentary, March Madness is underway. According to the NCAA, the odds of predicting all 63 NCAA tournament games correctly are approximately 1 in 9.2 quintillion (a quintillion is 10 to the 18th power).
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
Atopic dermatitis: Up in smoke!
By Warren R. Heymann, MD Feb. 8, 2017 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
From a JAK to a king of Castleman disease
By Warren R. Heymann, MD May 15, 2017 A 44-year-old Chinese woman with a 10-year history of asymptomatic cutaneous patches and plaques on her trunk (Fig 1, A) who reported intermittent fever and lymphadenopathy for 6 months. A skin biopsy specimen from a cutaneous plaque showed perivascular infiltration of plasma
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ... ... MEASURE ID: ... 410 ... ... Type: Outcome ... ... CMS Derm Specialty Set: ... Yes ...
Psoriasis: Clinical Response to Systemic Medications — Measure 410
Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ... ... MEASURE ID: ... 410 ... ... Type: Intermediate outcome ... ... CMS Derm Specialty Set: ... Yes
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal. ... ... MEASURE ID: ... 493 ... ... Type: Process
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
Alaskapox: The beat goes on
By Warren R. Heymann, MD, FAAD Feb. 21, 2024 Vol. 6, No. 8 Disclaimer: This commentary was written on Feb. 14, 2024, for a publication date of Feb. 21, 2024. The issues related to Alaskapox are currently under investigation. Some content included in this commentary may no longer be factual
Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia
By Warren R. Heymann, MD, FAAD May 8, 2024 Vol. 6, No. 19 Neonatal dermatoses are anxiety-provoking for both physicians and parents because of crucial questions — Are there associated systemic problems? What are long-term sequelae? How should the infant be followed? One of the most striking neonatal disorders is
What's hot?
What's hot ... August 23, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you over-checking labs for your acne patients on isotretinoin? An article from the ... JAAD’ s Best of
Location codes
Location: In a nutshell ... For some procedures, there are different codes for specific anatomical regions. ... There are site-specific biopsy and destruction codes available, and these codes should be reported as long as the coding criteria and guidelines are met. ... You need to pay close attention to where
What role can dermatologists play in diagnosing a cancer syndrome like BAP1?
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, March 1, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Hensin Tsao, MD, PhD, and
JAAD impact factor ranks No. 1 among dermatology journals
JAAD International debuts at No. 10 ROSEMONT, Ill. (June 19, 2025) — The ... Journal of the American Academy of Dermatology remains the top peer-reviewed journal in its field for the sixth straight year, according to the 2024 journal impact factor (JIF) rankings recently published by ... Clarivate’s Journal Citation
Cocaine-associated plasma cell orificial mucositis: Anything goes
DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, April 1, 2026 Vol. 8, No. 4 Dermatologists will never be bored by cocaine. The mucocutaneous manifestations are so vast that one can almost say that "anything goes," but there are clinical scenarios where clinicians should suspect cocaine use
Oncolytic virotherapy and the dermatologist
By Warren R. Heymann, MD March 8, 2018 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),
In the Know
The AMA and UHC Collaborate to Develop Social Determinant Diagnosis Codes ... Did you know that United Healthcare (UHC) and the American Medical Association (AMA) are proposing to develop 23 new ICD-10-CM diagnosis codes that address social barriers to care? ... Developed by UHC and endorsed by the AMA, they
2025 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 24 - DWI&I Holiday greeting 2025 Dec. 17 - Long COVID has a lot of nerve Dec. 10 - The illusions of IgG4-related skin disease Dec. 3 - Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas
February
Issue ... February January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... It’s a leap year! What's hot ... This month's news from across the specialty Clinical Applications ... Do polygenic risk scores have potential utility
Progress for progressive multifocal leukoencephalopathy
By Warren R. Heymann, MD May 8, 2019 Vol. 1, No.9 Progressive multifocal leukoencephalopathy (PML) is a nightmare. For any dermatologist seeing patients with autoimmune diseases, HIV, lymphoproliferative disorders, or who are on immunosuppressive medications (azathioprine, chlorambucil, cyclophosphamide, glucocorticoids methotrexate, TNF inhibitors, and rituximab), PML is a "sword of Damocles,"
August
Issue ... August January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... As I write this, 2020 is half over What's hot ... This month's news from across the specialty Clinical Applications ... Should margin status
There’s a “new frontier” of alopecia for you to explore
The Journal of the American Academy of Dermatology (JAAD) recently published a new CME supplement, ... "Alopecia: A New Frontier," that can help you differentiate between the various types of alopecia and identify correct treatments and best options so you can feel confident that you’re providing patients with the best
AAD | Best Practices for Prior Authorization
Top strategies for prior authorization ... 1. The process of prior authorizations can be painful. Accept that it will take time. ... 2. Assign a dedicated staff member (such as a medical assistant) to handle prior authorization requests, so as a dermatologist, you have more time with patients and more
Advocacy Update Aug 19, 2025
IN THIS ISSUE / Aug. 19, 2025 Academy addresses Cigna’s new E/M billing policy AADA member selected for Partnership for Quality Measurement’s Pre-Rulemaking Measure Review Clinician Committee AADA presents at FDA Advisory Panel on dermal fillers Contribute to SkinPAC Payer Advocacy Academy addresses Cigna’s new E/M billing policy ... On
Scratching under the surface: The Temple Itch Center experience
By Warren R. Heymann, MD Sept. 22, 2016 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
Digital media kit: DermWorld classified rates
Reach over 16,000 U.S. dermatologists with your recruitment ad. Classified advertising is restricted to professional opportunities available, professional opportunities wanted, practices for sale, office space available, and equipment available. ... Download a PDF of the 2026 DermWorld classified advertising rate card. Line ads (cost per line) ... 1x ... 2x
AADA successfully advocates for new malignant neoplasm diagnostic code
The AADA advocated for you and got a new diagnostic code for reporting follow-up encounters for patients with malignant neoplasms. It can be used to indicate a diagnosis for reimbursement purposes. The approved ICD-10-CM code Z08 allows dermatologists to report primary diagnosis and proper history of malignant neoplasm treated for
Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication
By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain
Building a climate-smart practice
Answers in Practice ... By Emily Margosian, Senior Editor, September 1, 2025 DermWorld ... talks to Eva Parker, MD, DTMH, FAAD, about tips for building a sustainable, climate-smart practice. DermWorld: Tell us about your practice. Dr. Parker: I am an academic dermatologist, and I practice at Vanderbilt University Medical Center
The “rope” sign is knot pathognomonic: Autoimmunity ties the etiologies together
By Warren R. Heymann, MD July 8, 2016 The "rope" sign is a dramatic finding presenting as a linear to curvilinear cords ("cordonifom") on the lateral chest. It was originally described as an uncommon, but specific feature of Interstitial Granulomatous Dermatitis with Arthritis (IGDA), and has been considered pathognomonic for
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)
Academy response to benzene petition on benzoyl peroxide products
ROSEMONT (March 8, 2024) — The American Academy of Dermatology Association is aware of a recent petition filed with the FDA describing formation of benzene in products containing benzoyl peroxide that are exposed to elevated temperatures. The American Academy of Dermatology Association and its members are committed to the health
Raising a toast to advances in treating alcohol-induced flushing
By Warren R. Heymann, MD November 11, 2020 Vol. 2, No. 45 Whether with pride or embarrassment, we have all blushed. Also known as flushing, the process is defined as a visible reddening of the skin accompanied by a sensation of warmth, characteristically affecting the face, ears, neck, and upper
Anticipating Iceland: Ice-pack dermatosis
By Warren R. Heymann, MD, FAAD April 10, 2024 Vol. 6, No. 15 Iceland beckons. Many of our plans were scuttled by COVID-19, including a long-planned tour of Iceland, which (as of this writing) is exactly two months away.* My wife and I eagerly await the other-worldly topography, unpronounceable waterfalls,
Navigating drug shortages and more: Strategies and solutions
Answers in Practice ... By Olivia Barry, Manager, Practice Management, February 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains how to navigate drugs shortages and more. Prescription drug shortages are a persistent and complex challenge across dermatology. What is the
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one
Digital media kit: DermWorld rate card
DermWorld print rates ... Download a PDF of the 2026 DermWorld print rate card. Download a PDF of the DermWorld print specifications . ... BW ... 1x ... 6x ... 12x ... 24x ... 36x ... Full page ... $3,185 ... $3,015 ... $2,760 ... $2,440 ... $2,350 ... Full
Improvement activities (15%)
In this performance category, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. For 2026 MIPS reporting, this category is worth 15% of the MIPS score with a maximum of 40 points available. There are 67 dermatology-relevant practice improvement activities (IAs) to choose from. ...
2021: Best of DermWorld Insights and Inquiries
December 30, 2021 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2021 — starting with the most popular issue of the year. ... 1. Biotin supplementation for hair
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
Antihypertensive agents and eczema: New data for older patients
By Warren R. Heymann, MD, FAAD March 12, 2025 Vol. 7, No. 10 "Anyone who recalls the 1971 Loving Care commercial exclaiming, ‘You’re not getting older. You’re getting better!’ is getting older. America is graying — in 2019, people older than 65 years accounted for 16% of the population; in
Contact the Academy
We’re here for you — real people, ready to help ... When you contact the AAD’s Member Resource Center (MRC), you’ll connect with a friendly, knowledgeable AAD team member who’s here to support you. Whether you have a quick question or need assistance from an AAD staff expert, we’ve got
Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503
Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one
AAD letter to the Atlantic in response to “Against Sunscreen Absolutism”
American Academy of Dermatology President Seemal R. Desai, MD, FAAD Letter to the editor originally submitted to the Atlantic ... on May 17, 2024 ROSEMONT, Ill. (Nov. 8, 2024) — On behalf of the American Academy of Dermatology and its 21,000 members, I am writing to express serious concerns about
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive
Time for a Churchillian approach to idiopathic guttate hypomelanosis?
By Warren R. Heymann, MD Jan. 22, 2018 Limbs of patient with idiopathic guttate hypomelanosis lesions. ... Credit: ... JAAD I was only 10 years old when Winston Churchill died, but even as a child I was aware of his inspirational abilities. I was reminded his gift watching Gary
Support Good Skin Knowledge
Misunderstanding about skin conditions common to children ages 8-13, such as acne, can lead to teasing and bullying. ... Good Skin Knowledge helps combat this by providing free resources to educators. These fun, easy-to-use lesson plans teach children important lessons about skin health and help build self-confidence about their skin.
Jane Grant-Kels, MD, FAAD, elected American Academy of Dermatology president for 2028
ROSEMONT, Ill. (April 8, 2026) — Connecticut-based board-certified dermatologist Jane Grant-Kels, MD, FAAD, has been elected to lead the American Academy of Dermatology. She will be installed as president-elect in March 2027 and will hold the office of president for one year beginning in March 2028. ... As president, Dr.
