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BASCULE syndrome: Is something brewing with Bier spots?

By Warren R. Heymann, MD, FAAD Sept. 7, 2022 Vol. 4, No. 36 I have never paid too much attention to Bier spots, other than reassuring patients that they are of no concern. I may have been too cavalier by not probing further. ... Classical Bier spots (BS, also referred

Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet

By Warren R. Heymann, MD Oct. 13, 2016 Café au lait spots (CALS) are extraordinarily common; six or more lesions (at least 0.5 cm prior to puberty or 1.5 cm post puberty) are considered one of the criteria for diagnosing neurofibromatosis type I (NF1), and are also seen in

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

The retiring type?

By Warren R. Heymann, MD April 23, 2017 "Tell me, Dr. Heymann, when do you plan to retire?" ... Patients seem to ask me that every day. ... My usual response: "Why do you ask, do I look that bad?" ... "No, you look pretty good for your age." (According

Key messages when communicating about skin cancer

Key messages ... Skin cancer is the most common cancer in the United States, with millions of cases diagnosed each year. It’s also one of the most preventable cancers and highly treatable when found early. ... To reduce your risk of skin cancer, seek shade, wear protective clothing and apply

Life is just a bowl of cherry angiomas

By Warren R. Heymann, MD May 29, 2019 Vol. 1, No. 13 "Dr. Heymann, I’ve noticed a number of these spots appearing lately." ... "They’re called cherry angiomas — totally benign." ... "Why I am getting them?" ... "Maturity." ... "You mean I’m getting old!" ... "I did not say

Talking Points: Skin Cancer Awareness Month

Please use the following key messages when you’re educating the public about skin cancer prevention and detection for Skin Cancer Awareness Month. ... Skin cancer can have a serious impact on your health and well-being. ... Everyone is at risk for skin cancer. In fact, at least one in five

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Updated content on fading dark spots on skin of color attracts new readers ... The AAD’s public website content helps tens of millions of potential dermatology patients learn more about their conditions — ... more than 30 million so far in 2021. In the last issue, we highlighted the ...

Linear and whorled nevoid hypermelanosis: Past reflections and future directions

By Warren R. Heymann, MD July 4, 2017 Linear or circular arrangement of pigmented macules along the lines of Blaschko. ... Credit: ... JAAD I recall meeting Debra Chester Kalter as a young, remarkable dermatologist, chatting annually with her at the AAD meeting. She was my wife’s classmate at the

September 7, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / S ept. 7, 2022 ... Are concentrations higher than 5% minoxidil of benefit for androgenic alopecia patients? DermWorld Insights and Inquiries : BASCULE syndrome: Is something brewing with Bier spots? Emollient

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

Top pediatric allergens by age group

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, March 1, 2025 Allergic contact dermatitis (ACD) affects approximately 20% of children in the United States (doi: 10.1097/DER.0000000000000214). A 2023 multicenter ... study summarizing the results of the Pediatric Allergic Contact Dermatitis registry from 2016 to 2022 found top allergens

Learning module: Blotches: Light rashes

The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients presenting with light rashes. ... After completing this module, the learner should be able to:  ... Identify and describe the morphology of common light rashes ... Describe the

Components of evaluation and management

Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, May 1, 2018 Test your knowledge: Components of evaluation and management ... Take the quiz to see if you're

Building confidence in girls at a young age

Medical student Priya Uppal uses Good Skin Knowledge to introduce STEM to young girls in her community. Priya’s story ... Priya A. Uppal, BS, BA - Albany Medical College, MS2 ... Introducing science, technology, engineering, and math (STEM) activities to girls at a young age fuels curiosity and a desire

How to make melasma less noticeable

Tips from a board-certified dermatologist ROSEMONT, Ill. (Sept. 12, 2023) — Melasma is a skin condition that causes patches or freckle-like spots on the face that are darker than a person’s natural skin color. Melasma has many causes, including sun exposure, pregnancy, stress, a medical condition, or taking certain medications,

Knowledge is power: Creating hands-on opportunities for learning

Medical student Jessica Kern encourages children and teens to learn about their skin. Jessica’s story ... Jessica Kern (center, top) and fellow medical students practice making skin models to teach their students about the three layers of the skin. ... Good Skin Knowledge enables children and adolescents to understand good

Survey: Americans worry about premature aging, still behind on sunscreen use

Facts at your Fingertips ... By Megan Bennett, Staff Writer, February 1, 2026 Despite concerns about premature skin aging, many Americans are still in the dark about the importance of sunscreen, according to a recent AAD survey. ... The AAD survey of 1,000 U.S. adults revealed that half worry about

Obituaries

Obituaries ... By Jerry Graff, MD, September 2, 2019 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... JOHN L. AELING, MD, of Orlando, Florida, Oct. 26, 2018, at age 82. Trained at National Capital Area Consortium Dermatology Residency Program. ...

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

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

Treating psoriatic patients with associated inflammatory bowel disease: A personal bias

... By Warren R. Heymann, MD Feb. 20, 2017 My late brother Andrew succumbed to complications of Crohn disease (CD) at age 29. His brief, but valiant life was punctuated by multiple hospitalizations, surgeries, remissions, and exacerbations. Although prednisone and azathioprine offered an occasional respite, he suffered. Sharing a

Texas dermatologist recognized for improving the quality of life of a child with rare condition

American Academy of Dermatology honors Dr. John Browning as national "Patient Care Hero" ROSEMONT, Ill. (November 30, 2022) — Board-certified dermatologist John Browning MD, FAAD, FAAP, adjunct associate professor of pediatrics and dermatology at UT Health in San Antonio, was named an American Academy of Dermatology Patient Care Hero for

Do skin cancer rates differ by transplanted organ type and patient age?

Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lee Wheless, MD,

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),

Psoriasis

Key messages ... Psoriasis is a chronic inflammatory disease of the immune system that develops when the body makes skin cells too quickly, causing skin cells to pile up and form visible patches or spots on the skin. (1-6) ... Psoriasis and psoriatic arthritis can be associated with other diseases

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

The journey of focal dermal hypoplasia: From description to inspired therapy

By Warren R. Heymann, MD Oct. 9, 2017 The dermatologic community lost a giant in 2014 with the passing of Robert W. Goltz, MD at the age of 90. Dr. Goltz was not only responsible for describing focal dermal hypoplasia (FDH), but also multicentric reticulohistiocytosis, generalized elastolysis, and the nevoid

Ohio dermatologist aims to protect youth from tanning bed dangers

American Academy of Dermatology honors Dr. Shannon Trotter as National "Patient Care Hero" ROSEMONT, Ill. (April 13, 2022) - Ohio board-certified dermatologist Shannon Trotter, DO, FAOCD, FAAD, was honored as an American Academy of Dermatology ... Patient Care Hero for her efforts to protect teenagers from the dangers of tanning

American Academy of Dermatology issues updated guidelines for the management of acne

Both newly approved and well-established treatments recommended ROSEMONT, Ill. (Jan. 31, 2024) — Acne is the most common skin condition in the United States, affecting nearly 50 million Americans each year, with symptoms usually beginning in puberty. Acne affects 85% of adolescents and can also often begin or continue in

Golden rules for the golden years

Go to AAD Home ... Go to AAD Home ... Menu ... Strategies for caring for elderly patients ... Strategies for caring for elderly patients ... By Victoria Houghton, assistant managing editor According to the U.S. Census, there were 47.8 million people over the age of 65 in the United

Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections

By Warren R. Heymann, MD Aug. 21, 2019 Vol. 1, No. 24 Dermatologists are keenly aware of immunosuppression’s profound biologic effects. Whether by disease or iatrogenic means, clinical vigilance is mandated because of an elevated risk of malignancy, infection, or inflammatory dermatoses. ... In a study of 177 organ transplant

The brave new world of melanoma gene expression markers

By Warren R. Heymann, MD May 14, 2016 Epidermolysis bullosa nevi (EBN) are clinically alarming lesions that may display "pseudomelanoma" features histologically. Changes within these lesions may be disconcerting, necessitating repeated biopsies. Any advances to predict biologic behavior would be welcome. ... Ahn et al report the case of a

Breaking up (with habits) is hard to do: The role of platelet transfusions when performing skin biopsies on profoundly thrombocytopenic patients

By Warren R. Heymann, MD ... May 12, 2017 ... Hypersensitivity reaction with hemorrhagic appearance in thrombocytopenic patient. ... Credit: ... JAAD We are taught at an early age to live by the rules. In an interesting essay entitled "Breaking the Rules for Better Care", Berwick et al tell

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

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 23

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 23, 2019 ... How does skin age? Researchers may have found the answer. AAD refutes misleading sunscreen article Taking the pain out of prior authorization denials Academy responds to Vision

More than skin deep

Dermatologists discuss cutaneous complications of tattoos — and their complex regulatory status. ... Feature ... By Emily Margosian, Assistant Editor, July 1, 2024 Humans have been tattooing since the Stone Age. The oldest discovery to date of tattooed human skin is on the body of Ötzi the Iceman, dating back

Lightening the cutaneous and emotional burden of melasma: Cysteamine’s role

By Warren R. Heymann, MD, FAAD February 9, 2022 Vol. 4, No. 6 Melasma is a frustrating disorder for patients and practitioners alike. Facial gray-brown patches may cause psychosocial distress and embarrassment, thereby diminishing quality of life. (1) Melasma most frequently occurs in women with Fitzpatrick skin types III-VI with

Use of High-Risk Medications in Older Adults — Measure 238

Use of High-Risk Medications in Older Adults ... DESCRIPTION: Percentage of patients 65 years of age and older who were ordered at least two high-risk medications from the same drug class. ...  ... MEASURE ID:  ... 238 ...  ... Type: Process ...  ... CMS Derm Specialty

Obituaries

Obituaries ... By Jerry Graff, MD, June 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ROBERT AUERBACH, MD, of New York, Nov. 1, 2017, at age 85. Trained in dermatology at University of Chicago. Was a well-known expert

Obituaries

Obituaries ... By Jerry Graff, MD, March 1, 2020 The Academy recently learned with sorrow of the passing of the following members of the dermatologic community. ... ALGIE C. BROWN, MD, of Roswell, Georgia, May 14, 2018, at age 82. Trained in dermatology at Johns Hopkins followed by a fellowship

Pediatric drug testing obstacles

Go to AAD Home ... Go to AAD Home ... Menu ... Is the drug trial landscape about to change? ... Is the drug trial landscape about to change? ... By Allison Evans, assistant managing editor Choosing the best therapeutic options for pediatric patient populations can be an administratively complex

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience — QCDR measure AAD 20

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes - National Quality Strategy Domain: Patient Experience ... DESCRIPTION: Percentage of adult patients (age 18 years and older) who report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis. Patients provide a global assessment of the perceived effectiveness

Adult Immunization Status — Measure 493

Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; pneumococcal; and hepatitis B. ...  ... MEASURE ID:  ... 493 ...  ...

Controlling High Blood Pressure — Measure 236

Controlling High Blood Pressure ... DESCRIPTION: Percentage of patients 18–85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement

Adult Immunization Status — Measure 493

Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal. ...  ... MEASURE ID:  ... 493 ...  ... Type: Process

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

2026 AAD Innovation Academy: Childcare

Balance learning and family time in New York ... Childcare ... We are pleased to offer childcare services at 2026 AAD Innovation Academy in New York this summer. Our childcare service offers a safe and entertaining environment for children ages 6 months to 12 years. ... In partnership with KiddieCorp,

Learning module: Dermatologic therapies

Goals and objectives ... The purpose of this module is to help medical students gain familiarity with common dermatologic treatments. ... After completing this module, the learner should be able to: ... Estimate the amount of topical medication needed for therapy based on frequency of application and body surface area

Gen Z’s indifference to sun damage is heating up their risk of skin cancer

Facts at your Fingertips ... By Megan Bennett, Staff Writer, March 1, 2026 In an AAD survey of 1,000 U.S. adults, released in May 2025 in conjunction with Skin Cancer Awareness Month, half of the ... Gen Z responders reported getting sunburned in 2024 . About 10% reported having sunburns

Psoriasis cases projected to rise worldwide by 2050

Facts at your Fingertips ... By Megan Bennett, Staff Writer, May 1, 2026 The incidence of psoriasis is estimated to rise by 2050, according to an analysis published in ... JAMA Dermatology (doi: 10.1001/jamadermatol.2025.4572). ... Using data from 1990-2021 from 236 countries reported in the 2021 Global Burden of Disease

Myths and facts about human trafficking

There are many misconceptions about the nature of human trafficking which can compromise a dermatologist’s ability to recognize it during a patient visit. For example: ... Myth: Human trafficking does not occur in the United States. It only happens in other countries. ... Fact: Human trafficking exists in every country,

March

Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I always knew firefighting was a dangerous occupation What’s hot ... This month’s news from across the specialty Clinical Applications ... Do skin cancer

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)

The power of teaching

Medical student Jessika Sanz, BS, combined her passion for skin care and teaching. Jessika’s story ... The Good Skin Knowledge project truly enhanced my passion for teaching. I enjoyed educating the younger generation on a topic that I knew very little about when I was their age but learned to

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

June 15, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 15, 2022 ... FDA approves first systemic treatment for alopecia areata DermWorld Insights and Inquiries : Aluminum can cause allergic contact dermatitis — Allergen of the Year 2022 DermWorld Young

This month's news from across the specialty

What's hot ... August 1, 2020 In this monthly column, members of  ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty.   ... EDWARD W. COWEN, MD, MHSc Mortality associated with the COVID-19 pandemic has varied between countries. Among the population-based factors that may account

Screening firefighters for skin cancer

First Person ... By Christine Kannler, MD, FAAD, October 1, 2022 DermWorld’s ... First Person column offers Academy members the opportunity to share their personal reflections about how dermatology is changing and how they’ve adapted. Christine Kannler, MD, FAAD ... My brother was a firefighter in Chelsea, Massachusetts, an instructor

December

Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... They never taught us how to fail What's hot ... This month's news from across the specialty Clinical Applications ... Does the burden of

Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?

