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Small group practice (6-15 practitioners)
Best for: Dermatologists seeking clinical autonomy, peer collaboration, and work-life balance without solo ownership responsibilities. ... Quick summary: Join a privately owned dermatology group with a small number of physician partners. It offers more control than you’ll find in large settings, but also more help than a solo practice. A
Solo practice
Best for: Dermatologists seeking full autonomy, long-term patient relationships, and entrepreneurial control. ... Quick summary: Own and operate your own dermatology clinic. You manage all clinical and business decisions — from services offered to staffing and office culture. Offers maximum independence and flexibility but comes with financial risk and administrative
Flying solo
Dermatologists share their experiences and tips for starting and operating a solo practice. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2025 Physicians are less likely to work in private practice today than 10 years ago due to economic, administrative, and regulatory burdens. According to a 2022
Teledermatology workflow for small practices
Use the workflow below to help you implement or improve your teledermatology operations. This version is designed for solo or small practices. There is a distinct PDF guide for dermatologists who practice in an ... academic or multispecialty organization . ... 1. Technology setup ... Create a generic account on
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
Tofacitinib for dermatomyositis: A potential belle of the ball?
By Warren R. Heymann, MD Aug. 23, 2016 JAK1/3 signaling participates in the pathogenesis of inflammatory disorders while JAK1/2 signaling plays a role in the development of several malignancies including leukemias, lymphomas, and myeloproliferative neoplasms. Tofacitinib (Xeljans) is a pan-JAK inhibitor that is approved by the FDA for the treatment
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
October 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 3, 2018 ... Budget bill includes wins for dermatology AAD updates "Find a Dermatologist" tool — have you updated your profile? Are you smarter than DataDerm™? Did CMS miscalculate your
Get started as a practicing dermatologist
Starting your career as a dermatologist is exciting, but it’s also packed with many decisions. Should you join a group or go solo? What should you look for in a job offer? How do you even set up a practice? ... This guide provides AAD resources to help you get
Clear cell papulosis: Clearly distinctive, clearly underrecognized
By Warren R. Heymann, MD June 3, 2020 Vol. 2, No. 22 One of my greatest joys in dermatology is diagnosing a disease that I have only read about, but then encounter in life. That "aha moment" is exhilarating! When attending patient presentations at dermatology conferences, I encourage my residents
Top drivers of dermatologist happiness
Facts at your Fingertips ... By Emily Margosian, assistant editor, September 2, 2019 What do a solo practitioner and employee at a large health system have in common? The same things make them pretty happy. According to data from the AAD’s 2019 Life in Practice Study, dermatologists across all practice
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.
Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod
By Warren Heymann, MD June 2, 2021 Vol. 3, No. 22 Most astute medical dermatologists are aware of drug-induced pemphigus, but many (including myself) may not be as familiar with topical medications being the responsible culprits. This commentary will focus on imiquimod-induced pemphigus and pemphigus-like eruptions (PLE). ... My curiosity
July 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 3, 2019 ... Academy comments on FDA sunscreen proposal DW Insights and Inquiries : Oy, another "Oid" to worry about — cryptococcoid lesions VA launches Community Care Network to provide
Managing patient inquiries after hours
Answers in Practice ... By Emily Margosian, Assistant Editor, May 1, 2022 DermWorld ... talks to Jennifer Goldwasser, MD, FAAD, from Goldwasser Dermatology in Hartsdale, New York, about how to manage after-hours patient communications while maintaining a good work-life balance. DermWorld: Tell us about your practice. Dr. Goldwasser: I think
August
Issue ... August January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... 2016 What’s hot ... This month’s news from across the specialty Clinical Applications ... Do acral biopsies in dermatomyositis patients have less-prominent histopathologic findings
April 3
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 3, 2019 ... Can the elimination diet hurt pediatric atopic dermatitis patients? DW Insights and Inquiries : Tofacitinib – a JAK inhibitor of all trades Unity in dermatology starts with
Large group practice (16+ practitioners)
Best for: Dermatologists seeking stability, administrative support, and predicable income. ... Quick summary: Work as an employed physician within a large, multi-site dermatology organization. Focus on clinical care while administrative tasks are handled centrally. Ideal for those who want a structured environment with lower financial and operational risk. ... Large
Will PD-1 inhibitors be msed for Mastocytosis?
By Warren R. Heymann, MD May 8, 2016 Kuklinski L, Kim J. Expression of PD-L1 in mastocytosis. J Am Acad Dermatol 2016; 74: 1010-2. ... The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens. Of the12
May 2
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 2, 2018 ... The clock is ticking: Only a few days left to review your Sunshine Act info PBMs cutting copay coupons from patient deductibles — which could mean soaring
Biopsy coding in 2019: Part 2
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, December 3, 2018 Test your knowledge: Biopsy coding in 2019 — Part 2 ... Take the quiz to see
Revenue cycle best practices
Derm Coding Consult ... By Tiffany E. McFarland, RHIT, CPCD, Analyst, Coding & Reimbursement, December 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . In today’s increasingly complex health care environment, dermatology practices, whether solo or
October 2, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2019 ... Does gluten increase risk for psoriasis and AD in women? DW Insights and Inquiries : Cutting giant congenital nevi down to size molecularly Upcoming coding changes: Differentiating
Monitoring infantile hemangiomas: What’s the score?
By Howard B. Pride, MD, FAAD Geisinger Medical Center, Department of Dermatology Aug. 11, 2021 Vol. 3, No. 32 Infantile hemangiomas (IH) are common vascular tumors that generally run a self-limited course of rapid growth in the first 2-3 months of life, slow growth for another 4-6 months, and then
Digital media kit: DermWorld editorial calendar
Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...
Necrobiosis lipoidica in a Wink
By Warren R. Heymann, MD, FAAD May 3, 2023 Vol. 5, No. 18 Ninety years have transpired since Urbach coined the term ... necrobiosis lipoidica diabeticorum (NLD) for the granulomatous disorder first described by Oppenheim in 1929 as ... dermatitis atrophicans lipoidica diabetica . (1) Early authors observed sclerotic plaques
Time to reassess messing around with steroids and psoriasis
By Warren R. Heymann, MD March 3, 2021 Vol. 3, No. 9 You don't tug on Superman ’ ... s cape You don't spit into the wind You don't pull the mask off that old Lone Ranger And you don't mess around with Jim If the late Jim Croce was
Sézary syndrome and Shakespeare: What’s in a name?
By Warren R. Heymann, MD ... March 24, 2017 ... Initial clinical presentations of Sézary syndrome without erythroderma. Normal-appearing skin with moderate pigmentation on back of patient 2 (A), several seborrheic keratoses and a hematoma secondary to skin biopsy for patient 3 (B), no apparent lesion on back of
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
Dermatopathology’s taste of honey
By Warren R. Heymann, MD September 2, 2020 Vol. 2, No. 35 Recently, on our consult service, my resident and I were assessing a patient with a potential autoimmune bullous disease; we concurred that a skin biopsy for routine microscopy and direct immunofluorescence (DIF) was warranted. "I’ll have to come
Going green: The complexities of the green nail syndrome
By Warren R. Heymann, MD February 3, 2021 Vol. 3, No. 5 I find a unique satisfaction in diagnosing the green nail syndrome (GNS, aka chloronychia, Goldman-Fox syndrome) — it is easy to recognize and very reassuring to patients who were convinced they had a subungual melanoma. Based on new
Humbled again: Alopecic and aseptic nodules of the scalp
By Warren R. Heymann, MD, FAAD November 3, 2021 Vol. 3, No. 44 "To confess ignorance is often wiser than to beat about the bush with a hypothetical diagnosis." - Sir William Osler I confess. I had never heard of alopecic and aseptic nodules of the scalp (AANS) and have
December 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 2, 2020 ... Surgical vs non-surgical interventions for basal cell carcinoma DermWorld Insights and Inquiries : Pigmented onychomatricoma — Avoid getting nailed by misdiagnosis Derm Coding Consult : Coding for
AAD membership at a glance
Facts at your Fingertips ... By Emily Margosian, content specialist, June 1, 2018 Which way are the winds of dermatology blowing? AAD membership data may serve as a bellwether. In 2018, overall membership surpassed 20,000 dermatologists, but beyond hitting the 20K mark, other demographic changes regarding gender and practice type
Group practice without walls (GPWW)
Best for: Dermatologists who want to stay independent while sharing administrative and financial resources. ... Quick summary: Join a collaborative network of solo practices under one tax ID to reduce overhead, increase buying power, and access ancillary services — without giving up clinical autonomy. Ideal for those seeking balance between
Not aging like fine wine: The myths and mysteries of acquired port wine stains
By Warren R. Heymann, MD January 13, 2021 Vol. 3, No. 2 Port wine stains (PWS, aka nevus flammeus, nevus simplex, salmon patch) are cutaneous capillary malformations that are characteristically congenital (CPWS) but may be acquired (APWS). APWS was first described in a German publication by Fegeler in 1949, hence
AAD membership data reveal key specialty shifts
Facts at your fingertips ... By Emily Margosian, assistant editor, July 1, 2020 Much has changed over the past five years, and dermatology is no exception. AAD membership data, which represents approximately 92% of all board-certified dermatologists, helps lend some insight into which way the specially is currently trending. Regarding
Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa
By Warren R. Heymann, MD, FAAD December 15, 2021 Vol. 3, No. 49 For inexplicable reasons, there are certain differential diagnoses that I find particularly satisfying, one being disorders responsible for facial follicular spicules: follicular mucinosis (1), pityriasis folliculorum ... (Demodex folliculorum) (2), follicular hyperkeratotic spicules (myeloma immunoglobulin or cryoglobulin)
Topical amelioration of neuropathic pain and pruritus leading to painful consequences
By Warren R. Heymann, MD Dec. 26, 2016 Increasingly, compounded amitriptyline and ketamine have been utilized for the management of neuropathic pain and pruritus. A review of PubMed reveals its utility in erythomelalgia and diverse neuropathic disorders (peripheral neuropathy, radiation-induced neuropathy, chemotherapy-induced neuropathy, post-herpetic neuralgia, proctodynia, and pain associated with
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,
Selling a practice resources
Valuing, selling, and closing a dermatology practice manual ... Purchase the ... Valuing, Selling, and Closing a Dermatology Practice, Second Edition Manual Related articles from ... Dermatology World Private equity at a glance: June 2019 Pulling back the curtain on private equity: January 2018 Overview of dermatology practice ownership ...
For patients with erythropoietic protoporphyria the tide has come in
By Warren Heymann, MD May 12, 2021 Vol. 3, No. 19 Oct. 8, 2019, was an eventful day for patients with erythopoietic protoporphyria (EPP) in the United States, when the FDA announced its approval of afamelanotide (Scenesse). (1) The drug was first approved in Italy in 2010. (2) ... Patients
Pigmented onychomatricoma: Avoid getting nailed by misdiagnosis
By Warren R. Heymann, MD Dec. 2, 2020 Vol. 2, No. 47 Rightfully, monodactylous linear melanonychia should make any dermatologist nervous, with or without a Hutchinson sign. No nail unit melanoma should be left behind. ... Longitudinal melanonychia (LM) is defined as a longitudinally oriented band of brown-black pigment in
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
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,
Filling in
In Practice ... Thomas Kruse, MD, is a dermatologist from Salem, Oregon. ... By Victoria Houghton, assistant managing editor, May 1, 2018 Dermatology World talks with Thomas Kruse, MD, from Salem, Oregon about locum tenens opportunities. ... Dermatology World: Why did you decide to switch from your full-time practice to
Incretin-based therapy for diabetes and dermatology: Promise and peril
By Warren R. Heymann, MD Oct. 23, 2017 In a given day, how many of your patients are diabetic? According to the American Diabetes Association, in 2015, 9.4% of the US population (30.3 million) were diabetic; 29 million of this group had type 2 diabetes. ... Incretin hormones refer to
January 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 3, 2024 ... Efficacy of minoxidil for cancer treatment–induced hair loss DermWorld Insights and Inquiries : Malignant syphilis — History in the making Most effective medications for plaque psoriasis Cardiovascular,
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD Aug. 3, 2022 Vol. 4, No. 31 In 1965, Reye described 18 small, fibrous tumors from 12 children submitted to his laboratory for histological examination, that he had accumulated over two decades. Initially, these lesions were tentatively classified as well-differentiated fibrosarcomas. His seminal observation
The congenital perineal groove: Defective recognition of a dermal defect
By Warren R. Heymann, MD ... Feb. 28, 2018 ... It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features: (1) a wet groove in the midperineum between the fourchette and the anus; (2) normal formation of
August 3, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 3, 2022 ... Dutasteride microinjections with oral minoxidil vs. oral minoxidil for androgenetic alopecia DermWorld Insights and Inquiries : Infantile digital fibromatosis – Inclusions and exclusions CMS outlines payment changes
The doctor will see you...soon?
Facts at your Fingertips ... By Emily Margosian, assistant editor, July 1, 2019 As efforts to improve access to dermatologic care remain ongoing (Read ... Dermatology World ’s 2017 feature "Access Granted" at ... www.aad.org/dw/monthly/2017/october/access-granted for strategies to broaden patient access), how long can the average patient expect to wait
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,
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
By Warren R. Heymann, MD January 27, 2021 Vol. 3, No. 4 Field therapy is a cornerstone of actinic keratosis (AK) management. Two years ago, a ... New England Journal of Medicine article demonstrated that 5-fluorouracil (5-FU) was the best among inadequate therapies (compared to imiquimod, MAL-PDT, and ingenol mebutate).
