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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
Holiday Greeting 2022
By Warren R. Heymann, MD, FAAD Dec. 21, 2022 Vol. 4, No. 50 Dear ... DermWorld Insights and Inquiries Devotee: ... Soaked and nervous by the end of the 8th inning with the Phillies down by a run, I turned to my daughter Andrea and whispered, "JT Realmuto needs to
June 20
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 20, 2018 ... Robots in health care are coming, but at what cost? June Access Hero: Dr. Colven Does benzoyl peroxide stain all fabrics? CMS launches new Medicare Card search
March 20
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 20, 2019 ... Sodium bicarbonate injection recalled due to presence of glass DW Insights and Inquiries : Dermatologists will increasingly meet mammalian meat allergy Diversifying the specialty can result in
February 20
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 20, 2019 ... Biologics may help fight heart disease in psoriasis patients AAD mourns the passing of Richard L. Dobson, MD Feedback requested: AAD joint guideline for reconstruction after skin
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.
AAD is fighting to mitigate Medicare cuts
Medicare physician payment is facing a crisis. Over the last 20 years, payment updates have not kept pace with rising costs, and when accounting for inflation, physicians have seen a greater than 20% decrease in payments over this period. Additionally, physicians face the threat of additional cuts in 2024 unless
Reopening the dermatologic surgery office in the COVID-19 era
By Ashley Decker, MD, Henry Heaton, MD, and Naomi Lawrence, MD May 20, 2020 Vol. 2, No. 20 Authors Ashley Decker, MD, Naomi Lawrence, MD, and Henry Heaton, MD, wearing PPE. ... The coronavirus disease 2019 (COVID-19) presents extraordinary challenges to the health care community, including dermatology and dermatologic surgery.
September 20, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 20, 2023 ... Reliable, rapid identification of terbinafine resistance in dermatophytic nail and skin infections DermWorld Insights and Inquiries : Can tocilizumab deep six recalcitrant morphea? Trends in hair, skin,
December 20, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 20, 2023 ... Surgical excision vs. 5-FU vs. PDT in treating Bowen’s disease DermWorld Insights and Inquiries : Holiday Greeting 2023 Association between JAK inhibitors and acne Risk of mortality
May 20, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 20, 2026 ... Saline immersion for treating refractory plantar warts DermWorld What’s Hot: Botulinum toxin as treatment for vascular skin conditions Facial nodules following filler injections after starting tirzepatide FDA
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
November 20, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld Weekly will not be published next week in observance of the Thanksgiving holiday. It will resume Wednesday, Dec. 4. IN THIS ISSUE / November 20, 2024 ... Is there an association between treatment with
April 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 20, 2022 ... Which biologics are most effective for psoriasis? DermWorld Insights and Inquiries : One Toker over the line — Clarifying Toker cell hyperplasia in Zuska disease and its
August 20, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 20, 2025 ... Oral vs. topical finasteride: Sexual, neuropsychiatric AEs DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma Are topical
May 20, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 20, 2020 ... COVID-19 and physician compensation: Survey shows likely decline DW Insights and Inquiries : Reopening the dermatologic surgery office in the COVID-19 era Register for the Academy’s virtual
March 20, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 20, 2024 ... Combination imiquimod and 5-FU for treating AKs DermWorld Insights and Inquiries : San Diego AAD musings Talking points: Benzene found in acne care products Safety of dermatologic
January 20, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 20, 2020 ... Natural supplements in dermatology: What drugs do they interact with? DermWorld Insights and Inquiries: Olmsted syndrome patients can finally put their foot down Derm Coding Consult :
July 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 20, 2022 ... FDA approves first vitiligo treatment for skin repigmentation DermWorld Insights and Inquiries : A single case report has the potential to change the world — Could JAK
October 20, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 20, 2021 ... AADA advocacy results in FDA approving iPLEDGE modifications DermWorld Insights and Inquiries : Probing pediatric pigmented purpuras DermWorld Young Physician Focus : Staying connected Scabies treatment may
November 20, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 20, 2019 ... Which types of dermal fillers are associated with increased complications? DW Insights and Inquiries: Rituximab and dermatomyositis — Dr. Samitz would be proud An ode to the
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD July 20, 2022 Vol. 4, No. 29 One of the joys of practicing in the Delaware Valley is participating in the Philadelphia Dermatological Society (PDS). The local institutions each provide superlative patient presentations and lectures — the range of case presentations is stunning. For
One Toker over the line: Clarifying Toker cell hyperplasia in Zuska disease and its relationship to hidradenitis suppurativa
By Warren R. Heymann, MD, FAAD April 20, 2022 Vol. 4, No. 16 Don’t fret. I had never heard of Zuska disease (ZD) either until I read the article by Torre-Castro et al discussing the "tricky association" of Toker cell hyperplasia (TCH) in ZD. (1) Why should you care? Because
Probing pediatric pigmented purpuras
By Warren R. Heymann, MD, FAAD October 20, 2021 Vol. 3, No. 42 Pigmented purpuric (PP) eruptions are often referred to as "benign" pigmented purpuras. Although that may be true in the medical sense, these dermatoses may be very distressing for patients (or their parents). Angst may be due to
Advocacy Update Jan 20, 2026
IN THIS ISSUE / Jan. 20, 2026 Dr. Bridges selected for Medicare Clinical Lab Diagnostic Laboratory Test Panel AADA asked CMS to ensure Medicare Part D coverage for alopecia areata treatment Dermatology presence strong at AMA State Advocacy Summit Contribute to SkinPAC AADA News Dr. Bridges selected for Medicare Clinical
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
Advocacy Update May 20, 2025
IN THIS ISSUE / May 20, 2025 Draft House budget reconciliation bill remains in flux AADA hosts 11th annual Capitol Hill Skin Cancer Check and Health Fair AADA joins coalition to reduce regulatory burden on data registries Michigan dermatologists oppose nurse practitioner independent practice AADA offers assistance for CLIA lab
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
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
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
Our public-facing AAD.org content performs strongly
One of the many benefits of the Your Dermatologist Knows consumer positioning strategy is driving traffic to the public-facing pages of the AAD.org website. During the first five months of 2023, over ... 20 million visitors viewed webpages over ... 28 million times. In the same timeframe, the Academy updated
The risk of melanoma in adults with giant pigmented nevi
By Warren R. Heymann, MD May 27, 2016 Giant pigmented nevi (GPN, defined in reference 1 as > 20 cm in an adult) are among the most challenging lesions from so many perspectives. When diagnosed in childhood, questions from parents regarding the risk of melanoma, approach to monitoring, managing, and
American Academy of Dermatology Statement on the Importance of Sun Protection
Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (May 20, 2025) — Skin cancer is the most common cancer in the U.S., affecting an estimated one in five Americans in their lifetime. Every day, nearly 20 Americans die from melanoma, the deadliest form of
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
Striae due to bartonella is a stretch
By Warren R. Heymann, MD May 1, 2018 ... A, Localized striae distensae on the left upper limb (flexor aspect). B, Clinical improvement 9 weeks after treatment. ... Credit: ... JAAD I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections
February 28, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 28, 2024 ... Ciclosporin vs. methotrexate for young patients with atopic dermatitis DermWorld Insights and Inquiries : Taming toxic erythema of chemotherapy with high-dose vitamin D Moisturizing cream with 20%
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
Moving the needle: Medical research and skin cancer funding
Advocacy News Roundup ... By Victoria Houghton, managing editor, May 1, 2021 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. Every year, the American Academy of Dermatology Association (AADA) advocates to secure funding for skin cancer prevention and
February 19, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 19, 2020 ... Study raises concerns about skin cancer detection apps DW Insights and Inquiries : Men in the twilight Zoon STD medical claims in the U.S. soar Does tobacco
2019 DW Insights and Inquiries archive
Explore Dermatology World Insights and Inquiries articles by publication date. ... December ... December 18 - DWI&I holiday greeting 2020: Eyeing dermatology’s future December 11 - Topical retinoid therapy for acanthosis nigricans: In the thick of it December 4 - Beware: Discordance abounds among pathologists in the diagnosis of melanocytic
Unlimited access to Dialogues for members!
Among the member benefits we talk about in this issue, this one is extra special. Your membership now unlocks access to our popular ... Dialogues in Dermatology podcast — at no cost. No subscription is required — just an active membership. ... Each 20-minute episode is a perfect way to
Dialogues in Dermatology
We have exciting news about your favorite dermatology podcast! ... Your AAD membership includes access to Dialogues in Dermatology . Each 20-minute episode is a perfect way to keep up with the latest clinical pearls, research developments, and practice-changing trends. ... With ... Dialogues you can: ... Listen to new,
2024 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
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 -
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
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
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
Is dyshidrosiform pemphigoid really anti-p200 pemphigoid?
By Warren R. Heymann, MD Aug. 20, 2016 Dyshidrosiform pemphigoid (DP) was initially reported in a 72 year-old man with large, tense bullae on the plantar aspect of his feet, with some lesions on an erythematous base. He also had an "ill-defined papular eruption" of the trunk and an erosion
March 26, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 26, 2025 ... What’s the best way to dissolve fillers with hyaluronidase? DermWorld Insights and Inquiries : Propranolol for infantile hemangiomas — Start to finish 2025 Allergen of the Year
You like tomato, I like tomahto, you soak with steroids, I use them dry…
By Warren R. Heymann, MD July 28, 2016 I have been a firm believer in the “Soak and Smear” approach to treating recalcitrant dermatoses, including atopic dermatitis, as detailed by Gutman et al, more than a decade ago. The authors defined soaking and smearing as soaking an affected body part
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
Firefighter Skin Cancer Checks Program on a ladder to success
On June 1, the Academy launched its new ... Firefighter Skin Cancer Checks Program nationally. Developed in partnership with the Firefighter Cancer Support Network, the new program aims to provide help to a population that is at a much greater risk of melanoma and skin cancer than the average person.
What MIPS deadlines are coming up and when do I have to submit?
Asked and Answered ... September 2, 2019 Mark your calendars with the following MIPS reporting deadlines: Oct. 2, 2019: ... Last day to begin an improvement activity (IA) or participate in promoting interoperability (PI) measures as these require 90 consecutive days of engagement ... Dec. 1, 2019 ... (for EHR
Coming to grips with lymphocytic thrombophilic arteritis
By Warren R. Heymann, MD, FAAD May 18, 2022 Vol. 4, No. 20 As a medical student, I was introduced to the concept that bilaterally symmetrical palpable purpura is leukocytoclastic vasculitis until proven otherwise. Although that bromide has served me well over the years, with experience, vasculitis perpetually befuddles me.
This month’s news from across the specialty
What’s hot ... September 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD, FAAD News flash: As of June 20, 2025, ... dupilumab is officially FDA-approved as the first targeted treatment for
Rituximab therapy for recalcitrant dermatitis herpetiformis: A gut feeling
By Warren R. Heymann, MD March 20, 2017 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD Recently I "accidentally" diagnosed a severely pruritic man with dermatitis herpetiformis (DH). He had seen leading authorities for his life-altering pruritic dermatosis, that clinically and
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
A data-driven approach to reducing no-shows
Facts at your fingertips ... By Emily Margosian, assistant editor, March 1, 2020 When it comes to patient appointment reminders, three is the magic number. A 2019 study by Solutionreach, a patient relationship management platform, found that three messages sent three weeks, days, and hours from the date and time
Reduced Medically Unlikely Edits for Certain Lesion Removals
The 2019 first quarter CCIv25.0 Medically Unlikely Edits (MUEs) have been reduced for a selection of dermatology codes. These edits are developed from clinical data by the National Correct Coding Center (NCCI) provider by the Centers for Medicare & Medicaid Services (CMS). The MUEs limit the total number of units
Academy brings Hair Loss Awareness Month to the forefront
August was Hair Loss Awareness Month in 2024. The Academy uses awareness months as an opportunity to help spread information about skin, hair, and nail conditions to the public all while positioning board-certified dermatologists as the go-to experts. ... The AAD’s ... Hair Loss Resource Center was a top stop
Hair restoration taking root among young people, women
Facts at your Fingertips ... By Megan Bennett, Staff Writer, January 1, 2026 Interest in hair restoration is growing, with women and young adults seeking hair loss surgery at higher rates, according to a member survey from the ... International Society of Hair Restoration Surgery . ... ISHRS — which
A note from the Editor: The expansion and transition of Derm Coding Consult (DCC)
As you know, the practice of medicine is undergo-ing major changes. One of the Academy’s goals is to keep members up to date with relevant and current information that promotes optimal day-to-day practice operations. The Academy has published and mailed Derm Coding Consult (DCC) to every U.S. member on a
American Academy of Dermatology statement on skin cancer misinformation
American Academy of Dermatology President Seemal R. Desai, MD, FAAD ROSEMONT, Ill. (Sept. 4, 2024) — With the summer drawing to a close, the American Academy of Dermatology has noticed an increase in online and media misinformation regarding skin cancer risk and sun protection. It is critically important for the
Out of office
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, December 1, 2024 Physician burnout is on the rise. While the Academy offers ... many tools to alleviate administrative burdens and ... promote physician wellness , new survey data suggest that uninterrupted vacation time may play a key role in
Top pediatric allergens by age group
Facts at your Fingertips ... By Emily Margosian, Assistant Editor, March 1, 2025 Allergic contact dermatitis (ACD) affects approximately 20% of children in the United States (doi: 10.1097/DER.0000000000000214). A 2023 multicenter ... study summarizing the results of the Pediatric Allergic Contact Dermatitis registry from 2016 to 2022 found top allergens
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
Study outlines average frequency, timing of skin cancer diagnoses
Facts at your Fingertips ... By Megan Bennett, Staff Writer, April 1, 2026 More than 40% of skin cancer patients will develop skin cancer at least once more in their lifetime, according to a 2025 JAAD study that analyzed millions of patients over more than 20 years (doi: 10.1016/j.jaad.2024.12.047). ...