By Warren R. Heymann, MD July 18, 2016 I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently

How to get the best results from fillers

Board-certified dermatologist shares five tips to consider before getting a filler ROSEMONT, Ill. (February 16, 2023) — When we’re young, our skin is soft, supple, and well hydrated, but as we age, our skin slowly loses its youthful characteristics, which can leave some people looking for a way to regain

A data-driven approach to reducing no-shows

Facts at your fingertips ... By Emily Margosian, assistant editor, March 1, 2020 When it comes to patient appointment reminders, three is the magic number. A 2019 study by Solutionreach, a patient relationship management platform, found that three messages sent three weeks, days, and hours from the date and time

Retirement planning 101

Dermatologists and financial experts share their top tips and strategies for creating and maintaining a healthy retirement plan. ... Feature ... By Allison Evans, Assistant Managing Editor, September 1, 2023 Pulse check: Have you started saving for retirement? How much money is enough? These are seemingly simple questions with complex

Decomplexing plexiform neurofibromas

By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse

History and current status

1. What is the history of measles in the U.S.? ... Measles is a vaccine-preventable disease. ... Pre-vaccine era ... Measles was first identified as an infectious agent from blood samples collected in 1757 and became a nationally notifiable disease in the US in 1912. ... 1 ... An average

Demand for “Brotox” grows, along with other minimally invasive cosmetic trends

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, July 1, 2024 More men are investing in non-invasive cosmetic procedures, according to new data from the American Society of Plastic Surgeons (ASPS). 2022 survey data indicate that over 1.4 million male patients sought out minimally invasive cosmetic procedures —

Managing Gen Z patients

Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2023 DermWorld ... talks to Brittany Craiglow, MD, FAAD, from Yale School of Medicine, about tips for managing Gen Z patients — individuals born after 1996. DermWorld: Tell us about your practice. Brittany Craiglow, MD, FAAD ... Dr. Craiglow:

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

A Frank discussion about earlobe creases

By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied

Merkel cell carcinoma in situ: Begin the beguine?

By Warren R. Heymann, MD May 26, 2017 I have to admit, the concept of Merkel cell carcinoma in situ (MCCIS) was "below my radar screen," until I read the intriguing article, from Jason Lee’s group, questioning whether an intraepidermal proliferation of Merkel cells (MC) within a seborrheic keratosis is

Happy 95th birthday, Mom! A Birthday vish in the Era of “Value-based” healthcare

By Warren R. Heymann, MD ... June 5, 2016 ... I am blessed that my mother is in reasonable health with a keen intellect. She’s a prolific reader, politically engaged, and still independent in mind, body, and spirit. ... She has fought medical ageism on several occasions. At age 88,

National healthy skin month: dermatologists provide tips on caring for your skin, hair, and nails

Board-certified dermatologists remind patients that skin, hair, and nail care routines are a key to health ROSEMONT, Ill. (October 25, 2022) — In recognition of National Healthy Skin Month in November, board-certified dermatologists are providing their top tips for caring for your skin, hair, and nails. ... These seven tips

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

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

Happy Father’s Day

By Warren R. Heymann, MD June 18, 2017 It is ironic that the founding father of the American Academy of Dermatology, Howard Fox, was a bachelor with no children. He was undoubtedly influenced by his father, the beloved and internationally known dermatologist, George Henry Fox. We are their legacy, and

Pancreatic panniculitis: Getting spooked by ghost cells

By Warren R. Heymann, MD, FAAD July 24, 2024 Vol. 6, No. 30 I am at the age where the diagnosis of pancreatic cancer is a looming fear, punctuated by the loss of my dear aunt Helen and two friends who have succumbed to the ravages of this vicious malignancy.

A dermatologist’s guide to skincare from growing up to glowing up

Board-certified dermatologist (and mom) shares holiday shopping tips for teens and tweens. ROSEMONT, Ill. (Oct. 28, 2025) — As online skincare trends continue to capture the attention of tweens and teens (and major retailers roll out early holiday promotions), an AAD board-certified dermatologist offers guidance to help families cut through

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

Treat the patient who has the disease, not just the disease.

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, February 1, 2024 This month’s feature article about managing skin cancers in the elderly resonated with me, as it addresses a concern that I have had for some time about the

From the editor

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, May 1, 2018 Maybe I lack imagination, but I was never the kid who dreamed of being a princess. I did, for a while, consider being an astronaut, but that fantasy ended

Dermatologist on the run

In Practice ... Douglas Naversen, MD, is a dermatologist in private practice in Medford, Oregon. ... By Emily Margosian, assistant editor, August 1, 2018 It takes major motivation to complete a single marathon. Douglas Naversen, MD, has run 25. ... "My personal record is two hours, fifty-five minutes, and thirty-two

From the editor

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, January 1, 2019 Happy 2019! Another year is upon us. The years seem to fly by these days — a hazard, I understand, of growing older. I suspect that many of you

Community outreach toolkit: Good Skin Knowledge

What is this program? ... Good Skin Knowledge is the American Academy of Dermatology’s youth education program. The goal is to teach school-age and young teens, ages 8-13, the facts about common skin, hair, and nail conditions. Misunderstanding can lead to teasing and bullying, which is associated with anxiety and

Using documentation aids to reduce burdens

Dermatologists report endless frustration with medical documentation in the age of EHR. They spend several hours a day on average entering documentation into cumbersome EHR systems, which takes away from both patient and personal time. What was once a straightforward part of medicine now takes away many hours of precious

Publishing profiteers

Paper mills sully the integrity of research. ... Feature ... By Andrea Niermeier, Contributing Writer, March 1, 2025 High-impact journals like the ... Journal of the American Academy of Dermatology ( ... JAAD ), ... JAAD Case Reports , ... JAAD Reviews, and ... JAAD International publish pioneering research in

Paging Dr. Google

Dermatologists discuss the consequences of self-practiced medicine and what physicians can do to educate patients ... Feature ... By Emily Margosian, Assistant Editor, August 1, 2022 "There is no doubt that the modern internet age has empowered people with more information than ever before in human history. Like any tool,

Getting started resources

Telemedicine allows dermatologists to deliver care to patients remotely using technology. For years, dermatologists have used telemedicine to evaluate patients in remote areas, where a trip to the practice may have taken hours. Now, dermatologists and patients alike are discovering the benefits of teledermatology, even for those with easy access

New study reveals that some children with common form of eczema should also be tested for allergic reactions

Study author highlights test used to differentiate between two types of eczema ROSEMONT, Ill. (September 26, 2023) — Eczema, which is a group of medical conditions that causes inflamed, irritated, and often itchy skin, affects millions of people worldwide. A new article published in the ... Journal of the American

This month's news from across the specialty

What's hot ... October 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD We all know how frustrating it can be when a patient’s acne returns after isotretinoin, requiring them to undergo

American Academy of Dermatology Issues First-Ever Pediatric Atopic Dermatitis Guidelines, Highlighting Prevention Strategies and Effective Treatments

New evidence-based guidelines establish insufficient evidence or no benefit to dietary or environmental interventions ROSEMONT, Ill. (April 7, 2026) — For the first time in its history, the ... American Academy of Dermatology (AAD) has published guidelines of care for both the ... prevention and ... management of atopic dermatitis

Vaccines, maintenance, and PEP

The information below is provided for informational purposes only and does not represent treatment or vaccine guidelines from the AAD. Please refer to your local, state, or national guidelines for treatment and vaccine guidelines. ... 1. What are the guidelines for routine MMR vaccination? ... 1,2 ... The routine vaccination

An open invitation

Go to AAD Home ... Go to AAD Home ... Menu ... The cultural factors at play in the re-emergence of infectious disease ... The cultural factors at play in the re-emergence of infectious disease ... By Emily Margosian, assistant editor "Fifty years ago, many people believed the age-old battle

The changing face of care

DermWorld discusses digital pharmacies and direct-to-consumer (DTC) teledermatology platforms. ... Feature ... By Ruth Carol, Contributing Writer, February 1, 2023 Patients have more ways than ever to obtain medications and "care" to treat dermatologic conditions as digital pharmacies and direct-to-consumer (DTC) teledermatology websites continue to proliferate. First and foremost, these

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

A new chapter in vitiligo management

Recent advances in vitiligo treatment and research open doors for physicians and patients. ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2024 Since the Bronze Age, humans have recorded cases of vitiligo — and attempted to cure it. ... "3,400 years ago, ancient Indian texts called the ...

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

Navigating "natural" medicine

Go to AAD Home ... Go to AAD Home ... Menu ... How to meet patients' desire for alternative medicine with evidence-based care ... How to meet patients' desire for alternative medicine with evidence-based care ... By Emily Margosian, assistant editor "We are clearly past the ‘golden age’ where, by

Optimizing the dermatologist-patient encounter

By Warren R. Heymann, MD, FAAD Oct. 5, 2022 Vol. 4, No. 40 My celebration of the USA bicentennial on July 4, 1976, was a glorious affair. I had taken my first plane flight at age 21 to visit Boston, culminating with Arthur Fieldler and the Boston Pops performing Tchaikovsky’s

Managing melasma

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments ... By Jan Bowers, contributing writer The emotional toll of melasma on patients

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

Can posting about patients on social media get you into trouble?

Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., March 1, 2018 From the humble beginnings of now-nearly-forgotten sites such as Friendster and MySpace, long before the age of SnapChat and Instagram, social media

Two new skin healthy issues provide valuable information to patients

Two new editions of ... skin healthy magazine were published in 2023. As a member benefit, ... U.S. members receive 50 complimentary copies of each issue of skin healthy, which positions board-certified dermatologists as the leading experts in issues affecting the skin, hair, and nails. Members can place copies in

Keeping up

Dermatologists discuss the various methods for staying current with the latest medical research ... Feature ... By Ruth Carol, contributing writer, August 1, 2021 With an estimated 33,000 peer-reviewed, English-language, scientific journals and more than 3 million articles published each year, it’s no wonder that staying current with the medical

American Academy of Dermatology survey: half of Americans worry about skin aging, but many still skip sunscreen

Board-certified dermatologist encourages public to incorporate sun protection into daily skin care routine ROSEMONT, Ill. (May 6, 2025) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults found that half worry about premature skin aging and only half use sunscreen regularly, while nearly 1 in

Entering a golden age of toxins

Go to AAD Home ... Go to AAD Home ... Menu ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ...

Risk factors for herpes zoster: Age, immunosuppression, and…statins?

... By Warren R. Heymann, MD Jan. 25, 2017 When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the

How to examine your skin for skin cancer

Board-certified dermatologist shares 5 skin cancer exam tips ROSEMONT, Ill. (May 31, 2023) — Last year, 69-year-old Isabel Lievano's board-certified dermatologist diagnosed the persistent black spot under her nail as melanoma, the deadliest form of skin cancer. Though she lost her nail, she was thrilled that her dermatologist was able

Misinformation puts over 16 million Americans at an increased risk for skin cancer

New data from the American Academy of Dermatology reveals misinformation drives adults to cut back or stop using sunscreen Survey data show influence of social media, misconceptions, and gaps in sun safety knowledge – especially among Gen Z Gen Z is flunking sun safety, with one-third scoring a D or

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

Declare your independence from skin cancer: perform a skin self-exam this 4th of July

Board-certified dermatologist discusses importance of preventive health measures in recognition of UV Awareness Month ROSEMONT, Ill. (June 25, 2024) — Brian Ingham was only 32 years old when a board-certified dermatologist discovered melanoma on his back during a routine visit to get a tattoo removed in late 2023. The Washington,

Does the burden of atopic dermatitis vary by age, race, ethnicity?

Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, December 1, 2019 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jonathan Silverberg, MD, PhD, MPH,

American Academy of Dermatology survey shows Gen Z sun protection, tanning knowledge lacking

Board-certified dermatologist shares personal cancer diagnosis and sun protection habits to encourage younger generations like Gen Z to practice safe sun ROSEMONT, Ill. (June 28, 2022) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that many Generation Z adults, ages 18-25, are not

American Academy of Dermatology survey shows Generation Z adults are unfamiliar with sunburn and tanning risks

Board-certified dermatologist shares her melanoma diagnosis and encourages people to protect themselves from the sun ROSEMONT, Ill. (May 9, 2023) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed that many Generation Z adults, ages 18-25, are unaware of the risks associated with overexposure

Start the new year off with a fresh start (and skin)

Advice from a board-certified dermatologist on seeking cosmetic treatments ROSEMONT, Ill. (January 9, 2024) — With a rise in both public accessibility and visibility, cosmetic treatments are more popular than ever. Whether your New Year’s resolution is to improve your health or to look and feel your best, the most

New American Academy of Dermatology survey: increasing number of Americans at risk of skin cancer despite knowing how to protect themselves

Board-certified dermatologist urges public to practice safe sun ROSEMONT, Ill. (April 30, 2024) — Abby Weiner knew the dangers of unprotected sun exposure long before she was diagnosed with skin cancer. As someone with fair skin and freckles, the 43-year-old mother of three says she has always been diligent about

Sun exposure taking a toll: new AAD survey shows sharp increase in sun damage across the U.S.