Clinical information
1. How contagious is measles? ... Measles is a highly contagious virus, much more contagious than the common cold and even more contagious than other outbreaks like smallpox or Ebola. ... 1 ... Measles is potentially transmissible even after brief exposures and at distances up to 30 meters. ... 2
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,
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
Help needed
As rural America seeks dermatologists, increasing rural residency tracks may steer them there. ... Feature ... By Ruth Carol, Contributing Writer, May 1, 2023 Looking to treat grateful patients who present with a mix of diverse and challenging cases? Hoping to offer training opportunities for dermatology residents? Willing to work
April 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 3, 2024 ... Safety of DEET insect repellent in children: Do the natural alternatives work? DermWorld Insights and Inquiries : Hair straightening and acute renal injury — The latest data
Primary sclerosing cholangitis associated with pyostomatitis vegetans and pyodermatitis vegetans: A potentially bilious situation
By Warren R. Heymann, MD Aug. 29, 2016 Inflammatory bowel disease may be associated with multiple cutaneous manifestations including pyoderma gangrenosum (PG), erythema nodosum, or directly by fistulae or "metastatic" Crohn disease. Seven cases of pyostomatitis vegetans-pyodermatitis vegetans (PSV-PDV) were reviewed. All 7 patients had inflammatory bowel disease (IBD) —
AAD | Prior Authorization’s Impact on Dermatologists
The Academy surveyed dermatology practices on prior authorization in 2020, breaking out those working at a solo practice, dermatology group, academic medical center, or a multi-specialty group. The findings show that prior authorizations are a significant burden. ... The Academy surveyed dermatology practices in 2020. Did you know? ... Dermatologists
Practice types in dermatology
Dermatologists can choose from a diversity of practice types, from independent to group and institutional. Each of these practice types comes with trade-offs between between autonomy and support, benefits and risks. There are also new practice models, meant to improve value and contain costs. Use the AAD resources below to
How can I use DataDerm to report for MIPS?
Asked and Answered ... November 29, 2018 DataDerm™ can help you report for all three MIPS categories in 2018: ... Quality Promoting interoperability (PI) Improvement activities (IA) Here’s how to get started: ... 1. Step one: Sign up. ... Complete the sign-up portal at ... https://dataderm.aad.org/signup/Login.aspx by ... Dec. 7,
A point to make about punctate, pigmented, and verrucous papillomatosis
By Warren R. Heymann, MD July 25, 2016 What is your mental image of the Gougerot-Carteaud (GC) syndrome? I equate it with confluent and reticulated papillomatosis, presenting on the trunk with hyperpigmented minimally raised plaques. The KOH examination is negative and there is a quick, characteristic response to antibiotics such
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
February 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 3, 2021 ... How effective are oral hair growth supplements? DermWorld Insights and Inquiries : Going green — The complexities of the green nail syndrome A practical guide for managing
September 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 2, 2020 ... What role can dermatologists play in developing a COVID-19 vaccine? DW Insights and Inquiries : Dermatopathology’s taste of honey Non-discrimination protections change under ACA Skin of color
Develop a nose for suspecting angiosarcoma
Angiosarcoma histopathology. Anastomosing dilated vessels, lined by crowded endothelial cells, extend between pre-existing collagen bundles. (Hematoxylin-eosin-saffron stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Nov. 12, 2018 Occasionally I read an article that disturbs me, because I know that I would miss the diagnosis, with
Homing in on hornerin: Breaking down the barrier to understand its crucial role in atopic dermatitis
By Warren R. Heymann, MD, FAAD Oct. 16, 2024 Vol. 6, No. 42 Atopic dermatitis (AD) is characterized by skin barrier dysfunction, inflammation, and chronic pruritus. The etiology of AD, however, is complicated and incompletely understood, with genetic, environmental (soaps, surfactants, stress), and immunological factors causing skin barrier abnormalities and
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
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
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 —
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
Methotrexate toxicity: What’s in a name?
By Warren R. Heymann, MD Aug. 24, 2017 Methotrexate-induced skin toxicity: photographs of 4 illustrative cases. A, Erosions in psoriatic plaques over the torso (patient 1). B and C, Ulcerated and reticulated psoriatic plaques over the arms (patient 2). D, Small shallow cutaneous erosions (patient 4). E, Mucosal erosions over
Dermatology practice staff by the numbers
Facts at your Fingertips ... By Emily Margosian, July 2, 2018 Nurses, aestheticians, billers — who’s most likely to be spotted working in the average dermatology practice? Aside from dermatologists, medical assistants and practice administrators are the most widely employed across all practice settings, according the 2017 AAD Practice Profile
How can I get a receipt for payments made to the Academy?
Asked and Answered ... March 1, 2020 For all Academy-related payments — membership dues, past orders, a subscription to ... Dialogues in Dermatology — AAD members can access their receipts as follows: ... 1. Visit ... www.aad.org/members 2. Sign in to your member profile ... 3. Click the "Account" tab
Obituaries
Obituaries ... By Jerry Graff, MD, December 1, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... MARGARET C. DOUGLASS, MD, of Beverly Hills, Michigan, May 29, 2019, at age 75. Trained in dermatology at University of Chicago and practiced
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
Teatime for radiation dermatitis (and beyond)
By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a
Digging deeper into lupus erythematosus panniculitis
By Warren Heymann, MD May 5, 2021 Vol. 3, No. 18 Lupus erythematosus panniculitis (aka lupus erythematosus profundus, LEP) has a storied history. The famed clinician Harry Arnold noted that Kaposi (when he was Kohn) observed nodules in patients with lupus. (1) Debates and controversies ensued for decades, with many
Applying the 2021 E/M coding concepts in everyday practice – Part 3
Part three of the AADA’s clinical vignettes focuses on the application of the more challenging concepts related to the review and analysis of data in the AMA Medical Decision-Making table. Understanding the application of these concepts will assist you in determining when data may impact the level of service provided.
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
LIDA* rose the insulin requirement
By Warren R. Heymann, MD April 14, 2021 Vol. 3, No. 15 * Localized insulin-derived amyloidosis ... Amyloidosis, I thought I knew ye. But alas, you fooled me again. ... Amyloid is an insoluble protein folded in ... β -pleated sheets that is deposited extracellularly. Amyloid can accumulate in one
In the event of an emergency: Be prepared
Answers in Practice ... By Emily Margosian, Assistant Editor, January 1, 2024 DermWorld ... talks to Kevin Crawford, MD, FAAD, from Forefront Dermatology in Seymour, Indiana, about office preparedness planning for emergency events. DermWorld: Tell us about your practice. Dr. Crawford: I practice medicine in the state of Indiana and
Biopsy coding in 2019: Part 3
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, January 1, 2019 Test your knowledge: Biopsy coding in 2019 — Part 3 ... Take the quiz to see
Striving for hard facts about water softening in atopic dermatitis
By Warren R. Heymann, MD, FAAD Aug. 18, 2021 Vol. 3, No. 33 With the success of dupilumab in managing atopic dermatitis (AD), and new agents on the horizon (IL-13 inhibitors lebrikizumab and tralokinumab; the IL-31 inhibitor nemolizumab; targeted anti IL-17, IL-22, and TSLP inhibitors; JAK inhibitors; and the PDE4
Changing a long-standing habit
By Warren R. Heymann, MD April 16, 2016 Topical corticosteroid has no influence has no influence on inflammation or efficacy after ingenol mebutate treatment of grade I to III actinic keratosis (AK): A randomized clinical trial. ... This is a randomized controlled clinical trial of patients with multiple AK and
AAD | Best Practices for Prior Authorization
Top strategies for prior authorization ... 1. The process of prior authorizations can be painful. Accept that it will take time. ... 2. Assign a dedicated staff member (such as a medical assistant) to handle prior authorization requests, so as a dermatologist, you have more time with patients and more
Paradoxical biological reactions and Grandma Dora’s waterbed
By Warren R. Heymann, MD January 22, 2020 Vol. 2, No. 3 My late maternal grandmother Dora — a real ... balabusta (Yiddish for "mistress of the house") — was the first person I knew to get a waterbed. That raised eyebrows, until I explained that it comforted her octogenarian
Move over Lues: Graft-versus-host disease is the new mimicker king
By Warren R. Heymann, MD May 9, 2016 I have always been intrigued by graft-versus-host disease (GVH). I first learned of the disorder in my college immunology course when it was referred to as a cause of "runting syndrome" in mice. ... In the context of transplant recipients, classical features
Incident to: Old wine in modern bottles
Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., March 1, 2021 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Alice G. Gosfield, Esq., is a health care attorney
Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —
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,
How can I get involved with this year’s Legislative Conference?
Asked and Answered ... July 1, 2024 The 2024 AADA Legislative Conference will take place Sept. 8-10, at the JW Marriot in Washington, D.C. ... Attending the conference is as easy as 1, 2, 3. You can expect: ... Two days of networking and learning from political experts about the
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 28, 2020 Vol. 2, No. 43 How often do you perform an oral examination? If you’re like me, probably only under two circumstances — when the patient has specific complaints (soreness, a raised lesion, or a discoloration noted by their dentist), or when we
How can I get involved with this year’s Legislative Conference?
Asked and Answered ... July 1, 2023 The 2023 AADA Legislative Conference will take place Sept. 10-12, at the Conrad Hotel, in Washington, D.C. ... Attending the conference is as easy as 1, 2, 3. You can expect: ... Two days of networking and learning from political experts about the
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
Excludes notes
ICD-10 Excludes notes: In a nutshell ... ICD-10-CM codes include two sets of exclusions. ... Excludes 1 exclusions indicate when two codes cannot be billed at the same time. ... Excludes 2 exclusions indicate that the codes are separately billable. ... Excludes 1 Note ... Within the ICD-10-CM manual, you
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
2026 AADA Legislative Conference
Join your peers at the 2026 AADA Legislative Conference and tell Congress to reform Medicare physician payment, the Academy’s sole Federal congressional advocacy priority. ... This activity has been approved for ... AMA PRA Category 1 Credit™ What to expect ... Attending the 2026 AADA Legislative Conference is as easy
3 ways to promote skin cancer awareness this month
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... May is Skin Cancer Awareness Month, and all month long the AAD is asking Americans "Do You Use Protection?" and encouraging the public to "practice safe sun." Use the Academy’s new SPOT Skin Cancer™ resources
Appropriate Documentation and Shared Decision Making of AK — QCDR measure AAD 21
Actinic Keratosis: Appropriate Documentation and Shared Decision Making of AK ... DESCRIPTION: Percentage of adult patients (18 years old and older) diagnosed with Actinic Keratosis (AK) whose healthcare provider has recorded the following information in the patient’s medical record 1) documentation of the number or range of AKs, 2) location(s)
Retaining the right staff
Answers in Practice ... By Megan Bennett, Staff Writer, May 1, 2026 DermWorld ... talks with Cyndi Yag-Howard, MD, FAAD, of Yag-Howard Cosmetic Dermatology in Naples, Florida, about staff retention strategies. DermWorld: Tell us about your practice. Dr. Yag-Howard: I started my practice nearly 30 years ago in Naples, Florida,
How to maintain your EHR
Dealing with your EHR can be cumbersome, but follow these tips to optimize your EHR and make your use more efficient. ... 1. Connect leadership and EHR users ... Boosts provider satisfaction long-term and reduces slowdown. ... 2. Enhance hardware and built-environment solutions ... Implement side-by-side seating for physicians, clinical
November 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 3, 2021 ... Facial contact dermatitis from cosmetic allergens DermWorld Insights and Inquiries : Humbled again — Alopecic and aseptic nodules of the scalp Derm Coding Consult : Applying 2021
I don’t know JAK — but I will! Ruxolitinib improving chilblain lupus erythematosus
By Warren R. Heymann, MD May 31, 2016 The JAK inhibitors are among the current darlings of treating autoimmune diseases. Recent articles about tofacitinib for vitiligo (1) and alopecia areata (2) have been reported in the lay press with considerable fanfare. ... Ruxolitinib (Jakafi) is indicated for treating intermediate to
New evaluation and management (E/M) coding changes are coming in 2021 – Practical applications of the 2021 E/M coding changes
Selecting the E/M level of service ... Part 3 of the "E/M coding changes are coming in 2021" series will focus on the practical application of the changes to dermatology-specific encounters based on ... medical decision making (MDM) or ... time . (Review ... part 1 and ... part 2
Lagging ahead: LAG-3 checkpoint inhibition for advanced melanoma
By Warren R. Heymann, MD, FAAD May 11, 2022 Vol. 4, No. 19 Checkpoint inhibition has revolutionized the treatment of advanced melanoma over the past decade, beginning with the release of the anti-CTLA4 checkpoint inhibitor ipilimumab (Yervoy). This was followed by the development of the anti-PD-1 inhibitors pembrolizumab (Keytruda) and
May 3, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 3, 2023 ... Oral oxybutyloride for hidradenitis suppurativa patients? DermWorld Insights and Inquiries : Necrobiosis lipoidica in a Wink Exposure to anesthesia and alopecia areata Do study authors accurately report
Practical steps to an environmentally friendly office
Answers in Practice ... By Emily Margosian, assistant editor, March 1, 2021 DermWorld ... talks to David Fivenson, MD, — founder of Fivenson Dermatology in Ann Arbor, Michigan — about steps his practice has taken to reduce its carbon footprint. DermWorld: Tell us about your practice. Dr. Fivenson: I’ve been
What every dermatologist should know about practice finances
Dermatology is one of the most financially rewarding medical specialties but understanding how the money side of medicine works is what separates financially confident physicians from those who feel behind. Whether you’re an employed dermatologist, a partner, an academic, or a solo owner, you need more than medical knowledge. You
June 2, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 2, 2021 ... Acne and enthesitis: Is there an association? DermWorld Insights and Inquiries : Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod Derm Coding Consult : Applying
September 3, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 3, 2025 ... Comparison of botulinum toxin A formulations for treating glabellar strain DermWorld Insights and Inquiries : Trichobacteriosis — A salute to the Shelleys Academy mourns the passing of
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
March 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 2, 2022 ... Biotin beware: Physician, patient knowledge about lab interference DermWorld Insights and Inquiries : The rhythm of RIME Infections in children treated with dupilumab Cutaneous adverse events are
Expanding your cosmetic services
In Practice ... Beth Santmyire-Rosenberger, MD, PhD, is the owner of Appalachian Spring Dermatology, PLLC, in Fairmont, West Virginia. ... By Victoria Houghton, managing editor, May 1, 2019 Dermatology World talks with Beth Santmyire-Rosenberger, MD, PhD, from Appalachian Spring Dermatology, PLLC, in Fairmont, West Virginia, about how to expand the