AAD adds even more courses to robust Learning Center library
The AAD’s Learning Center frequently releases new content to ensure that Academy members always have the opportunity to receive high-quality, up-to-date education on a variety of important topics. ... Some of the new courses released in 2025 include: ... Navigating Clinical Trials: Essential Knowledge for Dermatologists Management of Acne Vulgaris:
Fighting for fair Medicare reimbursement
Ask the Expert ... By Victoria Houghton, Managing Editor, October 1, 2022 DermWorld ... spoke to Academy President Mark Kaufmann, MD, FAAD, about the American Academy of Dermatology Association’s (AADA) efforts to ensure physicians are positioned to succeed under Medicare reimbursement rules. DermWorld: Fair reimbursement under the Medicare program has
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
How can I access Dialogues in Dermatology?
Asked and Answered ... January 1, 2025 Your member benefits have never sounded so good! Your 2025 AAD membership now unlocks access to our popular ... Dialogues in Dermatology podcast. No subscription is required, just an active membership. ... Visit ... Your Account page to start listening, learning, and earning
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
BASCULE syndrome: Is something brewing with Bier spots?
By Warren R. Heymann, MD, FAAD Sept. 7, 2022 Vol. 4, No. 36 I have never paid too much attention to Bier spots, other than reassuring patients that they are of no concern. I may have been too cavalier by not probing further. ... Classical Bier spots (BS, also referred
When is this year’s AADA Legislative Conference and will the event be in person?
Asked and Answered ... August 1, 2022 The 2022 AADA Legislative Conference will take place Sept. 18-20, at the Conrad Hotel, in Washington, D.C. ... Do I need experience in health policy to attend? ... No. Attendees do not need to be experts on health policy, the legislative process, or
AAD letter to the Wall Street Journal in response to “$500,000 Pay, Predictable Hours: How Dermatology Became the ‘It’ Job in Medicine”
American Academy of Dermatology President Seemal R. Desai, MD, FAAD Letter to the editor originally submitted to the Wall Street Journal ... on Nov. 20, 2024 ROSEMONT, Ill. (Dec. 2, 2024) — On behalf of the American Academy of Dermatology and its 21,000 members, I am writing to express very serious concerns
Aluminum can cause allergic contact dermatitis: Allergen of the Year 2022
By Christen Mowad, MD, FAAD June 15, 2022 Vol. 4, No. 24 Allergen of the year is an eagerly awaited award for those of us excited by allergic contact dermatitis. It has been given each year for over 20 years to highlight allergens of new and emerging significance and sometimes
I’ll have a necrobiotic xanthogranuloma to go – with mustard!
By Warren R. Heymann, MD May 11, 2016 Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma. He had 20% body surface area involvement, including
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
JAAD ranks no. 1 among dermatology journals
The Journal of the American Academy of Dermatology’s ... impact factor increases by 34% ROSEMONT, Ill. (July 5, 2022) — The ... Journal of the American Academy of Dermatology is the top peer-reviewed journal in its field, according to the 2021 journal impact factor rankings recently published by Clarivate’s Journal
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
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
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
Cutting giant congenital nevi down to size molecularly
By Warren R. Heymann, MD Oct. 2, 2019 Vol. 1, No. 30 Personally, I find giant congenital melanocytic nevi (GCMN) to be among the most unnerving skin lesions imaginable. The risk of melanoma, leptomeningeal melanocytosis, and psychosocial stresses are profoundly burdensome to patients, their families, and health care professionals. With
Home at last
... By Warren R. Heymann, MD Jan. 20, 2018 (This is a continuation of posts about my mother. Please see "Happy 95th Birthday Mom! A Birthday Wish in the Era of ‘Value-Based’ Healthcare" June 5, 2016 and "Medical Ego Inflation and a Lesson from Mom" October 31, 2016) ...
Systemic amyloidosis presenting as nail dystrophy (and inducing onychophagia in the reviewer)
By Warren R. Heymann, MD June 20, 2016 I admit it — I am plagued with onychophagia (nail biting). It is a life-long habit, and now that I’m 61, I presume that this foible will remain with me to the end. It is worse with anxiety — after reviewing the
How to care for a new piercing
Board-certified dermatologist’s aftercare tips ROSEMONT, Ill. (Sept. 20, 2023) — Piercings can be a fun way for people to enhance their personal style. While people may get piercings on different parts of the body, some piercings, like earlobe piercings, are more common and can be less risky. However, all body
Language Scientific
Medical expert translation and interpreting services ... Language Scientific has been selected as the preferred medical translation service provider of the AAD. With more than 20 years of experience, LS provides specialized medical and scientific translation and interpreting services for medical, pharmaceutical and clinical organizations.The company was founded under the
Caring for incarcerated individuals
An inside look at dermatology care within the prison system ... Feature ... By Emily Margosian, Assistant Editor, June 1, 2022 Nearly two million people are currently incarcerated in the United States — more than the rate of any other nation in the world at 573 per 100,000 residents. Despite
Trialing it out
In Practice ... Craig Leonardi, MD, from Central Dermatology in St. Louis, specializes in treatment of moderate to severe psoriasis and other dermatologic diseases. He is also an adjunct professor of dermatology at St. Louis University Medical School. ... By Victoria Houghton, assistant managing editor, July 2, 2018 Dermatology World
DWI&I Holiday Greeting 2023
By Warren R. Heymann, MD, FAAD Dec. 20, 2023 Vol. 5, No. 50 Dear ... DWI&I Devotee: ... I always look forward to writing my annual holiday greeting, but admittedly, doing so this year has been a source of angst and consternation. The past few years have been about the
Idiopathic facial aseptic granuloma — Have we met?
By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, April 1, 2019 A lot has changed in medicine over the past 20 years. We have new diseases, new understanding of old diseases, and innumerable new medications with which to practice our
Advocacy Update Jan. 14 2025
IN THIS ISSUE / Jan. 14, 2025 2025 Congressional key dates Add your voice: Become an AADA Key Contact SkinPAC reception at Orlando Annual Meeting Congressional activity 2025 Congressional key dates ... On Jan. 3, the 119th Congress started its new session and commenced with leadership elections in the House.
Advocacy Update Feb 24, 2026
IN THIS ISSUE / Feb. 24, 2026 AADA leads joint meeting with FDA to protect access to patch testing Dermatology advocates for patient-focused amendments to price transparency requirements AADA opposed Blue Cross Blue Shield of Michigan modifier 25 policy Advocacy win: New Mexico Senate blocks optometrists’ use of lasers AADA
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" ( ...
Keeping pace
Life-changing advances and a multidisciplinary approach give new hope to patients with Merkel cell carcinoma ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2021 When Paul Nghiem, MD, PhD, FAAD, first started treating patients with skin cancer almost 20 years ago, physicians had little understanding of how
Can tocilizumab deep six recalcitrant morphea?
By Warren R. Heymann, MD, FAAD Sept. 20, 2023 Vol. 5, No. 38 Glenda’s middle-aged ankles still hurt badly. I have been treating morphea enveloping her ankles for several years. With therapies including methotrexate, mycophenolate mofetil, clobetasol, calcipotriene, and physical therapy, her tenderness has improved from exquisite to barely tolerable.
Treating psoriatic patients with associated inflammatory bowel disease: A personal bias
... By Warren R. Heymann, MD Feb. 20, 2017 My late brother Andrew succumbed to complications of Crohn disease (CD) at age 29. His brief, but valiant life was punctuated by multiple hospitalizations, surgeries, remissions, and exacerbations. Although prednisone and azathioprine offered an occasional respite, he suffered. Sharing a
Koebnerization in Henoch-Schönlein purpura: How does it line up with prognosis?
By Warren R. Heymann, MD Nov. 20, 2017 ... Urticarial hemorrhagic lesions of Henoch-Schönlein purpura in characteristic distribution. Note Koebner phenomenon in lines of scratch. ... Credit: ... JAAD Heinrich Koebner is eponymically known for having first described the phenomenon of developing an existing dermatosis in previously normal skin following
American Academy of Dermatology survey: half of Americans worry about skin aging, but many still skip sunscreen
Board-certified dermatologist encourages public to incorporate sun protection into daily skin care routine ROSEMONT, Ill. (May 6, 2025) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults found that half worry about premature skin aging and only half use sunscreen regularly, while nearly 1 in
This month’s news from across the specialty
What’s hot ... November 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 An ... investigation by the Kaiser Family Foundation shows that medical debt is the most common form
This month’s news from across the specialty
What’s hot ... February 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Is the customer always right? Rude behavior by consumers toward frontline workers in all industries is on
Paycheck Protection Program loan forgiveness 101
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld ... spoke to Alexander Gross, MD, and Joanne Gross, from Georgia Dermatology Center in Cumming, Georgia, about their successful attempts to obtain Paycheck Protection Program (PPP) loan forgiveness. DermWorld : Tell us about your
Striving to avoid an amebic nightmare: Recognizing cutaneous Balamuthia mandrillaris infection
By Warren R. Heymann, MD, FAAD May 22, 2024 Vol. 6, No. 21 Having received the worry gene from my mother, I have nightmares about missing diagnoses that have potentially devastating outcomes. My anxiety level reached new heights over 20 years ago, listening to a presentation by Dr. Amit Pandya
Why does COVID-19 result in multisystem inflammatory syndrome in some children and adolescents?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, December 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Adrienne Randolph, MD, MS, about
A dermatologic riddle: How is IgG4-related ophthalmic disease parliamentary?
By Warren R. Heymann, MD March 22, 2017 Immunostains of infiltrate. A, Immunostain shows an infiltrate rich in IgG4+ plasma cells. The infiltrate had an IgG4+ cell count of 80 per HPF and an IgG4+/IgG+ ratio of 80%. B, IgG immunostain shown for comparison. (A and B, original magnifications:
Debunking the myth of the aggressive nature of acantholytic squamous cell carcinomas
By Warren R. Heymann, MD ... Feb. 6, 2017 ... Acantholytic squamous cell carcinoma (aSCC), follicular pattern. The tumor is centered upon follicular epithelium but also involves epidermis. Some features of actinic keratosis (parakeratosis, basilar epidermal atypia) are present; by our definition, this example did not qualify for aSCC
AAD survey: half of Gen Z got sunburned in 2024 — and many still don’t know the risks
Board-certified dermatologist provides practical tips for proper sun protection ROSEMONT, Ill. (May 20, 2025) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults reveals a troubling reality — many Americans are unwittingly increasing their skin cancer risk due to a lack of sun protection knowledge.
The AAD and the international arena
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, October 1, 2021 The Academy is clearly a national organization, but it has appreciable international reach and influence in other countries. The Academy has more than 16,000 U.S.
Here comes the sun: The role of polypodium leucotomos extract
By Warren R. Heymann, MD Aug. 9, 2017 Ultraviolet (UV)B response. Changes in biomarkers of UV radiation exposure before and after Polypodium leucotomos extract (PLE). A, Stained nuclei for cyclobutane pyrimidine dimers (CPD), Ki67, proliferating cell nuclear antigen (PCNA), and cyclin D1. B, Sunburn cells and cytoplasmic staining for cyclooxygenase-2
Dermatologists will increasingly meet mammalian meat allergy
By Warren R. Heymann, MD March 20, 2019 Vol 1, No. 2 It has been a decade since Van Nunen et al detailed 25 patients living in a tick-endemic region of Sydney, Australia, who developed a red meat allergy following large, local reactions to tick bites. (1) Tick-induced mammalian meat
Parabens — A common allergen with lots of hype and no real harm
By Christen M. Mowad, MD Sept. 4, 2019 Vol. 1, No. 26 Every year for the past 20 years, the American Contact Dermatitis Society (ACDS) has highlighted an allergen. Most often the particular allergen is selected because it is new and emerging, such as methylisothiazolinone in 2013. (1) Sometimes, it
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, April 2, 2018 I hope you enjoyed the AAD Annual Meeting in San Diego. I certainly did. I came home yet again feeling renewed, returning to the clinic armed with new knowledge
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,
Fixating on doxycycline-induced fixed drug eruptions
By Warren R. Heymann, MD, FAAD May 21, 2025 Vol. 7, No. 20 When reading medical journals, I am intrigued by titles that inspire me to learn more about the topic. Happening upon a letter to the editor titled "Doxycycline-induced fixed drug eruption: The new epidemic?" (1) gave me pause.