Practice safe sun ahead of Melanoma Monday (May 5) ROSEMONT, Ill. (April 29, 2025) — A recent survey of more than 1,000 U.S. adults showed that nearly all Americans believe sun protection is important, with 1 in 4 citing the influence of a dermatologist as the reason. However, Americans have

Five unsafe skin care trends to avoid

Advice from board-certified dermatologists to keep your skin healthy ROSEMONT, Ill. (Nov. 1, 2023) — Social media platforms are rife with skin care advice from a variety of sources, which can make it difficult to know how to approach the recommendations you find online. In recognition of National Healthy Skin

Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders

By Warren R. Heymann, MD, FAAD Dec. 11, 2024 Vol. 6, No. 49 Patients often ask me, "Doctor, is my disease rare?" I’m never quite sure how to respond — while most patients are relieved to know that they are not alone ("misery loves company"), some relish the experience of

American Academy of Dermatology survey shows sun protection lacking in winter

Board-certified dermatologist shares tips to protect your skin from the sun during colder months ROSEMONT (Feb. 6, 2024) — A recent American Academy of Dermatology survey revealed that nearly one in five adults are not aware that you can get sunburned during the winter, and even fewer protect themselves from

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

New skin healthy issue distributed to members

Skin Healthy , a magazine printed by the AAD and distributed to members for free as a member benefit, recently published a new edition. Skin Healthy positions board-certified dermatologists as the leading experts in issues affecting the skin, hair, and nails. Members can place copies in their waiting rooms, offering

Educating the public — AAD launches Darker Skin Tones Hub

Dermatologists know that a "one-size-fits-all" approach is not an effective way to treat conditions affecting skin, hair, and nails. In particular, some skin diseases present differently or more frequently in people with darker skin tones, which could also require different treatment regimens. ... The American Academy of Dermatology launched the

Equal opportunity for all?

Go to AAD Home ... Go to AAD Home ... Menu ... How to take steps to address implicit bias in health care hiring ... How to take steps to address implicit bias in health care hiring ... By Emily Margosian, assistant editor What do male receptionists and female department

We are living in a new golden age for dermatology

From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, April 1, 2023 Like the rest of you, I have just returned from an invigorating and rewarding AAD Annual Meeting in New Orleans. We had an

AAD Statement on USPSTF Recommendation on Skin Cancer Screening

Statement from Terrence Cronin Jr., MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (April 18, 2023) — "In its Recommendation Statement on Screening for Skin Cancer, the U.S. Preventive Services Task Force — a group that provides guidance for primary care physicians — has determined that there is not

American Academy of Dermatology survey shows Gen Z adults at risk for skin cancer due to increasing rates of tanning and burning

Board-certified dermatologist urges sun protection to prevent skin cancer ROSEMONT, Ill. (May 14, 2024)  — A new survey from the American Academy of Dermatology revealed that Generation Z adults, ages 18-26, are at risk for skin cancer due to increasing rates of tanning and burning. To encourage safe sun habits,

Sunscreen FAQs

Sun Protection Resource Center ... Looking for information on sunscreen? Visit the Academy's Sun Protection Resource Center. ... Learn more Seeking shade, wearing sun-protective clothing — including a lightweight and long-sleeved shirt, pants, a wide-brimmed hat, and sunglasses with UV protection — and wearing sunscreen on all skin not covered

Periocular hypopigmentation of the elderly: A new POTUS dermatosis?

By Warren R. Heymann, MD, FAAD Sept. 4, 2024 Vol. 6, No. 36 Editorial Note: DermWorld Insights and Inquiries provides commentaries on issues in dermatology. This editorial was composed before the assassination attempt of former President Trump, President Biden’s decision not to seek a second term, and the nomination of

skin healthy magazine is committed to patient education

The biannual magazine featured over two dozen articles in 2022. The Academy provided U.S. members with more than 50 copies each of the two complimentary issues of ... skin healthy magazine — which provides expert editorial content on common conditions affecting the skin, hair, and nails and the most up-to-date

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

How climate change and wildfire smoke can impact the skin

Studies show California wildfires led to an increase in the number of patients visiting dermatologists for flares in skin conditions NEW ORLEANS (March 17, 2023) — New research ... 1,2,3 ... shows that as wildfires are increasing in frequency, intensity and extent, and affecting air quality across the U.S., they

Your Dermatologist Knows continues strong popularity on social media

You’re the experts, we’re proving it to the public. ... The AAD maintains a robust social media presence as one of the key aspects of the successful Your Dermatologist Knows consumer positioning strategy. Through collaborations between the Academy’s social media team and AAD Social Media Correspondents and AAD Ambassadors, Your

Telemedicine in the age of COVID-19: What’s happened and what’s to come

Legally Speaking ... By Megan La Suer, JD, MHA, and Robert M. Portman, JD, MPP, March 1, 2022 Every month, DermWorld covers legal issues in Legally Speaking. This month’s authors are health care attorneys with Powers Pyles Sutter & Verville in Washington, D.C. Portman is also general counsel for the

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

American Academy of Dermatology survey shows sun protection during common outdoor activities lacking

Board-certified dermatologist discusses how people can protect themselves from the sun ROSEMONT, Ill. (May 23, 2023) — Andy Jacobs spent a lot of time playing outdoor sports during his childhood, but infrequently used sun protection. Yet it came as a shock to Jacobs when his dermatologist diagnosed a spot on

Managing menopause

Dermatologists discuss dermatologic changes before and during menopause and the dermatoses that may occur. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2025 Menopausal transitions can be stressful. While rapidly declining estrogen levels can wreak havoc internally, many of these changes involve the skin, hair, and vulvar

New survey reveals public confusion about risks of tanning and sunburns

American Academy of Dermatology Survey Shows Large Increase in People Getting Tans and Sunburns in 2021 ROSEMONT, Ill. (May 24, 2022) — A recent American Academy of Dermatology survey of more than 1,000 U.S. adults revealed a significant increase in both tanning and number of sunburns in 2021 compared to

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

Talking points: Benzene found in acne care products

Primary key messages ... The Academy has developed key messages for dermatologists regarding reports that have found the chemical benzene in acne products containing benzoyl peroxide. ... Benzoyl peroxide, a common acne-fighting ingredient available by prescription and over the counter, has the potential to break down into benzene. ... In

February 19, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 19, 2020 ... Study raises concerns about skin cancer detection apps DW Insights and Inquiries : Men in the twilight Zoon STD medical claims in the U.S. soar Does tobacco

New American Academy of Dermatology survey shows most Americans are not concerned about skin cancer, even if they are at risk

Board-certified dermatologists urge the public to practice safe sun ROSEMONT, Ill. (April 25, 2023) — As an African American female, Ilia Smith didn’t think she would get melanoma. However, after years of tanning and being outdoors, her life changed drastically when she was diagnosed with stage 2 melanoma. While Ilia

The challenge of identifying identical twins: Advances in differentiating lupus erythematosus panniculitis from subcutaneous panniculitis-like T-cell lymphoma

By Warren R. Heymann, MD Feb. 22, 2018 Lupus erythematosus panniculitis. Malar eminence with prominent subcutaneous atrophy. ... Credit: ... JAAD Did you ever have trouble telling identical twins apart? Most parents can do so by differentiating minor features that others might overlook, such as the way one laughs, wrinkles

Social media skin care trends: Dermatologists reveal the facts

Board-certified dermatologists provide tips for healthy skin ROSEMONT, Ill. (Oct. 29, 2024) — With the growing popularity of beauty influencers and viral skin care routines, social media is playing an integral role in shaping how people care for their skin. Popular trends like the glass-skin look, the Russian manicure, and

Applying the 2021 E/M coding concepts in everyday practice – Part 7

Part seven of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how, a common dermatologic condition, actinic keratosis in these examples, can be categorized under different categories of problem addressed during the encounter depending on disease severity and patient

Largest study of skin cancer prevention in American Indians and Alaskan natives shows UV protection lacking

Use of tanning beds and inadequate sun protection increases skin cancer risk ROSEMONT, Ill. (August 16, 2022) — Ultraviolet (UV) protection from the sun and avoiding indoor tanning play an important role in reducing a person’s risk for skin cancer — the most common cancer in the U.S. and one

Dermatology issues in the news

Talking points: FDA proposal on new sunscreen ingredient ... The American Academy of Dermatology Association applauds the Food and Drug Administration (FDA) for taking the first steps in more than two decades to provide more safe and effective sunscreen options to the American public. ... The agency announced that they

Pediatric dermatology

Finding Joy in pediatric phototherapy Congenital Juvenile Xanthogranulomas: Born To Be Wild (But Ultimately Mild) Sophie’s choice: Assessing atypical Spitz tumors in the molecular era The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy​ Sirolumus’s merit for the Kasabach-Merritt phenomenon A future therapeutic Harlequin Romance?

When assessing morbilliform eruptions think about morbilli (measles)!

By Warren R. Heymann, MD May 1, 2019 Vol. 1, No. 8 ... I’m confident you’ve seen the headlines about measles (rubeola, morbillii): ... "Measles Outbreak: The Spread in New York" ( ... New York Times , March 28, 2019) ... "Fourth Measles Case Reported in Maryland Outbreak" ( ...

Diabetes and your skin

Dermatologist explains how diabetes affects the skin and the importance of proper skin care ROSEMONT, Ill. (November 2, 2022) — Your skin is a window to your overall health, and what happens on your skin is often an indicator of what’s happening inside your body. Skin, hair, and nail conditions

Mental health cases in pediatric dermatology

Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the cutaneous manifestations of Munchausen by proxy, child abuse, and eating disorders ... Experts discuss the cutaneous manifestations of Munchausen by proxy, child abuse, and eating disorders ... By Barbara Boughton, contributing writer While most dermatologists

Extending medicine's reach

DermWorld takes a look at the Interstate Medical Licensure Compact. ... Feature ... By Andrea Niermeier, Contributing Writer, January 1, 2023 In 1925, inventor and publisher Hugo Gernsback wrote in ... Science and Invention magazine of a "teledactyl," a device that would allow doctors to not only see their patients

On the front lines during COVID-19

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Linda Stein Gold, MD ...  ... Dermatology World Weekly  talks with Linda Stein Gold, MD, recently chosen as the AAD’s next vice president-elect and the current division head of dermatology at the Henry Ford

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.

Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and Carteaud

By Warren R. Heymann, MD, FAAD Feb. 5, 2025 Vol. 7, No. 5 Congratulations to Aaron Judge for setting the American League seasonal record in 2023 for the most home runs — 62 — a remarkable feat. I was only six years old when Roger Maris* slammed his 61st home

Glomus tumors point a finger at neurofibromatosis

By Warren R. Heymann, MD ... Nov. 21, 2016 ... The correct diagnosis of the ... JAMA Dermatology Clinicopathological Correlation of a glomus tumor presenting as longitudinal erythronychia was straightforward — I was fascinated by this comment in the discussion: "The presence of multiple glomus tumors in the digits

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

New treatments provide more options for people with alopecia areata

Journal of the American Academy of Dermatology ... article highlights new ways to restore hair ROSEMONT, Ill. (Aug. 15, 2023) — A study published today in a supplement of the ... Journal of the American Academy of Dermatology titled " ... Alopecia: A New Frontier " reveals that a new

A pandemic of perception

Virtual life has negatively affected patients’ self-perception. Dermatologists may be in a position to help. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2022 Photo editing, once associated with flawlessly airbrushed celebrities, has become not only ubiquitous but nearly a requirement of social sharing. In a highly

Coding for preventive skin examination in 2021 and beyond

To understand the new evaluation and management (E/M) coding guidance, the AAD/A recommends reviewing and applying the coding guidelines holistically. When coding is based on medical decision making (MDM), documentation for the encounter must meet or exceed two of the three elements as described in the ... E/M Office Visit

Sirolimus for microcystic lymphatic malformations: Caviar for frog spawn

By Warren R. Heymann, MD Jan. 23, 2017 Recently, our understanding of lymphatic malformations (LMs) has vastly expanded. Genetic advances have focused on the PI3K/AKT/mTOR pathway allowing the use of mTOR inhibitors for those lesions involved in this pathway. As noted in a previous post (Rapalogs for vascular lesions: Caveat

April 16, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 16, 2025 ... Is isotretinoin linked to psychiatric events for acne patients? DermWorld Insights and Inquiries : The not-so-full body skin examination What every dermatologist should know about measles Is

AAD highlights your expertise during awareness months

Awareness months are a great opportunity to let the public know you’re the experts. ... When a dermatology-related awareness month rolls around, the AAD makes sure to capitalize on the opportunity to let the public know that only a board-certified dermatologist has the expertise necessary to treat skin, hair, and

How to check for bedbugs

Board-certified dermatologist’s tips ROSEMONT, Ill. (March 14, 2024) — Bedbugs can make you itch just by thinking about them. These tiny, reddish-brown insects that feed on blood are notorious for infiltrating hotel rooms and luggage, hitchhiking their way back to a new home virtually undetected. ... "Understanding what to be

How to treat acne

Board-certified dermatologist offers skin care advice to help you get the best results from your acne treatment ROSEMONT, Ill. (November 17, 2022) — Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. As your body’s largest organ, it’s important to take

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

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

Nailing the diagnosis of psoriatic arthritis

By Warren R. Heymann, MD Oct. 30, 2017 ... A to E, Patient with psoriatic arthritis. A, Dactylitis of 4th toe. B, Enthesitis of Achilles tendon. C, X-Ray of dactylitis of 4th toe. D, Severe nail dystrophy. E, Large discoid plaques on elbows. ... Credit: ... JAAD Nail psoriasis (NP)

Largest study on racial differences in men with melanoma shows men with skin of color have lowest survival rates

Study author and board-certified dermatologist encourages public to get screened for skin cancer ROSEMONT, Ill. (July 11, 2023) — Melanoma, the most serious form of skin cancer, is highly treatable when detected early, but when the disease advances, it can lead to death. A new article published in the ...

The latest in sun protection

New sunscreens now match a person’s skin tone without leaving a visible white film on the skin BOSTON, MA (March 25, 2022) — Throughout the years, sunscreens have evolved to meet the public’s needs. These innovations have included improved protection from sunburn and skin aging, as well as specific formulas

How to control excessive sweating

Board-certified dermatologist shares 6 tips in time for summer ROSEMONT, Ill. (July 17, 2024) — Hyperhidrosis, or excessive sweating, is a common medical condition that affects an estimated 15.8 million people in the U.S. It is normal to sweat when you overheat, or your nerves get the best of you.

Nailed it!