Practicing with a purpose
Answers in Practice ... By Emily Margosian, assistant editor, September 1, 2021 DermWorld ... talks to Vinh Chung, MD, FAAD, from Vanguard Skin Specialists in Colorado Springs, Colorado, about the value of promoting meaning and purpose at work. DermWorld: Tell us about your practice. Dr. Chung: Vanguard started out with
Components of evaluation and management 2
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 1, 2018 Test your knowledge: Components of evaluation and management 2 ... Take the quiz to see if
Evaluation and management in 2021: Part 3
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, November 1, 2020 Test your knowledge: Evaluation and management in 2021: Part 3 ... Take the quiz to see
June 3, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 3, 2020 ... COVID-19 and androgenetic alopecia: Is there a link? DW Insights and Inquiries : Clear cell papulosis — Clearly distinctive, clearly underrecognized Register for the Academy’s virtual meeting
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
CPT 2018: What's new, part 2
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, January 1, 2018 Test your knowledge – CPT 2018: What's new, part 2 ... Take the quiz to see
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,
August 2, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 2, 2023 ... Isotretinoin for seborrheic dermatitis: A review DermWorld Insights and Inquiries : Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr.,
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
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
February 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 2, 2022 ... A high-fiber diet may affect immunotherapy response for melanoma patients DermWorld Insights and Inquiries : An old dog with a new trick — High dose intralesional steroids
November 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 2, 2022 ... Factors that influence platelet rich plasma efficacy in androgenetic alopecia DermWorld Insights and Inquiries : Lipodystrophia semicircularis — A lipoatrophy not to get depressed about Underlying conditions
October 2, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2024 ... Risk of IBD in patients receiving isotretinoin DermWorld Insights and Inquiries : The pregnant pause in cutaneous lymphoma Hydroxychloroquine in patients with lichen sclerosus Abrocitinib vs. dupilumab
Advocacy Update Feb 3, 2026
IN THIS ISSUE / Feb. 3, 2026 Dermatologists urged Washington state to support truth in advertising Humana corrects destruction code denials Academy asks CMS to reduce regulatory burdens on dermatology Contribute to SkinPAC Truth in Advertising Dermatologists urged Washington state to support truth in advertising ... The AADA ... urged
The concept of atrophoderma of pasini and pierini as morphea may be falling off a cliff
By Warren R. Heymann, MD Nov. 6, 2017 ... Clinical photos of idiopathic atrophoderma of Pierini and Pasini. ... Credit: ... JAAD Diagnosing Atrophoderma of Pasini and Pierini (APP) is reasonably straightforward — it usually presents in adolescents and young adults, more often in females, with sharply defined, single or
Intermediate and complex repairs 2020: Part 2
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, November 1, 2019 Intermediate and complex repairs 2020: Part 2 ... Take the quiz to see if you're up
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
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
Tofacitinib for adolescent alopecia areata: Balancing the risk-benefit ratio
By Warren R. Heymann, MD Jan. 17, 2017 Alopecia areata with patient 4 after 2 months of treatment with 2% tofacitinib in VersaBase cream (A) and after 6 months of treatment with 2% tofacitinib in liposomal base (B). ... Credit: ... JAAD There has been acute interest in utilizing Janus
Advocacy Update March 3, 2026
IN THIS ISSUE / March 3, 2026 Dermatology pursues immediate CMS action, LCD reconsideration on SRT training AADA, NY dermatologists oppose lab director requirements Watch your inbox for an important AADA RUC survey AADA presents at FDA’s annual compounding listening session Dermatologists urge support for Rhode Island step therapy reform
As molecular knowledge of PROS expands, lesions contract
By Warren R. Heymann, MD April 19, 2018 PIK3CA patient showing hemifacial hypertrophy. ... Credit: ... JAAD Somatic activating mutations in the phosphatidylinositol-3-kinase/AKT/mTOR pathway manifest as heterogeneous segmental overgrowth phenotypes Historically, the clinical diagnoses in patients with PIK3CA activating mutations have included Fibroadipose Hyperplasia or Overgrowth (FAO), Hemihyperplasia Multiple Lipomatosis
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
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
The evolution of practice settings
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, April 2, 2018 In my ... introductory column as your Academy President, I addressed the many changes facing dermatology and medicine. Over time we have found ourselves adapting to
Cimetidine offers a ray of sunshine for patients With erythropoietic protoporphyria
By Warren R. Heymann, MD Nov. 16, 2016 Only once in a great while an article makes me want to break into my happy dance — the report of 3 pediatric cases of erythropoietic protoporhyria (EPP) by Tu et al had that effect. Recently, I ran a post on EPP
Being there
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DW Weekly talked to Diana Bartenstein, MD, a PGY-2 dermatology resident at Massachusetts General Hospital, about her work as a responding clinician on an inpatient COVID-19 ward. For too many COVID-19 patients, the end has
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
Topical crisaborole ointment for atopic dermatitis: Hoping for a painless introduction
By Warren R. Heymann, MD Aug. 13, 2016 Any dermatologist who treats atopic dermatitis (AD) must be eagerly awaiting the introduction of 2% Crisaborole ointment. This is equally true for patients (and their parents!) who are steroid-phobic and uncomfortable with the black box warning for calcineurin inhibitors (despite our reassurances).
AADA advocates for innovative teledermatology policies and programs
While 85 million Americans are impacted by skin disease, only 1 in 3 patients will see a dermatologist. The Academy believes that teledermatology is a powerful tool for increasing patient access to needed dermatologic care. ... The Academy advocates for innovative teledermatology policies and programs that increase access to care
June 5
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 5, 2019 ... Self-injection of black market dermal fillers poses health concern DW Insights and Inquiries : Stress 2 ... + Hormones 2 ... = Acne 2 ... CMS/NCCI announce
CMS creates permanent drug code for treating molluscum contagiosum
Last updated: March 5, 2026 ... CMS has created a permanent drug code, J7354, for cantharidin, a drug used to treat molluscum contagiosum in adult and pediatric patients 2 years and older. The new J-code became effective on April 1, 2024. ... Cantharidin is the first ... FDA-approved topical treatment
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
April 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2019 ... Having trouble accessing compounded quinacrine tablets? Here’s why. DW Insights and Inquiries : A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Lessons
Cannabinoids may elevate therapy for connective tissue diseases to a higher level
By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of
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
Psoriasiform eruptions during Kawasaki disease (KD): A prognosis that lets the good times roll
By Warren R. Heymann, MD June 27, 2016 Psoriasiform skin changes have been rarely described in the literature in both acute (1-4 weeks) and convalescent phases (4-12 weeks) of KD (1). ... Haddock et al, in their review of 870 cases of KD, identified 11 patients with a psoriasiform eruption
July 31, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 31, 2024 ... Does an increase in omega-3 fatty acids improve acne? DermWorld Insights and Inquiries : Which treatment modality of pyogenic granuloma is worth its weight in salt? Is
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
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
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
Skin conditions by the numbers
Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A
May 1
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2019 ... FDA approves two new psoriasis treatments ... DW Insights and Inquiries : When assessing morbilliform eruptions think about morbilli (measles)! We want your feedback: Draft psoriasis guidelines
Hidradenitis suppurativa and socioeconomic status: Food for thought (and benefit)
By Warren R. Heymann, MD ... Oct. 2, 2016 ... We see many patients with hidradenitis suppurativa (HS), especially in our Camden practice. I am certainly not surprised by the well-documented comorbidities of obesity and smoking (1), which may play a role in the pathogenesis of the disease. While
Advocating for you — Preventing Medicare cuts
Persistence keeps Medicare cuts at bay ... Medicare is front and center again as we build on last year’s win, successfully fending off physician payment cuts due to the Medicare sequester during the COVID-19 public health emergency. After the moratorium on the regular 2% Medicare payment cuts was extended through
Stress^2 + Hormones^2 = Acne^2
By Warren R. Heymann, MD June 5, 2019 Vol. 1, Issue 13 I would wager that every human being has experienced at least one pimple attributed to stress. I recall a devastatingly embarrassing moment during 10th grade world history class at Martin Van Buren High School (Queens, New York), when
Working up pernio: How far should you dip your toe in the water?
By David A. Wetter, MD May 6, 2020 Vol. 2, No. 18 Dermatologists are rapidly becoming reacquainted with pernio (chilblains), given the increasing reports of pernio-like acral eruptions (and other dermatologic manifestations) occurring in association with COVID-19. (1, 2) This raises an important clinical question: under normal (non-COVID-19) circumstances, what
Itching to see if polymerase chain reaction mite be the future of diagnosing scabies
By Warren R. Heymann, MD January 6, 2021 Vol. 3, No. 1 The scourge of scabies has been plaguing mankind for millennia. The causal relationship of the itch mite causing scabies was discovered by Bonomo and Cestoni in 1687, earning the distinction of being the first to discover a proven
June
Issue ... June January February March April May June View digital flipbook In this issue ... From the Editor ... Dermatology is bustin’ out all over What’s hot ... This month’s news from across the specialty DermWorld Insights and Inquiries ... A potential roadMAP for treating malignant atrophic papulosis Feature
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
AAD letter to the New York Times in response to “3 Medical Routines that Older People May Not Need”
American Academy of Dermatology President Murad Alam, MD, MSCI, MBA, FAAD Letter to the editor originally submitted to the New York Times ... on May 4, 2026 ROSEMONT, Ill. (May 4, 2026) — 3 Medical Routines that Older People May Not Need , by Paula Span, imprudently suggests that patients
Thoughts on hyaluronidase and The House of God
By Warren R. Heymann, MD January 15, 2020 Vol. 2, No. 2 I was reminiscing about my internship at Bellevue-NYU forty years ago after reading Stephen Bergman’s (pseudonym Samuel Shem) reflections on the fortieth anniversary of his irreverent, but hilariously accurate, ... The House of God — a portrayal of
Eye-opening news about oxymetazoline
By Warren R. Heymann, MD, FAAD April 27, 2022 Vol. 4, No. 17 Certain articles have a "wow" factor that immediately impacts practice. In 2007, I recall being impressed by the 2 cases of erythematotelangiectatic rosacea reported by Shanler and Ondo that dramatically improved with the application of oxymetazoline hydrochloride
Diagnosing pyoderma gangrenosum? Consider cocaine/levamisole as a potential culprit!
By Warren R. Heymann, MD May 1, 2016 The authors presented 8 patients with PG following exposure to levamisole-contaminated cocaine. All patients had lower extremity involvement, and 6 also had PG on the upper extremities. Retiform purpura was only observed in 3 patients. Most had elevated titers for p-ANCA and
AAD Event Advertising: Annual Meeting
The Academy's Annual scientific meeting offers unprecedented access to thousands of dermatologists attending high-profile continuing medical education events. ... For exhibitors looking to promote their products and services, build booth traffic, and facilitate face-to-face discussions, the Academy offers a wide selection of high-impact advertising opportunities. Look here for advertising opportunities
Becoming pro-geriatric by understanding progeria
By Warren R. Heymann, MD Aug. 13, 2018 A fifteen-year-old boy with Hutchinson-Gilford progeria syndrome. ... Credit: ... JAAD I have never seen a case of Hutchinson-Gilford progeria syndrome (HGPS). You probably haven’t either, given its incidence of 1 in 4 million. Why comment on a disease that will likely
November 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 18, 2020 ... Hydrogen peroxide and the common wart: Phase 2 results are in DermWorld Insights and Inquiries : Granulomatous slack skin — More than one type of mimicry FDA
Digital media kit: DermWorld rate card
DermWorld print rates ... Download a PDF of the 2026 DermWorld print rate card. Download a PDF of the DermWorld print specifications . ... BW ... 1x ... 6x ... 12x ... 24x ... 36x ... Full page ... $3,185 ... $3,015 ... $2,760 ... $2,440 ... $2,350 ... Full
April 7, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 7, 2021 ... Applying 2021 E/M coding concepts in everyday practice – Part 2 DermWorld Insights and Inquiries : Keeping an eye on melanoma AAD collaborates with OM1 to enhance
What are the effects of nemolizumab treatment in prurigo nodularis patients?
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, July 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Shawn
Can oral ivermectin cure pediatric periorificial dermatitis? It mite!
By Warren R. Heymann, MD March 5, 2017 A 13-year-old boy with severe rosacea before (A) and 1 month (B) and 4 months (C) after receiving oral therapy with a single dose of 250 μg/kg ivermectin (case 3). Note the facial desquamation after the first weeks of therapy, not attributable
The profound dermatological manifestations of COVID-19: Part III
By Warren R. Heymann, MD April 8, 2020 Vol. 2, No. 14 Disclaimers: This commentary was written on April 5, 2020 for a publication date of April 8, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer
MUE, MAI, and you
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 3, 2019 Test your knowledge: MUE, MAI, and you ... Take the quiz to see if you're up
The alphabetization of lymphomatoid papulosis: Focus on “F”
By Warren R. Heymann, MD April 3, 2017 Follicular lymphomatoid papulosis. Recurrent papulonodular lesions on face (A to C). Patient had similar lesions on extremities. ... Credit: ... JAAD Seven years ago, today (April 3rd, 2010) my wife purchased an iPad on its inaugural release date. The only choices to
Of strife and SDRIFE
By Warren R. Heymann, MD May 17, 2017 Patient 3. SDRIFE. Frontal view (A) and right lateral view (B) with erythema and blanching papules coalescing into plaques with vesicles on back, abdomen, and bilateral inframammary and inguinal folds. ... Credit: ... JAAD A conceivable Yelp review: I was so uncomfortable
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
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Psoriasis: Improvement in Patient-Reported Itch Severity — Measure 485
Psoriasis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of psoriasis where at an initial (index) visit have a patient reported itch severity assessment performed, score greater than or equal to 4, and who achieve a score reduction of
Dermatitis: Improvement in Patient-Reported Itch Severity — Measure 486
Dermatitis: Improvement in Patient-Reported Itch Severity ... DESCRIPTION: The percentage of patients, aged 8 years and older, with a diagnosis of dermatitis where at an initial (index) visit have a patient reported itch severity assessments performed, score greater than or equal to 4, and who achieve a score reduction of
Impact Report — Vol 3, Issue 2
Seen, heard, valued. The AAD/A ... Impact Report isn’t just a chronicle of Academy wins for our members (although it is ... that, too), it’s an ongoing confirmation that we are listening to you, responding to your needs, and giving you the tools you require to grow in your profession.