More than fibrofolliculomas: A novel angiomatous lesion enters the Birt-Hogg-Dubé realm
By Warren R. Heymann, MD Dec. 9, 2016 I distinctly remember the first time I saw a case of the Birt-Hogg-Dubé (BHD) syndrome. I was attending the dermatology clinic at the University of Pennsylvania, when Julia Haimowitz and Allan Halpern asked for my opinion about a patient with dome-shaped
Managing dermatologic care in a COVID-19 hot zone
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... ... Dermatology World Weekly talked to Bobby Buka MD, JD, from The Dermatology Specialists in New York City, about his efforts to keep his practices afloat in a coronavirus "hot zone." This interview reflects
Lightening the cutaneous and emotional burden of melasma: Cysteamine’s role
By Warren R. Heymann, MD, FAAD February 9, 2022 Vol. 4, No. 6 Melasma is a frustrating disorder for patients and practitioners alike. Facial gray-brown patches may cause psychosocial distress and embarrassment, thereby diminishing quality of life. (1) Melasma most frequently occurs in women with Fitzpatrick skin types III-VI with
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
Epidermolysis bullosa: The need for novel topical care
By Warren R. Heymann, MD May 7, 2018 ... Blue-black macules and papules on the back of the neck within the scars of a patient with recessive dystrophic epidermolysis bullosa. ... Photo: ... JAAD The advances in epidermolysis bullosa (EB) have been spellbinding. There are now four well-defined forms of
Leadership succession: Sunrise, sunset
Please note that next week DermWorld Insights & Inquiries will be discussing the terbinafine-resistant infections that have now come to the United States . By Warren R. Heymann, MD, FAAD May 17, 2023 Vol. 5, No. 20 Topol’s recent passing unleashed an avalanche of emotion. I watched ... Fiddler on
The great resignation
Dermatologists and practice management experts share strategies for minimizing staff turnover. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2023 In 2021, 20% of health care workers left their jobs — more than doubling the pre-pandemic rate. According to a survey conducted by the American Medical Association,
Epidemic of melanoma or epidemic of scrutiny?
By Jason B. Lee, MD May 19, 2021 Vol. 3, No. 20 The goal of population screening is to detect cancers at their early stages to prevent the associated morbidity and mortality of the late stages. The efforts to detect melanoma in its early stages went into full gear over
Employee voices
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists offer first-person perspectives on life as an employed physician ... Dermatologists offer first-person perspectives on life as an employed physician ... By Emily Margosian, assistant editor For the average dermatologist 20 years ago, starting a career also
Does the JAK inhibitor baricitinib raise the bar on treating lupus?
By Warren R. Heymann, MD Aug. 20, 2018 Cutaneous lupus in dermatomal distribution. Erythematous papules in a dermatomal distribution along the patient's left lower extremity. ... Credit: ... JAAD Undeniably, the JAK inhibitors have been at the forefront of advances in immunologically-based diseases, including alopecia areata, vitiligo, psoriasis, rheumatoid arthritis,
San Diego AAD musings
By Warren R. Heymann, MD, FAAD March 20, 2024 Vol. 6, No. 12 Pre-AAD ... Carlos Vieira, our second-year resident, was too polite to ask directly, so he sent our faculty an email stating the time and place of his first AAD presentation ("Tapinarof-induced acute generalized exanthematous pustulosis" at the
Mogamulizumab for CTCL: Targeted therapy and immunotherapy crossing paths
By Ellen Kim , MD August 12, 2020 Vol. 2, No. 32 Preserving the host-immune system for as long as possible has been one of the guiding principles for me in treating patients with mycosis fungoides/Sezary Syndrome (MF/SS) subtypes of CTCL. As a CTCL clinical trial researcher, it has been
Eosinophilic dermatosis of hematologic malignancy: Reality bites
By Warren R. Heymann, MD July 24, 2019 Vol. 1, No. 20 Our new gazebo’s screening beckons! Finally completed late last fall, I have longingly stared at it, waiting for spring’s warm embrace to invite me in. I cherish being outside, but in the shade and protected from the annoyance
Applying the 2021 E/M coding concepts in everyday practice – Part 6
Part six of the Academy’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how a single condition can be categorized under different categories of problem addressed during the encounter depending on disease severity and patient presenting circumstances at the time of
Telehealth and state licensure: What you need to know
Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Robert M. Portman, JD, MPP, Rebecca Burke, JD, and Christina L. Krysinski, JD, May 1, 2018 In the past 20 years, the practice of telehealth has
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).
Acne necrotica: A real head-scratcher
By Warren R. Heymann, MD, FAAD May 15, 2024 Vol. 6, No. 20 I sympathize with new residents in dermatology coming to grips with difficult terms and concepts that are essential in practice. As a novice, I recall struggling with the concept of acne necrotica (AN), dreading that I would
How to hire a great practice manager
Go to AAD Home ... Go to AAD Home ... Menu ... Finding the right fit for your practice ... Finding the right fit for your practice ... By Emily Margosian, assistant editor Behind the scenes, who keeps your practice running? According to the 2017 AAD Practice Profile Survey, 64%
Early recognition of Rituximab-induced late onset neutropenia is essential
By Warren R. Heymann, MD, FAAD April 13, 2022 Vol. 4, No. 15 Rituximab is an anti-CD20 chimeric antibody directed against a surface transmembrane protein marker (CD20) expressed on B-cells during differentiation from pre B-cell until the plasma cell stage, involved in the maturation and activation of B cells. Approved
Academy physician leaders meet with federal legislators
On June 4, AADA physician leaders met with legislators in Washington, D.C., as part of the House Call on the Mall fundraiser hosted by the National Republican Congressional Committee and Rep. John Joyce, MD, FAAD (R-PA). During the event, AADA leaders reiterated the importance of Medicare physician payment reform. ...
What role can dermatologists play in developing a COVID-19 vaccine?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, October 1, 2020 DermWorld ... talks to Adnan Nasir, MD, PhD, medical director of dermatology research at Wake Research Associates at
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
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes — QCDR measure AAD 20
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes ... DESCRIPTION: Percentage of adult patients (18 years old and older) who self-report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis (AK) and who self-report satisfaction with the treatment or management of AK. Patients provide a global
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
A big, fat lie
By Warren R. Heymann, MD Feb. 17, 2019 At my heaviest, circa 1997, with my daughters Andrea, Deborah, and our (sorely missed) late puppy Heidi. ... "Packing on the pounds, aren’t you, doc?" ... What a lovely greeting that patient gave me that morning more than twenty years ago.
December 21, 2022 DermWorld Weekly
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 21, 2022 ... Isotretinoin and the risk of psychiatric events in acne patients DermWorld Insights and Inquiries : Holiday greeting 2022 Risk of skin cancer in patients with chronic cutaneous
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,
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
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),
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20
Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience ... DESCRIPTION: Percentage of adult patients (age 18 years and older) who report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis. Patients provide a global assessment of the perceived effectiveness
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
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
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.
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
The rhythm of RIME
By Warren R. Heymann, MD, FAAD March 2, 2022 Vol. 4, No. 9 Mucosal ulceration urgently gets everyone’s attention. How many times have you been asked to evaluate a patient for suspected Stevens-Johnson syndrome (SJS)? It is not always an easy task to differentiate erythema multiforme (EM) from pemphigus vulgaris,
Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is
By Warren R. Heymann, MD, FAAD Aug. 28, 2024 Vol. 6, No. 35 Part of the folklore at the Albert Einstein College of Medicine when I rotated as a fourth-year medical student in dermatology was that a prior resident made the correct diagnosis of Cronkhite-Canada syndrome (CCS). The constellation of
Finding Joy in pediatric phototherapy
By Warren R. Heymann, MD Aug. 28, 2019 Vol. 1, No. 25 This commentary is dedicated to Joy, a bright, rambunctious, delightful bundle of energy with (formerly) recalcitrant atopic dermatitis, who taught me a great deal about phototherapy in children. ... The cutaneous effects of ultraviolet (UV) light are by
Advocacy Update Feb. 18 2025
IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to
Advocacy Update Mar. 18, 2025
IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key
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
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
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.
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
Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
By Warren R. Heymann, MD, FAAD Dec. 4, 2024 Vol. 6, No. 48 Consultative medical dermatology is stressful because challenging patients come with high hopes. Usually, the referring dermatologist is thorough, thoughtful, and on-target diagnostically and therapeutically. The key is setting expectations — if the dermatosis is easily manageable, they
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
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
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
Professionalism and Ethics
Ethics and medicine have been intertwined since the dawn of our profession. From the ancient Hippocratic Oath to the principle of ... primum non nocere to modern-day principlism, medical ethics have evolved over time. ... As public and professional interest in medical ethics increases, it is important for clinicians, researchers,
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
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
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,
Erectile dysfunction in dermatology: A silent epidemic
By Warren R. Heymann, MD, FAAD Oct. 15, 2025 Vol. 7, No. 41 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . A privilege of being a physician is having intimate conversations with patients that would never occur in any other circumstances.
Quality (30%)
The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures. ... Reporting quality measures ... In 2026, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting
Quality (30%)
The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures. ... Reporting quality measures ... In 2025, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting
AADA Advocacy Win: CMS suspends CLIA lab director enforcement policy
June 23, 2025 Advocacy News Alert As a direct result of advocacy by the AADA, CMS will exercise enforcement discretion on several provisions of its revised CLIA laboratory director policy that had excluded board-certified dermatologists from directing moderate- and high-complexity laboratories. Specifically, CMS will: ... Allow for individuals qualified as
March 11, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 11, 2026 ... Does home-use low-level laser therapy improve androgenetic alopecia? DermWorld What’s Hot: Is an oral IL-23 inhibitor on the way for psoriasis? Safety of the use of concomitant
Debridements
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, January 1, 2020 Test your knowledge: Debridements ... Take the quiz to see if you're up to date. ...
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.
December 3, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 3, 2025 ... GLP-1s and telogen effluvium DermWorld Insights and Inquiries : Pityriasis rosea and pityriasis rosea-like eruptions — A Christmas tale Combination oral minoxidil and baricitinib for alopecia areata
MIPS 2022 program highlights
Eligible clinicians ... Revised the definition of a MIPS eligible clinician to include: ... Clinical social workers ... Certified nurse mid-wives ... Eligibility criteria ... The low volume threshold remains the same as 2021 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients
What are the CLIA requirements for lab operations?
Thanks to persistent ... advocacy by the AADA , CMS has suspended enforcement of a controversial CLIA policy that would have excluded board-certified dermatologists from serving as lab directors for moderate- and high-complexity labs. Under this suspension, CMS: ... Allows individuals qualified as technical supervisors to qualify as laboratory directors
AADA advocacy win: CMS suspends CLIA lab director enforcement policy
As a direct result of advocacy by the AADA, CMS will not enforce provisions of its revised CLIA laboratory director policy that had excluded board-certified dermatologists from directing moderate- and high-complexity laboratories. ... Specifically, CMS will: ... Allow for individuals qualified as technical supervisors to qualify as high-complexity laboratory directors
American Academy of Dermatology Association statement on FDA withdrawing proposed sunlamp regulation
Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (March 16, 2026) — The American Academy of Dermatology Association is disappointed that the Food and Drug Administration (FDA) is ... withdrawing its proposed rule on sunlamp regulation, which would have restricted individuals under 18 from
CLIA in 2025: What dermatology practices need to know now about the updated laboratory requirements
Answers in Practice ... By Faiza Wasif, MPH, Associate Director, Practice Management, August 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss what dermatology practices need to know about the updated laboratory requirements. Whether your office does potassium hydroxide (KOH) preps,
October 12, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 12, 2022 ... Type 2 diabetes and CCCA severity DermWorld Insights and Inquiries : Fixing the concept of the neutrophilic fixed drug eruption What’s the risk of IBD in patients
May 22, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 22, 2024 ... Dermatologic findings associated with semaglutide use DermWorld Insights and Inquiries : Striving to avoid an amebic nightmare — Recognizing cutaneous Balamuthia mandrillaris infection Characteristics and treatment of
Checking in on the adverse reactions to checkpoint inhibitors
By Warren R. Heymann, MD Oct. 17, 2016 Earlier this year there have been two posts devoted to adverse reactions of checkpoint inhibitors ("Thinking of Discontinuing the PD-1 Inhibitor Because of a Lichenoid Eruption? Don’t do it!" published on May 21st and "Joining the Bullae Pulpit: PD-1 inhibitors" posted on
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
Advocacy Update Jun 24, 2025
IN THIS ISSUE / June 24, 2025 AADA advocacy results in CMS suspending CLIA lab director restrictions AADA urges Senate to act on House-passed Medicare payment reform Aetna to revise claims review program, reduce burdens to physicians Join SkinPAC in Chicago during Innovation Academy Regulatory affairs AADA advocacy results in
This month’s news from across the specialty
What’s hot ... June 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD A recent study compared lipidomes and transcriptomes of single cell dermal fibroblasts to explore the determinants of cell
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,
Erosive pustular dermatosis of the scalp must no longer be dermatology’s secret
By Warren R. Heymann, MD May 30, 2017 As dermatologists, we get used to discussing disorders that are foreign to other physicians. A typical story would be someone with classic notalgia paresthetica whose primary care physician does not believe that cervical arthritis is responsible for the maddening scapular pruritus. "My
November 9, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 9, 2022 ... Intralesional vs. intramuscular hepatitis B vaccine for common warts DermWorld Insights and Inquiries : Hair straighteners and the risk of uterine cancer — More studies are necessary
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
My fair-weather therapeutic friends for alopecia areata
By Warren R. Heymann, MD April 25, 2017 Type C clinical pattern of alopecia. A, Patchy hair loss on a background of a diffuse hair loss with (B) occipital involvement in an ophiasis-like pattern. C, Biopsy specimen obtained from the vertex of the scalp. Histopathology of vertical sections shows an
Short duration cyclosporine may undress DRESS
By Warren R. Heymann, MD July 22, 2016 DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) is a severe drug-induced hypersensitivity syndrome (DIHS) that may affect adults and children. The eruption of DRESS usually appears 3 weeks to 2 months after introduction of the drug. The rash is primarily morbilliform,
Reporting Evaluation and Management (E/M) Codes by Time
Can time alone be used to select an E/M code? ... In certain circumstances, time can be used as the key or controlling factor for determining the correct E/M code. When counseling and/or coordination of care dominates (e.g., more than 50%) the physician/patient encounter (e.g., face-to-face time in the office
PD1 blockade: The next step for aggressive basal cell carcinomas?