AAD insurance
The American Academy of Dermatology in conjunction with Aon Affinity Insurance Service Inc. has seven custom-designed insurance programs to help protect your future and the future of your family. ... Choose from various insurance programs including: ... Level Term Life 1 ... Lock-in member-only group rates for a 10- or
The autumn of a career
... But now the days grow short, I’m in the autumn of the year ... And now I think of my life as vintage wine from fine old kegs ... From the brim to the dregs, and it poured sweet and clear ... It was a very good year
Seemal R. Desai, MD, FAAD, assumes presidency of the American Academy of Dermatology
SAN DIEGO (March 8, 2024 ) ... — Dallas-based board-certified dermatologist Seemal R. Desai, MD, FAAD, will begin his one-year term as president of the American Academy of Dermatology at the close of the AAD’s Annual Meeting. ... Dr. Desai will lead the world’s largest dermatologic society that represents nearly
What dermatologists need to know about ongoing telehealth policies in 2025
Implications for dermatology practices and the need for enhanced compliance ... Answers in Practice ... By Oliva Barry, Manager, Practice Management, February 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss important telehealth updates in 2025. Teledermatology saw a significant surge
Documenting encounters when you suspect trafficking
The ICD-10 was the first edition to publish diagnostic codes for suspected and known human trafficking, including commercial sexual exploitation. On December 5, 2019, HEAL Trafficking and the International Center for Missing and Exploited Children convened national experts to develop draft guidelines and training requirements to inform the safe and
Pityriasis rubra pilaris: Check a TSH!
By Warren R. Heymann, MD ... June 10, 2016 ... There are myriad ways to mine the data from the review of 100 cases of PRP by Ross et al, however, one key finding will change the way I will assess these patients — 20% were hypothyroid! (1) ... There
AAD | Prior Authorization’s Impact on Dermatologists
The Academy surveyed dermatology practices on prior authorization in 2020, breaking out those working at a solo practice, dermatology group, academic medical center, or a multi-specialty group. The findings show that prior authorizations are a significant burden. ... The Academy surveyed dermatology practices in 2020. Did you know? ... Dermatologists
Multiple pilomatricomas by the numbers
By Warren R. Heymann, MD February 24, 2021 Vol. 3, No. 8 I have always been beguiled by pilomatricomas (PM). From the time I first heard the term "calcifying epithelioma of Mahlerbe" or pondering "is it pilomaticoma or pilomatrixoma?" this benign lesion has been a source of wonder. There is
Learning to be bold
Twelve-year-old Silas DeHaven, from DeWitt, Iowa, enjoyed his fourth year at Camp Discovery. Silas's story ... Since he was 8 years old, Silas has enjoyed attending Camp Discovery every year. ... My name is Silas, and I like going to Camp Discovery. It’s nice to see other kids like me,
Widening the circle
AAD’s Camp Discovery is looking to make this meaningful opportunity accessible to even more kids and volunteers in the years to come ... Feature ... By Amy Freed Stalzer, Contributing Writer, November 1, 2022 For nearly 30 years, the American Academy of Dermatology (AAD) has offered a camp program for
Support Good Skin Knowledge
Good Skin Knowledge provides free resources to educators to teach children ages 8-13 important lessons about skin health and help build self-confidence about their skin. ... Learn more about the impact of this youth education campaign by reading the stories below. ... Using passion about dermatology to impact community Therese
This month’s news from across the specialty
What’s hot ... August 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD You have likely noticed an increase in online reviews of yourself and your practice over the last
Melanoma in situ: The power of one (centimeter)?
By Warren R. Heymann, MD Sept. 10, 2016 I remember Marie. She was a delightful elderly woman whom I would see for routine follow-up following an excision of her melanoma in situ (MIS) from her right arm. I will never forget my astonishment upon feeling the large lymph node in
When assessing morbilliform eruptions think about morbilli (measles)!
By Warren R. Heymann, MD May 1, 2019 Vol. 1, No. 8 ... I’m confident you’ve seen the headlines about measles (rubeola, morbillii): ... "Measles Outbreak: The Spread in New York" ( ... New York Times , March 28, 2019) ... "Fourth Measles Case Reported in Maryland Outbreak" ( ...
This month’s news from across the specialty
What’s hot ... May 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the University of Virginia showed that ... utilization of telemedicine by pediatric specialists in one
March 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Topical cetirizine with minoxidil vs. minoxidil in androgenetic alopecia DermWorld Insights and Inquiries : A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus DermWorld Young Physician Focus
Key messages to communicate about Indoor tanning
Key messages ... Using indoor tanning beds can increase your risk of skin cancer, including melanoma, the deadliest form of skin cancer. (1-15) ... Using tanning beds before age 20 can increase your chances of developing melanoma by 47%, and the risk increases with each use. (16) ... Women younger
Is your margarita giving you a rash?
Dermatologist shines a light on the latest research in photocontact dermatitis SAN DIEGO (March 8, 2024) — Sun sensitivity and related skin conditions are often misunderstood. Foods, medications, and skincare products can trigger symptoms like itching, redness, blistering, or burning. One of the most common conditions is photocontact dermatitis, a
Military members more at risk for melanoma
Board-certified dermatologist discusses occupational risks of skin cancer for those who serve SAN DIEGO (March 8, 2024) — U.S. veterans are at a higher risk of developing melanoma, one of the deadliest forms of skin cancer, likely due in part to the occupational hazards associated with active duty in countries
Sophie’s choice: Assessing atypical Spitz tumors in the molecular era
Atypical Spitz tumor category. Higher magnification reveals severe cytologic atypia. Although cells exhibit a spindled appearance typical of the Spitz nevus, they appear severely dysplastic with nuclear hyperchromasia and an immunogenic host response. (Hematoxylin-eosin stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 10, 2018
Decomplexing plexiform neurofibromas
By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse
New treatments for HIV and other STIs provide hope for better quality of life
Dermatologist discusses emerging treatments in LGBTQ+ healthcare SAN DIEGO (March 8, 2024) — LGBTQ+ individuals have unique skin care needs, including concerns about sexually transmitted infections (STI), like HIV, as well as acne and hair growth and removal, especially relating to hormone replacement therapy. With over 14 million U.S. adults
Fire ant stings: From pain to gain — The therapeutic potential of solenopsin
By Warren R. Heymann, MD, FAAD July 3, 2024 Vol. 6, No. 27 Fire ant stings are nasty. Lesions usually occur on the lower extremities after the disruption of a nest, causing a large number of ants to swarm and attack. The most common presentation is a wheal and flare
Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”
By Warren R. Heymann, MD June 18, 2018 ... A 45-year-old woman with cutaneous sarcoidosis at (A) baseline before treatment and (B) with koebnerization after BBLT (560 nm filter at 20 J/cm2, pulse width 30 msec, 20°C cooling, 7-mm square spot size, repetition rate 10 Hz). ... Credit: ... JAAD
American Academy of Dermatology installs new officers, board members
SAN DIEGO (March 8, 2024 ) ... — Two new officers and five new board members will be installed immediately upon conclusion of the 2024 Annual Meeting of the American Academy of Dermatology. The officers and board members are all board-certified dermatologists and members of the AAD, the world’s largest
Dermatomyositis takes your breath away!
By Warren R. Heymann, MD Feb. 22, 2017 Anti-MDA5–associated DM. Eroded violaceous papules and plaques covered by scale and crust over the palmar joint creases and digital tips. ... Credit: ... JAAD The dermatopulmonary syndrome (DPS) is a newly recognized subset of dermatomyositis (DM) associated with anti-MDA5 (melanoma differentiation-associated gene
October 13, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 13, 2021 ... How does wearing occlusive gloves impact hand eczema? DermWorld Insights and Inquiries : What’s up in Down syndrome? Relief funds available for health care providers, including some
The pachydermoperiostosis prostaglandin paradigm
By Warren R. Heymann, MD July 10, 2019 Vol. 1, No. 18 Prostaglandins were the rage when I started medical school in 1975; their role in inflammatory dermatoses was considered of paramount importance throughout my residency in the early 1980s. Hours were spent studying the transformation of arachidoinic acid to
American Academy of Dermatology elects new officers, board members
ROSEMONT, Ill. (April 8, 2026) — The American Academy of Dermatology has announced the results of its annual election. The Academy’s new officers and board members will lead the world’s largest dermatologic society, representing more than 21,500 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment of
What's hot?
What's hot ... May 31, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... There are several FDA-approved options available for field therapy for the treatment of multiple actinic keratoses, including
Hemochromatosis: Beyond 50 shades of gray
By Warren R. Heymann, MD, FAAD March 6, 2024 Vol. 6, No. 10 As a medical student, I was enamored by the term "bronze diabetes" as a depiction of hemochromatosis; ever since I have been magnetically attracted to the disease. Hereditary (primary) hemochromatosis is a common autosomal-recessive disorder, with a
Turning our attention to melanoma risk in Turner syndrome
By Warren R. Heymann, MD, FAAD July 2, 2025 Vol. 7, No. 26 "…at the endocrine clinic and in private practice, I had seen a few young girls who had not matured, and they were short in stature and they had short necks with a low hair line and increased
What's hot?
What's hot ... March 28, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The title says it all: ... Lack of a U.S. Food and Drug Administration indication should not
To concierge or not concierge, that is the question
By Warren R. Heymann, MD June 10, 2017 After very long days of difficult patients (diagnostically, therapeutically, and otherwise), insurance denials, prior authorizations, business decisions, MACRA, et cetera, I think of the milkman Tevye from "Fiddler on the Roof," finally sitting down, and singing "If I Were a Rich Man."
Despite economic uncertainty, demand for minimally invasive cosmetic procedures rises among Gen X and Millennials
Facts at your Fingertips ... By Emily Margosian, Senior Editor, September 1, 2025 New data released by the American Society of Plastic Surgeons (ASPS) show a consistent demand for cosmetic procedures, with a growing preference for minimally invasive options. ... 2023 ASPS data highlight a 5% increase from 2022 in
Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6
Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than
Getting a handle on hirsutism
Dermatologists discuss the latest clinical guidance for managing hirsutism ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2022 Far from being simply protein filaments, hair can occupy a central role in a person’s identity, sense of well-being, and overall quality of life. Hirsutism — a condition in
August 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 9, 2023 ... Emerging treatments for itch in atopic dermatitis DermWorld Insights and Inquiries : Prior authorization audits and innovations — Are we finally reducing the (PA)in? Adverse events in
10 tips for surviving payer audits
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, Analyst, Coding & Reimbursement, April 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . In the complex world of health care, payer audits are an inevitable reality
Nailing down the treatment for ungual melanoma in situ
By Adam Rubin, MD April 21, 2021 Vol. 3, No. 16 In the recent ... Dermatologic Surgery manuscript "Nail Unit Melanoma In Situ Treated with Mohs Micrographic Surgery" (1), Dr. Divya Srivastava and her colleagues at the University of Texas Southwestern Medical Center demonstrated the effectiveness of the combination of
Twenty-first century pellagra
By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly
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. ...
The 2020 vision for nemolizumab in atopic dermatitis
By Warren R. Heymann, MD March 11, 2020 Vol. 2, No. 10 Over the past decade, I have noticed an inversion of the ratio of patients with severe psoriasis versus atopic dermatitis (AD) in my practice. The biologic revolution has clearly favored those afflicted with psoriasis; although dupilumab has improved
e-Prescribing Objective
Measure: e-Prescribing (PI_EP_1) ... DESCRIPTION At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT. ... ... MAXIMUM POINTS 10 points ... ... REPORTING REQUIREMENTS NUMERATOR/DENOMINATOR ... NUMERATOR: Number of prescriptions in the denominator generated and transmitted electronically using CEHRT. ...
e-Prescribing Objective
Measure: e-Prescribing (PI_EP_1) ... DESCRIPTION At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT. ... ... MAXIMUM POINTS 10 points ... ... REPORTING REQUIREMENTS NUMERATOR/DENOMINATOR ... NUMERATOR: Number of prescriptions in the denominator generated and transmitted electronically using CEHRT. ...
Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years
By Warren R. Heymann, MD, FAAD Dec. 6, 2023 Vol. 5, No. 48 It was thrilling to deliver the introductory dermatology lecture to our first-year medical students this year because most of the class was ... in person and fully engaged with the material. I am approaching the half-century mark
These codes are no secret
Coding may be challenging; it’s no secret. Members have always needed assistance with the ever-changing landscape of coding and modifiers, but we have what you need. ... Within our Coding Resource Center pages, there is a trove of relevant information that we continually update for you, including an ... introductory
June 27
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 27, 2018 ... FDA does not approve topical psoriasis treatment Medicare to limit reimbursement for aminolevulinic acid HCI, 10% Senators urge FDA to examine drug shortages Sen. Schumer works to
Springtime is tick time
By Warren R. Heymann, MD April 27, 2017 Petechial eruption on palm of child with Rocky Mountain spotted fever. ... Credit: ... JAAD Oh, the majesty of spring’s rejuvenation — a bloom’s aroma, opening day’s first pitch, and romance in the air. For dermatologists, no one will write a
Practice administrators: Behind the scenes
Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2020 In 2020, dermatology is solidly a team effort. The specialty’s move toward larger group settings has been well-documented — currently more than half of dermatologists are in group practice, with as many as seven in 10 dermatologists
Taking it on the shin: Part two
By Warren R. Heymann, MD, FAAD June 7, 2023 Vol. 5, No. 23 Last week ... pretibial pruritic papular dermatitis was reviewed as an underrecognized entity on the shins. Today the focus is on obesity-associated lymphedematous mucinosis (OALM), another disorder that you have likely seen, but perhaps did not recognize.
I have several practice management questions about coding, MIPS, and DataDerm. How can I get help?
Asked and Answered ... August 1, 2020 The Academy offers up-to-date, practical guidance from staff experts in the following areas: ... Coding ... Visit the ... Coding Resource Center at www.aad.org/member/practice/coding for practical tips, tools, quizzes, and videos about common dermatologic coding issues. Members can access guidance on: ... Biopsies
JAAD Editorial Mentorship Program
New in 2026 — Expansion of the Mentorship Program to ... JAAD International and ... JAAD Reviews! Application Deadline: June 10, 2026 (5 p.m. CT) ... The ... JAAD Journals’ Editorial Mentorship Program is designed for young physicians, as well as mid- and late-career dermatologists, who are interested in developing
AAD bolsters information about darker skin tones
New and updated content on AAD.org reflects our commitment to providing information for patients of all skin tones. ... The Academy launched a ... Darker Skin Tones resource center in 2022, which included updates on 11 conditions that affect people with darker skin tones more frequently or more severely. It
Diagnosis coding updates for 2026
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, November 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention
AAD Prior Authorization Appeal Letter Tool
{{ steps[index] }} ... Step {{index + 1}} of {{steps.length}} ... Dermatologic disease with ICD-10 diagnosis code ... Name of drug ... Alternative treatment drug options ... For step therapy protocols, select drug/treatment the insurance company is requiring you to prescribe your patient as an alternative treatment (skip if not
Advanced Leadership Forum
Designed for physicians with 10 or more years of experience in practice, academia, or professional organizations, the Advanced Leadership Forum will strengthen leadership knowledge and skills required to lead and influence in later stages of careers and in more complex organizations and environments. ... This weekend-long program brings together physician
JAAD wins again!
JAAD has retained the #1 position as the most impactful journal in dermatology according to the 2024 Clarivate Journal Impact Factor (JIF). ... JAAD is No. 1 in the field of dermatology for the sixth year in a row, with a JIF of 11.8 and 38,702 total citations. ... But
Mohs under review
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 1, 2020 Test your knowledge: Mohs under review ... Take the quiz to see if you're up to
Advocacy — 2021 AADA Virtual Legislative Conference
Taking your voice to D.C. ... During the second annual AADA Virtual Legislative Conference, held on Sept. 23-28, we brought some of the most vital dermatologic issues to members of Congress, and it made a difference. Notably, more than 150 of you advocated for Medicare stability and step therapy reform.
Advocating for you — Highlighting the specialty in the nation’s capital
The messages you delivered to members of Congress in 200+ virtual meetings did not go unnoticed, and had a direct impact on legislation that affects you and your patients. ... Every year, dermatologists and patient advocates come to Washington, D.C., to advocate on the specialty’s priorities. During the second annual
2023 AAD meetings roundup
The ... AAD 2023 Annual Meeting in New Orleans in March 2023 was attended by more than ... 17,000 attendees! This included more than 8,500 medical personnel — more than 2,800 international medical personnel and more than 2,200 residents. The AAD offered more than 300 sessions (with more than 50
Capitol skin cancer prevention check and health fair | American Academy of Dermatology Association
Join us on May 21 ... The American Academy of Dermatology Association is hosting a skin cancer check and health fair. Dermatologists will conduct free skin cancer checks open to the public on a first-come, first-serve basis. ... Time: ... Thursday, May 21, 10:30 a.m.-1:30 p.m. Place: ... Rayburn Office
April
Issue ... April January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Itch What’s hot ... This month’s news from across the specialty Clinical Applications ... Strategies to improve cardiovascular disease prevention among psoriatic patients Feature
Upcoming events for Advisory Board representatives
The Advisory Board shall hold General Business Meetings biannually in conjunction with the AAD Annual and Innovation Academy Meetings. The AADA holds a yearly Legislative Conference to help tell Congress the issues Dermatologist are facing. ... Advisory Board Representatives are expected to attend these meetings. View Parliamentary Procedures at a
Meaningful benefits — Quick coding guides
So many codes, so little time ... Not sure how to code for that insect bite or sting? We’ve got you covered. Need a photodynamic therapy code right now? We have that info too. Your Academy coding staff knows how busy you are in your practice, so we’ve developed several
AADA successfully advocates for new diagnostic code
Moving the needle ... January 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. The AADA advocated for you and got a new diagnostic code for reporting follow-up encounters for patients with malignant neoplasms. The approved ICD-10-CM
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
April
Issue ... April January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Wow! What’s hot ... This month’s news from across the specialty Clinical Applications ... What is the carbon footprint of the typical outpatient dermatology
Educating the public – AAD online
Two years strong, AAD.org/public remains a prime, credible source for the public ... Two years after relaunching AAD.org/public, we have seen trends in content popularity and adapted our content strategy to meet the needs of the public, particularly during the ... COVID-19 pandemic . ... Resources and public content on
October
Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... It’s October already What’s hot ... This month’s news from across the specialty Clinical Applications ... What is the impact of shaving waivers on
October
Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... We all know. What’s hot ... This month’s news from across the specialty Clinical Applications ... How aligned are Redditor-driven recommendations with the current
Development Advocacy Grant
Three available $20,000 awards. The Development Advocacy Grant is for state societies that have an advocacy infrastructure in place, some history of advocacy experience, a clear legislative goal, motivated leaders and members, but not necessarily all the needed financial resources. ... States that qualify for this grant have received less
How to treat eczema at home
Tips from board-certified dermatologists ROSEMONT, Ill. (October 27, 2022) — Eczema, or atopic dermatitis, is a common skin condition affecting 1 in 10 Americans. Patients with eczema often experience itchy, dry, raw, and sensitive patches of skin, which greatly impacts their quality of life. As we wrap up Eczema Awareness
2026 AAD Innovation Academy Meeting: Housing
Registration is open! ... Spend a summer weekend learning the latest in dermatology! ... Register now Hotel reservations ... The hotel reservation deadline is ... Monday, June 22, 2026, at 12 p.m. (CT). Don’t forget to register and reserve your hotel as soon as possible. Rooms in New York City
American Academy of Dermatology Association statement on FDA iPLEDGE changes reducing burdens on both prescribers and patients
Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (Feb. 10, 2026) — The American Academy of Dermatology Association applauds the Food and Drug Administration for approving significant changes to the iPLEDGE Risk Evaluation and Mitigation Strategy (REMS) program. These changes will reduce substantial administrative
I need coding assistance. Where can I get help?
Asked and Answered ... October 1, 2023 Members can find practical tips, tools, quizzes, and videos about common dermatologic coding issues on aad.org in the Coding Resource Center. ... Learn more about: ... Surgical and procedure codes ... Modifiers ... Evaluation and management (E/M) codes ... ICD-10-CM diagnosis codes ...
September
Issue ... September January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Haven’t we all felt it? What’s hot ... This month’s news from across the specialty Clinical Applications ... What do you need to know
Coding, culture, and contracts — the Academy knows all things practice management
It’s all in the coding At the end of the day, a successful practice relies on you knowing which code to use and how and when to use it. Bringing you the best information about coding keeps you on the ball. DermWorld published scores of titles on coding in 2023,
I have questions about coding for contact dermatitis. Does the Academy have any resources to help?
Asked and Answered ... March 1, 2022 Yes. The Academy offers a selection of quick coding guides covering a variety of topics, including contact dermatitis. The Contact Dermatitis Quick Coder has been recently updated to reflect new 2022 codes for irritant contact dermatitis due to contact with body fluids. ...
October 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 17, 2018 ... CMS to conduct new survey on post-op visits in global surgical codes Are you smarter than DataDerm™? ICD-10 updates impact several MIPS quality measures CMS to waive
2018: Merit-based Incentive Payment System (MIPS)
Eligibility: Physicians, PAs, NPs, Clinical Nurse Specialists, and Certified Nurse Anesthetists who billed ≥ $90,000 in Medicare Part B allowed charges and saw more than 200 Medicare Part B patients ... Reporting year: January 1st, 2018 – December 31st, 2018 ... Data completeness: At least 60% of All Payer Data
The breathless complications of anti-MDA-5-positive dermatomyositis
By Warren R. Heymann, MD, FAAD Oct. 30, 2024 Vol. 6, No. 44 Dermatologists are familiar with the spectrum of dermatomyositis (DM) — classic DM, juvenile DM, amyopathic DM, and cancer-associated DM. Clinically, amyopathic DM is a form in which the patients typically develop characteristic cutaneous features of DM [heliotrope
Codes with no mystery
It’s no secret. We know you need frequently updated information to address your questions about coding. We’ve been adding to our library of coding resources in 2023 and offered these new coding topics to our ever-expanding DermWorld Coding Consult library: ... ICD-10-CM diagnosis coding updates for 2024 Multiple surgery reduction
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
New coding content offers expert advice
AAD members get free access to practical tips on common coding issues. ... The Academy continues to add to its expansive list of its coding resources. ... So far in 2025, new content includes: ... CMS releases 2025 first and second quarter NCCI edits More payers implementing evaluation and management
How should I prepare for a CLIA inspection?