Impact Report — Vol 3, Issue 2
Seen, heard, valued. It all adds up. Whether it’s advocating for you on the Hill, supplementing our coding resources, positioning the specialty, or enhancing and adding to your member benefits, it all builds something bigger and stronger for dermatology. ... Read about our most current advocacy efforts, specialty positioning initiatives,
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
Angiosarcomas and morbid obesity: An enormous problem
By Warren R. Heymann, MD Feb. 26, 2017 Localized lymphedema. A, Case 7 showed many polypoid lesions that varied in size and were localized throughout the vulva, pubis, and perineum. B, Case 9 showed multiple small polypoid lesions with cauliflower-like morphology in the penis and scrotum. C, Case 3 showed
The pressure to prevent pressure ulcers
By Warren R. Heymann, MD, FAAD Aug. 24, 2022 Vol. 4, No. 34 Pressure ulcers (PUs, aka decubitus ulcers, pressure sores, bed sores) are due to prolonged pressure, characteristically over bony prominences such as the sacrum, occiput, ischial tuberosities, greater trochanters, heels, and lateral malleoli. (1,2) Interestingly, in the COVID-19
Selectivity and the choice of beta-blockers for infantile hemangiomas
By Warren R. Heymann, MD Sept. 11, 2017 Clinical evolution of an infantile ulcerated hemangioma on upper lip of patient 7. Clinical appearance: Before starting propranolol (A); after 12 months of follow-up (3 months of treatment) (B). ... Credit: ... JAAD Has there ever been a more radical change in
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
One less headache to worry about: Using Isotretinoin in patients with a history of pseudotumor cerebri
By Warren R. Heymann, MD May 13, 2016 I have been prescribing isotretinoin since it was first introduced over thirty years ago, having encountered just a few patients with truly suspect pseudotumor cerebri (PTC). This was manifested by severe headaches and papilledema on ophthalmologic examination. Considering discretion the better part
Collodion babies and endocrine disorders: Another concern
By Warren R. Heymann, MD June 23, 2017 Collodion baby. Tight, shiny film or dried collodion reminiscent of the skin of a sausage covers the entire surface of this 2-day-old neonate whose mother was treated with infliximab throughout her pregnancy. ... Credit: ... JAAD Collodion baby (CB) describes an infant
An encapsulation of palisaded encapsulated neuromas
By Warren R. Heymann, MD, FAAD Jan. 22, 2025 Vol. 7, No. 3 You know the drill — a patient presents with a solitary, slowly enlarging, dome-shaped, non-pigmented painless facial papule and asks, "Is it skin cancer?" Your clinical and dermoscopic examinations are not definitive, so you respond with uncertainty,
Evaluation and management: Selecting the codes
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, September 3, 2018 You have evaluated a patient, and now it is time to select an appropriate level of
Progress in pemphigus: Solidifying rituximab’s role
By Warren R. Heymann, MD, FAAD July 7, 2021 Vol. 3, No. 27 "Now what do I do?" ... That question, asked by dermatologists every day about patients who are not responding to therapy, was posed in the preface of the first (and every subsequent) edition of ... Treatment of
Vitamin C as treatment of basal cell carcinoma: Is it fruitful?
By Warren R. Heymann, MD ... July 3, 2016 ... For those of us who learned that taking mega dose vitamin C for the common cold, as advocated by the late Nobel Laureate Linus Pauling, was truly something to sneeze at, I always approach studies lauding the effects of nutrient-based
What is the status of MAC implementation of the NCCI new procedure to procedure edits for the new biopsy codes?
Asked and Answered ... August 1, 2019 As of July 1, 2019, service modifiers 59 and XE, XS, XP, and XU may be appended to either Column 1 or Column 2 codes in the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits table, when appropriate. On March 29, the Centers
Sun safety
Key messages ... At least one in five Americans will develop skin cancer during their lifetime. (1,2) ... Sun exposure is the most preventable risk factor for skin cancer, including melanoma, the deadliest form of skin cancer. (3-6) ... To protect your skin from the sun, seek shade, wear protective
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
Become a Corporate Partner of the AAD
Partner with the trusted voice in dermatology ... With a membership of more than 20,500 physicians worldwide, the AAD is the largest, most influential, and representative dermatology group in the United States. Founded in 1938, the AAD is a 501(c)3 nonprofit organization dedicated to promoting leadership in dermatology and excellence
Seeing red with dupilumab
By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used
Happy 4th of July from DI&I
By Warren R. Heymann, MD July 3, 2018 George Washington contracted smallpox when he was 19 years old. Although he nearly succumbed to the disease, he survived with pockmark scars and life-long immunity. (1) He and other founders recognized the severity of smallpox and its threat to their independence and
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
Taking woolly hair to heart
By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch
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
APACHE no more
By Warren R. Heymann, MD Dec. 4, 2017 ... A, Dark red, linear plaque on posterior area of right lower leg. B, Slightly raised, scaly, undulating lesion measuring 50 × 12 mm. ... Credit: ... JAAD This commentary is about being DC (Dermatologically Correct), not PC (Politically Correct as in
Lipschütz ulcers: Not only for women
By Warren R. Heymann, MD March 24, 2021 Vol. 3, No. 12 Superstar dermatologists do not throw softball questions to presenters at the Annual Meeting of the American Academy of Dermatology. A few years ago, following my presentation on the cutaneous manifestations of Epstein-Barr infection, Dr. Jeffrey Callen, one of
Alarming but benign: The enigma of acute hemorrhagic edema of infancy
By Warren R. Heymann, MD, FAAD Sept. 8, 2021 Vol. 3, No. 36 "The patient, a fat baby thriving on its mother’s milk, was suddenly attacked by purpura, urticaria and localized edema, lasting about ten days. There were only systemic symptoms from the result of pain. At first the bowels
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
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
A cold abscess remains a cold case: Multiple neonatal staphylococcal cold abscesses of the large folds
By Warren R. Heymann, MD, FAAD Jan. 17, 2024 Vol. 6, No. 3 Graduating residents will usually ask me for parting words of wisdom. If I had to choose one morsel of advice, it would be to read and study throughout their career. I still marvel at reports of entities
Moving the needle: Medicare physician payment
Advocacy News Roundup ... By Victoria Houghton, managing editor, July 1, 2021 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. For several years, physicians have endured a 2% Medicare payment reduction as part of sequestration — a component
August 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 28, 2019 ... Dupilumab shows positive results for younger atopic dermatitis patients DW Insights and Inquiries : Finding joy in pediatric phototherapy FDA, UMD seek feedback on compounded drug use
2023 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as 2022 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments of
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,
Trichobacteriosis: A salute to the Shelleys
By Warren R. Heymann, MD, FAAD Sept. 3, 2025 Vol. 7, No. 35 Indelible memories form in youth. I couldn’t wait to get my New York driver’s license — within a year of that milestone the 1973 oil embargo hit, and most drives were limited to the gas station to
Boards Fodder: Drugs and drug reactions
Select a title below to access the Boards Fodder PDF. ... NEW! UV radiation and sunscreen ... Access the PDF Advanced and immuno-therapies Adverse events from immune checkpoint inhibitors Biologics update 2019 Chemotherapy-specific cutaneous reactions Clinically relevant drug interactions in dermatology Drug interactions in dermatology, part 2 Disorders of hyperpigmentation
Intermediate and complex repairs 2020: Part 1
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2019 Test your knowledge: Intermediate and complex repairs 2020 — Part 1 ... Take the quiz to
Tofacitinib: A JAK inhibitor of all trades
By Warren R. Heymann, MD April 3, 2019 Vol. 1, No. 4 The Janus kinase inhibitors are taking the dermatologic therapeutic world by storm — at least in the literature. By now, most dermatologists are familiar with studies that have demonstrated efficacy in alopecia areata, vitiligo, psoriasis, psoriatic arthritis, and
Alopecia areata incognita in Cronkhite-Canada syndrome suggests an autoimmune etiology – and that’s the way it is.
By Warren R. Heymann, MD Sept. 14, 2017 Cronkhite–Canada syndrome. A, Onycholysis. B, Alopecia. ... Credit: ... JAAD I have always been intrigued by the mysterious nature of the Cronkhite-Canada syndrome (CCS) — although I have considered the disorder in my differential diagnosis, I have never seen a case. ...
Treating metastatic melanoma: Understanding a brave new world
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, April 2, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jane Grant-Kels, MD, and Daniel
Nanotechnology for topical cyclosporine: Not a small matter
By Warren R. Heymann, MD July 19, 2016 Taken at face value, the study by Kumar et al, demonstrating the efficacy of topical cyclosporine for psoriasis, utilizing liposomal nanocarriers (lipogel), might elicit a shrug, because in this randomized study, at 14 weeks, complete clearance of psoriasis was observed in 41%
Positively perplexing: Determining the meaning of CD30 positivity
By Warren R. Heymann, MD, FAAD Sept. 29, 2021 Vol. 3, No. 39 I’ll wager that most readers of DWI&I have experienced receiving a biopsy report, obtained from an inflammatory lesion, stating "scattered CD30+ cells were observed," accompanied by a comment that "clinicopathologic correlation is necessary to rule out the
How do I claim CME credits from the Annual Meeting?
Asked and Answered ... May 1, 2019 Your CME credits are just a few clicks away! ... To claim AAD meeting credits: ... Visit www.aad.org/evals , or select the CME/Evals icon on the AAD meeting app. If you do not have your registration code, email aadcme@aad.org . To begin claiming
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
Maximizing knowledge about infantile hemangioma with minimal or arrested growth
By Warren R. Heymann, MD Feb. 3, 2017 Areas affected by segmental infantile hemangioma (IH) and IH with minimal or arrested growth (IH-MAG) of the arms (A to E) with correlating arterial supply areas. ... Credit: ... JAAD Knowledge about hemangiomas is proliferating at a rate the compares with the
Skin cancer fact sheet
Incidence rates ... Skin cancer is the most common cancer in the United States. (1-3) ... Current estimates are that one in five Americans will develop skin cancer in their lifetime. (4) ... It is estimated that approximately 9,500 people in the U.S. are diagnosed with skin cancer every day.
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
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
Men in the Twilight Zoon
By Warren R. Heymann, MD February 19, 2020 Vol. 2, No. 7 It is a dimension as vast as space and as timeless as infinity. It is the middle ground between light and shadow, between science and superstition, and it lies between the pit of man's fears and the summit
Fighting detrimental Medicare payment cuts
As our top federal legislative priority, your Academy fought all year against Medicare payment cuts of 8.5% or more that were scheduled to begin on Jan. 1, 2023. ... As a result, in late December, President Biden signed into law an omnibus spending package that included partial relief from the
Keeping abreast of drug-induced cutaneous lupus
By Warren R. Heymann, MD, FAAD Aug. 4, 2021 Vol. 3, No. 31 Tom Hanks, as Commander Jim Lovell in the movie ... Apollo 13, lamented that the world was not watching their onboard video, compared to Neil Armstrong’s moon landing a year earlier. Reality dictates that the seminal breakthroughs
Tarrying for tapinarof
By Warren R. Heymann, MD, FAAD January 12, 2022 Vol. 4, No. 2 Today we held our first round of interviews for our dermatology residency program for 2023. Meeting dermatology resident applicants is a delight — they are brilliant, engaging, and a source of pride for our discipline. We started
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
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
Vitiligo, autoimmunity, and cancer?
By Warren R. Heymann, MD May 3, 2017 Disorders associated with autoimmune thyroid disease: systemic lupus erythematosus (A), progressive systemic sclerosis (B), bullous pemphigoid (C), pemphigus vulgaris (D), urticaria (E), and vitiligo (F). ... Credit: ... JAAD While attending the pre-AAD pediatric dermatology seminar in Orlando, I received a call
Spironolactone: An increasingly recognized hero in acne therapy
By David A. Wetter, MD July 1, 2020 Vol. 2, No. 26 In 1983, Bonnie Tyler released the catchy and powerful anthem, "Holding Out for a Hero." Emotion exudes from the lyrics: ... I need a hero I’m holding out for a hero ‘til the morning light He’s gotta be
Bowel-associated dermatosis-arthritis syndrome (BADAS): The story behind the acronym
By Warren R. Heymann, MD, FAAD March 30, 2022 Vol. 4, No. 13 Justifiably, the COVID-19 pandemic has focused the world’s attention, however, another global pandemic threatens us — obesity. According to the World Health Organization, in 2016, more than 1.9 billion people are overweight (BMI > 25) and 650
Getting to the heart of neonatal lupus erythematosus
By Warren R. Heymann, MD, FAAD July 21, 2021 Vol. 3, No. 29 I have found that rendering the diagnosis of neonatal lupus erythematosus (NLE) is fraught with emotional challenges. Not only are mothers concerned for their children, frequently they are unaware of the fact that they are also at
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
A shot in the dark
By Danielle M. DeHoratius, MD March 10, 2021 Vol. 3, No. 10 Danielle DeHoratius, MD ... For the past few Mondays, I have been asked to see the following "emergency" patients who called in with the diagnosis of cellulitis after the COVID-19 vaccination. Typically, these patients were seen in urgent
Sirolumus’s merit for the Kasabach-Merritt phenomenon
By Warren R. Heymann, MD Oct. 8, 2018 KHE patient after 15 months of sirolimus therapy. ... Credit: ... JAAD Thrombopenic purpura associated with benign hemangioma is rare. In fact, we have not been able to find a record of a combination of these two conditions in the medical literature.