By Warren R. Heymann, MD April 19, 2017 I was about to start the weekend, relishing that delightful TGIF feeling, with one final task — go through lab reports in my bin. My mood became morose when I read the follow-up letter about Sue (not her real name). She
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
2022 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 28 - 2022: Best of DermWorld Insights and Inquiries Dec. 21 - Holiday Greeting 2022 Dec. 14 - A Frank discussion about earlobe creases Dec. 7 - Xylazine ("Tranq"): The potential for loss of life and
AADA endorses federal sunscreen reform legislation
The AADA joined members of the SUNucate Coalition to ... endorse a bipartisan bill that would streamline the FDA review process regarding the effectiveness and safety of new ingredients for nonprescription sunscreens. ... On July 16, the House Energy & Commerce Health Subcommittee held a hearing on "Legislative Proposals to
Dermatopathology reports about basal cell carcinoma margins cannot be marginal
By Warren R. Heymann, MD July 30, 2018 ... Significant portions of residual basal cell carcinoma can be missed in the dermis (A) or subcutaneous fat (B). Small nests are highly unlikely to be detected by serial cross-sections (C). The line from the transparency is visible in A and B
Medicare Cuts: What the AAD Wants You to Know and How YOU Can Help
Missed the latest Medicare Cuts Advocacy webinar? Check out the recording below. ... Webinar description ... AADA leadership will update members on: ... Current Medicare payment cut advocacy. ... The current state of play with the impending Congressional government funding deadline in March, and what it means for Medicare payment
Learning Center adds dozens of hours of free CME credit
The ... AAD Learning Center continues to release exciting new courses to help you continue your medical education. ... New courses released so far in 2025 include: ... Navigating Clinical Trials: Essential Knowledge for Dermatologists Management of Acne Vulgaris: AAD Guidelines and Care Improvement Strategies Essential Wound Care: Basics Every
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
A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn
By Warren R. Heymann, MD, FAAD Oct. 25, 2023 Vol. 5, No. 43 Any parent looking at their newborn child will wonder if the skin lesions they observe are worrisome. During the neonatal period, defined as the first four weeks of life, most cutaneous findings are transient and benign; occasionally,
Medicare modifier 25 report confirms dermatology payer cuts unwarranted
Academy’s actions and resources streamlined reporting and compliance. ... Advocacy News ... By Victoria Houghton, managing editor, May 1, 2026 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. In health care, every audit tells one of two stories.
Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)
Positivity for CD68 stain is limited in center of specimen, where changes of juvenile xanthogranuloma exist. ... Credit: JAAD ... By Warren R. Heymann, MD Dec. 17, 2018 "Lost to follow-up" has implications that go beyond the obvious. Following up with patients is an essential part of learning for physicians
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
Neurofibromatosis type 1, juvenile xanthogranuloma, and leukemia: Wasting a good worry?
By Warren R. Heymann, MD May 22, 2017 A clinically pigmented neurofibroma associated with underlying café au lait macule. ... Credit: ... JAAD Worry comes with the territory of Neurofibromatosis Type I (NF-1). It often starts with the anxiety of determining if a child has enough criteria to confirm the
Bringing pigmented lupus to light
By Warren R. Heymann, MD Dec. 7, 2017 ... Cutaneous lupus. Biopsy of the left distal thigh shows interface dermatitis, dyskeratosis, superficial perivascular lymphocytic infiltrate, focal red blood cell extravasation, and pigment incontinence. ... Credit: ... JAAD Lettie (not her real name) was an elderly, charming, courtly, soft-spoken African-American woman
We let everyone know. No one knows skin, hair, and nails like a dermatologist.
Traditional and social media efforts are paying off. ... The Academy’s Your Dermatologist Knows consumer positioning strategy has been a massive success. A multi-pronged approach to let the public know that only a board-certified dermatologist has the knowledge, experience, and expertise necessary to treat skin, hair, and nail conditions, Your
Telemedicine coding basics: What you need to know now
Teledermatology visits ... Teledermatology services are used in lieu of an in-person visit when medically appropriate to address the care of the patient and when the patient and/or family/caregiver agree to this format of care. Teledermatology services are performed using virtual technology in one of the two ways: ... Live-interactive
February 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 23, 2022 ... Frontal fibrosing alopecia: The effects of sunscreens and moisturizers DermWorld Insights and Inquiries : The vexing verruciform xanthoma DermWorld Young Physician Focus : The patient experience —
April 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 13, 2022 ... Is there an association between isotretinoin and adverse neuropsychiatric outcomes? DermWorld Insights and Inquiries : Early recognition of rituximab-induced late onset neutropenia is essential 2022 Academy election
Congress passes one-year increase to Medicare physician payment
Congress has passed a one-year ... 2.5% increase for the 2026 Medicare Physician Fee Schedule to account for sustained cuts as Congress continues to work toward long-term payment reform. ... The temporary pay increase is a first step in stemming the tide of cuts physicians have faced for many years.
American Academy of Dermatology’s statement on the National Academies of Sciences, Engineering, and Medicine’s report on environmental impact of currently marketed sunscreens and potential human impacts of changes in sunscreen usage
Statement from Mark D. Kaufmann, MD, FAAD, president of the American Academy of Dermatology ROSEMONT, Ill. (Aug. 9, 2022) — The American Academy of Dermatology supports the National Academies of Sciences, Engineering, and Medicine’s recommendation that the U.S. EPA conducts an ecological risk assessment of UV filters to characterize possible
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,
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
Webinars
Timely, relevant coding information — anytime, anywhere. ... Maximize your training budget while staying current on trending coding topics without leaving the office. Our experts cover the most pressing coding, reimbursement, and documentation topics affecting dermatology. ... How it works: ... Purchasers will receive reminders and login instructions prior to
2026 AAD Innovation Academy: Childcare
Balance learning and family time in New York ... Childcare ... We are pleased to offer childcare services at 2026 AAD Innovation Academy in New York this summer. Our childcare service offers a safe and entertaining environment for children ages 6 months to 12 years. ... In partnership with KiddieCorp,
Advocating for you — Moving the needle on skin cancer research funding
Every year, we advocate to secure funding for skin cancer prevention and melanoma research efforts through the federal appropriations process. ... In March, Congress passed the Consolidated Appropriations Act, 2022 (HR 2471) which supports medical research that builds on past innovations, fosters momentum in scientific research, and advances medical knowledge
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
April 12, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 12, 2023 ... Perioperative imaging for high-stage cutaneous SCC may guide management DermWorld Insights and Inquiries : Triskaidekaphobia legitimized: Fatal Factor XIII deficiency Contact allergens in nail products DataDerm™: 2022
June 11, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 11, 2025 ... Combination oral minoxidil and bicalutamide for the treatment of female pattern hair loss in adolescents DermWorld Insights and Inquiries : From Down Under to all over —
Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.
By Warren R. Heymann, MD Sept. 4, 2017 Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever
Melanoma incidence continues to rise — but young women inspire hope
Facts at your Fingertips ... By Emily Margosian, content specialist, May 1, 2018 Despite advances in diagnosis and treatment, according to data collected by the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute, melanoma remained the fifth-most-common cancer in the U.S. in 2017, with an estimated
Young Investigator Awards
The AAD Young Investigator Awards are given annually by the Academy to young dermatology researchers in the United States and Canada who demonstrate the potential to become established, independently funded investigators in the field. The purpose of the award is to recognize significant research advances in the science and practice
2026 quality measures for MIPS reporting
2026 QCDR measure specifications ... Access a spreadsheet of ... 2026 QCDR measure specifications . ... Access 2026 MIPS quality measures by selecting below. ... MIPS 47 Advance Care Plan ... MIPS 130 Documentation of Current Medications in the Medical Record ... MIPS 176 Tuberculosis Screening Prior to First Course
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. ...
Hot coding topics from the field
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, July 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Navigating the complexities of dermatology coding can
2025 quality measures for MIPS reporting
2026 QCDR measure specifications ... Access a spreadsheet of ... 2026 QCDR measure specifications . ... Access 2025 MIPS quality measures by selecting below. ... MIPS 47 Advance Care Plan ... MIPS 130 Documentation of Current Medications in the Medical Record ... MIPS 176 Tuberculosis Screening Prior to First Course
Embracing change
Go to AAD Home ... Go to AAD Home ... Menu ... Strategies to help dermatologists adapt – and be happy about it ... Strategies to help dermatologists adapt – and be happy about it ... By Ruth Carol, contributing writer It seems as if a day doesn’t go by
The ever-changing world of nevus sebaceus
By Warren R. Heymann, MD, FAAD Sept. 14, 2022 Vol. 4, No. 37 The aphorism in medical education that half of what you learn in medical school will prove to be wrong could use the nevus sebaceus (sebaceous) of Jadassohn as its poster child. ... First described by Jadassohn in
Watch your back!
Focusing on ergonomics can help dermatologists avoid a career-ending injury. ... Feature ... By Ruth Carol, contributing writer, February 1, 2021 After a long day of seeing patients, performing dermatologic procedures, or reviewing slides, do you have stiffness in your neck, pain in your back, or maybe an aching in
The emergence of rituximab-induced pyoderma gangrenosum: An alert to dermatologists
By Warren R. Heymann, MD, FAAD Sept. 21, 2022 Vol. 4, No. 38 Recognizing cutaneous adverse drug reactions is medical dermatologist’s forte. This commentary will focus on rituximab-induced pyoderma gangrenosum (RIPG) that characteristically presents as vulvovaginal pyoderma gangrenosum (VVPG) — a condition that I have not encountered (and hope that
May 1, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2024 ... Consensus statements for the treatment of vitiligo in younger patients DermWorld Insights and Inquiries : Eyebrow-raising complications of microblading Role of low-dose oral minoxidil for treatment of
December 14, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 14, 2022 ... Are nutritional supplements effective for hair loss? DermWorld Insights and Inquiries : A Frank discussion about earlobe creases DermWorld Young Physician Focus : Zoonotic dermatoses – When
October 25, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 25, 2023 ... Efficacy of berdazimer gel for molluscum contagiosum clearance DermWorld Insights and Inquiries : A permanent addition to the list of transient neonatal dermatoses — Transient abdominal telangiectasia
September 11
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 11, 2019 ... How often do dermatologists prescribe off-label medications? DW Insights and Inquiries : Shingles and the battle of the bulge Feedback requested: AAD/NPF draft guidelines for the management
February 21, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 14, 2024 ... Treating keloids, hypertrophic scars with dupilumab DermWorld Insights and Inquiries : Alaskapox — The beat goes on Cosmetic dermatologic procedures performed by physicians vs. non-physicians FDA approves
August 24, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 24, 2022 ... Comparing efficacy and safety of laser treatments for tattoo removal DermWorld Insights and Inquiries : The pressure to prevent pressure ulcers Derm Coding Consult : AMA releases
Calcineurin inhibitors under occlusion – I could’ve had a V8!
By Warren R. Heymann, MD June 6, 2017 I have used topical steroids under occlusion for as long I have been in dermatology. What a fabulous maneuver this is for difficult to treat dermatoses such as lichen simplex chronicus, recalcitrant psoriasis, or hypertrophic lichen planus, etc. I recommend Saran wrap
2017’s management of Stevens-Johnson/toxic epidermal necrolysis: The pendulum is swinging
By Warren R. Heymann, MD Jan. 1, 2017 A, Sheet-like detachment, blisters, and raw erosions on back of patient with Stevens-Johnson syndrome/toxic epidermal necrolysis. B, Postinflammatory hyperpigmentation accentuated in areas where detached epidermis was not left in situ. ... Credit: ... JAAD As in any controversial subject, it is essential
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
DermWorld physician editor search
The American Academy of Dermatology’s award-winning monthly magazine, ... DermWorld , seeks candidates to serve as its next paid physician editor. ... Position overview ... The Physician Editor is appointed for an initial four-year term beginning Jan. 1, 2026, which may be renewed for a second four-year term with the
Advocacy Update 2025 archive
Explore ... Advocacy Update articles by publication date. ... 2026 ... June ... June 2 - Medicare payment reform movement: House committee advances budget neutrality reform. ... May ... May 19 - Delaware dermatologists fight aesthetician scope expansion. ... May 5 - Advocacy win: United Healthcare delays referral program penalties.
Evaluation and management in 2021: Part 2
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 2 ... Take the quiz to see
Electronic consultations
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, July 1, 2019 Test your knowledge: Electronic consultations ... Take the quiz to see if you're up to date.
Coming full circle (almost): Low dose oral minoxidil for alopecia
By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall
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
What challenges and barriers exist when patch testing children?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, June 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with JiaDe (Jeff) Yu, MD, about
Guidelines for the management of hidradenitis suppurativa
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, August 1, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Christopher Sayed, MD, about his
July 26, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 26, 2023 ... Intralesional HPV vaccine may clear recalcitrant warts DermWorld Insights and Inquiries : Cycling back to doxycycline’s roots as therapy for bullous pemphigoid FDA approves first molluscum contagiosum
April 28, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 28, 2021 ... Acne: Clindamycin-tretinoin vs. benzoyl peroxide-adapalene DermWorld Insights and Inquiries: Do not get burned by missing Staphylococcal scalded skin syndrome Is daylight photodynamic therapy effective for actinic keratosis?