CLIA inspections are performed every two years if you are in a moderate- or high-complexity lab. The top 10 deficiencies found in CLIA inspections among all labs over the past several years have been: ... Director qualifications ... Test reports missing ... General systems/written policies incomplete ... Director not following
Member benefits — So many codes, so little time. Yet…
Your Academy coding staff knows how busy you are in your practice. Here’s a quick summary of what we’ve been doing to keep you ahead of the coding curve. ... Quick coding guides ... We continue to build out our series of ... downloadable quick coding guides for common (and
Mentee guidelines
Getting started with your mentor ... You should contact your mentor within two weeks of receipt of your assignment. You and your mentor should agree upon a convenient time to speak and confirm that you know how to contact each other (via email, telephone, etc.). You also should agree on
July 4
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JULY 4, 2018 ... iPLEDGE hits a snag with patients Hawaii governor signs legislation banning sunscreen with oxybenzone and octinoxate Medicare announces new MUE limit for aminolevulinic acid HCI, 10% (Ameluz)
September
Issue ... September January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I remember the first melanoma I ever saw What's hot ... This month's news from across the specialty Clinical Applications ... Oral minoxidil: A
It’s a great time to catch a code
Coding updates and practice management remain a high priority and we’re on it! ... We know your practice relies on knowing which codes to use, and how and when to use them. ... DermWorld published more than a dozen coding titles in 2024. Some examples are listed below. Catch these
Advocacy Update Jul 1, 2025
IN THIS ISSUE / July 1, 2025 Senate advances reconciliation bill with 2026 Medicare Physician Payment increase RFK pledges to work with Rep. Joyce on Medicare physician reimbursement CMS suspends CLIA lab director restrictions AADA and DermCAC support inclusion of dermatologists in SRT Local Coverage Determinations Build a relationship with
Pathology Billing: Successfully Navigating a “Minefield”
Billing for dermatopathology can often seem like a confusing maze, leading to frustration. One of the reasons is because there is a wide variety of arrangements and options that can be used to appropriately bill for dermatopathology services. ... Failing to understand those options that work best for your dermatology
This month’s news from across the specialty
What’s hot ... January 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ (MIS) has risen sharply in the U.S., surpassing invasive melanoma in 2025 ( ...
Educating our public — Educating patients through social media
Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on our @AADskin Twitter, Facebook, and Instagram platforms. ... Your patients = our followers ... Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on
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
Who pays the bills?
Facts at your Fingertips ... By Emily Margosian, assistant editor, March 1, 2019 While the future of American health insurance remains a question mark, data from the 2017 AAD Practice Profile Survey has helped shed light on where reimbursement trends might be headed. Although the percentage of patients with private
Survey: Americans worry about premature aging, still behind on sunscreen use
Facts at your Fingertips ... By Megan Bennett, Staff Writer, February 1, 2026 Despite concerns about premature skin aging, many Americans are still in the dark about the importance of sunscreen, according to a recent AAD survey. ... The AAD survey of 1,000 U.S. adults revealed that half worry about
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 called a colleague the other day to discuss a patient What's hot ... This month's news from across the specialty Clinical Applications ...
Academy secures wins with private payers
As a direct result of AADA advocacy, Regence Blue Cross Blue Shield (BCBS) rescinded its modifier 25 payment reduction policy. ... Without strong advocacy by the Academy and state dermatology and medical societies, the policy would have gone into effect on March 1, resulting in reduced payment for non-preventive E/M
Highlighting the specialty in the nation’s capital
Every year, dermatologists and patient advocates come to Washington, D.C., to learn about and participate in the advocacy process by visiting with federal lawmakers. During the annual AADA Legislative Conference, held on Sept. 10-12, 2023, almost 200 attendees urged Congress to: ... Address the systemic issues within the Medicare physician
More than 200 AADA members, patients ask Congress to halt Medicare payment cuts, reform step therapy
Facts at your fingertips ... By Emily Margosian, Assistant Editor, January 1, 2022 The second annual AADA Virtual Legislative Conference again saw impressive participation numbers this past September, bringing key dermatologic issues before members of Congress. Attendees included physicians, residents, select medical students, dermatology nurses, and patient advocates. ... Participating
Physicians move away from private practice
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, June 1, 2024 Physicians are less likely to work in private practice than they were 10 years ago, according to new data released by the American Medical Association (AMA). Top factors driving the shift included economic, administrative, and regulatory burden.
Reinstate membership
To start the reinstatement process, complete all the required fields in the form below, upload the required documents, and submit. ... If you've never been a dues-paying member and are eligible, you can ... apply for full membership . Learn more about who should complete the reinstatement form below. ...
A new spin
Go to AAD Home ... Go to AAD Home ... Menu ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... By Victoria Houghton, assistant managing editor Professional football players, world-renowned
What's new in dermatology?
Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2022 The history of medical diagnosis traces back to ancient Egypt, where the first recorded examples can be found in the writings of Imhotep dating 2630–2611 BC. In the
Making a pitch for the C-reactive protein/albumin ratio
By Warren R. Heymann, MD, FAAD Feb. 12, 2025 Vol. 7, No. 6 Studying the PhanaVision jumbotron at Citizens Bank Park on a warm Friday evening in June, I realized that when analyzing baseball data, I am "old school." In my youth, the critical measure of a pitcher’s success was
Senile gluteal dermatosis: The term “senile” is getting old and should be retired
By Warren R. Heymann, MD, FAAD Jan. 24, 2024 Vol. 6, No. 4 As my patients and I get older, inevitably I think more about geriatric dermatology. (1) There is a disorder I have seen on the gluteal region in mostly thin, older, sedentary patients — my recommendations of off-loading
Dermatologic FOMO and suggested remedies
By Warren R. Heymann, MD Dec. 10, 2016 "The main problem of the future will be deciding what to do with your newly found leisure time that these inventions will allow." I heard (and believed) this as a 9-year-old boy visiting the General Electric Pavillion exhibiting Disney’s "Carousel of Progress"
Gen Z’s indifference to sun damage is heating up their risk of skin cancer
Facts at your Fingertips ... By Megan Bennett, Staff Writer, March 1, 2026 In an AAD survey of 1,000 U.S. adults, released in May 2025 in conjunction with Skin Cancer Awareness Month, half of the ... Gen Z responders reported getting sunburned in 2024 . About 10% reported having sunburns
Psoriasis cases projected to rise worldwide by 2050
Facts at your Fingertips ... By Megan Bennett, Staff Writer, May 1, 2026 The incidence of psoriasis is estimated to rise by 2050, according to an analysis published in ... JAMA Dermatology (doi: 10.1001/jamadermatol.2025.4572). ... Using data from 1990-2021 from 236 countries reported in the 2021 Global Burden of Disease
What’s new and what can I expect from the 2025 Annual Meeting?
Asked and Answered ... December 1, 2024 Get ready to register for a magical experience in Orlando, Florida! ... 2025 AAD Annual Meeting attendees can expect some exciting new offerings alongside the top-tier education you expect from the AAD. ... What’s new ... Opening Ceremony, Friday, March 7 from 5:00
After 23 years, a syndrome converted me into an eflornithine believer
By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.
Modifier 24
Modifier 24: In a nutshell ... Used to report an E/M service performed during, but unrelated to the postoperative period of the previous procedure by the same physician. ... It’s important to know the ins and outs of this frequently used modifier. Not reporting or misusing modifier 24 can result
It’s time for your office’s annual exam!
Give your practice a checkup using the Academy management tools. ... Answers in Practice ... By Olivia Barry, Manager, Practice Management, December 1, 2022 Each month, DermWorld ... tackles issues "in practice" for dermatologists. There’s a lot to juggle to maintain a successful practice, including ensuring compliance, staying relevant with
Is there a best approach to widespread actinic keratoses?
By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but
Fighting Medicare payment cuts in 2023 and beyond
We want to help maintain stability for dermatology practices as the country faces significant economic challenges, rising costs, and continued efforts to rebuild from the COVID-19 public health emergency (PHE). We are urging Congress to take action to stop pending Medicare payment cuts that could negatively impact patients’ access to
Reassuring patients with sclerosing lymphangitis of the penis that they will not get shafted
By Warren R. Heymann, MD, FAAD July 17, 2024 Vol. 6, No. 29 Over the past decade of using our electronic medical record, I must have clicked on the word "reassurance" thousands of times for anxious patients with lesions of no biological concern. Today you will calm patients who are
How do I reinstate my membership as a Fellow or Associate member?
Asked and Answered ... October 1, 2025 To start the reinstatement process, visit ... www.aad.org/reinstate-membership . ... Please allow 7-10 business days for processing. You will be notified when the request is approved and how to process payment for the current year’s membership dues, including a $100 reinstatement fee. For
AADA prevents Medicare cuts in 2022
Moving the needle ... By Victoria Houghton, Managing Editor, May 1, 2022 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes
Academy secures wins with private payers
The Academy works with private payers to alleviate administrative burdens for dermatologists, maintain appropriate reimbursement for furnished services, and ensure patients can access covered quality care. ... In 2025, the Academy secured wins on several payer policies: ... Modifier 25: Regence BCBS ... As a direct result of AADA advocacy,
Dermatologist job satisfaction
Facts at your Fingertips ... By Emily Margosian, assistant editor, August 1, 2019 Despite rising burnout rates among all physicians, according to the AAD 2019 Life in Practice Study, the vast majority of dermatologists still enjoy what they do. Overall, 72% — or 7 in 10 dermatologists — say they
Finding Zen in medicine
Balance in practice ... By Emily Margosian, assistant editor, May 1, 2020 "It’s something I would have never thought I’d do," recalls Adam Rotunda, MD, assistant clinical professor of dermatology at the University of California, Irvine and a Mohs surgeon in private practice, in Newport Beach, California. Several years prior,
All aboard
Answers in Practice ... By Victoria Houghton, Managing Editor, June 1, 2023 DermWorld ... talks to Vermont dermatologist Steven Shama, MD, MPH, FAAD, who recently directed a session on managing office politics at the 2023 AAD Annual Meeting, about strategies to onboard new employees. DermWorld: Tell us about your practice.
Cimetidine offers a ray of sunshine for patients With erythropoietic protoporphyria
By Warren R. Heymann, MD Nov. 16, 2016 Only once in a great while an article makes me want to break into my happy dance — the report of 3 pediatric cases of erythropoietic protoporhyria (EPP) by Tu et al had that effect. Recently, I ran a post on EPP
Susan C. Taylor, MD, FAAD, elected American Academy of Dermatology president for 2025
Rosemont, Ill. (April 10, 2023) – Philadelphia-based board-certified dermatologist Susan C. Taylor, MD, FAAD, has been elected to lead the American Academy of Dermatology. She will be installed as President-elect in March 2024 and hold the office of President for one year beginning in March 2025. ... As president, Dr.
Could a metal implant affect your skin?
Board-certified dermatologist weighs in on the role of metal allergies in medical implants NEW ORLEANS (March 17, 2023) — Millions of people in the U.S. report having a metal allergy, and current estimates state that 10 percent of Americans will receive a medical implant during their lifetime ... 1 ...