Advocating for you — We prevented Medicare cuts in 2022
In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes with the evaluation and management (E/M) codes, sequestration, and the budget rules associated with the Pay-As-You-Go Act of 2010. The AADA focused on averting the steep cuts — looking for long-term solutions
A future therapeutic Harlequin Romance?
By Warren R. Heymann, MD Sept. 17, 2018 A neonate with harlequin ichthyosis on day 21 of life after 3 weeks of treatment with acitretin at 1 mg/kg/d. ... Credit: ... JAAD My fiancé Ronnie, then a pediatric resident, called me excitedly, asking for my opinion about a remarkable neonate
Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018
By Warren R. Heymann, MD July 16, 2018 ... A and B, Pityriasis lichenoides chronica–like drug eruption. The lower legs show several, 3- to 4-mm, red-brown, thin papules with centrally adherent micaceous scale and intermixed erosions. ... Credit: ... JAAD As a first-year dermatology resident in 1980, I struggled with
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
Nailing down the treatment for ungual melanoma in situ
By Adam Rubin, MD April 21, 2021 Vol. 3, No. 16 In the recent ... Dermatologic Surgery manuscript "Nail Unit Melanoma In Situ Treated with Mohs Micrographic Surgery" (1), Dr. Divya Srivastava and her colleagues at the University of Texas Southwestern Medical Center demonstrated the effectiveness of the combination of
Vitiligo and melanoma: New thoughts on an old observation
By Warren R. Heymann, MD Nov. 27, 2016 I was fortunate that as a resident and fellow I had marvelous attending physicians who would offer their pearls of wisdom. As it is impossible to study every dictum, I would (usually) accept these viewpoints as "facts" and incorporate them into practice.
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
DermWorld Weekly comparing efficacy of JAK inhibitors used in alopecia areata
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 22, 2023 ... Comparing efficacy of JAK inhibitors used in alopecia areata DermWorld Insights and Inquiries : Resorcinol’s resourcefulness in hidradenitis suppurativa Derm Coding Consult : CMS Targeted Probe and
Is ivermectin an old drug with new tricks?
By Temitayo Ogunleye, MD, FAAD Sept. 15, 2021 Vol. 3, No. 37 Most of us are familiar with the use of oral ivermectin in the setting of treating extensive or resistant scabetic or lice infestations, or more rarely (in the United States but very commonly globally) for conditions such as
Dermatomyositis oddities: Could one be responsible for the other?
By Warren R. Heymann, MD Sept. 19, 2016 So much about dermatomyositis (DM) has intrigued me since medical school. Over the years, I have probably read more about this disease than any other malady. I am always amazed how I much more there is to learn. ... There were two
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
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.
Biting my nails worrying about atypical presentations of nail unit melanomas
By Warren R. Heymann, MD March 27, 2019 Vol. 1, No. 3 I recently encountered a patient who expressed his disappointment in me, complaining that I was too slow to diagnose a lentigo maligna in a facial solar lentigo that we had been following. How could I miss a melanoma?
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,
Following up on “A Trend I Cannot Endorse”
By Warren R. Heymann, MD, FAAD Sept. 22, 2021 Vol. 3, No. 38 I admit defeat. ... For those of you who did not read " ... A Trend I Cannot Endorse ," which was published on Dermatology Insights and Inquiries (the forerunner of Dermatology World Insights and Inquiries), please
CareCredit
An AAD preferred provider since 2012, CareCredit is a health, wellness, and personal care credit card that helps patients fit dermatology care into their health care budget, with promotional financing options that allow them to pay over time. ... 1 ... CareCredit celebrates 35+ years of helping patients move forward
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
Covfefe and the art of the diagnostic deal
By Warren R. Heymann, MD June 2, 2017 Progressive nodular histiocytosis. A, Multiple papulonodular lesions over upper extremities and trunk. B, Leonine appearance for coalescing of lesions on face. ... Credit: ... JAAD I don’t know what’s more frightening — making diagnoses on autopilot or being genuinely stumped and having
AESOP: The ants and the grasshopper
By Warren R. Heymann, MD, FAAD Aug. 21, 2024 Vol. 6, No. 34 Unquestionably, AESOP ( ... A denopathy and ... E xtensive ... S kin patch ... O verlying a ... P lasmactyoma) is rare — to date, fewer than 25 cases have been reported. (1) Why write (or
Insult to injury: COVID-19-associated mucormycosis
By Warren Heymann, MD June 9, 2021 Vol. 3, No. 23 As America unmasks this Memorial Day, COVID-19 is ravaging India. The scenes of desperation stemming from the overwhelmed heath system, poverty, and funeral pyres are almost unfathomable. In the midst of the devastation, doctors in India have observed an
Topical minocycline for acne: A good Idea?
By Warren R. Heymann, MD May 28, 2016 Concerns about the safety of minocycline have been increasing over the past two decades, with rare, serious adverse immunologic reactions including DRESS syndrome, pneumonitis, nephritis, autoimmune hepatitis, and a lupus-like syndrome (1). There have been several reports of ANCA-positive polyarteritis nodosa (PAN)
Do not get burned by missing Staphylococcal scalded skin syndrome
By Warren Heymann, MD April 28, 2021 Vol. 3, No. 17 I would be surprised if any first-year dermatology resident could not differentiate Staphylococcal scalded skin syndrome (SSSS) from toxic epidermal necrolysis (TEN). What is straightforward now was a source of confusion for decades. The following is an elegant summation
Yeast rising: Predicting the efficacy of candida antigen immunotherapy for warts
By Warren R. Heymann, MD Oct. 2, 2017 ... Numerous flat warts (verrucae plana) seen on upper extremities of patient with epidermodysplasia verruciformis. ... Credit: ... JAAD Perhaps I’m paranoid, but I always think that warts are laughing at me, or at least at whatever I throw at them —
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
Keeping an eye on melanoma
By Warren R. Heymann, MD April 7, 2021 Vol. 3, No. 14 If your practice bears any resemblance to mine, a significant portion of your schedule is devoted to patients following up because of their history of melanoma. Prior to seeing the patient, our medical assistant runs through a focused
Bank of America - Practice Solutions
When you need financing for your dermatology practice, you want to work with someone who understands your industry. For over 25 years, Bank of America Practice Solutions has helped dermatologists across the nation reach their goals through smart financial solutions ... 1 ... and expert guidance. Whether you own a
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
When to see red in linear erythronychia — Malignant onychopapilloma
By Warren R. Heymann, MD, FAAD June 29, 2022 Vol. 4, No. 26 With every passing year, I take increasing comfort in the stability of the linear erythronychia of my left fifth digit. The presumed diagnosis of an onychopapilloma (OP) is very reassuring because every article I ever read about
Basic Dermatology Curriculum
The American Academy of Dermatology has a long history of involvement in medical student education. This curriculum was created by a work group of experienced dermatology educators and is based on the best available evidence. ... Note ... If this is the first time you are accessing the Academy's online
Striving to alleviate the physical and emotional scars of central centrifugal cicatricial alopecia
By Warren R. Heymann, MD November 4, 2020 Vol. 2, No. 44 More than half a century ago, Drs. Lopresti, Papa, and Kligman coined the term "hot comb alopecia," asserting: "The cause is unmistakable, namely the practice of straightening the hair with a hot comb…" (1). Now known as central
Allopurinol-induced adverse reactions: More than genetics
... By Warren R. Heymann, MD June 25, 2016 There are certain drugs that confer a high risk of severe cutaneous adverse reactions (SCAR) ranging from morbilliform drug eruptions, DRESS, Stevens-Johnson, to Toxic Epidermal Necrolysis. You know the usual suspects — anticonvulsive agents, sulfa drugs, other anti-infective agents, and
Yom Kippur and the physician payment Sunshine Act
By Warren R. Heymann, MD Oct. 9, 2016 Yom Kippur, the Jewish day of atonement, is upon us. It is Judaism’s most sacred holiday. It is a day of fasting and prayer to atone for sins of the past year. According to traditional teachings, a person’s fate is written in
Is there a best approach to widespread actinic keratoses?
By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but
Dermatology antibiotic prescription trends
Facts at your fingertips ... By Emily Margosian, assistant editor, November 1, 2019 As antibiotic resistance has increasingly captured the attention of the media and global health organizations, physicians have found themselves under more pressure to monitor their antibiotic prescription habits. Although overall antibiotic prescribing by dermatologists decreased by 36.6%
Oy, another “Oid” to worry about: Cryptococcoid lesions
By Warren R. Heymann, MD July 3, 2019 Vol. 1, No. 17 The suffix "oid" m ... eans "resembling." There is a plethora of "oids" in dermatology — lichenoid, Pagetoid, rupioid, targetoid, to name a few. (My favorite is "oid-oid" disease, aka Sulzberger-Garbe disease, or exudative discoid and lichenoid chronic
2022: Best of DermWorld Insights and Inquiries
December 29, 2022 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2022 — starting with the most popular issue of the year. ... 1. Coming full circle (almost)
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
Pseudomolluscoid papules: A more accurate description than pseudoverrucous papules
By Warren R. Heymann, MD April 28, 2016 When patients ask me how I made their diagnosis so quickly, I politely tell them that if any particular lesion takes more than 25 milliseconds to diagnose, they really do have a problem. ... Today I saw a patient that made me
Moving or closing practices? Here's what you need to know.
In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, December 3, 2018 There is a lot you must consider before you move or close your practice including the
The profound dermatological manifestations of COVID-19 Part VI: Going to the dogs
By Warren R. Heymann, MD July 29, 2020 Vol. 2, No. 30 Disclaimers: This commentary was written on July 12, 2020 for a publication date of July 29, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
Netherton syndrome: From apex to nether
By Warren R. Heymann, MD March 31, 2021 Vol. 3, No. 13 If you are a dermatologist preparing for your board exam, I’ll wager that you can rattle off the classical features of Netherton syndrome (NS, aka Comel-Netherton syndrome) in a heartbeat. The more important question — would you recognize
Reflections on infantile perianal pyramidal protrusion and Hippocrates
By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as
Twenty-first century pellagra
By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly
July 16, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 16, 2025 ... Female pattern hair loss: Is systemic minoxidil effective over the long term? DermWorld Insights and Inquiries : Pathway to clarity — The new and improved Melanocytic Pathology
Probing pityriasis rosea in pregnancy
By Warren R. Heymann, MD, FAAD January 19, 2022 Vol. 4, No. 3 I have always been captivated by pityriasis rosea (PR). As a second-year medical student, my late brother Andrew (presumably) developed it. I was clueless when he showed me his rash. He immediately told my father that money
Unrestricted fascination with restrictive dermopathy
By Warren R. Heymann, MD, FAAD Nov. 16, 2022 Vol. 4, No. 46 Barely a week into our fellowships at the University of Pennsylvania in 1984, my wife (a geneticist) asked her favorite dermatologist (me) if I had any thoughts about a neonate with skin that was thin, taut, and
Weighing in on glucagon-like peptide-1 receptor agonists in dermatology
By Warren R. Heymann, MD, FAAD April 17, 2024 Vol. 6, No. 16 Glucagon-like peptide-1 (GLP-1) receptor agonists — your patients are on them, and perhaps you are too (or at least have thought about it). In 2023, more than 500 million people worldwide were afflicted with obesity and type
Dermatology heads to Capitol Hill
Facts at your Fingertips ... By Emily Margosian, assistant editor, December 3, 2018 The contentious midterm election season has concluded, but the impact from the 2018 AADA Legislative Conference is still going strong. In July, physicians, patients, patient advocates, dermatology nurses, and dermatology practice administrators gathered in Washington, D.C. to
Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas tale
By Warren R. Heymann, MD, FAAD Dec. 3, 2025 Vol. 7, No. 47 Santa Claus waving from his sleigh on Central Park West on Black Friday traditionally commenced the Christmas holiday season. That "official" start now occurs after the last trick-or-treater devours their Hershey bar on Halloween. Realistically, it is
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.,
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
Dupilumab’s growing pains
By Warren R. Heymann, MD January 8, 2020 Vol. 2, No. 1 Dupilumab has been a valuable addition to dermatologists’ therapeutic palette in managing atopic dermatitis (AD). The biologic agent was released in 2017, indicated for moderate to severe AD, and is now approved for patients who are at least
Honing in on diffuse dermal angiomatosis
By Warren R. Heymann, MD February 17, 2021 Vol. 3, No. 7 Diffuse dermal angiomatosis (DDA) was conceptualized as a variant of reactive angioendothelimatosis (RA) in 1994 by Krell et al, reporting on two women, both with severe peripheral vascular disease requiring bypass grafts, presenting with ulcerated, violaceous plaques on
What’s up in Down syndrome?
By Warren R. Heymann, MD, FAAD October 13, 2021 Vol. 3, No. 41 Being married to a geneticist has served me well as a dermatologist. Just as dermatologists can instantly diagnose many dermatoses based on pattern recognition, geneticists skilled in dysmorphology can identify many syndromes in a heartbeat. Physicians of
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. ...
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have
Transplantation dermatology: Race matters
By Warren R. Heymann, MD June 21, 2017 African American man with generalized vitiligo. Medial aspect of foot before (A) and 5 months after (B) melanocyte-keratinocyte transplantation procedure. ... Credit: ... JAAD December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late
Studying skin aging never gets old: The potential role of oxytocin
By Warren R. Heymann, MD Oct. 14, 2020 Vol. 2, No. 41 Every day, dermatologists address patient concerns about their aging skin — whether they are presenting for medical, surgical, or cosmetic problems. Extrinsic factors such as ultraviolet light and smoking resulting in a leathery, coarsely wrinkled appearance are well
Changes to the Placement of Modifiers Starting on July 1st
On July 1, 2019, the Centers for Medicare and Medicaid Services National Correct Coding Initiative (CMS/NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.2 will go into effect. The MLN Matters Number: MM11227 (CR 11227) released on March 29 announced the release of the 2019 third quarter updates to the NCCI/PTP edits. ...