Nail experts discuss how to diagnose common — and not-so-common — nail disorders. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2025 Diagnosing conditions of the nail can be confounding. Patients may experience delays in treatment due to challenges in diagnosis. While the nail may seem like

A spotlight on hidradenitis suppurativa

HS experts discuss the latest therapeutic and procedural updates to optimize disease management. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2025 For many years, hidradenitis suppurativa (HS) has been an understudied disease that was poorly understood, making treatment difficult. While there is still much to be

A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus

By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the

Telangiectasias: When is it TEMPI time?

By Warren R. Heymann, MD, FAAD Oct. 19, 2022 Vol. 4, No. 42 For the medical dermatologist, telangiectasis requires a thoughtful approach to diagnosis. Where are the lesions distributed (generalized, mucosal, periungual)? Are they linear or mat-like? Are they associated with other lesions (pigmented macules, spider angiomas)? Is the patient

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

Cutaneous findings of COVID-19 in a pandemic hot zone

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, 2020 In this month’s Clinical Applications column, Dermatology World ... talked to Joanna Harp, MD, director of the inpatient

‘And miles to go before I sleep…’

From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, FAAD, March 1, 2022 Holidays over, now the new year, perhaps an early spring, but unlikely… ... From the streets of Brooklyn to the pinnacle of the specialty —

September 1, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 1, 2021 ... Which dermatology patients should receive a third dose of mRNA vaccine? DermWorld Insights and Inquiries: Shedding light on the hydroa vacciniforme-like lymphoproliferative disorder Obesity, diabetes associated with

ChatGPT enters the chat

Dermatologists discuss the possibilities — and pitfalls — of ChatGPT in clinical practice. ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2024 Design a webpage. Make a content strategy. Answer medical questions. Write an essay about trickle-down economics in the style of a Taylor Swift song. The possibilities

Demodectic eruptions: More than you mite have imagined

By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the

A menagerie of zoonoses

Common and emerging zoonotic disease in dermatology ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2022 From the Black Death to Avian Flu, throughout history, humans have been plagued by epidemics of infectious disease that originated from animals. Zoonoses represent a major public health problem around the world

From "slugging" to snail mucin

Dermatologists discuss popular social media trends impacting the skin. ... Feature ... By Emily Margosian, Assistant Editor, October 1, 2023 Social media and the skin have a long history together. For over 15 years, social media has been an ever-growing presence in nearly all facets of life: politics, commerce —

December 7, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 7, 2022 ... Recommendations for follow-up of patients with nonmelanoma skin cancer DermWorld Insights and Inquiries : Xylazine ("Tranq") — The potential for loss of life and limb Using apremilast

May 29

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 29, 2019 ... Academy issues statement on sunscreen safety DW Insights and Inquiries : Life is just a bowl of cherry angiomas AccessDerm: Serving the underserved Anthem enforces modifier 25

Getting down to brass tacks

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatology World unlocks the basics of physician entrepreneurship ... Dermatology World unlocks the basics of physician entrepreneurship ... By Ruth Carol, contributing writer Inspired by your entrepreneurial colleagues who were featured in the August issue of ... Dermatology

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

How dry I am: The white scale sign of xerosis

By Warren R. Heymann, MD Dec. 22, 2016 When winter approaches my skin dries out. Fortunately, it doesn’t bother me at all. For others, especially in the elderly, xerosis be a predisposing factor for asteototic eczema, nummular dermatitis or dyshidrotic eczema (1). With so many people presenting with dry

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

Herpes zoster, immunosuppression, and vaccination: Far from a blistering pace

By Warren R. Heymann, MD July 5, 2016 Do you recognize the name Chris Gueffroy? He was the last person shot trying to escape from East Berlin, before the wall came down. I had long promised myself that I would get Zostavax when I turned 60. Now 61, I am

Modifier 25 and E/M coding in 2021

Derm Coding Consult ... By Cynthia Stewart, CPC, COC, CPMA, CPC-I, manager, coding & reimbursement resources, March 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . The recently released 2021 CPT ... ® ... office or

Ongoing best practices for HIPAA

Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., March 1, 2024 DermWorld covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney at Alice G.

Managing dermatologic care in a COVID-19 hot zone

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ...  ... Dermatology World Weekly  talked to Bobby Buka MD, JD, from The Dermatology Specialists in New York City, about his efforts to keep his practices afloat in a coronavirus "hot zone." This interview reflects

What’s new in treating actinic keratosis?

Dermatologists discuss how to balance the latest evidence, patient preferences, and clinical experience when treating AKs ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2022 Actinic keratoses (AKs) are commonly diagnosed and treated by dermatologists. In fact, the National Ambulatory Medical Care Survey on outpatient medical care

Tailor-made care

Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss the benefits of personalized treatment plans for patients with hidradenitis suppurativa ... Experts discuss the benefits of personalized treatment plans for patients with hidradenitis suppurativa ... By Jan Bowers, contributing writer Hidradenitis suppurativa (HS) was once

Adjusting the screen door: Developing a rational approach to assessing for thyroid disease in patients with alopecia areata

By Warren R. Heymann, MD Jan. 11, 2018 Loss of the sideburns and marked frontal-temporal scarring alopecia with lonely hairs. ... Credit: ... JAAD Since my residency, I have been perplexed about how to screen patients with alopecia areata (or vitiligo) for thyroid disease. What tests should (or should not)

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

This month's news from across the specialty

What's hot ... May 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS As published in a recent ... Dermatologic Surgery paper, Surget Cox et al performed a systematic review on

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

May 13, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 13, 2026 ... Beyond isotretinoin: Systemic therapies for acne DermWorld What’s Hot: Difamilast approval for pediatric AD patients UK recommends additional actions to minimize suicide risk from finasteride, dutasteride A

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

Double check, pause...and proceed

What dermatologists can learn from quality efforts in surgery ... Feature ... By Emily Margosian, content specialist, October 3, 2016 As the culture of health care and developing regulatory trends continue to move in an increasingly quality-focused direction, dermatologists may soon find themselves under more scrutiny. Wrong-site surgery is one

A simple stripe or a red flag?

Experts share advice for the often-tricky triage of nail pigmentation. ... Feature ... By Heidi Splete, Contributing Writer, November 1, 2025 Lines or streaks on the nails are not uncommon, but deducing the cause of these discolorations is essential for separating benign melanonychia from nail unit melanoma (NUM). ... Melanonychia,

Are teens tanning less?

Go to AAD Home ... Go to AAD Home ... Menu ... Signs point to progress, but work remains ... Signs point to progress, but work remains ... By Ruth Carol, contributing writer It appears that fewer teens are indoor tanning in recent years, but the data are sparse. Regulations

Despite economic uncertainty, demand for minimally invasive cosmetic procedures rises among Gen X and Millennials

Facts at your Fingertips ... By Emily Margosian, Senior Editor, September 1, 2025 New data released by the American Society of Plastic Surgeons (ASPS) show a consistent demand for cosmetic procedures, with a growing preference for minimally invasive options. ... 2023 ASPS data highlight a 5% increase from 2022 in

Alleviate the ouch

Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology

What's hot?

What's hot ... March 28, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The title says it all: ... Lack of a U.S. Food and Drug Administration indication should not

Predicting malignancies in Sweet syndrome has become sweeter

By Warren R. Heymann, MD Feb. 8, 2018 Histiocytoid Sweet syndrome. A, Multiple round erythematous papules and plaques on trunk and upper limbs. B, Multiple erythematous papules and plaques grouped in figurate pattern on the right thigh of a pediatric patient. C, Erythematous figurate annular plaques with erythematous elevated borders

American Academy of Dermatology Association statement on FDA withdrawing proposed sunlamp regulation

Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (March 16, 2026) — The American Academy of Dermatology Association is disappointed that the Food and Drug Administration (FDA) is ... withdrawing its proposed rule on sunlamp regulation, which would have restricted individuals under 18 from

One size does not fit all

Dermatologists discuss considerations and complexities in caring for older adults with skin cancer. ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2024 In the same way that children cannot be treated as little adults, older adults (65+ years old) cannot be treated the same as younger adults.

Caring for older patients during COVID-19? What you need to know.

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DW Weekly talks to Daniel Butler, MD, co-founder and co-chair of the Academy’s Geriatric Dermatology Expert Resource Group about caring for older patients during the COVID-19 pandemic. DW Weekly : Can you provide a little

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,

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

Koebnerization in Henoch-Schönlein purpura: How does it line up with prognosis?

By Warren R. Heymann, MD Nov. 20, 2017 ... Urticarial hemorrhagic lesions of Henoch-Schönlein purpura in characteristic distribution. Note Koebner phenomenon in lines of scratch. ... Credit: ... JAAD Heinrich Koebner is eponymically known for having first described the phenomenon of developing an existing dermatosis in previously normal skin following

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

Pediatric melanoma: A wolf in sheep’s clothing

By Warren R. Heymann, MD ... Sept. 27, 2016 ... Despite its rarity, the incidence of pediatric melanoma (PM) has been increasing. Every practicing dermatologist, past or present, has been humbled or fooled by the clinical appearance of melanomas, examples being amelanotic or desmoplastic variants. ... The A (asymmetry),

Visualizing the importance of healthy sun habits

Medical students Jayci Givens and Joanne Jacob used Good Skin Knowledge to teach healthy skin habits to Girl Scout troops across Houston. Jayci’s and Joanne’s story ... Together over video, the Girl Scout troops put together bracelets with beads that changed colors when exposed to the sun. ... Many of

A near miss

Dermatologists discuss patient safety issues in procedural dermatology. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2024 The 2000 landmark report by the Institute of Medicine, ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era, bringing

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.

Going from student to teacher

How medical student Vanessa Ramos’s own experience with acne led to her using Good Skin Knowledge materials to teach local Girl Scouts about their skin. Vanessa’s story ... Vanessa Ramos ... As an adolescent, I struggled with persistent acne which affected my mental health significantly. I developed poor self-esteem and

October 8, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 8, 2025 ... KOH vs. diclofenac for the treatment of actinic keratosis DermWorld Insights and Inquiries : Injecting ideas (and therapies) in digital mucous cysts FDA approves remibrutinib for chronic

A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?

By Warren R. Heymann, MD, FAAD July 20, 2022 Vol. 4, No. 29 One of the joys of practicing in the Delaware Valley is participating in the Philadelphia Dermatological Society (PDS). The local institutions each provide superlative patient presentations and lectures — the range of case presentations is stunning. For

Hot coding topics to keep you cool this summer

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding & reimbursement, June 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Think back to the world a year ago:

Applying the 2021 E/M coding concepts in everyday practice – Part 8

Part eight of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes continue those of part 7 in this series, demonstrating how a common dermatologic condition, actinic keratosis, can be classified under different categories of problem addressed during the encounter depending

Indoor tanning fact sheet

Indoor tanning use  ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in

Congenital juvenile xanthogranulomas: Born to be wild (but ultimately mild)

Positivity for CD68 stain is limited in center of specimen, where changes of juvenile xanthogranuloma exist. ... Credit: JAAD ... By Warren R. Heymann, MD Dec. 17, 2018 "Lost to follow-up" has implications that go beyond the obvious. Following up with patients is an essential part of learning for physicians

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ...  ... MEASURE ID:

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ...  ... MEASURE ID:

What are clinical practice guidelines for the treatment and management of port-wine birthmarks, including those associated with Sturge-Weber syndrome?

Clinical Applications ... Dr. Hsu is a member of the ... DermWorld Editorial Advisory Workgroup. ... By Sylvia Hsu, MD, FAAD, March 1, 2022 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup Member Sylvia Hsu, MD, FAAD, talks with Kristen M. Kelly, MD, FAAD, and Sara Sabeti,

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

New CDC treatment guidelines for sexually transmitted infections

Clinical Applications ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Kimberly A. Workowski,

Danazol for telomerase disorders: Prolonging the end — For chromosomes (yes), for dyskeratosis congenita (perhaps)

By Warren R. Heymann, MD May 18, 2016 Telomeres are located at the ends of chromosomes; they are repaired by telomerases. Shortening of telomeres leads to cell senescence, apoptosis, and chromosome instability. Male hormones have been used for decades to treat bone marrow failure and may have their effect by

Got milk? Got acne?

By Warren R. Heymann, MD July 30, 2016 I loved to drink milk as a kid — I would guzzle it. I was on the chunky side, so my mother encouraged me to have skim milk to cut down on the calories. I never really cared for it, but she

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.

January 16

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 16, 2019 ... Isotretinoin may change bacteria levels on skin of acne patients We want your feedback: Psoriasis draft guidelines Cochrane collection gathers new diagnostic test accuracy reviews for skin

Hair straighteners and the risk of uterine cancer: More studies are necessary to get this straight

By Temitayo Ogunleye, MD, FAAD Nov. 9, 2022 Vol. 4, No. 45 Every time the ... New York Times publishes a dermatology-related article I receive a flurry of text messages from friends and family and messages from patients. The most recent article discussing the ... possible link between the use

February 16, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 16, 2022 ... A review of calcipotriol plus 5-fluorouracil for actinic keratosis DermWorld Insights and Inquiries : Vascular Ehlers-Danlos syndrome: From rupture to rapture? Delayed complications for FDA-approved HA dermal

You like tomato, I like tomahto, you soak with steroids, I use them dry…

By Warren R. Heymann, MD July 28, 2016 I have been a firm believer in the “Soak and Smear” approach to treating recalcitrant dermatoses, including atopic dermatitis, as detailed by Gutman et al, more than a decade ago. The authors defined soaking and smearing as soaking an affected body part

Embrace your appearance!