Advocacy Update Oct 7, 2025
IN THIS ISSUE / Oct. 7, 2025 Government shutdown impact on Medicare claims and telehealth visits Truth in advertising win in California Support dermatology champions through SkinPAC Federal News Government shutdown impact on Medicare claims and telehealth visits ... Despite the ongoing government shutdown, Medicare will continue processing and paying
Rheumatoid vasculitis? Rule-out methotrexate-associated EBV
By Warren R. Heymann, MD June 19, 2016 Rheumatoid vasculitis (RV) is a serious complication of rheumatoid arthritis (RA) causing high morbidity and mortality, despite aggressive immunosuppressive treatment. The incidence appears to be decreasing, possibly due to the recognition of smoking as the most important contributory factor. Male patients with
2025 Proposed Medicare Physician Fee Schedule
Continuing cuts embolden AADA to demand Medicare payment reform ... On July 10, CMS released the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, which included important policy changes to fee-for-service payments and the Quality Payment Program (QPP). The AADA strongly opposes these cuts and demands that Congress reform the
Dermatology appointment leads to life-saving cardiac care
American Academy of Dermatology honors Dr. Christopher Bengson as national "Patient Care Hero" ROSEMONT, Ill. (November 10, 2022) — Christopher Bengson MD, MHS, FAAD, a board-certified dermatologist for the Indian Health Service in Phoenix, Ariz., and a Commander in the U.S. Public Health Service, was named an American Academy of
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,
Building meaningful connections with staff
Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2022 DermWorld ... talks to Craig Burkhart, MD, MPH, MSBS, FAAD, from Burkhart Pediatric & Adolescent Dermatology in Cary, North Carolina, about meaningful ways to connect with staff. DermWorld: Tell us about your practice. Dr. Burkhart: We only offer
Test your coding knowledge
ICD-10 quizzes Surgical and procedure code quizzes Code like a pro ... Find everything your practice needs to code with confidence. Purchase complete code sets and webinar training for the team in the AAD Store. ... Shop now Modifier quizzes The Medical Record: Let’s Practice ... In these scenarios, are
Glucose monitors: Not as sweet as they seem
By Christen M. Mowad, MD Oct. 9, 2019 Vol. 1, No. 31 ... The next contact allergen of the year has been announced early by the American Contact Dermatitis Society and it is an acrylate, isobornyl acrylate. (1) This chemical is a photopolymerizable monomer that has been used in industrial
Key messages for social media about nails and nail health
Key messages ... Our nails often reflect our general state of health. Changes such as discoloration or thickening can signal health problems, including liver and kidney disease, heart and lung conditions, anemia, and diabetes. ... Changes in color, shape, and/or thickness, swelling of the skin around the nails, bleeding or
iPLEDGE advocacy updates
The statements to members below track the Academy’s ongoing advocacy efforts for the dermatology specialty on the iPLEDGE Program. ... Feb. 10, 2026 iPLEDGE Win: FDA finally confirms iPLEDGE changes long advocated for by AADA ... AADA advocacy culminates in changes reducing physician, patient burden Following relentless and sustained advocacy
New Skin Biopsy Codes: It’s All About the Technique!
For 2019, the American Medical Association (AMA) CPT® Editorial Panel will introduce six new codes for primary skin biopsy—three base codes and three add-on codes codes—all of which will be effective January 1, 2019. These three new codes will replace existing codes 11100 and 11101 (skin biopsy), which will be deleted. These new codes have
Biotin supplementation for hair and nail health: Does it pass the test?
By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,
How can institutions ensure that dermatology residents are competent with both light microscopy and digital pathology?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Carilyn Wieland, MD, FAAD, about her American Journal of Dermatopathology ... paper, ‘ Comparison of digital pathology and light microscopy among dermatology residents: A reappraisal
“Black dot” alopecia areata
By Warren R. Heymann, MD April 16, 2016 This week I had a 35 year old man present with a one month history of a round patch of alopecia. He was told by his PMD that he had tinea and was started on oral terbinafine (which he had been on
A Trumpian analysis of infliximab-induced follicular mucinosis: Something’s going on here
By Warren R. Heymann, MD July 10, 2016 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
Scratching below the surface for the etiology of lichen amyloidosis — no sweat?
By Warren R. Heymann, MD July 10, 2017 Lichen amyloidosis reveals multiple hyperkeratotic papules on anterior leg. ... Credit: ... JAAD We have all confronted patients with maddeningly pruritic, recalcitrant cases of lichen amyloidosis (LA). Establishing the diagnosis is easier than treating the disorder; understanding its pathogenesis is even more
Wolf’s isotopic response: Where and when
By Warren R. Heymann, MD, FAAD Oct. 18, 2023 Vol. 5, No. 42 Wolf’s isotopic response (WIR) has been a mysterious and controversial dermatological sign for almost 40 years. In 1984, the Doctors Wolf (Ronni and Danny) described two cases — a 52-year-old man and a 12-year-old girl — both
Pediatric dermatology toolbox
Advocacy groups and innovators provide key resources for patients and physicians — learn where to get help. ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2024 Pediatric dermatology care is in demand. Studies estimate that 10-30% of pediatric primary care visits include a skin-related problem. However, historically, pediatricians
Re-excising severely atypical nevi: A signature issue?
By Warren R. Heymann, MD Feb. 10, 2017 Clark (dysplastic) nevus with atypical features. A, Low magnification demonstrates a broad compound melanocytic neoplasm with architectural asymmetry. B and C, Higher power reveals elongated rete ridges, subepidermal fibroplasia, parakeratosis, and marked variability in size and shape of melanocytes and their
American Academy of Dermatology elects new officers, board members
Rosemont, Ill. (April 10, 2023) – The American Academy of Dermatology has announced the results of its annual election. The Academy’s new officers and board members will lead the world’s largest dermatologic society, representing more than 20,800 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment of
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
By Warren R. Heymann, MD, FAAD Nov. 2, 2022 Vol. 4, No. 44 A colleague asked me if I could evaluate his 26-year-old daughter while she was briefly on break from her graduate studies in Barcelona. He was concerned that she had developed lipodystrophy. Of course, I agreed, without his
There’s something for every FAAD (and their kids?) at AAD Innovation Academy
From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, August 1, 2023 It may sound cute, but if you’re joining me at the Academy’s Innovation Academy in Tampa, Florida, on Aug. 10-13, you’ll understand what
American Academy of Dermatology issues updated guidelines for the management of atopic dermatitis in adults with topical therapies
Both well-established and newer topical treatments addressed ROSEMONT, Ill. (January 11, 2023) — Often called eczema or atopic eczema, atopic dermatitis is a common skin condition, affecting 1 in 10 Americans. Although atopic dermatitis occurs most frequently in children, it also affects adults and can have a significant impact on
2020 CPT Coding Updates
For 2020, the CPT code set has multiple changes. Although most of the changes do not specifically affect dermatology, there are notable changes that members need to be aware of starting on January 1, 2020. ... Non-Face-to-Face-Services: Telephone Services ... CPT code 99444 has been deleted and in its place,
Can oral ivermectin cure pediatric periorificial dermatitis? It mite!
By Warren R. Heymann, MD March 5, 2017 A 13-year-old boy with severe rosacea before (A) and 1 month (B) and 4 months (C) after receiving oral therapy with a single dose of 250 μg/kg ivermectin (case 3). Note the facial desquamation after the first weeks of therapy, not attributable
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 —
This month’s news from across the specialty
What’s hot ... January 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD In October’s ... Dialogues in Dermatology , Dr. Scott Elman, double board-certified internist and dermatologist, discusses important "new medications
This month’s news from across the specialty
What’s hot ... April 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Ken Katz, MD, MSc, MSCE, FAAD Immune checkpoint inhibitors (ICIs) have dramatically improved prognosis for melanoma and other cancers. Once nearly always fatal, advanced
Moving target
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...
Sunscreens on trial
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss the debate about the effects of sunscreen ingredients on the environment ... Dermatologists discuss the debate about the effects of sunscreen ingredients on the environment ... By Victoria Houghton, managing editor Over the last 10 years,
8 tips to help optimize financial efficiency in your practice
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2020 Financial efficiency is desirable to all practices no matter the size or practice model. There are several steps you can take to ensure that your practice is not only financially compliant, but also financially successful. ...
What's new in pediatric dermatology?
Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2022 The world looked different in 2012, particularly in the world of medicine. Among the many changes of the last decade, new diagnoses have emerged within the field of
The ins and outs of billing company contracts
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., November 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is Alice G. Gosfield, Esq., who is a health
Advocacy Update Feb. 18 2025
IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to
The magic of dermatology
Balance in Practice ... Angela Funovits, MD, is a dermatologist in Mayfield Heights, Ohio. ... By Emily Margosian, assistant editor, November 1, 2019 At just 10 years old, dermatologist Angela Funovits, MD, began teaching herself magic. "I had seen one particular program on TV," she said, "and for some reason
ECHO on the front lines of COVID-19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... 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. DW Weekly : Just for
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
By Warren R. Heymann, MD, FAAD Jan. 15, 2025 Vol. 7, No. 2 Perhaps dupilumab won’t be the game-changing biologic that patients are pining for. At the least, it represents the dawn of the biologic era for AD [atopic dermatitis] ... . That alone offers hope for our long-suffering patients,
AAD Teledermatology Standards
Download a PDF version ... These ... AAD Teledermatology Standards are also available as a PDF. ... The standards below were developed by the Academy’s Teledermatology Committee at the direction of the Board of Directors. These standards expand upon the appropriate use of telemedicine and create a core set of
The profound dermatological manifestations of COVID-19: Part V – Pediatric multisystem inflammatory syndrome
By Warren R. Heymann, MD May 13, 2020 Vol. 2, No. 19 Disclaimers: This commentary was written on May 7, 2020 for a publication date of May 13, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
The ironclad promise of ferroptosis
By Warren R. Heymann, MD, FAAD Jan. 25, 2023 Vol. 5, No. 4 As checkpoint inhibition of programmed cell death protein 1 (PD1) has become standard oncologic therapy, it is easy to forget that this revolutionary therapy is barely a decade old. Until 1972, cell death was considered passive and
What's hot?
What's hot ... October 30, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you familiar with "fish pedicures" and their risks? Fish pedicures are pedicures in which the feet are immersed
Protect your ability to practice
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, June 3, 2019 For
What's hot?
What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,
Sun safety
Key messages ... At least one in five Americans will develop skin cancer during their lifetime. (1,2) ... Sun exposure is the most preventable risk factor for skin cancer, including melanoma, the deadliest form of skin cancer. (3-6) ... To protect your skin from the sun, seek shade, wear protective
Shocking news: Heat shock protein inhibition finally enters the realm of dermatologic therapy
By Warren R. Heymann, MD, FAAD Oct. 23, 2024 Vol. 6, No. 43 Heat shock proteins (HSP) were serendipitously discovered by the brilliant Professor Ferruccio Ritossa in 1962 while studying nucleic acid synthesis in chromosomal puffs of ... Drosophila salivary glands. De Maio states, "Ritossa noticed something unexpected when cells
Topical isotretinoin for ichthyoses: Striving for an “A” grade
By Warren R. Heymann, MD, FAAD Nov. 20, 2024 Vol. 6, No. 47 Two meaningful events changed my life in 1982 — my marriage and the introduction of isotretinoin. Forty-two years later, both remain front and center. Attending the focus session "Think like an expert about ichthyosis" at the AAD
Donor Spotlight: Grizzly bears, African summits, and other joys
Celebrating a decade of AAD’s Skin Cancer, Take a Hike!™ with its founder ... Donor Spotlight ... By Dean Monti, Managing Editor, Special Publications, May 1, 2024 In this new column, DermWorld ... highlights individual members who have gone above and beyond with their Academy contributions. This year marks the
Paraneoplastic Merkel cell carcinoma: Searchin’ for my lost shaker of salt
By Warren R. Heymann, MD, FAAD Sept. 6, 2023 Vol. 5, No. 36 By pure coincidence, Jimmy Buffett passed away from Merkel cell carcinoma (MCC) as I researched the topic of paraneoplastic MCC. Although I am no parrothead, every time I’d hear Margaritaville, I’d smile and fantasize about a lifestyle
Mentorship mentation: Bringing out the best of us!