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
Complications of silicone injections: persistence, stigma, and treatment
By Howa Yeung, MD, MSc, FAAD Jan. 18, 2023 Vol. 5, No. 3 Walking in with a cane and reporting his severe skin pain, a patient of mine recalled travelling with their friend to get buttock injections in a hotel room in another state over a decade ago. ... The
Maximizing your retirement wealth
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Synder, JD, CLU, December 3, 2018 For
Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12
Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ... ... MEASURE ID: ... AAD12 ... ... Type: Intermediate
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
This month's news from across the specialty
What's hot ... February 1, 2020 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... EDWARD COHEN, MD, MHSc Apremilast, an oral inhibitor of phosphodiesterase 4, was approved in 2014 for the treatment of psoriasis and psoriatic
Intralesional triamcinolone for hidradenitis suppurativa and thoughts on confirmation bias
By Warren R. Heymann, MD Dec. 2, 2016 Anyone who has treated the scourge of hidradenitis suppurativa (HS) has probably injected inflamed nodules and cysts with triamcinolone (TAC) successfully, resulting in very grateful patients. Despite the useful advent of adalimumab to the other (less than satisfactory) modalities of antibiotics,
A niche within NICH
By Warren R. Heymann, MD February 26, 2020 Vol. 2, No. 8 Just when I thought I grasped the concept of congenital hemangiomas, new data raises novel questions. ... Compared to infantile hemangiomas that grow rapidly after birth and then involute, congenital hemangiomas arise and proliferate in utero. Although two
The pregnant pause in cutaneous lymphoma
By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12
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
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
Long COVID has a lot of nerve
By Warren R. Heymann, MD, FAAD Dec. 17, 2025 Vol. 7, No. 49 The profound medical and socioeconomic trauma of the COVID-19 pandemic may seem as though it is in the rearview mirror, but it is not. As of April 15, 2025, the CDC estimated that COVID-19 infections are growing
Difficulty differentiating palmar psoriasis from eczema: Can dermatopathologists lend a Hand?
By Warren R. Heymann, MD July 2, 2017 Clinical manifestations of palmar skin lesions. A, Palmar psoriasis appeared as scattered hyperkeratotic scaly round patches over the entire palm. B, Hand eczema appeared as scaly patches on the palm and phalanges. C, Hyperkeratotic hand dermatitis appeared as sharply demarcated areas of
Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double
By Warren R. Heymann, MD, FAAD Jan. 15, 2025 Vol. 7, No. 2 Perhaps dupilumab won’t be the game-changing biologic that patients are pining for. At the least, it represents the dawn of the biologic era for AD [atopic dermatitis] ... . That alone offers hope for our long-suffering patients,
Hair straightening and acute renal injury: The latest data straight up
By Warren R. Heymann, MD, FAAD April 3, 2024 Vol. 6, No. 14 The global hair straightener market has experienced significant growth, with a market size of US$ 587.9 million in 2022, projected to be US$ 759.9 million by 2028. (1) I expected the market to already be in the
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 21, 2020 Vol. 2, No. 42 "Now trending." How often have you seen that phrase when you go online? When it comes to trends in treating acne vulgaris (AV), despite the new addition of oral sarecycline and the release of topical minocycline foam, there
Fire ant stings: From pain to gain — The therapeutic potential of solenopsin
By Warren R. Heymann, MD, FAAD July 3, 2024 Vol. 6, No. 27 Fire ant stings are nasty. Lesions usually occur on the lower extremities after the disruption of a nest, causing a large number of ants to swarm and attack. The most common presentation is a wheal and flare
Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8
Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ... ... MEASURE ID: ... AAD8 ... ... Type:
Thoughts about genital melanosis on Melanoma Monday
By Warren R. Heymann, MD May 1, 2017 Vulvar genital melanosis. The lesions on the posterior fourchette are dark brown to black in color while other superior macules in the labia minora and vagina are lighter brown. Additively, the lesions are more than 2 cm in diameter. The lesions are
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
Recognizing Trichophyton indotineae
Reporting to health departments ... Physicians who suspect antimicrobial-resistant dermatophytosis can also contact ... their state or local health departments for assistance . Public health officials who are concerned about potential cases or clusters of drug-resistant tinea infections can email ... fungaloutbreaks@cdc.gov for assistance with recommendations and testing. ... Overview
Vulvar hidradenoma papilliferum and mammary-like gnogenital glands: The whole story
By Warren R. Heymann, MD July 31, 2016 I had always assumed that hidradenoma papilliferum (HP), which characteristically appears in the vulvar region, was derived from apocrine glands. Until I read the article by El-Khoury et al (1) I had never even heard of mammary-like anogenital glands (MLAGs). ... Although
Using gene expression profiling to identify risk of melanoma metastasis
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 3, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Sancy Leachman, MD, PhD, about
The profound dermatological manifestations of COVID-19
By Warren R. Heymann, MD March 18, 2020 Vol. 2, No. 11 Disclaimers: This commentary was written on March 12, 2020 for a publication date of March 18, 2020. The issues related to the COVID-19 pandemic are changing at breakneck speed. The content included in this commentary may no longer
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
Assessing the significance of a Long-Developed Habit: The role of LDH in dermatology
By Warren R. Heymann, MD, FAAD July 14, 2021 Vol. 3, No. 28 Upon ordering laboratory tests recently for a patient with cutaneous T cell lymphoma, I included a lactate dehydrogenase (LDH) level, as I have done for decades, without giving it much thought. When I came across an article
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
Twenty years of imiquimod taking its toll on lentigo maligna — Where are we?
By Warren R. Heymann, MD February 12, 2020 Vol. 2, No. 6 Although Y2K never amounted to much, a solitary case report that year changed the dynamic in treating a vexing problem — melanoma in situ of the lentigo maligna (LM) subtype. Ahmed and Berth Jones reported treating an 88-year
Life insurance 102: Five success factors when using permanent life insurance
Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, September 2, 2019 In
Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr., MD
By Warren R. Heymann, MD, FAAD Aug. 2, 2023 Vol. 5, No. 31 The profound sense of loss prompting people to endure waiting over 24 hours in a queue to pay their final respect to Queen Elizabeth II at Westminster Hall was an astonishing sight last year. The overwhelming majority
Lichenoid and granulomatous dermatitis: Points to ponder
By Kiran Motaparthi, MD June 10, 2020 Vol. 2, No. 23 Clinical-pathologic correlation is the foundation of dermatologic diagnosis; often this is straightforward, but on occasion, getting to the precise diagnosis requires great thought and sleuthing. If you receive a report from your dermatopathologist with a descriptive diagnosis of "lichenoid
Mpox: Caring for skin
The mpox (monkeypox) virus causes lesions to form on the body. While these can be located anywhere, many individuals during the current outbreak have experienced lesions in the anogenital region, though involvement of other areas including the face, extremities, and mucosal areas such as the mouth have also occurred. ...
Phacing the future: When patients with PHACE syndrome grow up
By Warren R. Heymann, MD June 24, 2020 Vol. 2, No. 25 The acronym PHACE syndrome, emphasizing the characteristic findings of this neurocutaneous syndrome: ... p osterior fossa malformations, ... h emangiomas, ... a rterial anomalies, ... c oarctation of the aorta and cardiac defects, and ... e ye abnormalities,
Putting a finger on the diagnosis of Achenbach syndrome
By Warren R. Heymann, MD, FAAD July 28, 2021 Vol. 3, No. 30 Please study the image below first. Castillo et al reported the case a 48-year-old woman complaining of acute pain, swelling, and ecchymosis of the volar aspect of her right third finger, sparing the fingertip, when walking her
Body dysmorphic syndrome
Legally Speaking ... Clifford Warren Lober, MD, JD, presents legal dilemmas in dermatology every other month. He is a dermatologist in practice in Florida and a partner in the law firm Lober, Brown, and Lober. ... By Clifford Warren Lober, MD, JD, December 3, 2018 Lori: Bryan, I recently excised
Taking biologics to heart
By Warren R. Heymann, MD Oct. 16, 2016 Comorbidities related to psoriasis have dominated the dermatologic literature for more than a decade since Joel Gelfand published his seminal paper (1). In my 2008 commentary for ... Dialogues in Dermatology , I stated that "It remains to be determined if treating
Truth in advertising pathways
As AAD members identify examples of advertisements in their community that could mislead patients to believe they are receiving care from a dermatologist, the AAD has developed template letters for its members to contact the licensing board that regulates such individual. ... Scenario #1: A non-dermatologist physician holds oneself out
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?
Preferentially expressed antigen in melanoma (PRAME)
By Jason B. Lee, MD, FAAD May 10, 2023 Vol. 5, No. 19 In 1980, the discovery of S100 protein expression in cultured metastatic melanoma cell lines (1) stirred excitement in the pathology community for its potential role as a diagnostic marker for melanoma. The excitement was short-lived once it
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.
Ultraviolet light, adipose tissue, and fantasies of summer
... By Warren R. Heymann, MD April 2, 2018 As I am preparing this commentary, the second Nor’easter within a week is in its frenzy. (Since that time there have been two more and it’s snowing today!) My longing for summer, enjoying the warm breezes enveloping our shore home
PRIDE without prejudice
By Warren R. Heymann, MD, FAAD July 30, 2025 Vol. 7, No. 30 As the years march on, I am bemused by having witnessed once-novel findings become mainstream affairs. I recall my excitement describing the development of paronychia in a 76-year-old woman with metastatic colon carcinoma who was participating in
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
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
Senile gluteal dermatosis: The term “senile” is getting old and should be retired
By Warren R. Heymann, MD, FAAD Jan. 24, 2024 Vol. 6, No. 4 As my patients and I get older, inevitably I think more about geriatric dermatology. (1) There is a disorder I have seen on the gluteal region in mostly thin, older, sedentary patients — my recommendations of off-loading
Key messages for social media about aging skin
Key messages ... Exposure to ultraviolet radiation from the sun and indoor tanning beds is the most preventable cause of early skin aging. (1-3) ... The most effective ways to prevent wrinkles and sun damage are to protect yourself from the sun by seeking shade, wearing protective clothing and applying
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. ...
Other emerging severe and resistant dermatophytes of concern
Overview ... Trichophyton mentagrophytes type VII (TMV ... II ... ) is a recently emerged dermatophyte that is closely related to ... T. indotineae (note: ... T. indotineae was previously called ... T. mentagrophytes type ... VIII ... ). ... 1-3 ... TMVII spreads between people and may be transmitted
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
'Stepping up' to off-label dosing of biologics
By David A. Wetter, MD, FAAD April 6, 2022 Vol. 4, No. 14 It is an exciting time to be a medical dermatologist, with the ongoing development of numerous safe and effective systemic treatments for several complex medical dermatologic diseases. For example, both the American and British guidelines for the
Topical tacrolimus topics
By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors
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.
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
Why you should hear about the red ear syndrome
By Warren R. Heymann, MD July 22, 2020 Vol. 2, No. 29 Is it my imagination that the "by the way" comments at the presumed end of a patient encounter cause the most angst? Usually, it’s something like "Oh, I forgot to mention that I’m losing my hair!" Recently, at
The case for comprehensive patch testing
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, September 3, 2018 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jenny E. Murase, MD, about
The 21st Century Cures Act: What a difference a day makes
By Warren R. Heymann, MD, FAAD Sept. 24, 2025 Vol. 7, No. 38 The 21st Century Cures Act (Cures Act, CA) was signed into law on Dec. 13, 2016. (1) In April 2021, the Information Blocking Rule (IBR) of the CA went into effect, giving patients immediate access to notes,
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
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
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%
Preventing payment appeals
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 3, 2016 Prior Cracking the Code columns have focused upon common billing errors and appeals strategies. However, a
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
Juvenile lichen sclerosus: A loss of innocence
By Warren R. Heymann, MD August 19, 2020 Vol. 2, No. 33 Juvenile lichen sclerosus (LS) is a difficult disorder — symptomatically, emotionally, diagnostically, and therapeutically. During my residency it was "common knowledge" that juvenile LS would abate by adolescence. I am always curious how such perceptions become dogma, only
Immediate pathology report release to patients – Is the 21st Century CURES Act worse than the disease?
By Lorraine L. Rosamilia, MD, FAAD Staff Dermatologist, Geisinger Health System Aug. 25, 2021 Vol. 3, No. 34 The 21st Century Cures Act, signed into federal law in 2016, was enacted to optimize medical product development and advance patient access to medical innovations. Notable for inclusion of patient perspectives in
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.
Reflecting on 2018 with gratitude
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, December 3, 2018 Legendary crooner Andy Williams may have said it best in his song, "It’s the Most Wonderful Time of the Year." Holidays aside, for me this time
Here comes summer (and sunscreen conversations)!
By Warren R. Heymann, MD April 29, 2020 Vol. 2, No. 17 As the summer solstice approaches, days will lengthen, as will patient-related conversations regarding sunscreen use. In this anxiety-ridden age, with all the information overload, patients’ questions have expanded beyond what sunscreen we recommend. Concerns for safety — both
Unmasking the complications of personal protective equipment
By Christen Mowad, MD August 5, 2020 Vol. 2, No. 31 Allergic contact dermatitis and irritant contact dermatitis have long been identified as potential adverse reactions to personal protective equipment (PPE) most commonly due to gloves. The global pandemic caused by COVID-19 has heightened the need to use PPE as
Multiple pilomatricomas by the numbers
By Warren R. Heymann, MD February 24, 2021 Vol. 3, No. 8 I have always been beguiled by pilomatricomas (PM). From the time I first heard the term "calcifying epithelioma of Mahlerbe" or pondering "is it pilomaticoma or pilomatrixoma?" this benign lesion has been a source of wonder. There is
Et tu, Ibrutinib?