Medical student Casey Paul Schukow helps teach local summer camp kids how to appreciate their skin. Casey's story ... Casey Schukow is currently a fourth-year medical student at Michigan State University College of Osteopathic Medicine (MSUCOM). ... "I learned about the dermis today," one of the campers stated after a

Eradicating ectoparasites

Experts discuss treatment options and tips for successfully diagnosing and treating lice and scabies ... Feature ... By Allison Evans, Assistant Managing Editor, October 1, 2022 Pediculosis (head, body, or pubic lice infestation) and scabies are caused by ectoparasites that are found to some degree in all human populations, with

This month’s news from across the specialty

What’s hot ... May 1, 2025 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Emily Y. Chu, MD, PhD, FAAD Dermatopathologists always welcome clues to help make diagnoses, especially ones that suggest a specific culprit medication in

How are patients with skin of color uniquely affected by dermatofibrosarcoma protuberans?

Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, June 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Travis Blalock, MD, MBA, FAAD, about his recent JAAD ... paper, ‘ The epidemiology of dermatofibrosarcoma protuberans incidence, metastasis, and death among various population groups:

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

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,

May 22

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 22, 2019 ... What's happening to practice ownership? DW Insights and Inquiries : Breaking the terbinafine laboratory habit for onychomycosis Do you know how to get to 30 points to

March 27, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 27, 2024 ... Spironolactone: Risk of breast, gynecologic malignancies? DermWorld Insights and Inquiries : Always another worry for patients with hidradenitis suppurativa — Amyloid A amyloidosis FDA approves spesolimab for

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

April

Issue ... April January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Physicians love to be recognized What’s hot ... This month’s news from across the specialty Clinical Applications ... Can nail clippings save lives? Feature

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

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

March

Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Flimflammers. What’s hot ... This month’s news from across the specialty Clinical Applications ... What’s the latest on treating cutaneous dermatophyte infections in the

Advocacy efforts: Indoor tanning

The Academy is a leading voice in nationwide efforts to protect minors from the harmful effects of indoor tanning. That’s why we support a ban on the production and sale of indoor tanning equipment for nonmedical purposes, as well as state bans on minor access to indoor tanning. Protecting the

Everett C. Fox, MD, Memorial Lectureship

The Everett C. Fox, MD, Lectureship was formed through a bequest from the estate of Everett C. Fox, MD. Dr. Fox had been a practicing clinician in Texas and was vice president of the American Academy of Dermatology in 1946.  ... Award:  The selected lecturer will receive a cash award

January 10, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 10, 2024 ... Intralesional MMR vaccine after failure of intralesional Candida antigen in patients with recalcitrant warts DermWorld Insights and Inquiries : Beyond disfigurement — The potential for keratinocyte carcinoma

The blister beetle and beyond

Pediatric dermatologists discuss what’s new — and unchanged — in treating molluscum contagiosum. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2024 Molluscum contagiosum (MC), a virus of the ... Poxviridae family, is a common viral cutaneous infection that primarily affects children, immunocompromised patients, and sexually active

The medium is the message

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, May 1, 2022 It probably wouldn’t surprise many of our younger members if I admit that prior to reading our feature article this month, I had never actually looked at a

May

Issue ... May January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... The medium is the message What’s hot ... This month’s news from across the specialty Clinical Applications ... New CDC treatment guidelines for sexually

May

Issue ... May 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 do I claim CME credits from the Annual Meeting? What's hot ... What's hot? Acta Eruditorum

I have moved. How do I update my contact information with the Academy?

Asked and Answered ... March 1, 2023 AAD members can conveniently update their contact information at any time by visiting account.aad.org and selecting the ‘My Profile’ tab from the menu below. ... For additional assistance, please contact the Member Resource Center at ... mrc@aad.org or 866-503-7546. ... Looking for more

The treatment of systemic juvenile xanthogranulomas matures

By Warren R. Heymann, MD, FAAD Jan. 8, 2025 Vol. 7, No. 1 Diagnosing juvenile xanthogranulomas (JXG) is simultaneously satisfying and slightly disconcerting. JXG’s clinical yellow appearance, the "setting sun" on dermoscopy, or the recognition of Touton giant cells histologically allows dermatologists to be reasonably confident of the diagnosis. It

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

2026 AAD Innovation Academy: Policies and cancellations

Hotel guarantee, cancellation, and change policies ... Hotel reservation guarantee policy ... Reservations must be guaranteed with a credit card. The credit card expiration date must be later than July 31, 2026. The card provided will be charged a one (1) night’s room and current sales tax deposit on or

This month's news from across the specialty

What's hot ... October 1, 2020 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... ED COWEN, MD Why do a small percentage of young and apparently healthy patients with COVID-19 develop life-threatening infection or a Kawasaki syndrome-like

This month’s news from across the specialty

What’s hot ... June 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Bryan Carroll, MD, PhD, FAAD An interventional study of aging in mice points to a new paradigm for rejuvenation ( ... Nature. 2024.

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

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

October 10

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 10, 2018 ... CMS to make physicians’ offices fax-free by 2020 Are you smarter than DataDerm™? Issue breakdown: Compounding standard would disrupt care AI trained to classify common dermatopathology diagnoses

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

A permanent addition to the list of transient neonatal dermatoses: Transient abdominal telangiectasia of the newborn

By Warren R. Heymann, MD, FAAD Oct. 25, 2023 Vol. 5, No. 43 Any parent looking at their newborn child will wonder if the skin lesions they observe are worrisome. During the neonatal period, defined as the first four weeks of life, most cutaneous findings are transient and benign; occasionally,

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

Reflections on “Being Mortal” by Atul Gawande

By Warren R. Heymann, MD Sept. 13, 2016 I was given this best-selling book as a holiday gift last winter. I wanted to read it, but somehow it was easier to deny my fears about aging by ignoring the text. With increasing rapidity, I am losing patients that I

Pubic hair grooming: Less means more

By Warren R. Heymann, MD Oct. 14, 2016 It is essential for dermatologists to comprehend current mores that affect our patients’ health. Understanding the trend toward increased genital hair grooming in men and women can help us instruct patients on how to avoid injuries related to hair removal. Indeed, 19-

No need for panic with MANIC

By Warren R. Heymann, MD March 22, 2018 As a medical student, I would panic over embryology of the neck. I never quite understood the development and anomalies of branchial arches or the migration of the thyroid anlage from the foramen cecum; yet I knew that as a clinician, it

February 4, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 4, 2026 ... Safety of oral minoxidil in pediatric patients DermWorld Insights and Inquiries : Deeper thoughts about acne keloidalis nuchae Perioperative strategies for advanced melanoma, nonmelanoma skin cancers Characteristics

A closer, more sensitive look

The AAD has developed a new digital course for you focusing on ... genital skin exams . ... The course designers understood that during full-body exams, a significant number of patients decline cutaneous exam of their genitalia. Residents are sometimes asked to leave the room during genital skin exams, decreasing

Calculating the cost savings of inpatient dermatology

Facts at your Fingertips ... By Emily Margosian, assistant editor, May 1, 2019 Despite an increasing need for skin expertise in hospital settings, focus on inpatient consultative dermatology can often fly under the radar. However, new data from ... JAAD ( ... https://doi.org/10.1016/j.jaad.2019.01.031 ) indicates that dermatologists’ unique strengths in

Two new skin healthy issues put information directly into patients’ hands

Winter, summer editions were full of useful tips. ... Since the last update, the Academy published two new issues of ... skin healthy magazine. ... skin healthy provides expert editorial content on common conditions affecting the skin, hair, and nails, and up-to-date recommendations on keeping skin healthy year-round. ... skin

Coding lessons learned from frequently asked questions in 2023

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, December 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . 2023 has come to a close

A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis

By Warren R. Heymann, MD, FAAD Feb. 1, 2023 Vol. 5, No. 5 It only takes a nanosecond for a dermatologist to recognize the "salt and pepper" dyspigmentation (SPD) of systemic sclerosis (SSc), but a lifetime to understand and manage it. Of all the cutaneous signs of SSc (sclerodactyly, telangiectasias,

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

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

Three life lessons

From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, April 1, 2019 I am honored and humbled to lead this great organization. I want to thank Dr. Suzanne Olbricht for her strong leadership over this past year

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

Erectile dysfunction in dermatology: A silent epidemic

By Warren R. Heymann, MD, FAAD Oct. 15, 2025 Vol. 7, No. 41 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . A privilege of being a physician is having intimate conversations with patients that would never occur in any other circumstances.

American Academy of Dermatology Website Terms of Use

American Academy of Dermatology Website Terms of Use ... This website is owned and operated by the American Academy of Dermatology ("Academy") and the American Academy of Dermatology Association ("AADA"). For simplicity, all references below to the "Academy" are deemed to include both organizations unless otherwise indicated. ... General Terms

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

Ruth Heymann (1921-2018): A son’s reflection

... By Warren R. Heymann, MD Feb. 9, 2018 Any life spanning from Warren Harding’s Teapot Dome Scandal to the Trumpian-Russian mishegas warrants reflection and celebration. Our first president, George Washington, understood that life’s trajectory is rooted in its first decades — for mom that included the Depression and

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

The medical word to watch in 2018: Dysbiosis

By Warren R. Heymann, MD Jan. 4, 2018 With increasing rapidity, new words enter the dermatological lexicon, reflecting concepts that change our perceptions of disease and treatment. Recent examples include "comorbidities," "programmed cell death inhibition," and "teledermatology". The word to watch in 2018 is "dysbiosis." ... The microbiome has been

The ultimate prognosis of eosinophilic fasciitis may not be groovy

By Warren R. Heymann, MD Sept. 18, 2017 Presentation in March 2017 with diffuse hyperpigmented sclerodermoid lesions of the bilateral upper extremities with palpable fasciitis and tightening of the distal forearm muscles. ... Credit: ... JAAD My patients with eosinophilic fasciitis (EF, Shulman syndrome) have been fortunate. They have been

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

November 8, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 8, 2023 ... Terbinafine for onychomycosis: Continuous- vs. pulse-dose DermWorld Insights and Inquiries : NSA (neutrophilic sebaceous adenitis) secrets revealed AAD releases updated guidelines for atopic dermatitis FDA approves secukinumab

Key messages in social media about eczema

Key messages ... Eczema refers to a group of conditions that lead to inflamed skin. Signs of inflamed skin include a rash, itchiness, and excessive dryness. (1) ... There are several types of eczema. Atopic dermatitis is the most common type. ... Eczema is a complex condition. Your genes, immune

Melanoma incidence rising, deaths decreasing

Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2019 According to data from the National Institutes of Health (NIH) Surveillance, Epidemiology, and End Results Program (SEER), there were an estimated 96,480 new cases of melanoma of the skin in 2019 — making it the fifth most

Demand for cosmetic procedures resumes after COVID

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, April 1, 2023 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions due to the ebb and flow in national and regional caseloads. ... The release of new

How do I update my disclosures of interest (DOI)? How often do I need to update my DOI?

Asked and Answered ... March 1, 2025 For the Academy to operate most effectively, it is important that its decisions and actions not be unduly influenced by any special interests of individual members. The Academy has adopted a ... formal system for the disclosure and evaluation of actual and potential

AAD’s DEI Statement of Intent

The AAD Board of Directors approved the AAD’s DEI statement of intent, found below, on March 28, 2022. The American Academy of Dermatology recognizes diversity, equity, and inclusion as a pathway to excellence in delivering dermatologic care. The Academy believes in creating a diverse and inclusive environment where all its

Educating the public – Videos of the month

And…action! AAD Videos of the Month reach the public wherever they are ... Every month we debut a new Video of the Month on our YouTube channel to help subscribers/viewers manage skin, hair, and nail conditions at home — positioning dermatologists as the skin, hair, and nail experts and providing

What's hot?

What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,

Sweating over acquired idiopathic generalized anhidrosis

By Warren R. Heymann, MD, FAAD June 8, 2022 Vol. 4, No. 23 As I am composing this commentary, I find myself daydreaming about the warmth that will envelop the Delaware Valley later this week — it has been a long, cold, lonely COVID-19 winter. Rising temperatures mean outdoor exercise

HIV 40th anniversary: An oral history

Reflecting on dermatology’s contributions to the investigation and treatment of HIV/AIDS ... Feature ... By Emily Margosian, assistant editor, June 1, 2021 As the world continues to wrestle with the aftershocks of COVID-19, this June marks the 40th anniversary of another deadly virus. Since its first identification in the summer

Digging into dermatologist demographics

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, June 1, 2025 Each year, the Academy releases a snapshot of official membership facts and figures. In 2025, AAD total membership includes 21,400+ dermatologists, representing 96.3% of U.S. American Board of Dermatology-certified dermatologists. ... AAD dermatologists work in all 50

COVID’s impact on cosmetic procedures

Facts at your fingertips ... By Emily Margosian, Assistant Editor, April 1, 2022 During the start of the COVID-19 pandemic, many practices paused elective and cosmetic procedures for several weeks, followed by further disruptions throughout the year due to the ebb and flow in national and regional caseloads. The release

Where can I find updated guidance on teledermatology?

Asked and Answered ... May 1, 2022 The Academy has recently launched an updated teledermatology toolkit for AAD members, including more in-depth information on: ... Starting teledermatology ... Workflow advice for small practices ... How to prepare staff for offering teledermatology ... Up-to-date coding and reimbursement information ... Advice on

U.S. cancer projections: As nationwide rates increase, skin cancer incidence falls

Facts at your fingertips ... By Emily Margosian, Assistant Editor, May 1, 2022 While the long-term impact of the COVID-19 pandemic on public health is still being calculated, the latest data from the American Cancer Society (ACS) projects a slight increase in new cancer cases and deaths in the year

AAD publishes two new Skin Healthy issues to inform your patients

Spring, winter editions were full of useful tips. ... Two new issues of ... skin healthy, the Academy’s public-facing magazine, were published in 2024. AAD members received 50 copies of each of the spring and winter issues to place in their waiting rooms for patients to read. ... The summer

Danger in the workplace

Occupational associations of skin cancer ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2023 In 1775, English physician Sir Percivall Pott made history, publishing the first report of cancer caused by occupational exposure. Pott had noted an unusually high incidence of skin sores on men working as chimney

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

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,

Volunteerism

From the President ... Dr. Tomecki served as Academy president from March 2021 to March 2022. ... By Kenneth Tomecki, MD, May 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. To volunteer, to be a volunteer, is indeed

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

This month’s news from across the specialty

What’s hot ... April 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD There are so many great podcasts available through the AAD’s ... Dialogues in Dermatology . These podcasts offer short,

Should benign cephalic histiocytosis be renamed? Let’s keep our heads about this decision.