By David A. Wetter, MD Sept. 9, 2020 Vol. 2, No. 36 I have been experiencing sports withdrawal during this COVID-19 life pause. I even (excitedly) gobbled up the recently televised NBA HORSE competition. Currently my family and I are enjoying ESPN’s 10-hour documentary ... The Last Dance , which
Say “Cheese!” Three reasons why EMR photography makes me smile
By Warren R. Heymann, MD Jan. 15, 2018 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 10 years since the inception of the iPhone, and just four years since our practice transitioned to an EMR.
AMA introduces new prolonged service code for 2021
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, January 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Coding based on time ... As previously discussed
Coding Resource Center
Code like a pro with AADA 2026 resources ... Ensure correct code selection, reduce denials, and get appropriately reimbursed. ... Order now Schedule your State Society Presentation Now! The presentation calendar is filling up quickly. ... Reserve your preferred date by completing the State Society Coding Presentation Form ... Access
The expanding horizon of anti-IL-36 therapy
By Warren R. Heymann, MD, FAAD Sept. 25, 2024 Vol. 6, No. 39 An abridged version of this commentary was published in "A Clinician’s Perspective" in the April 2024 issue of the JAAD ... . We last explored the relationship between IL-36 and generalized pustular psoriasis (GPP) and the use
Dermatological Care MIPS Value Pathway (MVP)
2026 MVP registration is open ... Register for the 2026 MVP for Dermatological Care through the ... QPP website . Refer to the ... QPP Access User Guide (ZIP, 5 MB) for detailed information. Register by Nov. 30, 2026! ... The Dermatological Care MIPS Value Pathway (MVP) is a streamlined
Dermatological Care MIPS Value Pathway (MVP)
The Dermatological Care MIPS Value Pathway (MVP) is a streamlined reporting system designed specifically for dermatologists to meet MIPS requirements. CMS is designing MVPs to allow physicians to report on measures that are more relevant to their specialties in a structured manner. Unlike traditional MIPS, participation in an MVP for
Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease
By Warren R. Heymann, MD, FAAD Nov. 1, 2023 Vol. 5, No. 44 Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are potentially life-threatening disorders demanding aggressive therapy with all the finesse and skill that dermatologists can muster. PV is characterized by IgG autoantibodies targeting desmoglein (Dsg)‐3, which is associated with
Modifier 25 under the microscope
Dermatologists defend efficient, value-based care ... Feature ... By Jan Bowers, contributing writer, May 1, 2021 In their relentless drive to minimize costs and maximize profits, insurers are increasingly taking aim at the use of modifier 25, pointing to what they view as excessive and/or inappropriate use. Physicians report modifier
Patient power
Technology amplifies the patient voice in advocacy groups ... Feature ... By Jan Bowers, Contributing Writer, February 1, 2022 In the early 20th century, when a diagnosis of cancer almost inevitably led to death, a group of 10 physicians and five laypeople launched the American Society for the Control of
Short anagen syndrome: The long and short of it
By Warren R. Heymann, MD, FAAD Feb. 7, 2024 Vol. 6, No. 6 Have you ever encountered a patient who says that their hair does not grow very much and that they rarely need to cut their hair? I have, and I suppose you have, too. Although considered uncommon, short
Vitiligo or vitiligo-like lesions and PD1-inhibitors: Which is right?
By Warren R. Heymann, MD June 1, 2017 The following is a well-known staple of Jewish humor. I’ve heard it thousands of times, but it always makes me smile: ... In a small town in Russia, people brought their complaints to the Rabbi to settle their differences. One man purchased
Teatime for radiation dermatitis (and beyond)
By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a
Lupus miliaris disseminatus faciei: A Simon and Garfunkel playlist
By Warren R. Heymann, MD, FAAD Oct. 1, 2025 Vol. 7, No. 39 William Tilbury Fox (1836-1879) was a brilliant dermatologist, the first in the United Kingdom to have a post in a teaching hospital. With Erasmus Wilson, he resurrected the prominence of British dermatology nearly half a century after
Parsing pediatric contact allergens
Pediatric dermatologists share clues for distinguishing contact dermatitis from atopic dermatitis and discuss noteworthy allergens. ... Feature ... By Allison Evans, Assistant Managing Editor, May 1, 2023 It is a common misconception that allergic contact dermatitis (ACD) is rare in children. It’s estimated that it affects up to 20% of
Flying solo
Dermatologists share their experiences and tips for starting and operating a solo practice. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2025 Physicians are less likely to work in private practice today than 10 years ago due to economic, administrative, and regulatory burdens. According to a 2022
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was
Vitamin D and UV exposure
Key messages ... The American Academy of Dermatology recommends that healthy adults should obtain an adequate amount of Vitamin D from a diet that includes foods naturally rich in vitamin D and/or foods/beverages fortified with vitamin D. (1) ... Because ultraviolet rays from the sun and tanning beds can cause
Applying the 2021 E/M coding concepts in everyday practice – Part 8
Part eight of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes continue those of part 7 in this series, demonstrating how a common dermatologic condition, actinic keratosis, can be classified under different categories of problem addressed during the encounter depending
Vascular Ehlers-Danlos syndrome: From rupture to rapture?
By Warren R. Heymann, MD, FAAD February 16, 2022 Vol. 4, No. 7 If there was a statistic for a dermatological diagnostic impact factor, vascular Ehlers-Danlos syndrome (vEDS) would be at the top. Often undiagnosed until tragedy strikes, astute dermatologists who consider the diagnosis prior to an acute event may
Advocacy Update Feb. 4 2025
IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC
Advocacy Update May 5, 2026
IN THIS ISSUE / May 5, 2026 Advocacy win: United Healthcare delays referral program penalties Dr. Gross attends political event on behalf of SkinPAC New Medicare physician payment reform legislative efforts AADA presents at FDA nonprescription drugs access public meeting Payer Advocacy Advocacy win: United Healthcare delays referral program penalties
Rounds on pityriasis rotunda
By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and
Xylazine (“Tranq”): The potential for loss of life and limb
By Warren R. Heymann, MD, FAAD Dec. 7, 2022 Vol. 4, No. 48 The U.S. overdose crisis continues its exponential growth, although the landscape of responsible substances has changed over the past two decades — cocaine (2000-2006) to prescription opioids (2007-2013), heroin (2014-2015), and illicitly-manufactured fentanyl (2016-present). (1) ... Xylazine
Coding for surface radiation therapy in dermatology: A practical guide
Surface radiation therapy (SRT), previously referred to as superficial radiation therapy, has become an increasingly employed modality for treating cutaneous tumors such as nonmelanoma skin cancers and select benign lesions in dermatology. With the 2026 CPT ... ® ... changes, the SRT code set has been modified and streamlined, and
Key messages about rosacea for social media
Key messages ... Rosacea is a common skin condition that mainly affects the face. You may see flushing, lasting color (red, violet, or brown), acne-like breakouts, or visible blood vessels. Some people develop irritated eyes or thickening skin. (1,2) ... Although there is no cure for rosacea, proper treatment can
A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma
By Warren R. Heymann, MD, FAAD Aug. 30, 2023 Vol. 5, No. 35 A personal joy of dermatology is rendering a diagnosis in a lesion or rash that I have only read about but never previously encountered in practice. Beyond being intellectually satisfying, having a precise diagnosis is reassuring, as
May 12, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 12, 2021 ... Telogen effluvium diagnosis during the COVID-19 pandemic DermWorld Insights and Inquiries : For patients with erythropoietic protoporphyria the tide has come in Derm Coding Consult : How
The malignant risk in circumscribed palmar or plantar hypokeratosis: Summoning Charles Dickens and Freddie Mercury
By Warren R. Heymann, MD, FAAD May 14, 2025 Vol. 7, No. 19 Smitten by the seminal article in 2002 by Pérez et al. describing circumscribed palmar or plantar hypokeratosis (CPPH), I have diagnosed the disorder several times, reassuring patients that this oddity is of no concern. More than 100
Dermatology coding essentials part 1: Pearls, pitfalls, and best practices
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding & Reimbursement, April 1, 2026 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . Your ability to deliver excellent patient care
Taking the challenge: Social media, adolescents, and the skin
By Albert C. Yan, MD June 12, 2019 Vol. 1, No. 14 Patterned skin injury can raise the specter of non-accidental trauma. However, over the past decade or so, striking examples of patterned skin injury have emerged among adolescents and pre-teens that share certain features: these are self-induced voluntarily; the
Advocacy Update Dec 9, 2025
IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,
Striving for hard facts about water softening in atopic dermatitis
By Warren R. Heymann, MD, FAAD Aug. 18, 2021 Vol. 3, No. 33 With the success of dupilumab in managing atopic dermatitis (AD), and new agents on the horizon (IL-13 inhibitors lebrikizumab and tralokinumab; the IL-31 inhibitor nemolizumab; targeted anti IL-17, IL-22, and TSLP inhibitors; JAK inhibitors; and the PDE4
Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas tale
By Warren R. Heymann, MD, FAAD Dec. 3, 2025 Vol. 7, No. 47 Santa Claus waving from his sleigh on Central Park West on Black Friday traditionally commenced the Christmas holiday season. That "official" start now occurs after the last trick-or-treater devours their Hershey bar on Halloween. Realistically, it is
The pregnant pause in cutaneous lymphoma
By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12
A Frank discussion about earlobe creases
By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied
Resorcinol’s resourcefulness in hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD March 22, 2023 Vol. 5, No. 12 Management of hidradenitis suppurativa (HS) is challenging, including medical and surgical approaches, which are often combined for best outcomes. Lifestyle changes, pain management, and emotional/psychiatric issues must be addressed. Therapeutic approaches include the use of topical therapies
Propranolol for infantile hemangiomas: Start to finish
By Warren R. Heymann, MD, FAAD March 26, 2025 Vol. 7, No. 12 "We have observed that propranolol can inhibit the growth of these [infantile capillary] hemangiomas." (1) In my career, I cannot think of any statement that led to such a swift, dramatic paradigm shift in management more than
Chanarin-Dorfman syndrome: Shifting out of neutral
By Warren R. Heymann, MD, FAAD Aug. 27, 2025 Vol. 7, No. 34 In nearly all neutrophil, eosinophil and basophil leukocytes and in the monocytes, several clear vacuoles of varying size were observed in the cytoplasm, which after vital staining…revealed a red colour, i.e. contained a fatty substance. The erythrocytes
Adding protothecosis to the protocol
By Warren R. Heymann, MD, FAAD April 23, 2025 Vol. 7, No. 16 As a dermatology resident at the outset of the AIDS epidemic, I quickly learned that all bets are off when diagnosing infectious diseases in immunocompromised hosts. That experience taught me to culture broadly for bacterial, atypical mycobacterial,
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the
Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders
By Warren R. Heymann, MD, FAAD Dec. 11, 2024 Vol. 6, No. 49 Patients often ask me, "Doctor, is my disease rare?" I’m never quite sure how to respond — while most patients are relieved to know that they are not alone ("misery loves company"), some relish the experience of
Stepping back from the abyss: A kinder, gentler variant of calciphylaxis
By Warren R. Heymann, MD March 16, 2017 My reaction to the diagnosis of calciphylaxis is Pavlovian — I automatically think about an end-stage renal insufficiency patient with an abysmal prognosis. Increasingly there are reports of nonuremic forms of the disease, where the prognosis may not be as bleak (*although
Advocacy Update Mar. 18, 2025
IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key
Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma
By Warren R. Heymann, MD, FAAD Aug. 13, 2025 Vol. 7, No. 32 A highlight of my week is leisurely reading the ... Philadelphia Inquirer on quiet Sunday mornings, skimming over the troubling headlines, and concentrating on positive happenings in the Delaware Valley. My bliss was rudely interrupted by a
Reflections on infantile perianal pyramidal protrusion and Hippocrates
By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as
A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus
By Warren R. Heymann, MD, FAAD March 15, 2023 Vol. 5, No. 11 Keeping up with the expanding indications and adverse reactions to immune checkpoint inhibitors (ICIs) can be a full-time job. These drugs are anti-neoplastic because of cytotoxic T-cell activation. ICIs include the anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) agent ipilimumab,
Sparking the interest in Spark nevus
By Jason B. Lee, MD, FAAD Dec. 13, 2023 Vol. 5, No. 49 The late A. Bernard Ackerman has described and named a variety of dermatologic entities, expanding the lexicon of dermatology over his career. He has been known to come up with catchy and playful names for dermatologic entities
Dermatologists cannot be lax about acquired cutis laxa
By Warren R. Heymann, MD Jan. 28, 2019 Acral localized acquired cutis laxa. Loose, redundant skin on the volar finger pads bilaterally that gave them a flat, rounded appearance. ... Credit: ... JAAD From the time I was a medical student, I have always been fascinated by the "little old
Sebaceous carcinoma — Double trouble
By Warren R. Heymann, MD, FAAD July 23, 2025 Vol. 7, No. 29 Sebaceous carcinoma (SC, aka sebaceous gland carcinoma) is double trouble — the cancer itself and its potential association with the Muir-Torre syndrome (MTS). ... SC is an aggressive malignancy that develops from the sebaceous glands. SC is
Progress in pemphigus: Solidifying rituximab’s role
By Warren R. Heymann, MD, FAAD July 7, 2021 Vol. 3, No. 27 "Now what do I do?" ... That question, asked by dermatologists every day about patients who are not responding to therapy, was posed in the preface of the first (and every subsequent) edition of ... Treatment of
Tag, you’re it!