By Warren R. Heymann, MD July 8, 2020 Vol. 2, No. 27 When it comes to medications that I never prescribe, I learn from my patients who present with findings that compel me to do my homework. Such was the case of a middle-aged woman with chronic lymphocytic leukemia (CLL)
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, December 3, 2018 Christmas came early for dermatology. Indeed, it came early for all of medicine this year when the Centers for Medicare and Medicaid Services (CMS) released its final rule implementing
The 2020 vision for nemolizumab in atopic dermatitis
By Warren R. Heymann, MD March 11, 2020 Vol. 2, No. 10 Over the past decade, I have noticed an inversion of the ratio of patients with severe psoriasis versus atopic dermatitis (AD) in my practice. The biologic revolution has clearly favored those afflicted with psoriasis; although dupilumab has improved
Health Information Exchange
Important note: Do not report on all three options ... For this objective, you may choose to report data for: ... The two existing HIE measures, ... or The HIE Bi-Directional Exchange measure, ... or The Enabling Exchange Under TEFCA measure. ... Measure: Support Electronic Referral Loops by Sending Health
When ads subtract
By Warren R. Heymann, MD Aug. 2, 2018 "Could the skin lesion you’re seeing…actually be a deadly blood cancer?….Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is an aggressive and deadly hematologic cancer with skin lesions that may be mistaken for other skin disorders…When biopsying skin lesions, ask your pathologist to test
Advocacy Update Feb. 11 2025
IN THIS ISSUE / Feb. 11, 2025 Act now to stop Medicare payment cut AADA urges members to oppose physician assistant independent practice legislation AADA opposes Regence Blue Cross Blue Shield payment reduction Dermatologists demand Aetna cover psoriasis treatment AADA insists CMS retain MA plan measures on appeals Contribute to
Best of DermWorld Insights and Inquiries
Dec. 27, 2023 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2023 — starting with the most popular issue of the year. ... 1. After 23 years, a
December 24, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 24, 2025 ... Warts: Local hyperthermia with hydrogen peroxide DermWorld Insights and Inquiries : Holiday greeting 2025 Academy mourns the passing of Alfred W. Kopf, MD FDA alert flags cosmetic
This month’s news from across the specialty
What’s hot ... March 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Harry Dao Jr., MD, FAAD Injectable biologics remain the gold standard for achieving optimal clinical responses in psoriasis, but fear of injections leads many
March 31, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 31, 2021 ... Studies show skin rashes are highly predictive of positive COVID-19 results DermWorld Insights and Inquiries : Netherton syndrome — From apex to nether New AAD research grant
Is there a genetic basis of CCCA and, if so what is it?
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, July 1, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Amy McMichael, MD, about her
COVID-19 can nail you in so many ways
By Elizabeth Yim, MD, MPH, FAAD, and John Montgomery Yost, MD, MPH, FAAD July 13, 2022 Vol. 4, No. 28 Dr. Elizabeth Yim and Dr. John M. Yost. ... During these difficult and quite frankly, scary times, we have heard numerous reports of various cutaneous manifestations by the SARS-COV-2 infection
Literature request form
Please note that fields marked with an asterisk are required to submit the form.The boxes handle more text than their size dictates. Standard service is 3-7 days. You cannot submit the form without a budget code. If you require assistance with this form, contact Charniel McDaniels at x1823. ... If
We’re in hot water! Vibrio vulnificus infections are heading north
By Warren R. Heymann, MD Dec. 16, 2020 Vol. 2, No. 49 When driving to work, I usually listen to our local 24-hour news station, paying half-attention as I’m mentally sorting out the upcoming day’s agenda. Upon hearing a report of several cases ... Vibrio vulnificus (Vv) at my hospital
What's hot?
What's hot ... January 2, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Many dermatologists still check baseline labs prior to prescribing oral terbinafine or griseofulvin for adults and children with dermatophyte
Propranolol and neutrophilic dermatoses: Can beta-blockade be better blockade?
By Warren R. Heymann, MD, FAAD December 8, 2021 Vol. 3, No. 48 Ask any dermatology resident what the first-line treatment is for infantile hemangiomas (IH) and you will get a matter-of-fact response — "propranolol" — as if this has been an entrenched fact for decades. Barely more than a
The H syndrome – Understanding Y
By Warren R. Heymann, MD April 15, 2020 Vol. 2, No. 15 It has been more than a decade since the H syndrome was described by Molho-Pessach et al, in their report of 10 patients from 6 Arab consanguineous families. (1) More than 100 cases have now been reported worldwide.
Health Information Exchange
Important note: Do not report on all three options ... For this objective, you may choose to report data for: ... The two existing HIE measures, ... or The HIE Bi-Directional Exchange measure, ... or The Enabling Exchange Under TEFCA measure. ... Measure: Support Electronic Referral Loops by Sending Health
Deep learning in dermatopathology
By Kiran Motaparthi, MD June 30, 2021 Vol. 3, No. 26 Deep learning algorithms — deep neural networks that model the connections neurons make and analyze images in successive layers to ultimately produce a likelihood of diagnosis — can now distinguish dermoscopic images of nevus and melanoma with greater accuracy
2021: Best of DermWorld Insights and Inquiries
December 30, 2021 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2021 — starting with the most popular issue of the year. ... 1. Biotin supplementation for hair
What to expect for MIPS 2024
Answers in Practice ... By Olivia Barry, Manager, Practice Management, April 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains what to expect for MIPS 2024. On Nov. 2, 2023, CMS released the final Quality Payment Program (QPP) Rule which includes
Acquisition and loss: A tribute to Jouni Uitto, MD, PhD
By Warren R. Heymann, MD, FAAD Jan. 11, 2023 Vol. 5, No. 2 I was stunned and frozen in time and thought when Dr. Sylvia Hsu informed me that Dr. Jouni Uitto had passed away — a similar reaction as I experienced when hearing of President Kennedy’s or John Lennon’s
Recognizing mpox
The information on this page was created by the Academy’s Ad Hoc Task Force to Develop Mpox Content. Mpox (monkeypox) is caused by the mpox virus, which belongs to the ... Orthopoxvirus genus in the family Poxviridae. ... 1 ... Though mpox is rare, it is endemic in Central and West
Getting steamed over vaping
By Danielle DeHoratius, MD January 29, 2020 Vol. 2, No. 4 Danielle DeHoratius, MD ... To call vaping an epidemic is an understatement. As of Oct. 15, 2019, the CDC has confirmed 33 deaths among the 1,479 lung injuries associated with the use of e-cigarettes (1). Every state but Alaska
New American Academy of Dermatology survey reveals most Americans say sun protection is more important now than five years ago, yet many misunderstand how to protect themselves
Dermatologists urge the public to protect themselves from the sun to reduce skin cancer risk ahead of Melanoma Monday (May 2) and Skin Cancer Awareness Month ROSEMONT, Ill. (April 26, 2022) — In a recent survey of more than 1,000 U.S. adults, the American Academy of Dermatology found that while
Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
By Warren R. Heymann, MD Oct. 7, 2020 Vol. 2, No. 40 It is not my imagination — I have been seeing more cases of bullous pemphigoid (BP) than ever. This is likely a function of an aging population in concert with an increase of drug-induced cases, notably with dipeptidyl
Giving a NOD2 to Yao syndrome
By Warren R. Heymann, MD, FAAD March 5, 2025 Vol. 7, No. 9 The 21 ... st ... century has witnessed an expanding array of systemic autoinflammatory disorders (SAIDs) due to innate immunity dysfunction. SAIDs are characterized by recurrent attacks of fever, cutaneous signs, chest or abdominal pain, lymphadenopathy, vasculopathy,
Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus
By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE
Vasculitis on the run
By Warren R. Heymann, MD, FAAD July 10, 2024 Vol. 6, No. 28 I am not a runner, but I live vicariously through my residents who are. This weekend, our first-year resident, Erika Tvedten, will run the Philadelphia marathon for the first time. I have been intrigued (and impressed!) by
Key messages for social media about hair loss
Key messages ... Many conditions and diseases can result in hair loss, as can improper hair care. ... The most common cause of hair loss is hereditary thinning or baldness, also known as androgenetic alopecia. (1) This condition affects an estimated 80 million Americans — 50 million men and 30
Best of DermWorld Insights and Inquiries
Dec. 26, 2024 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2024 — starting with the most popular issue of the year. ... 1. Weighing in on glucagon-like
Coronavirus – Frequently Asked Media Questions
Talking points for members ... 1. How do you keep your hands from getting dry, given how often you have to wash them? What hand lotion do you use? After washing your hands, apply a petrolatum/mineral oil-based cream that is fragrance and dye free. Ointments and creams — the ones
May 11, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 11, 2022 ... Sexual dysfunction associated with finasteride use in men with androgenetic alopecia DermWorld Insights and Inquiries : Lagging ahead — LAG-3 checkpoint inhibition for advanced melanoma FDA grants
February 14
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 14, 2018 ... A win for dermatology: Congress repeals IPAB, misvalued codes policy Vote in the AAD election by March 3 Are machines poised to replace physicians? Countdown to official
On the cusp of extraordinary advances in extramammary Paget disease
By Warren R. Heymann, MD May 27, 2020 Vol. 2, No. 21 I always include extramammary Paget disease (EMPD) and Bowen disease in my differential diagnosis of anogenital rashes for fear of missing them. It is good form to biopsy such lesions should they not respond to standard therapies for
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
Prurigo pigmentosa as the “keto rash”: I’m a believer
By Warren R. Heymann, MD February 5, 2020 Vol. 2, No. 5 Patients are attuned to their diets — healthy, unhealthy, or trendy. Unquestionably, certain foods exacerbate specific dermatoses — just ask any dermatitis herpetiformis patient how they fare with a slice of Sicilian pizza. More often the situation is
Slammed by slime
By Warren R. Heymann, MD Sept. 16, 2020 Vol. 2, No. 37 Visiting Nickelodeon Studios in Orlando, Florida in the early 1990s was a religious experience for my family. Watching a live recording of ... Double Dare, my daughters were fervently praying to be among the chosen few to be
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
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
Volunteer duty, chapter 2
From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, June 1, 2021 Volunteer, n...person who performs/gives his/her services of own free will; v...to give/offer to give on one’s own initiative. I highlighted the main AAD volunteering opportunities in
June 7, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 7, 2023 ... Treatments for pseudofolliculitis barbae DermWorld Insights and Inquiries : Taking it on the shin – part two Efficacy of abrocitinib for the treatment of lichen sclerosus? Scientists
What are the updated guidelines of care for the management of primary cutaneous melanoma?
Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, December 3, 2018 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Susan M. Swetter, MD, and
Incysting on understanding pilar cysts
By Warren R. Heymann, MD July 15, 2020 Vol. 2, No. 28 Chances are you will see patients with at least one pilar cyst today. You will reassure them of their benignity, stating that the risk of their becoming cancerous is infinitesimal, and perhaps you will excise some lesions. Inquisitive
Board of Directors meeting minutes
Below are the approved minutes from the AAD and AAD Association Board of Directors meetings for the past year. Please email Kim N. Andersen, DipESG, at ... knoelleandersen@aad.org with any questions or if you would like to request the minutes from a particular past Board meeting. ... Board of Directors
October 30, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2024 ... Breast health outcomes in women on oral 5-alpha reductase inhibitors D ermWorld Insights and Inquiries : The breathless complications of anti-MDA-5-positive dermatomyositis What symptoms are most significantly
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
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
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
2026 MIPS and telehealth highlights
Eligibility criteria ... The low volume threshold remains the same as in 2026 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month
Future shock of teledermatology
By Warren R. Heymann, MD April 16, 2016 The authors surveyed 62 patients older than 18 years, and 43 caregivers of patients younger than 18 who had been taking isotretinoin for at least 3 months. "Most respondents reported no concern about the safety of an e-visit compared with that of
Coding and documentation clarity
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, April 2, 2018 You biopsy a suspected drug eruption and document the following: "Punch biopsy done. Return in 1
Knuckling down on knuckle pads
By Warren R. Heymann, MD April 1, 2020 Vol. 2, No. 13 Today is April Fools’ Day. Thus far, 2020 has felt like April Fools’ Year. All of us are dealing with COVID-19, 24/7. During World War II, morale was lifted by the song "There’ll be bluebirds over the White
Streamlining the claim denial process in your practice
Claim denials are a reality for every dermatology practice. It is wise to be proactive and understand what you need to do when you receive a claim denial. Streamlining your claim denial process requires understanding the meaning behind each denial on the explanation of benefits (EOB) and the appropriate action
I'm confused about the new biopsy codes. Does the Academy offer any resources to help?
Asked and Answered ... June 3, 2019 Absolutely. ... The Academy recently published an update to the online ... Practice Management Center featuring: ... Quick guides Downloadable reference tools Interactive quizzes Need help now? ... Use these tip sheets for practical guidance on common coding: ... www.aad.org/practicecenter/coding-and-reimbursement/coding-resource-center/coding-tip-sheets . ... Still
May 18, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 18, 2022 ... Abrocitinib efficacy after switching from dupilumab DermWorld Insights and Inquiries : Coming to grips with lymphocytic thrombophilic arteritis DermWorld Young Physician Focus : Protecting dermatologic scope of
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
PASI 100 and the perfection paradox
By Warren R. Heymann, MD June 27, 2016 I am not a psychiatrist, but over the years I have concluded that my patients’ happiness is more supratentorial than epidermal. ... As we approach perfection, imperfections take on far greater importance. Some examples: ... In medical school, I spent many Sunday
Focus on modifier 25
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, September 2, 2019 Test your knowledge: Focus on modifier 25 ... Take the quiz to see if you're up
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
Propranolol for infantile hemangiomas: Start to finish
By Warren R. Heymann, MD, FAAD March 26, 2025 Vol. 7, No. 12 "We have observed that propranolol can inhibit the growth of these [infantile capillary] hemangiomas." (1) In my career, I cannot think of any statement that led to such a swift, dramatic paradigm shift in management more than
April 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 27, 2022 ... A novel treatment for molluscum contagiosum? DermWorld Insights and Inquiries : Eye-opening news about oxymetazoline Trends in prescribing spironolactone for acne, HS in adolescents Racial biases in
Concierge medicine
Concierge medicine involves patients paying a monthly or annual fee for enhanced services. According to Medscape's Compensation Report from 2017, about 3% of dermatologists participate in a concierge model of care. There are many different ways to structure your practice into this model. You can choose to have patients pay
AAD Teledermatology Standards
Download a PDF version ... These ... AAD Teledermatology Standards are also available as a PDF. ... The standards below were developed by the Academy’s Teledermatology Committee at the direction of the Board of Directors. These standards expand upon the appropriate use of telemedicine and create a core set of
Mentorship mentation: Bringing out the best of us!