By Warren R. Heymann, MD Sept. 4, 2017 Benign cephalic histiocytosis (BCH) is a rare non-Langerhans cell histiocytic disorder first recognized by Gianotti 46 years ago. (1) Over the years, I have seen several cases of both Langerhans cell histiocytosis (LCH), and non-Langerhans cell histiocytoses, but do not recall ever

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

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

August 21

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 21, 2019 ... FDA grants breakthrough therapy designation to advanced melanoma treatment DW Insights and Inquiries : Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections Quality

June 16, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 16, 2021 ... Rituximab vs. mycophenolate mofetil for pemphigus vulgaris DermWorld Insights and Inquiries: Like the tumor itself, knowledge about DFSP is expanding wider and deeper Derm Coding Consult: Applying

November 13, 2019

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 13, 2019 ... New recommendations for detecting noninvasive melanoma published DW Insights and Inquiries: The naked truth about total body skin examination — A lesson from Goldilocks and the Three

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

Americans lack basic health insurance literacy

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, March 1, 2023 A recent Forbes Advisor survey of 2,000 Americans who have health insurance found that while most policyholders report they’re happy with their coverage, many don’t understand it.According to the survey, over three-quarters of participants were unable to

How do I claim CME credits from the AAD Annual Meeting?

Asked and Answered ... April 1, 2023 This year, AAD Annual Meeting attendees have two options for claiming CME credit. ... To claim CME credit for the 2023 AAD Annual Meeting: ... Open the official AAD Mobile Meeting app or visit the ... AAD website for AM23 . ... Log

Medicine approaches gender parity; falls short of racial and ethnic diversity

Facts at your fingertips ... By Emily Margosian, assistant editor, July 1, 2021 Every three years, the Association of American Medical Colleges (AAMC) releases a statistical report in combination with data from the American Medical Association (AMA) on diversity in medical education and the physician workforce in the United States.

Young Investigator Awards

The AAD Young Investigator Awards are given annually by the Academy to young dermatology researchers in the United States and Canada who demonstrate the potential to become established, independently funded investigators in the field. The purpose of the award is to recognize significant research advances in the science and practice

Caring for patients with disabilities

Go to AAD Home ... Go to AAD Home ... Menu ... How to stay compliant with ADA guidelines while treating patients with disabilities ... How to stay compliant with ADA guidelines while treating patients with disabilities ... By Emily Margosian, assistant editor In July 2020, the Americans with Disabilities

Coding for office visit evaluation and management (E/M) in 2021 and beyond: Frequently asked questions (FAQs)

The following scenarios of dermatology encounters have been developed by the American Academy of Dermatology Association (AAD/A) coding team. The 2021 office and other outpatient evaluation and management (E/M) coding guidelines were used to determine the appropriate E/M level of service. Dermatology practices are encouraged to use these examples to

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

Adopt-a-Shade

Each year, the AAD’s  ... Shade Structure Grant Program  receives hundreds of applications from very qualified schools and community non-profits seeking shade over their outdoor areas, but there are a limited number of grants available. Now, you can help extend the reach of this important program while increasing your visibility

Good advice?

Go to AAD Home ... Go to AAD Home ... Menu ... What is the USPSTF and what do its skin cancer counseling recommendations mean for the specialty and its patients? ... What is the USPSTF and what do its skin cancer counseling recommendations mean for the specialty and its

Caveat mTOR revisited: Neurofibromatosis

By Warren R. Heymann, MD, FAAD Feb. 14, 2024 Vol. 6, No. 7 An abridged version of this commentary was published in "A Clinician's Perspective" in the April 2023 issue of the JAAD. ... It is understandable how dermatologists may forget about many details of rare genodermatoses after taking their

This month’s news from across the specialty

What’s hot ... July 1, 2025 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Michael A. Marchetti, MD, FAAD Although management options for chronic spontaneous urticaria (CSU) improved with the introduction of the anti-IgE monoclonal antibody omalizumab

Contemplating the association of hydrochlorothiazide to nonmelanoma skin cancer raises my blood pressure

By Warren R. Heymann, MD March 29, 2018 Photosensitivity secondary to hydrochlorothiazide (HCTZ) use. Well-demarcated erythema on sun-exposed region of the forearm of this patient who was taking HCTZ. ... Credit: ... JAAD If you asked me to name the most important cutaneous adverse reactions to the thiazide diuretic hydrochlorothiazide

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

Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”

By Warren R. Heymann, MD June 18, 2018 ... A 45-year-old woman with cutaneous sarcoidosis at (A) baseline before treatment and (B) with koebnerization after BBLT (560 nm filter at 20 J/cm2, pulse width 30 msec, 20°C cooling, 7-mm square spot size, repetition rate 10 Hz). ... Credit: ... JAAD

More than fibrofolliculomas: A novel angiomatous lesion enters the Birt-Hogg-Dubé realm

By Warren R. Heymann, MD Dec. 9, 2016 I distinctly remember the first time I saw a case of the Birt-Hogg-Dubé (BHD) syndrome. I was attending the dermatology clinic at the University of Pennsylvania, when Julia Haimowitz and Allan Halpern asked for my opinion about a patient with dome-shaped

May 1, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2024 ... Consensus statements for the treatment of vitiligo in younger patients DermWorld Insights and Inquiries : Eyebrow-raising complications of microblading Role of low-dose oral minoxidil for treatment of

August 19, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 19, 2020 ... Does topical tacrolimus for AD increase cancer incidence in children? Study says ‘no.’ DW Insights and Inquiries: Juvenile lichen sclerosus — A loss of innocence Derm Coding

October 30, 2019

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2019 ... Potential treatment for chronic urticaria may offer complete control DW Insights and Inquiries: Can chowing down improve pseudoxanthoma elasticum? Advances in medical technology: friend or foe? Do

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 March 17, 2026

IN THIS ISSUE / March 17, 2026 Academy frustrated as FDA withdraws proposed rule on sunlamp regulation AADA pushes FDA for iPLEDGE modifications Dermatology meets with CMS to address SRT LCD concerns AADA presses Tennessee legislators to oppose optometry scope expansion Indiana enacts downcoding, medical spa legislation Join us at

Transform your skin health: diet and lifestyle take center stage at 2025 AAD Annual Meeting

ORLANDO, FL (March 7, 2025) — The 2025 American Academy of Dermatology Annual Meeting will take place March 7-11 in Orlando. The meeting will feature nearly 300 educational sessions with more than 1,700 speakers discussing the latest research on skin, hair, and nails, including topics on how diet and lifestyle

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

British Journal of Dermatology

The pachydermoperiostosis prostaglandin paradigm Tofacitinib: A JAK inhibitor of all trades Focusing attention on X-linked ichthyosis We’ve gotta recognize GATA2 deficiency Sirolumus’s merit for the Kasabach-Merritt phenomenon Aha! The iodide paradox now makes sense! Changing perceptions of pediatric mastocytosis A string of (clinical) pearls about drug-induced linear IgA disease Dupilumab’s

NIAID guidelines for food allergy

2017 NIAID Addendum Guidelines for the Prevention of Peanut Allergy in the United States ... View key messages from the 2017 guidelines and 2010 addendum guidelines for peanut allergy below. ... Key messages ... This update to the 2010 NIAID food allergy guidelines addresses the prevention of peanut allergy and

What is an Academy Expert Resource Group, and do I need to be an expert to join?

Asked and Answered ... December 1, 2019 Great question! The Academy’s Expert Resource Groups (ERGs) are made up of individuals who come together to share information and knowledge about a particular topic, usually specific diseases or issues relevant to dermatology. ... You do not need to be an expert on

An appetite for healthy skin

Take the short quiz below to evaluate your knowledge of diet's impact on the skin. ... November 1, 2020 Diet and the skin ... Can you separate fact from fiction? Put your knowledge to the test. ... Exclusion diets can clear patients' atopic dermatitis. ... True or false? ... Dietary

Plantar melanoma and mechanical stress

By Warren R. Heymann, MD June 15, 2016 Acral lentiginous melanoma (ALM) involves the palms, soles, and nail beds. It is the most common type of melanoma in patients of African or Asian descent. Delays in diagnosis result in more advanced disease at the time of diagnosis. Trauma or chronic

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

Sniffing out the meaning of perialar intertrigo

By Warren R. Heymann, MD, FAAD Jan. 4, 2023 Vol. 5, No. 1 The first sentence in the abstract by Sanchez et al intrigued me: "We observed isolated cases of perialar intertrigo in children and teenagers that did not appear to correspond to any known clinical entity." They further state:

This month's news from across the specialty

What's hot ... April 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate ... Mallory Abate, MD Differentiating BCCs from intradermal nevi (IDN) along the lower eyelid margin can be tricky, but is important

This month’s news from across the specialty

What’s hot ... February 1, 2025 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MS, MPH, FAAD The Nation’s Health by the American Public Health Association published a ... special report on improving health

Switching EHRs: Planning ahead

Legally Speaking ... Daniel F. Shay, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq. , March 1, 2020 Physician use of electronic health records (EHRs) is a modern fact of life; so is physicians switching from one EHR to

Memories of pneumocystis pneumonia and thoughts of prophylaxis

By Warren R. Heymann, MD ... Nov. 27, 2017 ... A chest x-ray examination demonstrated a ground-glass appearance throughout the bilateral mid lung zones with sparing of the apices (Fig. 1). ... Credit: ... JAAD My childhood friend Alan was a rotating surgical resident at Methodist Hospital in Houston

PD1 blockade: The next step for aggressive basal cell carcinomas?

By Warren R. Heymann, MD April 19, 2017 I was about to start the weekend, relishing that delightful TGIF feeling, with one final task — go through lab reports in my bin. My mood became morose when I read the follow-up letter about Sue (not her real name). She

Keeping an eye on retinoids as treatment for the ectropion of lamellar ichthyosis

By Warren R. Heymann, MD Nov. 9, 2017 ... Clinical examples of autosomal recessive congenital ichthyosis: harlequin ichthyosis (HI) at birth (A); HI evolves into generalized exfoliating erythrodermic ichthyosis (B and C) (reprinted from "Menschen mit Ichthyose - ein Bildband 2003" courtesy of Selbsthilfe Ichthyose e. V.); collodion membrane with

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

September 24, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 24, 2025 ... Is red light PDT with ALA effective for the treatment of BCC? DermWorld Insights and Inquiries : The 21st Century Cures Act — What a difference a

AADA prevents Medicare cuts in 2022

Moving the needle ... By Victoria Houghton, Managing Editor, May 1, 2022 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes

Measles

Are we headed for an epidemic? ... Feature ... By Ruth Carol, Contributing Writer, August 1, 2025 Dermatologists routinely treat viral rashes, but they may not be familiar with the particular cluster of symptoms associated with measles. That’s because the disease was declared eliminated in the United States in 2000.

Coding and documentation — Your best defense

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, October 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Accurate and thorough documentation in the medical

Sunscreen highlights

DermWorld offers updates on efficacy, regulations, and controversies. ... Feature ... By Megan Bennett, Staff Writer, March 1, 2026 As skin cancer diagnoses steadily rise in the U.S., the need for regularly applied, adequately protective sunscreen (along with other sun-safe practices) is more important than ever. ... Data on Americans’

Problematic in pregnancy?

Dermatologists discuss the safety of common dermatologic drugs in pregnant patients. ... Feature ... By Jan Bowers, Contributing Writer, June 1, 2023 Few mourned the end of the FDA’s pregnancy risk letter categories for prescription and biologic drug labeling in 2015. In addition to being an oversimplified distillation of available

This month’s news from across the specialty

What’s hot ... September 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Bryan Carroll, MD, PhD, FAAD A novel genetic study that maps mutations in successive stages of cutaneous squamous cell carcinoma (cSCC) in mice

This month's news from across the specialty

What's hot ... July 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD The FDA has approved the first treatment for progeria (Hutchinson-Gilford progeria syndrome). As we all know, progeria is a rare

This month’s news from across the specialty

What’s hot ... January 1, 2026 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Jason Lee, MD, FAAD The incidence of melanoma in situ (MIS) has risen sharply in the U.S., surpassing invasive melanoma in 2025 ( ...

Till death do you part: Love, marriage, melanoma, and more

By Warren R. Heymann, MD May 21, 2018 ... "What brings you to the office today"? ... "My wife wanted me to get my skin checked." ... If it wasn’t for wives, I wouldn’t have any male patients. ... Seven years ago, my wife noted a lesion on my back,

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

April 5, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 5, 2023 ... What’s the effect of probiotics on skin photoaging? DermWorld Insights and Inquiries : An appealing step closer to targeted topical therapies Does nicotinamide prevent keratinocyte cancers in

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

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

The fundamentals of recruiting, hiring, and retaining high-quality staff

All workplaces face challenges when it comes to human resources (HR). Medical offices are no different. National surveys show that the following challenges tend to rise to the top for medical practices: ... Hiring and recruiting qualified candidates. ... Retaining employees and minimizing turnover. ... Finding opportunities and resources for

Toxicity of topical timolol for infantile hemangiomas in preterm infants: Size matters

By Warren R. Heymann, MD Aug. 13, 2016 I have been using topical timolol (0.5% gel) for the past few years for infants with infantile hemangiomas (IH) with reasonable success, but I am always nervous about prescribing it, as data on the degree of topical absorption remains to be defined.