September 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 6, 2023 ... Chemoprevention of keratinocyte carcinoma with imiquimod, 5-FU, and tretinoin DermWorld Insights and Inquiries : Paraneoplastic Merkel cell carcinoma: Searchin' for my lost shaker of salt Vitiligo patients
March 23, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 23, 2022 ... Acitretin: A new therapy for onychomycosis? DermWorld Insights and Inquiries : A new wrinkle in the diagnosis of cystic fibrosis? Injury and litigation in cutaneous laser surgery
Dermatology and dermatopathology awake: now is the time to embrace the artificial intelligence revolution
By Jason B. Lee, MD June 23, 2021 Vol. 3, No. 25 In 1991, the late Dr. A. Bernard Ackerman sounded the alarm about the decline in the interest in dermatopathology by dermatologists in an effort to preserve this foundational subspecialty within dermatology. (1) Although not with the same urgency,
The journey of focal dermal hypoplasia: From description to inspired therapy
By Warren R. Heymann, MD Oct. 9, 2017 The dermatologic community lost a giant in 2014 with the passing of Robert W. Goltz, MD at the age of 90. Dr. Goltz was not only responsible for describing focal dermal hypoplasia (FDH), but also multicentric reticulohistiocytosis, generalized elastolysis, and the nevoid
Changing perceptions of pediatric mastocytosis
By Warren R. Heymann, MD Sept. 3, 2018 I have always been disquieted by mastocytosis. Its constellation of clinical presentations from childhood to adulthood, spectrum of systemic involvement, variable prognoses, and therapeutic challenges, never allow for complacency or certainty. ... Even when the diagnosis is straightforward with an excellent prognosis,
How should dermatologists manage contact allergies to botanicals?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, June 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Mark
Academic leadership in dermatology: Heeding to advice from surgical chairs
By Warren R. Heymann, MD April 23, 2016 It is irrelevant that the "good old days" of the omniscient chairs of hierarchical departments are a relic of the past. While I will acknowledge that life may have been simpler decades ago, perhaps it was not better (except for the chief!).
Support the Leadership Institute
The AAD’s Leadership Institute gives dermatologists the skills to succeed and become leaders in their communities. From the Academic Dermatology Leadership Program to the Advanced Leadership Forum, your support helps provides invaluable training, mentorship, and networking opportunities for dermatologists at all stages of their careers. ... Learn more about Leadership
Support the AAD Teledermatology Program
Throughout the U.S., there are many underserved areas where primary care physicians do not have easy access to dermatologists. Through the ... AAD Teledermatology Program , these physicians can easily consult with volunteer dermatologists and better serve patients in need. As more clinics sign up and physicians become trained to
Improvement activities (15%)
In this performance category, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. For 2025 MIPS reporting, this category is worth 15% of the MIPS score with a maximum of 40 points available. There are 77 dermatology-relevant practice improvement activities (IAs) to choose from. ...
American Academy of Dermatology warns that homemade sunscreens are not proven to be effective and may leave users vulnerable to skin cancer
American Academy of Dermatology Secretary-Treasurer Daniel D. Bennett, MD, FAAD ROSEMONT, Ill. (July 2, 2024) — While the American Academy of Dermatology is aware of reports of people using homemade sunscreens, research shows that most homemade sunscreens lack effective sun protection, leaving users vulnerable to sunburn, premature skin aging and
American Academy of Dermatology Association Statement on FDA Proposal for New Sunscreen Ingredient
Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (Dec. 11, 2025) — The American Academy of Dermatology Association applauds the Food and Drug Administration for taking the first steps in more than two decades to provide more safe and effective sunscreen options to the
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
This month’s news from across the specialty
What’s hot ... June 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Christen Mowad, MD, FAAD The American Academy of Dermatology SPOT Skin Cancer™ program has been very well received and provides a community service
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
October 28, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 28, 2020 ... Drug may offer prolonged improvement in chronic spontaneous urticaria DermWorld Insights and Inquiries : Looking into the whites of the mouth Why will dermatology experience a 2%
March 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 3, 2021 ... The latest on the association between diet and acne DermWorld Insights and Inquiries : Time to reassess messing around with steroids and psoriasis Is intralesional 5-FU effective
Snitching on Schnitzler syndrome: The continuing search for an optimal biomarker
By Warren R. Heymann, MD August 7, 2019 Vol. 1, No. 22 Urticarial dermatoses confound our even our most sagacious dermatologists. It is no surprise that patients with systemic autoinflammatory diseases such as Schnitzler syndrome (SS) go undiagnosed for years after failed trials of antihistamines, steroids, and other immunosuppressive therapies.
This month’s news from across the specialty
What’s hot ... June 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Emily Chu, MD, PhD, FAAD Genetic alterations underpinning melanoma have been increasingly well characterized over the last two decades — most notably point mutations
Anterolateral leg alopecia: An example of a new dermatologic statistic — seen but unrecognized
By Warren R. Heymann, MD March 4, 2020 Vol. 2, No. 9 Aside from my family, my two greatest passions in life are dermatology and baseball. There is an infinite amount to learn in each discipline — for wisdom in each I turn to Bill James (two different people). Most
The Term “Dermal Hyperneury” Hits a Nerve
By Warren R. Heymann, MD Dec. 21, 2017 ... A, On hematoxylin-eosin stain, the borders of this nerve bundle are sharply demarcated from the surrounding connective tissue with no associated inflammation or fibrosis. A thin layer of epithelium can be seen encapsulating the intersecting fascicles of nerve fibers. Within the
Medical research and skin cancer funding
Moving the needle ... By Victoria Houghton, Managing Editor, July 1, 2022 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. Every year, the American Academy of Dermatology Association (AADA) advocates to secure funding for skin cancer prevention and
Noncompete clauses
Noncompete clauses are contractual agreements that prohibit physicians from engaging in the practice of medicine within a defined geographic area and time period after leaving a job. To be enforceable, the noncompete must be reasonable in scope and duration. ... The FTC noncompete rule ... On April 23, 2024, the
DataDerm & academic medical centers
DataDerm ... TM ... is the largest dermatologic clinical data registry in the world, and it offers distinct advantages for academic medical centers (AMCs). It connects data on millions of patients from thousands of dermatologists nationwide, and it provides powerful research and quality assurance tools. DataDerm was created by dermatologists
Advocacy Update Aug 5, 2025
IN THIS ISSUE / August 5, 2025 AADA endorses sunscreen reform legislation AADA nominates dermatologists for FDA Advisory Committee Contribute to SkinPAC Legislative affairs AADA endorses sunscreen reform legislation ... The AADA recently joined members of the SUNucate Coalition in ... endorsing a bipartisan bill (PDF) that would streamline the
Learning about proton pump inhibitor-induced dermatologic adverse reactions is ulcerogenic
By Warren R. Heymann, MD June 7, 2016 How many of your patients are on protein pump inhibitors (PPI) such as Nexium [esomeprazole], Prevacid [lansoprazole], or Prilosec [omeprazole] for GERD? Let me rephrase the question. How many of your patients are NOT on PPIs? ... Alkeraye et al reported two
Impact Report — Vol 6, Issue 1
Your membership in action From fighting for your patients and practice against payment cuts and scope-of-practice expansions, to securing major media wins that position you as the authorities in skin, hair, and nails, see how your Academy is working for you. Plus, explore the latest member benefits, including new CME
6 skin biopsy wound care tips from dermatologists
ROSEMONT, Ill. (May 31, 2022) — Skin cancer is the most common form of cancer. It is estimated that one in five Americans will develop skin cancer in their lifetime. As Skin Cancer Awareness Month continues, it’s important to check your skin regularly, and if you notice a spot on
Dermatology World Weekly
DermWorld Weekly is a brief, concise digest of the latest news, hand-picked by ... DW’s editorial team with analysis of why it matters to dermatologists. ... Each week editors review the landscape of health care news in ... DermWorld's core areas of practice management, policy, and patient care, and highlight
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
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 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
Retirement planning 101
Dermatologists and financial experts share their top tips and strategies for creating and maintaining a healthy retirement plan. ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2023 Pulse check: Have you started saving for retirement? How much money is enough? These are seemingly simple questions with complex
Filling the medicine cabinet
Go to AAD Home ... Go to AAD Home ... Menu ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... By Victoria
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
What does it mean when all of a patient's patch tests come back negative?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, September 2, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Erin Warshaw, MD, MS, about
Summary of MIPS 2021 changes
Answers in Practice ... By Faiza Wasif, MPH, manager, practice management, February 1, 2021 Each month DermWorld ... tackles issues "in practice" for dermatologists. This month Faiza Wasif, MPH, the Academy’s Practice Management manager, offers a summary of MIPS changes in 2021. CMS released the final Quality Payment Program (QPP)
Adjusting the screen door: Developing a rational approach to assessing for thyroid disease in patients with alopecia areata
By Warren R. Heymann, MD Jan. 11, 2018 Loss of the sideburns and marked frontal-temporal scarring alopecia with lonely hairs. ... Credit: ... JAAD Since my residency, I have been perplexed about how to screen patients with alopecia areata (or vitiligo) for thyroid disease. What tests should (or should not)
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
The profound dermatological manifestations of COVID-19: Part II
By Warren R. Heymann, MD March 25, 2020 Vol. 2, No. 12 Disclaimers: This commentary was written on March 17, 2020 for a publication date of March 25, 2020. The issues related to the COVID-19 pandemic are changing like lightning. The content included in this commentary may no longer be
Multinucleated keratinocytes: A real histologic finding in factitial dermatoses
By Warren R. Heymann, MD ... Jan. 7, 2019 ... Patients presenting with factitial dermatoses are challenging on every level, and proving the diagnosis may be very difficult because of patient (or parental) denial of the situation. Recently, there have been a few reports of a histologic finding that
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
RAC audits: An overview
RAC audits: In a nutshell ... Recovery audit contractors (RACs) look for improper payments that have already been made and identify areas where payment errors are most likely. ... A RAC may perform an audit if they find that you billed for non-covered services or did not code correctly. ...
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
Tax reform: What you need to know
Money Matters ... Jason P. Wainscott, JD, is an attorney, author, and general manager of the financial planning firm OJM Group. ... By Jason P. Wainscott, JD, March 1, 2018 Every dermatologist needs to know 2017 saw widespread changes to the federal tax code. There are many cuts and additional
Using time to select the level for E/M services
Using time to determine the level of service: In a nutshell ... The level of service can be selected based on total time spent by the dermatologist or other qualified non-physician clinician on the date of the encounter. ... Time spent by clinical staff is not included in calculation of
The brave new world of melanoma gene expression markers
By Warren R. Heymann, MD May 14, 2016 Epidermolysis bullosa nevi (EBN) are clinically alarming lesions that may display "pseudomelanoma" features histologically. Changes within these lesions may be disconcerting, necessitating repeated biopsies. Any advances to predict biologic behavior would be welcome. ... Ahn et al report the case of a
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
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
Talking to patients about sexually transmitted infections
Dermatologists discuss interview techniques for taking a sexual history and screening for sexually transmitted infections. ... Feature ... By Emily Margosian, Assistant Editor, January 1, 2023 Historically, dermatologists have played a key role in the diagnosis and treatment of sexually transmitted infections (STIs), many of which have skin involvement. What
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
Melanoma fact sheet | AAD
Q. What is melanoma? A. Melanoma, the most serious form of skin cancer, is characterized by the uncontrolled growth of pigment-producing cells. Melanoma may appear on the skin suddenly without warning but also can develop within an existing mole. The overall incidence of melanoma continues to rise. (1,2) ... Q.
What's hot?
What's hot ... February 28, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Rosalie Elenitsas, MD ... Malignant melanoma is one of the most serious diagnoses that dermatologists face on a regular basis. While many cases
What's hot?