By David A. Wetter, MD Sept. 9, 2020 Vol. 2, No. 36 I have been experiencing sports withdrawal during this COVID-19 life pause. I even (excitedly) gobbled up the recently televised NBA HORSE competition. Currently my family and I are enjoying ESPN’s 10-hour documentary ... The Last Dance , which
Advocacy Update Apr. 8, 2025
IN THIS ISSUE / Apr. 8, 2025 AADA asks FDA to continue collaboration on AI-enabled medical devices guidance New Jersey expands children’s access to sunscreen Support the second-largest physician PAC and federal dermatology champions Regulatory Affairs AADA asks FDA to continue collaboration on AI-enabled medical devices guidance ... On April
The profound dermatological manifestations of COVID-19: Part VII — Who was that masked man?
By Warren R. Heymann, MD Sept. 23, 2020 Vol. 2, No. 38 Disclaimers: This commentary was written on Sept. 12, 2020 for a publication date of Sept. 23, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
Granulomatous slack skin: More than one type of mimicry
By Warren R. Heymann, MD November 18, 2020 Vol. 2, No. 46 My chief resident presented a case to me enamored with his clinical diagnosis of granulomatous slack skin (GSS). Although I was delighted that he considered the disorder, I explained why I thought these inguinal and submammary pink-white subtly
Much ado about nothing in dermatopathology
By Warren R. Heymann, MD Dec. 9, 2020 Vol. 2, No. 48 In a utopian dermatology practice, an astute dermatologist will establish an exacting differential diagnosis, biopsy the most revealing lesion utilizing a technique providing an optimal sample, label the bottle correctly, fill out a requisition form with care and
Office staff guide
This guide is meant for staff scheduling teledermatology visits. If the requirements below can’t be satisfied, consider offering an in-person visit. ... Is teledermatology appropriate for the specific patient need? ... Has the patient participated in teledermatology with your office before? ... If yes, schedule the teledermatology visit and remind
December
Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... 2021 What's hot ... This month's news from across the specialty Feature ... COVID-19 and dermatology What have we learned about the cutaneous manifestations
AAD bolsters information about darker skin tones
New and updated content on AAD.org reflects our commitment to providing information for patients of all skin tones. ... The Academy launched a ... Darker Skin Tones resource center in 2022, which included updates on 11 conditions that affect people with darker skin tones more frequently or more severely. It
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
January
Issue ... January January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor Asked and Answered ... I am on the OLC. Where can I find the JAAD and Dialogues in Dermatology quizzes? What's
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.
November
Issue ... November January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... It’s always the gluten What's hot ... This month's news from across the specialty Clinical Applications ... How is structural racism affecting atopic dermatitis
Despite concerns, dermatologists retain primary control of their practices
Facts at your Fingertips ... By Emily Margosian, assistant editor, June 3, 2019 Amid ongoing debate about the evolution of dermatology practice settings and the role of equity-backing in the specialty, new AAD survey data indicates that dermatologists have maintained both primary ownership and management of their practices. According to
February 21
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 21, 2018 ... CMS releases MIPS quality performance scores Vote in the AAD election by March 3 Study indicates e-consults improve access to dermatology How helpful is federal research funding?
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
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
Basal cell carcinoma
Basal cell carcinoma (BCC) is the most common human skin cancer, comprising more than half of all non-melanoma skin cancer diagnoses, that affect more than 3 million Americans annually. These evidence-based guidelines for the management of BCC provide the most current information on widely accepted therapies, emerging treatments, staging, biopsy
This month’s news from across the specialty
What’s hot ... December 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Our surgical prep may benefit non-surgical elderly patients. A study of extended bacterial decolonization in 28,956 nursing home
Gaining experience face-to-face
Brittany Valk, DO, was able to attend her very first in-person AAD Annual Meeting. Dr. Valk’s story ... Brittany Valk, DO, PGY-3 at Michigan State University College of Osteopathic Medicine. ... I had the privilege of attending the 2022 AAD Annual Meeting in Boston this past spring. Due to the
What is the minimum I need to report to meet the MIPS threshold in 2019?
Asked and Answered ... February 1, 2019 If you or your practice must participate in the Merit-based Incentive Payment System (MIPS) for 2019 and want to simply avoid the ... 7% penalty (penalty applied in 2021), the ... minimum score to avoid the penalty is 30 points — up from
Congress passes one-year increase to Medicare physician payment in budget bill
July 3, 2025 Advocacy News Alert Today the U.S. House of Representatives passed the Senate’s version of the budget reconciliation legislation, which includes a one-year 2.5% increase for the proposed 2026 Medicare Physician Fee Schedule to account for sustained cuts as Congress continues to work toward long-term payment reform. ...
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
Practice Management Corner: CMS Released Preliminary 2018 MIPS Participation Data
The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) which began in 2017, is in its third performance year. In July 2019, CMS published a blog and released an infographic with preliminary data on the 2018 QPP Merit-based Incentive Payment Program (MIPS) program participation which revealed the
February 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / FEBRUARY 28, 2018 ... Anthem rescinds proposed modifier 25 policy Vote in the AAD election by March 3 FDA grants rituximab priority review for pemphigus vulgaris CMS eases up on value-based
Patient guide
This guide is for use by patients before the teledermatology visit. ... Preparing for the visit ... Does your insurance cover live interactive telehealth services and understanding of copays? ... Do you have the required equipment, such as a smartphone, tablet, or computer with a webcam, that will work with
Boards Fodder: Procedural dermatology
Select a title below to access the Boards Fodder PDF. ... NEW! A guide to actinic keratosis treatments ... Access the PDF NEW! Mohs micrographic surgery ... Access the PDF Alopecia areata treatment Antiseptics and sterilization methods Approach to longitudinal melanonychia Atopic dermatitis treatment Biopsy techniques Chemical peels Cosmeceuticals CPT
This month’s news from across the specialty
What’s hot ... May 1, 2026 In this monthly column, members of the DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty. Jason Lee, MD, FAAD The incidence of melanoma in situ has increased to epidemic proportions, rising 50-fold since 1975. Lentigo maligna is the most
Trichophyton rubrum resistant to terbinafine
Trichophyton rubrum resistant to terbinafine ... T. rubrum , a dermatophyte fungus, is the most common cause of dermatophytosis worldwide. ... 1 ... Oral terbinafine is considered a first-line treatment for most infections caused by this fungus, but cases of terbinafine-resistant ... T. rubrum are increasingly being reported worldwide and
An incisive approach to chronic paronychia: The square flap technique
By Warren R. Heymann, MD Aug. 2, 2016 I cannot begin to guess how many patients I have seen with chronic paronychia (CP) since I started my residency 36 years ago. I know precisely how many patients I have referred for surgical correction of CP — zero! The reason for
Reduce Drug Code Denials Related to Incomplete Claims Data
Claim denials for drug supplies are often the result of improper national drug codes (NDC) format or missing information related to the drug provided—vital information that is needed by the payer to appropriately adjudicate the claim. ... Physician claims for drugs supplied in the office must include the 11-character NDC
What is quality improvement
What is Quality Improvement? ... Quality Improvement (QI) consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups ... 1 ... . The Institute of Medicine identifies six dimensions of health care quality that can be used
August 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 9, 2023 ... Emerging treatments for itch in atopic dermatitis DermWorld Insights and Inquiries : Prior authorization audits and innovations — Are we finally reducing the (PA)in? Adverse events in
DWI&I Holiday Greeting 2021
By Warren R. Heymann, MD, FAAD December 22, 2021 Vol. 3, No. 50 Dear ... DWI&I devotee: ... The end of the year is a time for reflection and hope. Everyone reading this commentary has been affected by the pandemic. My heart goes out to anyone who has lost a
FAQs - Coding for Intermediate and Complex Repairs in 2020 and beyond
Q: Are there any changes to the Simple Repair guidelines? A: No, the simple repair guidelines will remain unchanged for 2020 and beyond. ... Q: How should I code a nasal tip excision, for which the defect is repaired with a linear layered closure (3 cutaneous and 5 super-ficial sutures)
October
Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... This year, the ADA celebrates its 30th anniversary What's hot ... This month's news from across the specialty Clinical Applications ... What role can
For better or worse technology is changing medicine.
From the President ... Dr. Olbricht served as Academy president from March 2018 to March 2019. ... By Suzanne Olbricht, MD, September 3, 2018 When is the last time you looked at a paper map or met with a travel agent to book your next adventure? Advances in technology have
All awards, grants, and scholarships by American Academy of Dermatology
The Academy bestows a number of prestigious awards to recognize the contributions of individuals to the specialty as well as offering various grants and scholarships to assist recipients in furthering their areas of study and broadening knowledge in the field of dermatology. ... Awards ... Name ... Application opens ...
June
Issue ... June January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor What's hot ... What's hot? Cracking the Code ... Components of evaluation and management 2 Acta Eruditorum ... New urticaria guidelines
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
Trichophyton indotineae infections and other severe or antifungal-resistant dermatophytoses
Dermatophytosis (ringworm, tinea, jock itch, athlete’s foot) is a very common and typically minor infection of the skin caused by dermatophyte fungi. ... 1 ... In the past decade, severe or antifungal-resistant dermatophytoses have become a global public health concern, including in the United States. ... The AAD has assembled
Doing our part to make a difference
From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, June 3, 2019 "When you think about yourself, skip the only,’ as in I’m only a surgeon’ or I’m only a dermatologist.’ Think about what needs to be
Provider to Patient Exchange objective
Measure: Provide Patients Electronic Access to their Health Information (PI_PEA_1) ... DESCRIPTION For at least one unique patient seen by the MIPS EC: 1) the patient (or patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and 2) the MIPS EC ensures
Provider to Patient Exchange objective
Measure: Provide Patients Electronic Access to their Health Information (PI_PEA_1) ... DESCRIPTION For at least one unique patient seen by the MIPS EC: 1) the patient (or patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and 2) the MIPS EC ensures
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
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
Medical research funding
Ask the Expert ... By Victoria Houghton, managing editor, August 1, 2021 DermWorld ... spoke to Jennifer Mangone, JD, manager of congressional policy for the American Academy of Dermatology Association (AADA), about the Academy’s advocacy efforts to support medical research funding. DermWorld: Advocating for medical research funding is a top
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, September 3, 2018 I have learned many new things from the past few editors of ... Dermatology World . This edition is no exception. I know much more about microneedling than I
Looking beyond ‘Ozempic face’
Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body
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. ...
Congress must act to protect patients’ health care access
Statement from Terrence A. Cronin Jr., MD, FAAD, President of the American Academy of Dermatology Association WASHINGTON (Nov. 2, 2023) — CMS finalized cuts to the physician fee schedule for 2024, which will impact the ability of medical practices to cover expenses like equipment, rent, and nursing and office staff
From the editor
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, June 3, 2019 You asked, we listened. We had an outstanding response to our readership survey this year (thanks to all of you who took the time to offer your thoughts and
Dermatology World Directions in Residency
DermWorld Directions in Residency is published quarterly by the Academy. The publication includes features that will help you make the most of your residency experience and prepare you for the next stages of your career. ... Download latest issue in PDF Residents: Do you have good content for ... DermWorld
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),
Using trusts to shield assets from potential liability
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 3, 2018 Given
July 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 27, 2022 ... Facial hyperhidrosis: Botulinum toxin A injection vs. topical glycopyrrolate DermWorld Insights and Inquiries : JAKne is on the horizon Dupilumab for chronic prurigo, chronic idiopathic pruritus Safety
August 20, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 20, 2025 ... Oral vs. topical finasteride: Sexual, neuropsychiatric AEs DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma Are topical
This month’s news from across the specialty
What’s hot ... November 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD All medical fields can learn from their past mistakes. The path to modern medical practice was not
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
AAD | Prior Authorization Resources
The following resources are to assist physicians, medical staff, and patients effectively navigate through prior authorizations. ... Prior authorization podcast ... Download ... Practice Management Series: Prior Authorization: What a Pain! a podcast with John Barbieri, MD, MBA, FAAD, interviewed by Khang Nguyen, MD, FAAD. ... Prior authorization guidelines for staff
Telemedicine: Reimbursement liability patient consent and HIPAA
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, September 3, 2018 This month, we follow up on our May 2018 column
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
How do I apply for a CLIA certificate?
There are two options available to physicians when applying for a CLIA certificate: ... Option 1 ... Go through your state CLIA office and submit appropriate application materials and fees. ... CMS offers contact information for each state . ... Option 2 ... Go through an accreditation agency that certifies
December
Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor Asked and Answered ... How can I use DataDerm to report for MIPS? What's hot ... What's hot? Cracking the Code
Directions in Residency archive
Download PDF versions of each issue ... Spring (PDF) ... Feature: Financial planning in residency: Frequently asked questions — Part 2 by David B. Mandell, JD, MBA ... Race for the Case: Spring 2026 by Marita Yaghi, MD, Uros Rakita, MD, and Stanley Skopit, DO, MSE, FAOCD, FAAD ... Boards