Melanoma clinical guideline

More than 1 million people are living with melanoma, and one person dies of the disease every hour. These new evidence-based guidelines address the most commonly considered and utilized approaches for the surgical and medical treatment of primary cutaneous melanoma. Review guideline highlights or download the full guidelines below. ... Access

Bringing dermatologic knowledge to young students

Marina Handal is a third-year medical student and Master's in Public Health candidate at The Dr. Kiran C. Patel College of Osteopathic Medicine at Nova Southeastern University (NSU-KPCOM). Her sister, Jenna Handal, will begin medical school in the Fall of 2024 . Marina's story ... With the generosity of the

Support Good Skin Knowledge

Misunderstanding about skin conditions common to children ages 8-13, such as acne, can lead to teasing and bullying. ... Good Skin Knowledge helps combat this by providing free resources to educators. These fun, easy-to-use lesson plans teach children important lessons about skin health and help build self-confidence about their skin.

Widening the circle

AAD’s Camp Discovery is looking to make this meaningful opportunity accessible to even more kids and volunteers in the years to come ... Feature ... By Amy Freed Stalzer, Contributing Writer, November 1, 2022 For nearly 30 years, the American Academy of Dermatology (AAD) has offered a camp program for

Immunotherapy: No warts about it

Therapeutic use of the HPV vaccine shows promise as a treatment for stubborn warts. ... Feature ... By Emily Margosian, Assistant Editor, September 1, 2024 Warts are one of the most common skin disorders worldwide. They can also be among the most challenging to treat. ... "Warts are stubborn. They

The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears

By Lorraine L. Rosamilia, MD Nov. 13, 2019 Vol. 1, No. 36 In my last 13 years of immersion in dermatology, I have often asked this simple yet elusive question of my superiors, my colleagues, and myself: Which patients need skin checks? As I peruse my clinical schedule, in which

JAKne is on the horizon

By Warren R. Heymann, MD, FAAD July 27, 2022 Vol. 4, No. 30 If you are like me, you have read much more about JAK inhibitors (JAKi) than have prescribed them. We are all on a learning curve. The rapid introduction of topical ruxolitinib (Opzelura), oral upadacitinib (Rinvoq), and abrocitinib

Antihypertensive agents and eczema: New data for older patients

By Warren R. Heymann, MD, FAAD March 12, 2025 Vol. 7, No. 10 "Anyone who recalls the 1971 Loving Care commercial exclaiming, ‘You’re not getting older. You’re getting better!’ is getting older. America is graying — in 2019, people older than 65 years accounted for 16% of the population; in

An uphill battle

Pediatric dermatologists share struggles and successes obtaining treatments for their patients ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2021 In a perfect world, a dermatologist would diagnose their patient’s condition and prescribe a therapy, and the patient would receive treatment. Unfortunately, in reality, dermatologists diagnose a

How can functionality assessments help determine appropriate treatment for NMSCs in elderly 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, September 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Michael Renzi, MD, and Naomi

Long-term care planning

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, March 1, 2019 What

What's hot?

What's hot ... April 26, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Simon Ritchie, MD ... Over the past several years we have seen the introduction of several groundbreaking drugs for the treatment of metastatic

What's hot?

What's hot ... January 30, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Lakshi Aldredge, MSN, ANP-BC ... It seems like everywhere you turn, there is a new comorbidity associated with psoriasis. This is especially important

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?

June 23, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 23, 2021 ... Subcutaneous vs. oral methotrexate for psoriasis patients DermWorld Insights and Inquiries : Dermatology and dermatopathology awake — now is the time to embrace the AI revolution Young

May 13, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 13, 2020 ... Caring for older patients during COVID-19? What you need to know. DW Insights and Inquiries: The profound dermatological manifestations of COVID-19: Part V – Pediatric multisystem inflammatory

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

Keeping dermatologists in the driver’s seat with step therapy reform

Moving the needle ... By Victoria Houghton, Managing Editor, March 1, 2023 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. Step therapy protocols interfere with patient care and create unwanted burdens on dermatology practices. Thanks to the AADA’s

A revelation: Drug-induced pseudoglucagonoma syndrome

By Warren R. Heymann, MD Aug. 21, 2016 Although only having diagnosed the glucagonoma syndrome (GS) once, I have always been fascinated by necrolytic migratory erythema (NME), and conditions that mimic NME, the so-called pseudoglucagonoma syndrome (PGS). ... PGS has been reported with the following conditions: liver disease, inflammatory bowel

Holiday Greeting 2022

By Warren R. Heymann, MD, FAAD Dec. 21, 2022 Vol. 4, No. 50 Dear ... DermWorld Insights and Inquiries Devotee: ... Soaked and nervous by the end of the 8th inning with the Phillies down by a run, I turned to my daughter Andrea and whispered, "JT Realmuto needs to

Create your legacy at the AAD - Make a planned gift

The future of dermatology depends on you ... Establish your legacy by including the AAD in your will, life insurance, or other estate planning documents. This gift does not cost you anything during your lifetime, yet it allows you to ensure the AAD continues to provide a lifetime of benefits

Forming ranks

Go to AAD Home ... Go to AAD Home ... Menu ... On the frontlines of the COVID-19 pandemic, dermatologists stand with their medical colleagues to help where most needed ... On the frontlines of the COVID-19 pandemic, dermatologists stand with their medical colleagues to help where most needed ...

Pathway to reducing medical errors

By Jason B. Lee, MD, FAAD June 26, 2024 Vol. 6, No. 26 The 2000 landmark report by the Institute of Medicine ... To Err Is Human: Building a Safer Health System ushered in the patient safety movement in the modern era. (1) The report highlighted nearly 98,000 hospital deaths

Vascular Ehlers-Danlos syndrome: From rupture to rapture?

By Warren R. Heymann, MD, FAAD February 16, 2022 Vol. 4, No. 7 If there was a statistic for a dermatological diagnostic impact factor, vascular Ehlers-Danlos syndrome (vEDS) would be at the top. Often undiagnosed until tragedy strikes, astute dermatologists who consider the diagnosis prior to an acute event may

What's hot?

What's hot ... August 27, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD ... Identifying the origin of head and neck squamous cell carcinoma of an unknown primary can inform prognosis and

February 7, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 7, 2024 ... Androgenetic alopecia: topical minoxidil vs. low-dose oral minoxidil DermWorld Insights and Inquiries : Short anagen syndrome — The long and short of it Skin cancer incidence in

March 17, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 17, 2021 ... COVID-19 in melanoma patients DermWorld Insights and Inquiries : Hoops and happiness — Having the courage to take a shot DermWorld Young Physician Focus : Forging ahead

Sophie’s choice: Assessing atypical Spitz tumors in the molecular era

Atypical Spitz tumor category. Higher magnification reveals severe cytologic atypia. Although cells exhibit a spindled appearance typical of the Spitz nevus, they appear severely dysplastic with nuclear hyperchromasia and an immunogenic host response. (Hematoxylin-eosin stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 10, 2018

Good skin knowledge is needed every day

Michel Ntiri, SUNY Downstate Health Science University MD Candidate 2024, knows the true importance of Good Skin Knowledge. Michel’s story ... Michel Ntiri, SUNY Downstate Health Science University MD Candidate 2024. ... "It’s important to use sunscreen every day and reapply every two hours." "EVERY DAY? Even on cloudy days

Hot coding topics from the field

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, July 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Navigating the complexities of dermatology coding can

The appropriate dermatologic response when considering the capillary malformation-arteriovenous malformation syndrome: Fast flow to referral

By Warren R. Heymann, MD, FAAD Sept. 18, 2024 Vol. 6, No. 38 I have had the privilege of contributing to Dr. Ronni Wolf’s outstanding AAD symposium devoted to Emergency Dermatology by presenting the lecture "Dermatological Urgent Care: When Banalities Surprise You," discussing several cutaneous disorders that could easily be

Glow up

How can dermatologists counsel teens, tweens, and their parents on safe skin care practices? ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2025 With the growing popularity of beauty influencers and viral skin care routines, social media is playing an integral role in shaping how people care for

Piecemeal policy

Go to AAD Home ... Go to AAD Home ... Menu ... Trump administration addresses health care policies in small bites ... Trump administration addresses health care policies in small bites ... By Ruth Carol, contributing writer While the Trump administration has raced to eliminate the Affordable Care Act (ACA),

Dermatofibrosarcoma protuberans recurrence: Size matters

By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered

What's hot?

What's hot ... February 28, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Rosalie Elenitsas, MD ... Malignant melanoma is one of the most serious diagnoses that dermatologists face on a regular basis. While many cases

What's hot?

What's hot ... April 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Having trouble managing your patients with burning mouth syndrome? In the February edition of ... Dialogues in Dermatology ,

Meet the newest Your Dermatologist Knows correspondents

Answers in Practice ... By Matthew Walsh, Member Communications Specialist, March 1, 2025 DermWorld ... talks to Charlie Dunn, MD, FAAD, and Preetha Kamath, MD, FAAD, about the Academy’s Your Dermatologist Knows consumer positioning strategy and what they bring to their new roles as campaign correspondents. DermWorld: What made you

Keeping up is hard to do: The need for true grit

By Warren R. Heymann, MD Oct. 5, 2017 One of the daunting challenges in practicing dermatology (or any branch of medicine) is keeping abreast of advances in the literature to optimize patient care. As a clinician-educator, I have always had an interest in how we learn best. For full disclosure,

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

Brentuximab vedotin update and the #MeToo saga of the Reed-Sternberg cell

By Warren R. Heymann, MD Jan. 1, 2018 Myxoinflammatory fibroblastic sarcoma. High-power view showing large Reed-Sternberg–like cells (A) and mitotic figures (B). ... Credit: ... JAAD There has been increasing dermatological literature about the use of brentuximab vedotin (BV) for a variety of CD30+ cutaneous lymphomas. The thrust of this

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

Early-onset hypertension associated with extensive capillary malformations: A new worry to raise dermatologists’ blood pressure

By Warren R. Heymann, MD, FAAD Jan. 31, 2024 Vol. 6, No. 5 The recent passing of Mikhail Gorbachev reminded me of the teaching value of his port wine stain. The following brief article published in the ... Washington Post in 1987 reflects the state of knowledge 36 years ago.

September 21, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 21, 2022 ... Does low-dose oral minoxidil affect blood pressure, heart rate? DermWorld Insights and Inquiries : The emergence of rituximab-induced pyoderma gangrenosum — An alert to dermatologists DermWorld Young

November 7

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 7, 2018 ... Fee Schedule: How will your practice fare in 2019? Adopt-a-Shade: Giving kids a safe place to play Academy releases guidelines for melanoma treatment Are you smarter than

February 20

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 20, 2019 ... Biologics may help fight heart disease in psoriasis patients AAD mourns the passing of Richard L. Dobson, MD Feedback requested: AAD joint guideline for reconstruction after skin

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

No longer flailing with Flegel disease

By Warren R. Heymann, MD, FAAD April 19, 2023 Vol. 5, No. 16 I was a toddler in 1958 when Heinz Flegel described ... hyperkeratosis lenticularis perstans (HLP) a 50-year-old man with persistent lesions on his dorsal feet and lower extremities. (1) In the ensuing decades, other than the clinical

Isotretinoin and diabetes: Of familiarity and surprise

By Warren R. Heymann, MD, FAAD July 6, 2022 Vol. 4, No. 27 On a gloriously sparkling, warm spring afternoon in 2009 I sat with my family in the right field bleachers of the new Yankee Stadium as the Bronx Bombers took on the Phillies. I relished the expansive majesty

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

Adding protothecosis to the protocol

By Warren R. Heymann, MD, FAAD April 23, 2025 Vol. 7, No. 16 As a dermatology resident at the outset of the AIDS epidemic, I quickly learned that all bets are off when diagnosing infectious diseases in immunocompromised hosts. That experience taught me to culture broadly for bacterial, atypical mycobacterial,

What’s new and what can I expect from the 2025 Annual Meeting?

Asked and Answered ... December 1, 2024 Get ready to register for a magical experience in Orlando, Florida! ... 2025 AAD Annual Meeting attendees can expect some exciting new offerings alongside the top-tier education you expect from the AAD. ... What’s new ... Opening Ceremony, Friday, March 7 from 5:00

They never taught us how to fail

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, December 1, 2019 Physicians are high performers and success is the norm. In our safety-conscious world of medicine, we learn about errors and are given tools to analyze the root cause in

Believe in the joy of dermatology

From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, May 1, 2019 From AI offering a promising approach to diagnosing skin disease, to groundbreaking treatments for your patients’ chronic conditions and telemedicine technology helping us reach previously

Stiff skin syndrome: Hard in many ways

By Warren R. Heymann, MD July 4, 2016 Stiff skin syndrome (SSS) is a noninflammatory, fibrosing condition of the skin and fascia, often affecting the limb girdle region, notably the buttock and thighs, resulting in a lordotic posture. It may be accompanied by subtle hypertrichosis and hyperpigmentation. The course tends

Don’t wait to transform your practice’s waiting room

Patients often dread the waiting room, and we can probably all remember dreary examples. But this means there is an opportunity to stand out by making this space inviting, comfortable, and pleasant. Patients may spend more time here than they do in the exam room, so it is important to

Public health programs

Public health programs ... Many dermatologists offer their time, expertise and financial resources to help enrich the lives of people throughout the world. Their efforts make a difference for children and adults with skin, hair and nail disorders, many of which are life-threatening and impact patients’ quality of life. ...

Yale dermatologist uses innovative treatment to treat child with severe alopecia

American Academy of Dermatology honors Dr. Brett King as National "Patient Care Hero" ROSEMONT, Ill. (April 18, 2022) - Connecticut board-certified dermatologist Brett King MD, PhD, FAAD, was named an American Academy of Dermatology ... Patient Care Hero for pioneering an innovative new treatment for severe dermatologic conditions that are

From the editor

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, November 1, 2018 November is a perfect month to give thanks. It’s also a good time for personal reflection. As physicians, we have many privileges and, hopefully, much to be thankful for.