What's hot ... July 24, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The first human retrovirus, identified in 1980, was not HIV, but human T-cell lymphotrophic virus-1 (HTLV-1). It
Practicing cosmetic dermatology during COVID-19
Answers in Practice ... By Victoria Houghton, managing editor, November 1, 2020 DermWorld ... talks with Sean Wu, MD, Monica Boen, MD, Douglas C. Wu, MD, PhD, and Mitchel P. Goldman, MD, from Cosmetic Laser Dermatology in San Diego, about best practices for offering cosmetic dermatology during COVID-19. DermWorld: How
September 21, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 21, 2022 ... Does low-dose oral minoxidil affect blood pressure, heart rate? DermWorld Insights and Inquiries : The emergence of rituximab-induced pyoderma gangrenosum — An alert to dermatologists DermWorld Young
December 23, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 23, 2020 ... The impact of COVID-19 on the practice of dermatology DermWorld Insights and Inquiries : Holiday greeting 2020 HHS announces additional Medicare relief funding FDA approves topical AK
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
An appealing step closer to targeted topical therapies
By Warren R. Heymann, MD, FAAD April 5, 2023 Vol. 5, No. 14 Although advances in molecular genetics have revolutionized our understanding of the pathogenesis of disease, the road to developing topical therapies based on these discoveries is in its infancy. ... Healthy maintenance of our stratum corneum is essential
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
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
Granular detail on granular parakeratosis
By Warren R. Heymann, MD, FAAD October 6, 2021 Vol. 3, No. 40 After attending a clinic at the University of Pennsylvania 30 years ago, I recall relaxing in the cafeteria, coffee in one hand and ... JAAD in the other, being impressed with an article by Northcutt et al
Spot on! Lentigines in resolved psoriatic plaques
By Warren R. Heymann, MD Nov. 30, 2016 Having treated psoriatic patients throughout my career, there have been innumerable occasions where patients were concerned about pigmentary changes following successful treatment of the plaques. I have usually reassured them that these are postinflammatory pigmentary alterations that should abate with time. Recently,
Evaluation and management (E/M) coding changes are coming in 2021 – Part 2
Recognizing the 2021 E/M code descriptor revisions ... Changes to E/M coding will go into effect on Jan. 1, 2021. This article follows up on ... part one of our series which introduced the reasoning for these coding changes. We will now focus on key changes for each of the
Race for the Case Answers
Diagnose this new case by Haowei Han, DO, and Aysham Chaudry, DO ... A 64-year-old woman presented to the dermatology clinic with a two-year history of a widespread rash involving the scalp and left ear. She reported associated joint pain but denied fevers, fatigue, weight loss, oral ulcers, photosensitivity, or
DermWorld Academy Insider: New course on advanced imaging techniques
Oct. 17, 2024 The AAD recently developed a Learning Center course to teach members about the new ... advanced imaging techniques for skin cancer diagnosis and reduction of unnecessary biopsies . By taking the course, you’ll learn to recognize imaging modalities to aid in the diagnosis of skin cancer, identify
Safety first
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Anyone who has taken a cruise knows the drill: Before heading to the pool, casino, or bar, you must learn to put on your life vest
2020 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... December 23 - 2020 holiday greeting December 16 - We’re in hot water! Vibrio vulnificus infections are heading north December 9 - Much ado about nothing in dermatopathology December 2 - Pigmented onychomatricoma: Avoid getting nailed by
Reflections on vacation and terrorism impacting continuing medical education
By Warren R. Heymann, MD Aug. 18, 2016 What impacts your life, either personally or professionally? What external factors influence what we learn and how we practice? ... This commentary was composed over the Atlantic Ocean, returning from a cruise sponsored by the Alabama Dermatology Society. For anyone who has
Increasing evidence for the use of topical timolol for pyogenic granulomas
By Warren R. Heymann, MD May 16, 2016 There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion. Certainly there are times when that approach may not be optimal, such as a PG the face of
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
Fifty shades of black salve
By Warren R. Heymann, MD May 4, 2016 Diet and acne has always been controversial. When I was a child I heard that pizza and chocolate could lead to break-outs; over time that was relegated to be a myth (thank goodness). ... The latest foods that have may possibly lead
Generalized multinucleate cell angiohistiocytomas and thoughts on diagnostic first impressions
By Warren R. Heymann, MD April 1, 2017 I became aware of multinucleate cell angiohistiocytomas (MCA) when I learned of an article published by friends who reported the first cases in the United States (1). The following abstract by Smolle et al (2) accurately described the entity, and my concept
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
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
Getting physical
Go to AAD Home ... Go to AAD Home ... Menu ... Does a physician's relationship to fitness affect patient care? ... Does a physician's relationship to fitness affect patient care? ... By Allison Evans, assistant managing editor ... A physician’s job, pared down to its most simplistic form,
Teledermatology in the COVID-19 era
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, May 1, 2020 Test your knowledge: Teledermatology in the COVID-19 era ... Take the quiz to see if you're
Life insurance 101: Options and considerations
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 Life
June 28, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE/ June 28, 2023 ... A beneficial botanical extract for actinic keratosis? DermWorld Insights and Inquiries : Dermatologic ergonomics — Straighten up and fly right FDA approves alopecia areata treatment in adults and
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
Nailing the diagnosis of the BAP1 tumor predisposition syndrome
By Warren R. Heymann, MD, FAAD June 5, 2024 Vol. 6, No. 23 I never imagined that I would be writing another commentary on onychopapillomas (Ops) so soon. The initial commentary was devoted to rare malignant Ops. (1) Unsurprisingly, additional reports of malignant Ops have been reported. (2) What else
CMS Pays for Communication Technology-based Services, Effective 2019
Given the recent ubiquitous nature of synchronous audio and video applications available for download and the increased use of patient-facing health portals, the Center for Medicare & Medicaid Services (CMS) has determined that a broad range of services can be provided by healthcare professionals via communication technology. ... Remote Evaluation
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
Private equity at a glance
Go to AAD Home ... Go to AAD Home ... Menu ... A visual guide to private equity's presence within the specialty ... A visual guide to private equity's presence within the specialty ... By Emily Margosian, assistant editor Since private equity’s debut into dermatology, its presence has sparked spirited
Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder
By Warren R. Heymann, MD, FAAD Sept. 1, 2021 Vol. 3, No. 35 Hydroa vacciniforme (HV) has always mystified me in every respect — its clinical presentation, pathophysiology, prognosis, and even its name. I understand "vacciniforme" because residual scars may resemble those of smallpox. I was surprised to learn that
Two long years
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, February 1, 2022 Some days, it does not seem possible that almost two years have elapsed since we first heard about this worrisome new virus. Other days, it is hard to
How do we get dermatologic care to those who need it?
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, June 1, 2022 Many potential barriers that limit access to our services — financial, geographic, and social issues — all come into play, often combining into the perfect storm. Reviewing this
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, January 1, 2019 Happy 2019! Another year is upon us. The years seem to fly by these days — a hazard, I understand, of growing older. I suspect that many of you
Dermatologist on the run
In Practice ... Douglas Naversen, MD, is a dermatologist in private practice in Medford, Oregon. ... By Emily Margosian, assistant editor, August 1, 2018 It takes major motivation to complete a single marathon. Douglas Naversen, MD, has run 25. ... "My personal record is two hours, fifty-five minutes, and thirty-two
Rapalogs for vascular lesions: Caveat mTOR
By Warren R. Heymann, MD Sept. 21, 2016 Rapalogs are drugs that inhibit the mTOR pathway and include sirolimus (rapamycin), temsirolimus, everolimus, and deforolimus. All are immunosuppressive and have antineoplastic/antiproliferative effects. The mTOR protein is a serine-threonine kinase involved in complex intracellular signaling pathways affecting the key processes of cell
Telangiectasia macularis eruptiva perstans revisited
By Warren R. Heymann, MD April 29, 2016 I have always struggled with the diagnosis of telangiectasia macularis eruptive perstans (TMEP). Aside from taking the first 6 months of my residency to remember how to say it, I have never been confident of securing the diagnosis. It would always enter
Differentiating lichen planopilaris from chronic cutaneous lupus may be as easy as 1,2,3 (actually CD123)
By Warren R. Heymann, MD June 4, 2016 My last dermatopathology case of the week was that of a woman with scarring alopecia, which was clearly well advanced. Hardly any follicles remained, and on one section there was a small follicular unit with a peri-infundibular mononuclear infiltrate and slight vacuolar
MIPS Highlights for 2021
CMS announces automatic exemption for MIPS 2020 performance period & extended deadline for COVID relief ... In response to the ongoing COVID-19 public health emergency, CMS recently announced that it will apply an automatic extreme and uncontrollable circumstance (EUC) policy for all eligible clinicians for the MIPS program for the
Advocacy Update Feb. 25, 2025
IN THIS ISSUE / Feb. 25, 2025 Advocacy victory: Regence BCBS rescinds modifier 25 payment policy AADA ensures access to patch testing AADA urged Nebraska legislators to support prior authorization reform Get involved as an AADA Key Contact Support dermatology congressional champions through SkinPAC Payer Advocacy Advocacy victory: Regence BCBS
Adult Immunization Status — Measure 493
Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; pneumococcal; and hepatitis B. ... ... MEASURE ID: ... 493 ... ...
American Academy of Dermatology installs new officers, board members
New Orleans (March 17, 2023) – Three new officers and four new board members will be installed immediately upon conclusion of the 2023 Annual Meeting of the American Academy of Dermatology, the world’s largest dermatologic society. The officers and board members are all board-certified dermatologists and members of the AAD,
Pathway to reducing medical errors
By Jason B. Lee, MD, FAAD June 26, 2024 Vol. 6, No. 26 The 2000 landmark report by the Institute of Medicine ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era. (1) The report highlighted nearly 98,000 hospital deaths
Turning a blind eye on second opinions
By Warren R. Heymann, MD, FAAD June 21, 2023 Vol. 5, No. 25 Whenever I encounter patients who ask for, or are being seen for, second opinions, I silently chuckle at Henny Youngman’s timeless one-liner about the subject (you can Google it). The fact is that second opinions are no
As I write this, 2020 is half over
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, August 1, 2020 By most counts, this couldn’t come soon enough. Fortunately, I have always been a "glass half-full" sort of person, and I took some time recently to consider the unanticipated
Holy dermatology, Batman!
Balance in practice ... By Emily Margosian, assistant editor, August 1, 2020 Each month, Dermatology World ... addresses issues "in practice" for dermatologists. This month, Philip Latham, MD, talks about his passion for Batman-inspired car remodels. "You can’t just go down and tell the guy at the auto store that
2022 Allergen of the year: Aluminum
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, June 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Magnus Bruze, MD,
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
My core incompetencies
By Warren R. Heymann, MD May 19, 2017 It is time for our semiannual ritual — the meeting of our Clinical Competency Committee (CCC). Our dermatology program is small, having twice as many faculty members as residents, so everyone serves on the committee. The process has changed dramatically from the
41’s gracious contribution to skin cancer awareness
By Warren R. Heymann, MD Dec. 1, 2018 Skin lesions are observed on photographs, television, and in the movies. Whether it is Bill Clinton’s rosacea, Richard Gere’s Becker’s nevus, or Mikhail Gorbachev’s port wine stain, I have to consciously ignore these conditions to concentrate on why I am watching them
The Academy’s impact
Through AAD humanitarian programs, we carry out our commitment to support and enhance patient care because skin, hair, and nail conditions can have a serious impact on health and well-being. Additionally, we recognize the importance our employees place on their ability to give back to their communities and to charities
Easing the pain of dermatology
From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, May 1, 2026 When interviewing candidates for our dermatology residency, I often ask them what they do not like about the discipline. Frequently, I will get a blank stare
Becoming whipped up over flagellate dermatoses
By Warren R. Heymann, MD ... July 13, 2017 ... A, A 44-year-old male patient with characteristic flagellate dermatitis after ingestion of shiitake. B, Same patient 4 days after balneo PUVA therapy. ... Credit: ... JAAD The literature on flagellate dermatoses has been whipped into frenzy. The initial description
Practicing during a pandemic
How has COVID-19 impacted dermatologists and their patients? ... Feature ... By Emily Margosian, assistant editor, May 1, 2021 While the ongoing national vaccine rollout has offered a glimmer of light at the end of the tunnel, COVID-19 isn’t over yet. More than a year has passed since the first
What’s new in treating actinic keratosis?
Dermatologists discuss how to balance the latest evidence, patient preferences, and clinical experience when treating AKs ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2022 Actinic keratoses (AKs) are commonly diagnosed and treated by dermatologists. In fact, the National Ambulatory Medical Care Survey on outpatient medical care
Ergonomics in dermatology
Neck, back, shoulder pain? It could be your exam table. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2025 After investing an average of 12 years of education and training, the last thing a dermatologist wants is to have their career cut short by musculoskeletal disorders (MSDs). However,
E/M codes: Change is here
What dermatologists need to know about the restructured evaluation and management codes to ensure correct reimbursement ... Feature ... By Allison Evans, assistant managing editor, January 1, 2021 Evaluation and management (E/M) visit codes are by far the most heavily used codes across all specialties. They accounted for about 15%
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
Donning many hats
Dermatology hospitalists work in several roles to deliver quality expert care. ... Feature ... By Andrea Niermeier, Contributing Writer, March 1, 2024 As medicine is constantly evolving, so are the roles of physicians providing the latest treatments to patients. Dermatology is no exception: before it became its own specialty in
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
The bigger picture
AAD’s Clinical Image Collection furthers knowledge of treating all skin tones. ... Feature ... By Megan Bennett, Staff Writer, February 1, 2026 The appearance of several common skin conditions and diseases vary depending on patients’ skin color. However, overwhelmingly, clinical images in dermatologic literature and other professional educational resources represent
Malignant syphilis: History in the making
By Warren R. Heymann, MD, FAAD Jan. 3, 2024 Vol. 6, No. 1 As our new academic year commences, soon I will remind our new residents of Sir William Osler's famous aphorism, "He who knows syphilis knows medicine." As the great mimicker, our trainees will never go astray by including
What do you need to know about emerging, antifungal medication-resistant dermatophyte infections?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, September 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Avrom S. Caplan,
Coding for preventive skin examination in 2021 and beyond
To understand the new evaluation and management (E/M) coding guidance, the AAD/A recommends reviewing and applying the coding guidelines holistically. When coding is based on medical decision making (MDM), documentation for the encounter must meet or exceed two of the three elements as described in the ... E/M Office Visit
What does the research say about the use of cannabinoids for the treatment of itch?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, May 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Mark Bechtel, MD, about his
It’s been six months! Here’s what the Academy has done for you…
From the President ... Dr. Kaufmann served as Academy president from March 2022 to March 2023. ... By Mark Kaufmann, MD, FAAD, September 1, 2022 It feels like just yesterday that more than 15,000 of us attended the 2022 AAD Annual Meeting in Boston, and it’s hard to believe that
Advocating on behalf of dermatology is an enduring obligation
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, December 1, 2019 The year is winding down, and as usual I find myself reminiscing about the last 12 months — thinking about all of the patients I
Spilling the tea
In Practice ... Dina Strachan, MD, is a dermatologist in private practice in New York. ... By Emily Margosian, assistant editor, November 1, 2018 Sometimes all it takes is a little serendipity in the spam folder. Dina Strachan, MD, a dermatologist in private practice in New York, attributes her recurring
September 19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 19, 2018 ... More than 25% of Americans surveyed think psoriasis is contagious Atopic dermatitis associated with depression, anxiety, and suicidal ideation Have you joined the JAAD Journal Club yet?