By Warren R. Heymann, MD, FAAD Sept. 28, 2022 Vol. 4, No. 39 Chances are you will see a patient with skin tags today. ... Patients will likely ask you two questions: Why do I get them? What do you mean my insurance won’t cover their removal (for asymptomatic lesions)?
International Fellow and International Associate membership
Apply for membership now! ... Apply International Fellow membership ... The International Fellow membership is for dermatologists who were trained outside the United States and Canada and have obtained board certification by a foreign dermatology board with educational and professional requirements that are approximately equivalent to the requirements for certification
An old dog with a new trick: High dose intralesional steroids in hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD February 2, 2022 Vol. 4, No. 5 Hidradenitis suppurativa (HS) is hitting its stride academically — deservedly so. In 2000 there were 2 publications about HS in the ... Journal of the American Academy of Dermatology ; in 2010, 9 manuscripts; and, in 2020,
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
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
Keeping up is hard to do: The need for true grit
By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,
Indoor tanning fact sheet
Indoor tanning use ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in
May 11, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 11, 2022 ... Sexual dysfunction associated with finasteride use in men with androgenetic alopecia DermWorld Insights and Inquiries : Lagging ahead — LAG-3 checkpoint inhibition for advanced melanoma FDA grants
Hoops and happiness: Having the courage to take a shot
By David A. Wetter, MD March 17, 2021 Vol. 3, No. 11 In dermatology our daily routine is dominated by caring for patients, many of whom have complex diseases that are difficult to manage. Our dedication to help our patients initially drew many of us to the medical profession (and
The profound dermatological manifestations of COVID-19: Part IV – Cutaneous features
By Warren R. Heymann, MD April 22, 2020 Vol. 2, No. 16 Disclaimers: This commentary was written on April 17, 2020 for a publication date of April 22, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
Skin conditions by the numbers
Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A
2025 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
The aryl hydrocarbon receptor: Tapinarof is taking off
By Warren R. Heymann, MD, FAAD Nov. 19, 2025 Vol. 7, No. 46 In his outstanding lecture identifying drivers of lupus, presented at the 2025 meeting of the Medical Dermatology Society, Jaehyuk Choi MD, PhD, explained that interferon — the well-known nemesis of lupus — controls the production of T
Appropriate use of modifier 59
Modifier 59: In a nutshell ... Modifier 59 is used when you perform two or more distinct procedures in one visit. ... It is one of the most misused modifiers and can result in not getting paid for your services. ... You should only use modifier 59 if no other
Cycling back to doxycycline’s roots as therapy for bullous pemphigoid
By Warren R. Heymann, MD, FAAD July 26, 2023 Vol. 5, No. 30 Patients with moderate to severe bullous pemphigoid are usually treated with systemic corticosteroids. Four patients were treated with tetracycline hydrochloride and niacinamide because of the steroid-sparing anti-inflammatory properties of these agents. An excellent clinical response free of
2026 AADA Legislative Conference: Program and agenda
Conference schedule ... The conference will take place on Sunday, September 13 through Tuesday, September 15, 2026, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of
A cold abscess remains a cold case: Multiple neonatal staphylococcal cold abscesses of the large folds
By Warren R. Heymann, MD, FAAD Jan. 17, 2024 Vol. 6, No. 3 Graduating residents will usually ask me for parting words of wisdom. If I had to choose one morsel of advice, it would be to read and study throughout their career. I still marvel at reports of entities
A nail-biting commentary
By Warren R. Heymann, MD, FAAD Feb. 15, 2023 Vol. 5, No. 7 Reading advice columns has been a lifelong habit, having been enamored as a youth by the practical wisdom offered by "Dear Abby" (Pauline Esther Friedman Phillips) and her twin sister "Ann Landers" (Esther Pauline Friedman Lederer). Another
A new wrinkle in the diagnosis of cystic fibrosis?
By Warren R. Heymann, MD, FAAD March 23, 2022 Vol. 4, No. 12 Sir, - I have observed that the skin of children with cystic fibrosis wrinkles excessively early when soaked with tap water. The physical sign is highly reliable irrespective of the degree of nutrition of the patient…It is
Advocacy Update Nov 25, 2025
IN THIS ISSUE / Nov. 25, 2025 OIG report supports dermatologists’ use of modifier 25, CMS requires no further actions Academy objects to Anthem non-participating physician policy AADA urged Congress to stabilize Medicare physician payment at recent House Ways and Means subcommittee hearing Support SkinPAC Regulatory Advocacy OIG report supports
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 ... ® ...
Periocular hypopigmentation of the elderly: A new POTUS dermatosis?
By Warren R. Heymann, MD, FAAD Sept. 4, 2024 Vol. 6, No. 36 Editorial Note: DermWorld Insights and Inquiries provides commentaries on issues in dermatology. This editorial was composed before the assassination attempt of former President Trump, President Biden’s decision not to seek a second term, and the nomination of
This month’s news from across the specialty
What’s hot ... October 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Chronic pruritus is burdensome for patients with chronic kidney disease (CKD) and can be incredibly difficult for dermatologists to
Dermatofibrosarcoma protuberans recurrence: Size matters
By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered
Could wart immunotherapy open a therapeutic window for congenital nevi at risk for melanoma?
By Warren R. Heymann, MD ... June 13, 2017 ... Dermatoscopic image of congenital melanocytic nevus. Arrows point to reticular network (left), perifollicular hypopigmentation (center), and globules contained within empty spaces in the network ("target globules," right), features that are reportedly suggestive of congenital melanocytic nevi. ... Credit: ...
JAKne is on the horizon
By Warren R. Heymann, MD, FAAD July 27, 2022 Vol. 4, No. 30 If you are like me, you have read much more about JAK inhibitors (JAKi) than have prescribed them. We are all on a learning curve. The rapid introduction of topical ruxolitinib (Opzelura), oral upadacitinib (Rinvoq), and abrocitinib
From Down Under to all over: Kava-induced cutaneous adverse reactions
By Warren R. Heymann, MD, FAAD June 11, 2025 Vol. 7, No. 23 Firmly ensconced in my bucket-list travel time, I eagerly anticipate our trip to New Zealand, Tasmania, and mainland Australia in January 2025. ... (Editor’s note: This piece was written prior to the trip.) As a dermatologist, I
Netherton syndrome: From apex to nether
By Warren R. Heymann, MD March 31, 2021 Vol. 3, No. 13 If you are a dermatologist preparing for your board exam, I’ll wager that you can rattle off the classical features of Netherton syndrome (NS, aka Comel-Netherton syndrome) in a heartbeat. The more important question — would you recognize
CXCR4 antagonist therapy based on a WHIM syndrome
By Warren R. Heymann, MD, FAAD June 12, 2024 Vol. 6, No. 24 Emelio* had a delightfully whimsical personality that matched his syndrome’s acronym — WHIM ( ... W arts, ... H ypogammaglobulinemia, ... I nfections, and ... M yelokathexis). His smile was as infectious as his verrucae, and he
AESOP: The ants and the grasshopper
By Warren R. Heymann, MD, FAAD Aug. 21, 2024 Vol. 6, No. 34 Unquestionably, AESOP ( ... A denopathy and ... E xtensive ... S kin patch ... O verlying a ... P lasmactyoma) is rare — to date, fewer than 25 cases have been reported. (1) Why write (or
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab
By Warren R. Heymann, MD, FAAD Sept. 13, 2023 Vol. 5, No. 37 This is an exciting time for cutaneous lupus erythematosus (CLE). Recently published findings from three clinical trials show substantial progress in developing more targeted, efficacious, and better-tolerated medications for patients with CLE, particularly by inhibiting the production
Like the tumor itself, knowledge about DFSP is expanding wider and deeper
By Warren Heymann, MD June 16, 2021 Vol. 3, No. 24 Dermatofibosarcoma (DFSP) is a mystifying lesion. Although considered rare, I have encountered several cases over the years. Some recent literature offers potential insights into its pathogenesis and management. ... DFSP is a low-to-intermediate grade sarcoma with a reported incidence
Time to reassess messing around with steroids and psoriasis
By Warren R. Heymann, MD March 3, 2021 Vol. 3, No. 9 You don't tug on Superman ’ ... s cape You don't spit into the wind You don't pull the mask off that old Lone Ranger And you don't mess around with Jim If the late Jim Croce was
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD Aug. 3, 2022 Vol. 4, No. 31 In 1965, Reye described 18 small, fibrous tumors from 12 children submitted to his laboratory for histological examination, that he had accumulated over two decades. Initially, these lesions were tentatively classified as well-differentiated fibrosarcomas. His seminal observation
Beef tallow for eczema: Grade A prime or just another bum steer?