From the editor

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, May 1, 2019 And to think I thought dermatology would be boring. I will be the first to admit that I was completely wrong. I never did a dermatology rotation as a

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)

An association of rosacea with risk of glioma? More research please!

By Warren R. Heymann, MD May 9, 2016 Egeberg A, et al. Association of rosacea with risk for glioma in a Danish nationwide cohort study. JAMA Dermatology 2016; 152: 541-545. ... A nationwide cohort study of the Danish population of all citizens older than 18 over a 14-year period (1997-2011),

Increasing evidence for the use of topical timolol for pyogenic granulomas

By Warren R. Heymann, MD May 16, 2016 There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion. Certainly there are times when that approach may not be optimal, such as a PG the face of

Getting a leg up on squamous cell carcinomas of the teratoacanthoma type

By Warren R. Heymann, MD Oct. 8, 2016 I thought it was my imagination, but apparently not — there is distinct subset of patients, mostly mature women, with squamous cell carcinomas (SCC) of the keratoacanthoma type (KA) usually presenting on the anterior distal lower extremities. ... These patients are not

August 22

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 22, 2018 ... 6 new biopsy codes for 2019 August Access Hero: Jessica Burgy, MD Submit your comments on psoriasis draft guidelines 2018 QPP exception applications now available Ortho Dermatologics

Documentation of Current Medications in the Medical Record — Measure 130

Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ...  ... MEASURE ID:  ... 130 ... 

Documentation of Current Medications in the Medical Record — Measure 130

Documentation of Current Medications in the Medical Record ... DESCRIPTION: Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. ...  ... MEASURE ID:  ... 130 ... 

Support Good Skin Knowledge

Good Skin Knowledge provides free resources to educators to teach children ages 8-13 important lessons about skin health and help build self-confidence about their skin. ... Learn more about the impact of this youth education campaign by reading the stories below. ... Using passion about dermatology to impact community Therese

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

The ever-changing world of nevus sebaceus

By Warren R. Heymann, MD, FAAD Sept. 14, 2022 Vol. 4, No. 37 The aphorism in medical education that half of what you learn in medical school will prove to be wrong could use the nevus sebaceus (sebaceous) of Jadassohn as its poster child. ... First described by Jadassohn in

Hemochromatosis: Beyond 50 shades of gray

By Warren R. Heymann, MD, FAAD March 6, 2024 Vol. 6, No. 10 As a medical student, I was enamored by the term "bronze diabetes" as a depiction of hemochromatosis; ever since I have been magnetically attracted to the disease. Hereditary (primary) hemochromatosis is a common autosomal-recessive disorder, with a

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

Till death do us part: Love, marriage, and cutaneous oncology

By Warren R. Heymann, MD, FAAD April 9, 2025 Vol. 7, No. 14 "What’s that on your back?" ... My wife asked me that question a year after finding a tick at the same site. This time, the dark lesion was a thin melanoma. I hadn’t a clue that a

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

Pets are amazing creatures

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, December 1, 2022 Except, of course, when they are not. My dear husband understands that while I adore him, there is a very special place in my heart for our four-legged

Challenges ebb and flow, but our “why” remains the same

From the President ... Dr. Kaufmann served as Academy president from March 2022 to March 2023. ... By Mark Kaufmann, MD, FAAD, March 1, 2023 Serving as your Academy President these last 12 months has been a journey filled with opportunities and challenges. While it has been a test of

Dermatology is a taxing specialty

From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, April 1, 2026 April 15 may be Tax Day, but every day is taxing for dermatologists. This issue of ... DermWorld focuses on making practice less taxing administratively and

Idiopathic facial aseptic granuloma — Have we met?

By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise

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

March 18, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 18, 2026 ... Oral hyaluronic acid supplement: Does it improve skin aging? DermWorld What’s Hot: Insurance denial of ‘cosmetic’ conditions Is topical urea beneficial for onychomycosis? Does the application of

Atopic dermatitis: Up in smoke!

By Warren R. Heymann, MD Feb. 8, 2017 The etiology of atopic dermatitis (AD) is multifactorial, with genetic mutations of the filaggrin mutations affecting barrier function, immunodysregulation of the TH2 pathway, and environmental triggers being of primary importance. AD has long been associated with autoimmune diseases such as vitiligo and

4 cradle cap tips from dermatologists

Tips from board-certified dermatologists ROSEMONT, Ill. (August 18, 2022) — Bringing home a new baby is a joyous time for any parent. For first time parents, bringing home a new baby can unlock a wide range of emotions—from excitement to nervousness. As you adjust to parenthood, you’ll notice that your

Another door opens?

The potential FDA approval of multiple JAK inhibitors could offer new treatment options for dermatology patients ... Feature ... By Allison Evans, assistant managing editor, May 1, 2021 "It was only six and a half years ago when the first case report was published showing successful treatment of a patient

Taking a hard look at eosinophilic fasciitis on its golden anniversary

By Warren R. Heymann, MD, FAAD Aug. 14, 2024 Vol. 6, No. 33 In 1974, Dr. Lawrence E. Shulman identified two male patients (aged 53 and 19 years old) with a scleroderma-like illness that he subsequently published as "Diffuse fasciitis with hyperglobulinemia and eosinophilia: A new syndrome?" Both had a

Crowdsourcing

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, April 1, 2021 Who would have ever thought this would be a word we associate with the acquisition of medical knowledge? And yet, here we are. The pandemic changed a lot of

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

It’s always the gluten

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, November 1, 2020 Gluten is to dermatitis as brown recluse spider bites are to ulcers. Often blamed, but rarely the cause. I run a contact dermatitis clinic, and without fail, at least

Life is not always pretty.

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, May 1, 2024 I have been a doctor for more than 30 years and have practiced in a wide variety of regions, ranging from a small rural community to a larger

Physicians love to be recognized

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, April 1, 2023 Unless it is for the wrong reason. Our colleagues who have received the dreaded "outlier" letter from insurers almost certainly would agree. The growing trend for insurers to

I always knew firefighting was a dangerous occupation

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, March 1, 2023 I grew up in a very small town where firemen, all of whom were volunteers from the community, were called to action with a very loud siren that

Flimflammers.

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, March 1, 2025 My new favorite word for 2025. As much as I would love to take credit for this perfect word, I must thank our esteemed ... DermWorld Editorial Advisor

Expanding indications of the excimer laser for disorders of hypopigmentation: Equivocally seeing the light

By Warren R. Heymann, MD Aug. 31, 2016 The excimer laser is a reasonably effective modality for treating vitiligo. Other disorders of hypopigmentation, such as a nevus depigmentosus (ND), or post-inflammatory hypopigmentation (PIH) secondary to lichen striatus (LS) may be distressing to patients (or their parents). Is the excimer laser

Perspectives on peristomal pyoderma gangrenosum

By Warren R. Heymann, MD Oct. 28, 2016 Peristomal pyoderma gangrenosum (PPG) is a challenging problem, both physically and emotionally. The diagnosis may be delayed, often being mistaken for an irritant dermatitis or an infection. Barbosa et al have performed an extensive review of their experience in 44 patients

The darkness of lichen planus pigmentosus

By Warren R. Heymann, MD Oct. 24, 2016 Darkness defines lichen planus pigmentosus (LPP) — lesional morphology, the patient’s mood about their appearance, and our ability to understand or treat it. Both patient and physician are literally in the dark. ... The following abstract by Ghosh and Coondoo (1) is

Closing the Referral Loop: Receipt of Specialist Report — Measure 374

Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ...  ... MEASURE ID:  ... 374 ...  ... Type: Process ...  ... CMS Derm Specialty

Closing the Referral Loop: Receipt of Specialist Report — Measure 374

Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ...  ... MEASURE ID:  ... 374 ...  ... Type: Process ...  ... CMS Derm Specialty

The Academy’s impact

Through AAD humanitarian programs, we carry out our commitment to support and enhance patient care because skin, hair, and nail conditions can have a serious impact on health and well-being. Additionally, we recognize the importance our employees place on their ability to give back to their communities and to charities

Support Skin Cancer, Take a Hike!™

Skin Cancer, Take a Hike!™ is a participant-driven fundraising event dedicated to raising awareness and funds for the AAD’s SPOT Skin Cancer™ campaign. Support for this initiative helps build shade structures, provides free skin cancer screenings, and educates the public on the importance of skin cancer detection and prevention. Join

Acne: The drought is over

After years of recycling the same ingredients, dermatologists have novel acne treatments and formulations available — with more on the horizon. ... Feature ... By Allison Evans, assistant managing editor, February 1, 2021 Over the past few years, an incredible amount of innovation has taken place for the treatment of

Ready to launch

Academy HAIR Grants enable new research on hair loss and skin of color ... Feature ... By Jan Bowers, Contributing Writer, May 1, 2022 A nearly $1.5 million windfall from a class action lawsuit is enabling intensive, multifaceted research of traditionally understudied aspects of hair disorders afflicting diverse populations and

Community care

Considerations for dermatologists when treating patients experiencing homelessness ... Feature ... By Emily Margosian, assistant editor, July 1, 2021 Every January, the Department of Housing and Urban Development (HUD) conducts a point-in-time count across the country to gauge the rate of homelessness in the United States. In 2019, HUD identified

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

Short anagen syndrome: The long and short of it

By Warren R. Heymann, MD, FAAD Feb. 7, 2024 Vol. 6, No. 6 Have you ever encountered a patient who says that their hair does not grow very much and that they rarely need to cut their hair? I have, and I suppose you have, too. Although considered uncommon, short

What is the path forward for treating children with severe atopic dermatitis with dupilumab?

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, March 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Amy Paller, MD, about her

Skin and hair legislation: What’s happening?

Experts offer a primer on what dermatologists should keep their eyes on. ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2023 On the heels of the start of the 118th U.S. Congress — which marks the first Republican House-Democratic Senate split in a decade — lawmakers and federal

Moving target

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...

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

Real-time patient data transforms the practice and improves care

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Data-driven transformation of care , one of five strategic goals under the Academy's ... 2019 S trategic Plan , emphasizes the Academy’s role in helping dermatologists improve patient care through the collection and transfer of

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 —

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

Coming to grips with lymphocytic thrombophilic arteritis

By Warren R. Heymann, MD, FAAD May 18, 2022 Vol. 4, No. 20 As a medical student, I was introduced to the concept that bilaterally symmetrical palpable purpura is leukocytoclastic vasculitis until proven otherwise. Although that bromide has served me well over the years, with experience, vasculitis perpetually befuddles me.

From the editor

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, March 1, 2018 Change is a recurring theme in this month’s ... Dermatology World . Change seems to be a given these days; perhaps it always was, but it’s hard to imagine

Advocating on behalf of dermatology is an enduring obligation

From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, December 1, 2019 The year is winding down, and as usual I find myself reminiscing about the last 12 months — thinking about all of the patients I

What are the cutaneous clues for diagnosing monkeypox?

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, December 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with John W. Frew

It was simpler back then.

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, February 1, 2025 Skin care in my youth was not a big deal. We washed our face with soap or Noxzema, cleansed our pores with astringent-soaked cotton balls (Sea Breeze was

Hiring high-quality clinical and non-clinical staff

In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, August 1, 2018 Every aspect of a physician practice is important to delivering the highest quality of care to

Hallelujah! A negative comorbidity study: Putting comorbidities in perspective

By Warren R. Heymann, MD July 30, 2016 Upon reading the title "Assessment of the risk of cardiovascular disease in patients with rosacea," I was braced for yet another reason why we should invest in cardiac nuclear scans in our dermatology office instead of a new laser. ... Recently, we

Are you at risk for pityriasis rubra type V? It’s in the cards!

By Warren R. Heymann, MD Feb. 1, 2017 Characteristic facial involvement in caspase recruitment domain family member 14 gene (CARD14)-associated papulosquamous eruption. Symmetric and geometric pink, scaly patches or plaques involving the cheeks, upper cutaneous lip, and chin with sparing of the infralabial region is highly characteristic of CARD14-associated papulosquamous

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

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.

Bringing pigmented lupus to light

By Warren R. Heymann, MD Dec. 7, 2017 ... Cutaneous lupus. Biopsy of the left distal thigh shows interface dermatitis, dyskeratosis, superficial perivascular lymphocytic infiltrate, focal red blood cell extravasation, and pigment incontinence. ... Credit: ... JAAD Lettie (not her real name) was an elderly, charming, courtly, soft-spoken African-American woman

The heartrending aspects of incontinentia pigmenti

By Warren R. Heymann, MD March 12, 2018 Incontinentia pigmenti (IP, aka Bloch-Sulzberger syndrome) provides lessons in genetics, immunology, and neuroectodermal development. Frankly, I have never given much (if any) thought about its cardiovascular manifestations. Albeit rare, they are part of the spectrum of IP. ... IP is a rare

Ubiquitous ubiquitination

By Warren R. Heymann, MD June 28, 2017 Generalized severe epidermolysis bullosa simplex. Blister classification. Single blisters were defined as a count of 1. Blister nests derived from 1 healing blister were defined as a count of 1. Redness without convexes was not counted. Only time points for which good

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

Red genitals: New roads to recovery

By Warren R. Heymann, MD July 23, 2018 ... Red scrotum syndrome. Sharp border between the erythematous skin and the normal scrotum skin in a 65-year-old male patient. ... Credit: ... JAAD I searched PubMed for Quality of Life (QoL) studies on the Red Scrotum Syndrome (RSS) and Red Vulva

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

The autumn of a career

... But now the days grow short, I’m in the autumn of the year ... And now I think of my life as vintage wine from fine old kegs ... From the brim to the dregs, and it poured sweet and clear ... It was a very good year

June 12

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2019 ... A new way to treat warts? Heat may be the answer. DW Insights and Inquiries : Taking the challenge: Social media, adolescents, and the skin Dollars and

July 29, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 29, 2020 ... COVID-19: The impact on employed dermatologists DW Insights and Inquiries: The profound dermatological manifestations of COVID-19 part VI — Going to the dogs Young Physician Focus :