January 7, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 07, 2026 ... Is beef tallow effective for dermatologic conditions? DermWorld Insights and Inquiries : Cannabis arteritis — Getting higher on the differential diagnosis list of ulcerative lesions GLP-1s in
April 2, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 2, 2025 ... Oral vs. topical minoxidil in patients with androgenetic alopecia DermWorld Insights and Inquiries : Becoming ‘sensitized’ to the clinical utility of the term "urticarial dermatitis" (a subtype
February 4, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 4, 2026 ... Safety of oral minoxidil in pediatric patients DermWorld Insights and Inquiries : Deeper thoughts about acne keloidalis nuchae Perioperative strategies for advanced melanoma, nonmelanoma skin cancers Characteristics
February 25, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 25, 2026 ... Acne relapse after isotretinoin treatment DermWorld What’s Hot: cSCC and adjuvant radiation therapy Where to inject botulinum toxin for ‘bunny lines’ Predictors of drug survival of biologics
March 4, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March. 4, 2026 ... Flutamide for hair loss DermWorld Insights and Inquiries : Eosinophilic pustular folliculitis — Six decades of progress A novel application of punch excision therapy for keloids Migraine
March 25, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 25, 2026 ... Finasteride and dutasteride: Depression, suicidal ideation DermWorld What’s Hot: Need for expanded patch testing FDA approves icotrokinra for plaque psoriasis Cutaneous malignancy after biologic therapy Adverse events
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
Ustekinumab: A topic for atopics?
By Warren R. Heymann, MD Jan. 9, 2017 Atopic dermatitis patient shows drastic improvement at week 19 of ustekinumab treatment. ... Credit: ... JAAD If you’re like me, you have a cadre of patients with severe atopic dermatitis (AD) patients who are counting the minutes for the release of
Mindfulness for the patient and the dermatologist
By Warren R. Heymann, MD ... March 28, 2017 ... While meditation has been present for millennia, the concept of mindfulness has recently come into vogue. Conceptually, mindfulness aims to have a person focus their attention on the present moment by developing coping strategies, such as meditation or deep
Secukinumab for pityriasis rubra pilaris: Tread lightly
By Warren R. Heymann, MD Nov. 17, 2016 Every dermatology resident preparing for their board examination can rattle off Griffiths’ classification of pityriasis rubra pilaris (PRP) — Type I (Classical Adult), Type II (Atypical Adult), Type III (Classic Juvenile), Type IV (Circumscribed Juvenile), and Type V (Atypical Juvenile). Type VI,
Pediatric melanoma: A wolf in sheep’s clothing
By Warren R. Heymann, MD ... Sept. 27, 2016 ... Despite its rarity, the incidence of pediatric melanoma (PM) has been increasing. Every practicing dermatologist, past or present, has been humbled or fooled by the clinical appearance of melanomas, examples being amelanotic or desmoplastic variants. ... The A (asymmetry),
Taking psoriasis by the throat
By Warren R. Heymann, MD Nov. 2, 2016 Once the transient satisfaction of explaining the association of streptococcal infections with psoriasis (guttate, vulgaris, or pustulosis palmaris et plantaris) passes, the reality of treatment must be addressed. Of course we’ll prescribe the usual regimens — topical steroids, phototherapy, retinoids, biologics, etc.,
Intestinal obstruction of justice raises a question for dermatology residency applicants: Are you a real doctor?
By Warren R. Heymann, MD Jan. 19, 2019 Hon. George M. Heymann ... "Are you a real doctor?" ... Every dermatologist has been asked this question. ... Ask Sam (not his real name). Last summer, he and his wife came for their annual skin cancer examinations. Sam, an ordinarily jovial
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
CMS clarifies telehealth and telephone coding during COVID-19 public health emergency
On April 30, 2020 a second round of expansive changes to telehealth coding as well as regulatory revisions was announced by CMS. These changes were to ensure access to care and flexibility to the healthcare system during the COVID-19 public health emergency (PHE). These recent changes and more can be
Perianal dermatologic exams are looking up
By Warren R. Heymann, MD Nov. 14, 2016 Every dermatologist confronts how to ask a person to disrobe for a full body skin examination. Ultimately, I came up with the following line when asked what should be exposed: "The more of you I see, the better off you are —
Welcome to Dermatology World Insights and Inquiries
By Warren R. Heymann, MD March 13, 2019 Vol. 1, No. 1 Keeping up with clinically relevant dermatologic literature has become an increasingly daunting task. The time constraints facing dermatologists (and all physicians) have multiplied, as have administrative demands, burdens of electronic records, etc., challenging even the most time-efficient, organized
Sirolimus for microcystic lymphatic malformations: Caviar for frog spawn
By Warren R. Heymann, MD Jan. 23, 2017 Recently, our understanding of lymphatic malformations (LMs) has vastly expanded. Genetic advances have focused on the PI3K/AKT/mTOR pathway allowing the use of mTOR inhibitors for those lesions involved in this pathway. As noted in a previous post (Rapalogs for vascular lesions: Caveat
Eyeing the use of cryotherapy for eyebrow alopecia areata
By Warren R. Heymann, MD April 5, 2017 I am always looking for alternatives to injecting eyebrow alopecia areata with triamcinolone acetonide (TAC). My protocol, based on the recommendation by Alkhalifah et al, is TAC 2.5 mg/mL, 0.5 mL to each eyebrow, every 4 to 6 weeks, as necessary (1).
Getting within a hair’s breadth of understanding prurigo pigmentosa
By Warren R. Heymann, MD March 2, 2017 Prurigo pigmentosa is an uncommon, acquired inflammatory disorder with a predilection for young adults of Asian descent. A 30-year-old Chinese man presented with reticulated erythematous and hyperpigmented papules on his back and shoulders (A and B). The eruption was present for 2
Promoting interoperability (25%)
The Promoting Interoperability (PI) category focuses on interoperability and is worth 25% of the overall MIPS score. To participate, you must use a certified Electronic Health Record (EHR) listed at the ... Certified Health IT Product List (CHPL) . ... You cannot satisfy the PI category requirements without having an EHR or getting
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
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 ...
American Academy of Dermatology survey shows Generation Z adults are unfamiliar with sunburn and tanning risks
Board-certified dermatologist shares her melanoma diagnosis and encourages people to protect themselves from the sun ROSEMONT, Ill. (May 9, 2023) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that many Generation Z adults, ages 18-25, are unaware of the risks associated with overexposure
Giving a great talk
Answers in Practice ... By Emily Margosian, Assistant Editor, November 1, 2024 DermWorld ... talks to Ilona Frieden, MD, FAAD, and Kelly Cordoro, MD, FAAD, about their public speaking tips for delivering a successful scientific lecture. DermWorld: Earlier this year you co-hosted a session at the AAD Annual Meeting on
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
Triskaidekaphobia legitimized: Fatal Factor XIII deficiency
By Warren R. Heymann, MD, FAAD April 12, 2023 Vol. 5, No. 15 I am not especially superstitious. The number 13 has never concerned me but acquired Factor XIII deficiency has now joined my ever-expanding pantheon of new complications to worry about. ... The article entitled "Association of lethal acquired
Eruptive pseudoangiomatosis is real
By Warren R. Heymann, MD, FAAD May 4, 2022 Vol. 4, No. 18 The term "pseudo" (defined as false, fake, or unreal) is used liberally in dermatology, much to the chagrin of students of the discipline and non-dermatologists. There are dozens of examples (pseudofolliculitis barbae, pseudo-Kaposi sarcoma, pseudolymphoma, etc. —
Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis: The aftermath
By Warren Heymann, MD May 26, 2021 Vol. 3, No. 21 The American Academy of Dermatology’s SkinSerious ... ® ... campaign highlights how dermatologists treat serious diseases. Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) top the list. (1) Justifiably, all attention focuses on the immediate issues in an attempt
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
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,
Finding the right words
In Practice ... By Emily Margosian, assistant editor, February 1, 2020 Each month, Dermatology World ... addresses issues "in practice" for dermatologists. This month Dermatology World ... talks with Aisha Sethi, MD, about how the practices of dermatology and poetry intersect. Aisha Sethi, MD ... "It’s similar to how some
FDA approved: A misleading claim?
In Practice ... Steven R. Feldman, MD, PhD, is in the department of dermatology at Wake Forest School of Medicine in Winston-Salem, North Carolina. ... By Victoria Houghton, assistant managing editor, March 1, 2018 Dermatology World talks with Steven R. Feldman, MD, PhD, Lindsay Strowd, MD, and Elise Martin, BA,
Dermatologist in disguise
In Practice ... In this month's Balance in Practice, ... Dermatology World talks with M. Alan Menter, MD, about how holiday traditions can build community with colleagues and forge patient bonds. ... By Emily Margosian, content specialist, February 1, 2018 Most people just want to see their dermatologist as soon
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
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
February 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 2, 2022 ... A high-fiber diet may affect immunotherapy response for melanoma patients DermWorld Insights and Inquiries : An old dog with a new trick — High dose intralesional steroids
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
March 29, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 29, 2023 ... Low-dose isotretinoin for severe seborrheic dermatitis? DermWorld Insights and Inquiries : Can we chat? Risk of melanoma in patients with BCC Is AD severity correlated with food
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
February 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 19, 2025 ... Red and green LED light therapy in individuals with androgenetic alopecia DermWorld Insights and Inquiries : Treatments for renal IgA vasculitis are beginning to flow Safety of
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
January 14, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 14, 2026 ... Are light-based therapies effective for hair loss? DermWorld What’s hot : Local recurrence and survival in patients with melanoma in situ Strategies to reduce the risk of
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
April 1, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 1, 2026 ... Aesthetic treatment considerations for perimenopausal, menopausal patients DermWorld Insights and Inquiries : Cocaine-associated plasma cell orificial mucositis — Anything goes Effects of PRP, minoxidil in patients with
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
Frontal fibrosing alopecia: Bewitched, bothered, and bewildered
By Warren R. Heymann, MD Feb. 13, 2017 Women given the diagnosis of frontal fibrosing alopecia (FFA) with different severity grades. A, FFA grade I/V in a premenopausal 30-year-old woman, with a less than 1-cm wide area of cicatricial skin produced by the recession of the frontal and temporal hairline.
A presidential viewpoint: “Nobody knew that benign vascular lesions of the lip could be so complicated”
By Warren R. Heymann, MD April 14, 2017 Well, maybe not as befuddling as replacing Obamacare, but there may be occasional difficulties in diagnosing benign vascular lesions of the lip, with implications for appropriate therapy. ... Tobouti et al, in a study from an oral pathology service, found that of
Understanding the risk of Wilms Tumor in hemihypertrophy: Are we halfway there?
By Warren R. Heymann, MD Nov. 16, 2017 ... Diffuse capillary malformation with overgrowth. A 2-month-old girl with ill-defined erythematous patches of the bilateral upper extremities, posterior trunk, and left lower extremity. There is also overgrowth of the left lower extremity. ... Credit: ... JAAD Wilms tumor (WT, nephroblastoma) is
The nerve of Zika!
By Warren R. Heymann, MD April 17, 2017 Zika virus–associated skin exanthem. Peripheral edema of bilateral hands (A) and feet (B). Generalized lymphadenopathy was also present. ... Credit: ... JAAD Zika virus infections have dominated the headlines, most notably because of its association with microcephaly. According to the valuable CDC
Nom de plume: Affaire risquée
By Warren R. Heymann, MD ... Dec. 28, 2016 ... Performing laser surgery is risky business for the patient and the laser surgeon. Potential hazards may be due to the beam itself causing ocular or cutaneous injury. Nonbeam hazards may arise from the laser device or its interaction with
We’ve gotta recognize GATA2 deficiency
Cutaneous findings in GATA2 deficiency. (A) Extensive human papillomavirus infection with vulvar and anal intraepithelial neoplasia, (B) cutaneous mycobacterial infection, and (C) erythema nodosum–like panniculitis in a 40-year-old woman with GATA2 deficiency. ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 26, 2018 I’ll begin with my conclusion —
Viva ex vivo dermoscopy?
By Warren R. Heymann, MD March 12, 2017 Evaluation of dermoscopic features on a formalin-fixed specimen (ex vivo dermoscopy) using a smartphone attached to a dermoscope. ... Credit: ... JAAD It has been said that the best "special stain" is a deeper section — wise words indeed. While always gratifying
Resident International Grant
International Travel ... The Academy reserves the right to modify or cancel the Resident International Travel Grant Program or specific grants made under this program based on circumstances in particular cities, regions, or countries. ... The fall 2023 application cycle for rotations July-December 2024 has been cancelled. Please check back
Advocacy Update Jun 3, 2025
IN THIS ISSUE / June 3, 2025 AADA advocates for revisions to CLIA lab director requirements AADA urges DOJ to tackle Medicare payment reforms and CLIA lab director restrictions Advocacy win: Step therapy reform law enacted in New Jersey Become an AADA Advocacy Key Contact Support SkinPAC to elect dermatology
Changing the narrative: The AADA and advocacy
by Melanie Tolley Hall Chief Communications and Marketing Officer, AADA In a ... previous article , I introduced you to the first of four narratives that encompasses the American Academy of Dermatology’s new brand identity — education. As I continue this series on the Academy’s promise to our members, it’s
Advocacy Update Aug 12, 2025
IN THIS ISSUE / August 12, 2025 Contact Congress to urge support for sunscreen reform AADA urges HHS to study step therapy requirements’ impact AADA advocates for state advocacy priorities at national meeting of state legislators AADA congratulates new CDC Director Susan Monarez AADA’s advocacy newsletter wins award for publication
Trial balloons of gene expression profiles of calloon cell melanoma predict the future
By Warren R. Heymann, MD Jan. 29, 2018 Satellite metastasis of balloon cell melanoma. Graft scar of melanoma and satellite bluish skin–colored indurated papules with pseudovesiculation (black arrow points to the papule examined with dermoscopy). ... Credit: ... JAAD The site of balloons is joyous; however, I am always nervous
Platelet rich plasma: Good for whatever ails you?