By Andrew C. Krakowski, MD, FAAD June 18, 2025 Vol. 7, No. 24 As a pediatric dermatologist, I have seen skin care trends come and go faster than a cow fleeing a branding iron. Lately, social media — especially herd-mentality platforms like TikTok — has been bullish on beef tallow
Controlling High Blood Pressure — Measure 236
Controlling High Blood Pressure ... DESCRIPTION: Percentage of patients 18–85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement
No longer flailing with Flegel disease
By Warren R. Heymann, MD, FAAD April 19, 2023 Vol. 5, No. 16 I was a toddler in 1958 when Heinz Flegel described ... hyperkeratosis lenticularis perstans (HLP) a 50-year-old man with persistent lesions on his dorsal feet and lower extremities. (1) In the ensuing decades, other than the clinical
Does HPV vaccination change the burden of disease in patients with actinic keratosis?
Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, September 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Emily Wenande, MD, PhD, about her JAMA Dermatology ... paper, ‘ Human Papillomavirus Vaccination and Actinic Keratosis Burden: The VAXAK Randomized Clinical Trial .’ DermWorld:
Topical tacrolimus topics
By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors
Palmar Pagetoid dyskeratosis: A sheep in wolf’s clothing
By Warren R. Heymann, MD, FAAD Nov. 30, 2022 Vol. 4, No. 47 Furrows are fine, ridges are risky. I learned that phrase in a stellar lecture given by Jennifer A. Stein, MD, PhD, FAAD, discussing the use of dermoscopy for acral pigmented lesions. It has served me in good
Business valuation: How much is my practice worth?
You’ve spent years building your dermatology practice, and you consider it one of your most rewarding accomplishments. Now, you’re ready to retire. And you’re wondering how, when, and where to sell. Perhaps most importantly, you're wondering how to set the right price. ... Business valuation is both an art and
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
Rituximab and dermatomyositis: Dr. Samitz would be proud
By Warren R. Heymann, MD Nov. 20, 2019 Vol. 1, No. 37 The gifted dermatologist clinician-educator Morris H Samitz, MD, has been honored with an annual lectureship at the Perelman School of Medicine at the University of Pennsylvania for the past 44 years. Dr. Samitz passed away in 1993, but
Long COVID has a lot of nerve
By Warren R. Heymann, MD, FAAD Dec. 17, 2025 Vol. 7, No. 49 The profound medical and socioeconomic trauma of the COVID-19 pandemic may seem as though it is in the rearview mirror, but it is not. As of April 15, 2025, the CDC estimated that COVID-19 infections are growing
DermCatalyst: Accelerating Access and Innovation in Dermatology
Register for the 2026 DermCatalyst ... Register today for a unique opportunity to discuss outreach programs and initiatives, exchange ideas, and share success stories. ... Register now for free 2026 DermCatalyst July 16, 2026 (concurrent with 2026 Innovation Academy ) 7:30 a.m. - 4:00 p.m. (reception to follow) New York
Keeping abreast of drug-induced cutaneous lupus
By Warren R. Heymann, MD, FAAD Aug. 4, 2021 Vol. 3, No. 31 Tom Hanks, as Commander Jim Lovell in the movie ... Apollo 13, lamented that the world was not watching their onboard video, compared to Neil Armstrong’s moon landing a year earlier. Reality dictates that the seminal breakthroughs
Olmsted syndrome patients can finally put their foot down
By Warren R. Heymann, MD January 20, 2021 Vol. 3, No. 3 Reading Olmsted’s seminal paper entitled "Keratodermia Palmaris et Plantaris Congenitalis" is captivating reading on multiple levels. In that era of descriptive dermatology, there is an allure in how he differentiates his patient from keratodermas described by the giants
Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum
By Warren R. Heymann, MD April 12, 2018 The front (A1) and back (A2) portions of his upper thigh show signs of severe Erythema Annulare Centrifugum. ... Credit: ... JAAD When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting
Mpox: Treating severe lesions
Wound care ... Accurate diagnosis of lesions is crucial and should start with an assessment of the patient and potential risk factors for mpox (monkeypox), disease severity, and complications. Risk factors for mpox include history of known or possible exposure, relevant travel and sexual behaviors (e.g., sex associated with commercial
Educating our public — AAD.org provides a comprehensive, reliable resource for your patients
Itch, sunburn, COVID toes. You name it. You treat them all. When questions invariably arise about skin, hair, and nails, the public has a trusted, reliable place to find answers on our site for the public. ... In 2021, we tracked more than 52 million pageviews at ... aad.org/public ,
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection — QCDR measure AAD 18
Avoidance of Opioid Prescriptions for Closures and Reconstruction After Skin Cancer Resection ... DESCRIPTION: Percentage of procedures in patients, aged 18 and older with a diagnosis of skin cancer, who had intermediate layer and/or complex linear closures OR reconstruction after skin cancer resection where opioid/narcotic therapy was prescribed as first
Essentials of in-office compounding
In Practice ... By Faiza Wasif, MPH, practice management manager and Natasha Pattanshetti, JD, MPH, regulatory policy manager, June 1, 2018 As a dermatologist, you have probably compounded medications at some point during your clinical career. Skin conditions, such as acne, psoriasis, and warts, are often successfully treated using compounded
Diagnosing calciphylaxis: A better way?
By Warren R. Heymann, MD Aug. 1, 2017 Calciphylaxis. Patient 6. A, Plain film of left foot with vessel calcification 0.2 mm in diameter (arrow). B, Histopathologic image with vessel calcification and thrombosis, and surrounding tissue necrosis. (Original magnification: ×100.) ... One of the most dramatic presentations on the dermatology
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented — Measure 317
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented ... DESCRIPTION: Percentage of adult patients who were screened for high blood pressure and received a follow-up plan where indicated. ... ... MEASURE ID: ... 317 ... ... Type: Process ... ... CMS Derm
The appeal of molecular medicine for the peeling skin syndrome
By Warren R. Heymann, MD April 17, 2018 A, After soaking his foot in warm water for 30 minutes, the patient could peel superficial layers of skin. B, After the peeling, erythematous base is revealed. C, Healed area with slight thickening and pigmentation. ... Credit: ... JAAD This may not
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD 17
Continuation of Anticoagulation Therapy in the Office-based Setting for Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer, on prescribed anticoagulation therapy, who had intermediate layer and/or complex linear closures OR reconstruction after skin
Shedding light on tumoral melanosis
By Warren R. Heymann, MD, FAAD Oct. 9, 2024 Vol. 6, No. 41 Tumoral melanosis (TM) is a worrisome and confounding lesion for dermatologists and dermatopathologists alike. TM presents as darkly pigmented macules, papules, or nodules mimicking the appearance of a melanoma. Most cases are associated with either partial or
Setting the stage
Changes to TNM system enhance prognostication for cutaneous cancers ... Feature ... By Jan Bowers, Contributing Writer, October 1, 2021 When French surgeon Pierre Denoix, MD, pioneered the development of a simple staging system for breast cancer in the 1940s and ’50s, he opened a path for physicians treating many
Thyroid hormone, mitochondria, photoaging and April 7, 2017
By Warren R. Heymann, MD Sept. 24, 2016 On April 7, 1997 I filed a patent entitled "Method for the treatment of dry skin," utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017. ... Some of you
Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?
By Warren R. Heymann, MD July 18, 2016 I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently
Ultraviolet light, adipose tissue, and fantasies of summer
... By Warren R. Heymann, MD April 2, 2018 As I am preparing this commentary, the second Nor’easter within a week is in its frenzy. (Since that time there have been two more and it’s snowing today!) My longing for summer, enjoying the warm breezes enveloping our shore home
March 30, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 30, 2022 ... The rankings are in: Minoxidil, finasteride, and dutasteride for male androgenetic alopecia DermWorld Insights and Inquiries : Bowel-associated dermatosis-arthritis syndrome (BADAS) — The story behind the acronym
Unrestricted fascination with restrictive dermopathy
By Warren R. Heymann, MD, FAAD Nov. 16, 2022 Vol. 4, No. 46 Barely a week into our fellowships at the University of Pennsylvania in 1984, my wife (a geneticist) asked her favorite dermatologist (me) if I had any thoughts about a neonate with skin that was thin, taut, and
Diagnosing nail unit melanomas at a faster clip
By Warren R. Heymann, MD, FAAD Aug. 16, 2023 Vol. 5, No. 33 Every dermatologist has examined a pigmented nail, wondering if the pathologic process reflects a nail unit melanoma (NUM) or subungual melanoma (SUM) versus a benign melanocytic lesion (melanocytic activation, lentigo, or nevus), pigmented onychomycosis, or hemorrhage. A
Fixing the concept of the neutrophilic fixed drug eruption
By Warren R. Heymann, MD, FAAD Oct. 12, 2022 Vol. 4, No. 41 Can anyone other than your mother recognize you from your baby photograph? The concept that lesions have lives is nothing new — clinical and histopathological changes vary from lesional inception to involution. Despite this truism, confusion about
Standard postoperative wound care practice may be all wet
By Warren R. Heymann, MD, FAAD July 9, 2025 Vol. 7, No. 27 Dermatologists perform procedures throughout the day, including straightforward skin biopsies, electrodesiccation, curettage, cryosurgery, laser treatments, etc. Postoperatively, many of these wounds are dressed, and patients are given instructions for caring for them. ... The following, entitled "After
Three’s company: JAAD Reviews joins our two other open access, online journals
What if ... JAAD took an even deeper dive and gave you a journal with more information about the ... JAAD articles that are meaningful to you? Now you have one. What’s more, now you have three. The recently launched, newest addition to the ... JAAD family of journals, ...
A metabolic pathway that may allow dermatologists to run rings around porokeratoses
By Warren R. Heymann, MD July 31, 2019 Vol. 1, No. 21 "I know the variants of porokeratoses and can recite them as though I am the very model of a modern major general — Mibelli, linear, punctate, palmoplantar, DSAP [disseminated superficial actinic porokeratosis], superficial disseminated, immunosuppression-related, and porokeratosis ptychotropica.
Brentuximab vedotin update and the #MeToo saga of the Reed-Sternberg cell
By Warren R. Heymann, MD Jan. 1, 2018 Myxoinflammatory fibroblastic sarcoma. High-power view showing large Reed-Sternberg–like cells (A) and mitotic figures (B). ... Credit: ... JAAD There has been increasing dermatological literature about the use of brentuximab vedotin (BV) for a variety of CD30+ cutaneous lymphomas. The thrust of this
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures — QCDR measure AAD16
Avoidance of Post-operative Systemic Antibiotics for Office-based Closures and Reconstruction After Skin Cancer Resection Procedures ... DESCRIPTION: Percentage of procedures in patients aged 18 and older with a diagnosis of skin cancer who underwent intermediate layer, complex linear closure, or reconstruction after skin cancer resection in the office-based setting (not