By Warren R. Heymann, MD Jan. 13, 2017 Hair regrowth in ophiasis-type alopecia areata after platelet-rich plasma (PRP) injection. Occipital hair loss before treatment (A) and occipital hair regrowth 3 months after administration of PRP at a concentration 3.5 times above baseline (B). ... Credit: ... JAAD Okay, okay, I
Tips for interviews
Media interviews provide an excellent opportunity for you to educate the public about the importance of skin, hair and nail health. No matter who the reporter is (i.e., local or national) or how the interview is conducted (i.e., in person, by phone or over email), keep the following tips in
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
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
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
History and current status
1. What is the history of measles in the U.S.? ... Measles is a vaccine-preventable disease. ... Pre-vaccine era ... Measles was first identified as an infectious agent from blood samples collected in 1757 and became a nationally notifiable disease in the US in 1912. ... 1 ... An average
American Academy of Dermatology elects new officers, board members
ROSEMONT, Ill. (April 18, 2022) — 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 20,500 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment of
Skin reactions to COVID-19 and its vaccines
Board-certified dermatologist provides the latest information on how COVID and its vaccines affect people’s skin BOSTON, MA (March 25, 2022) —When the pandemic began, everything about COVID-19 was new and unknown, including the correlation between COVID and the skin. Thanks to a comprehensive COVID-19 dermatology registry, dermatologists now have gathered
COVID-19 and dermatology
What have we learned about the cutaneous manifestations of the virus and the vaccines? ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2021 While the immediate and long-term effects of COVID-19 on the human body are still being studied, new research regarding the cutaneous manifestations of the virus
A near miss
Dermatologists discuss patient safety issues in procedural dermatology. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2024 The 2000 landmark report by the Institute of Medicine, ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era, bringing
Nailed it!
Nail experts discuss how to diagnose common — and not-so-common — nail disorders. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2025 Diagnosing conditions of the nail can be confounding. Patients may experience delays in treatment due to challenges in diagnosis. While the nail may seem like
Piecemeal policy
Go to AAD Home ... Go to AAD Home ... Menu ... Trump administration addresses health care policies in small bites ... Trump administration addresses health care policies in small bites ... By Ruth Carol, contributing writer While the Trump administration has raced to eliminate the Affordable Care Act (ACA),
Running dry
Identifying the steps needed to ease the looming physician workforce shortage ... Feature ... By Ruth Carol, Contributing Writer, December 1, 2021 For years, there has been concern that a physician workforce shortage is looming. The United States could see a shortfall of 37,800 to 124,000 physicians by 2034, according
Advances in pruritus therapeutics: It’s Greek to us
By Warren R. Heymann, MD, FAAD June 19, 2024 Vol. 6, No. 25 Every dermatologist encounters maddeningly pruritic patients at their wit’s end. Our deficient understanding of and treating dermatology’s essential symptom is even more exasperating. The following is the abstract from the incisive article by Vander Does et al,
Demodectic eruptions: More than you mite have imagined
By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the
Dermatologists should not be in the dark about kratom
By Warren R. Heymann, MD, FAAD Oct. 11, 2023 Vol. 5, No. 41 Dermatological sleuthing mandates an ever-expanding knowledge database. The correct diagnosis may prove elusive if you do not know the right questions to ask. Astute clinicians have a differential diagnosis of cutaneous and/or mucosal hyperpigmentation, including heavy metal
Becoming “sensitized” to the clinical utility of the term “urticarial dermatitis” (a subtype of the dermal hypersensitivity reaction pattern)
By David A. Wetter, MD, FAAD April 2, 2025 Vol. 7, No. 13 I suspect many of us have been confounded when confronted with a patient presenting with cutaneous findings suggestive of a "dermal hypersensitivity reaction." What is the cause? How should it be evaluated and treated? What do we
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Warren R. Heymann, MD, FAAD Feb. 1, 2023 Vol. 5, No. 5 It only takes a nanosecond for a dermatologist to recognize the "salt and pepper" dyspigmentation (SPD) of systemic sclerosis (SSc), but a lifetime to understand and manage it. Of all the cutaneous signs of SSc (sclerodactyly, telangiectasias,
A quiver full of fillers
Go to AAD Home ... Go to AAD Home ... Menu ... New approvals target specific anatomic locations ... New approvals target specific anatomic locations ... By Ruth Carol, contributing writer There has been an influx of dermal fillers approved by the Food and Drug Administration (FDA) in recent years.
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
Locked in
Go to AAD Home ... Go to AAD Home ... Menu ... Will your non-compete dictate where you practice next? ... Will your non-compete dictate where you practice next? ... By Ruth Carol, contributing writer You either signed one when you joined a practice, or you had dermatologists sign one
Climate change
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, December 1, 2021 Climate change is an existential threat to the planet, its inhabitants, and the environment. If unchecked, the changes will affect all of us in time,
Obituaries
Obituaries ... By Jerry Graff, MD, September 2, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JOHN L. AELING, MD, of Orlando, Florida, Oct. 26, 2018, at age 82. Trained at National Capital Area Consortium Dermatology Residency Program. ...
What are treatment recommendations for managing CCCA?
Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, August 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Susan
Obituaries
Obituaries ... By Jerry Graff, MD, June 3, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JON GARRY BEIDLER, MD, of Chambersburg, Pennsylvania, Dec. 30, 2018, at age 82. Trained in dermatology at University of Pennsylvania and practiced in
What's hot?
What's hot ... June 27, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Many dermatologists initiate a test dose of methotrexate, followed by laboratory evaluation prior to prescribing the second dose. However,
September 4
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 4, 2019 ... New Drug Application submitted for rosacea topical treatment DW Insights and Inquiries : Parabens — A common allergen with lots of hype and no real harm Feedback
July 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2024 ... Tazarotene vs. imiquimod in patients with plane warts DermWorld Insights and Inquiries : Fire ant stings: From pain to gain — The therapeutic potential of solenopsin Efficacy
July 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Wound care after dermatologic procedures lacks uniformity In a recently published study in ... Dermatologic Surgery , investigators performed an assessment of postoperative dermatology handouts that shows high variability in patient instructions for wound care.
October 18, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 18, 2023 ... Risk factors for subsequent primary melanoma in patients with previous melanoma DermWorld Insights and Inquiries : Wolf’s isotopic response — Where and when Derm Coding Consult :
November 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 1, 2023 ... Can oral nutraceuticals reduce isotretinoin side effects? DermWorld Insights and Inquiries : Exchanging plasma exchange for a novel approach — The potential of FcRn antagonists in dermatologic
June 16, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 16, 2021 ... Rituximab vs. mycophenolate mofetil for pemphigus vulgaris DermWorld Insights and Inquiries: Like the tumor itself, knowledge about DFSP is expanding wider and deeper Derm Coding Consult: Applying
December 13, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 13, 2023 ... Isotretinoin exposure and risk of adverse male sexual health outcomes in acne patients DermWorld Insights and Inquiries : Sparking the interest in Spark nevus Metronidazole for patients
June 1, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 1, 2022 ... What’s new in adult acne over the last two years? DermWorld Insights and Inquiries : Granulomatous cheilitis — Back to the Future Derm Coding Consult : Cigna’s
January 31, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 31, 2024 ... Dupilumab vs. upadacitinib for atopic dermatitis DermWorld Insights and Inquiries : Early-onset hypertension associated with extensive capillary malformations — A new worry to raise dermatologists’ blood pressure
September 1, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 1, 2021 ... Which dermatology patients should receive a third dose of mRNA vaccine? DermWorld Insights and Inquiries: Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder Obesity, diabetes associated with
February 24, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 24, 2021 ... COVID-19 vaccination for patients on immunotherapies: An evidence-based guide DermWorld Insights and Inquiries : Multiple pilomatricomas by the numbers DermWorld Young Physician Focus : Do you take
Pride 2020: What is the meaning of Pride and how should it impact our practice?
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... June 24, 2020 By Klint Peebles, MD, and Erica D. Dommasch, MD, co-chairs of the AAD’s Expert Resource Group (ERG) on LGBTQ/Sexual and Gender Minority (SGM) Health As we commemorate another LGBTQ (lesbian, gay, bisexual,
June 3, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 3, 2026 ... Risk of cardiovascular events with 5-alpha-reductase inhibitors in androgenetic alopecia DermWorld Insights and Inquiries : A potential roadMAP for treating malignant atrophic papulosis Yellow nail syndrome: Diagnosis
Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow
By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought
Attending the masquerade ball with CTCL and alopecia areata
By Warren R. Heymann, MD Feb. 1, 2017 It comes as no surprise to dermatologists that cutaneous T cell lymphoma (CTCL) is associated with alopecia, especially in patients with follicular mucinosis (alopecia mucinosa), but how often does CTCL masquerade as alopecia areata? ... Amin et al reported a 33-year-old female
Malassezia folliculitis: Simultaneously seen and invisible
By Warren R. Heymann, MD March 19, 2018 Cellophane, Mister Cellophane ... Should have been my name, Mister Cellophane ... ‘Cause you can look right through me ... Walk right by me and never know I’m there ... If a rash could commiserate with Amos, the accused murderess Roxie Hart’s
Merkel cell carcinoma in situ: Begin the beguine?
By Warren R. Heymann, MD May 26, 2017 I have to admit, the concept of Merkel cell carcinoma in situ (MCCIS) was "below my radar screen," until I read the intriguing article, from Jason Lee’s group, questioning whether an intraepidermal proliferation of Merkel cells (MC) within a seborrheic keratosis is
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
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
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
Dermatology Match Day: The ecstasy and the agony
By Warren R. Heymann, MD March 15, 2018 In February, 1979, one month prior to matching in internal medicine at NYU/Bellevue Hospital, I took a dermatology elective under the tutelage of Dr. Michael Fisher at the Albert Einstein College of Medicine. What an epiphany — a fascinating discipline that
Breaking up (with habits) is hard to do: The role of platelet transfusions when performing skin biopsies on profoundly thrombocytopenic patients
By Warren R. Heymann, MD ... May 12, 2017 ... Hypersensitivity reaction with hemorrhagic appearance in thrombocytopenic patient. ... Credit: ... JAAD We are taught at an early age to live by the rules. In an interesting essay entitled "Breaking the Rules for Better Care", Berwick et al tell
Sun exposure taking a toll: new AAD survey shows sharp increase in sun damage across the U.S.
Practice safe sun ahead of Melanoma Monday (May 5) ROSEMONT, Ill. (April 29, 2025) — A recent survey of more than 1,000 U.S. adults showed that nearly all Americans believe sun protection is important, with 1 in 4 citing the influence of a dermatologist as the reason. However, Americans have
The not-so-full body skin examination
By Warren R. Heymann, MD, FAAD April 16, 2025 Vol. 7, No. 15 It is not my imagination. With every passing year, an increasing number of new patients schedule an appointment for a full (or total) body skin examination (FBSE, TBSE) to be checked (or, as some patients say, "scanned")
Caveat mTOR revisited: Neurofibromatosis
By Warren R. Heymann, MD, FAAD Feb. 14, 2024 Vol. 6, No. 7 An abridged version of this commentary was published in "A Clinician's Perspective" in the April 2023 issue of the JAAD. ... It is understandable how dermatologists may forget about many details of rare genodermatoses after taking their
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
Treatments for renal IgA vasculitis are beginning to flow
By Warren R. Heymann, MD, FAAD Feb. 19, 2025 Vol. 7, No. 7 The alliterative phrase "palpable purpura" will instantly conjure the diagnosis of leukocytoclastic vasculitis (LCV) for dermatologists. IgA vasculitis (IgAV, aka Henoch-Schönlein purpura [HSP]) is the most common vasculitis in children but is much less frequent in adults.
Metformin mania: Is it an adequate chemopreventive agent for skin cancer?
By Warren R. Heymann, MD, FAAD Aug. 31, 2022 Vol. 4, No. 35 Precisely a century ago (in 1922) metformin was synthesized, based on the folk knowledge that the active, but toxic constituent guanidine galegine, (derived from French lilac, ... Galega officinalis ) could treat "sweet urine." Metformin is now
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
Coding for office visit evaluation and management (E/M) in 2021 and beyond: Frequently asked questions (FAQs)
The following scenarios of dermatology encounters have been developed by the American Academy of Dermatology Association (AAD/A) coding team. The 2021 office and other outpatient evaluation and management (E/M) coding guidelines were used to determine the appropriate E/M level of service. Dermatology practices are encouraged to use these examples to
Optimizing financial efficiency: Part 1
Experts offer advice on best practices to ensure financial health before the appointment begins. ... Feature ... By Megan Bennett, Staff Writer, May 1, 2026 When opening her private practice in 2022, Suzanne McGoey, MD, MPH, FAAD, also discovered the challenges of managing the business of medicine. ... "We do
Help wanted!
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the ideal qualifications, experience, and characteristics to look for when hiring a coder ... Experts discuss the ideal qualifications, experience, and characteristics to look for when hiring a coder ... By Ruth Carol, contributing writer You
Denied!
Go to AAD Home ... Go to AAD Home ... Menu ... When a Medicare Part D patient is denied treatment, what are the options? ... When a Medicare Part D patient is denied treatment, what are the options? ... By Allison Evans, assistant managing editor An elderly patient
This month’s news from across the specialty
What’s hot ... October 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD How highly hereditable is melanoma? Prior studies have estimated that genetic predisposition is rare, with as few as 2.5%