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Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month

Cutaneous hypersensitivity reactions in children

Objective ... The purpose of this module is to develop a clinical approach to the evaluation and initial management of cutaneous hypersensitivity reactions in children. ... By completing this module, the learner will be able to: ... Identify key features of drug-induced hypersensitivity syndrome, work-up, and management ... Identify the

Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon

By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive

Learning module: Pediatric (cutaneous) fungal infections

Goals and objectives ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of pediatric patients presenting with cutaneous fungal infections. ... After completing this module, the learner should be able to: ... Identify and describe the morphologies of

Keeping abreast of drug-induced cutaneous lupus

By Warren R. Heymann, MD, FAAD Aug. 4, 2021 Vol. 3, No. 31 Tom Hanks, as Commander Jim Lovell in the movie ... Apollo 13, lamented that the world was not watching their onboard video, compared to Neil Armstrong’s moon landing a year earlier. Reality dictates that the seminal breakthroughs

Diagnosing infectious diseases in 2028: Let the good times roll

By Warren R. Heymann, MD Aug. 27, 2018 You may be overwhelmed by the "omics" — genomics, epigenomics, transcriptomics, proteomics, metabolomics, with good reason. "Big Data" are changing the diagnostic landscape in infectious diseases and oncology at breakneck speed. Warning: By the time this is posted, it may be obsolete!

Diagnosing the primary cutaneous SMARCA4-deficient cutaneous tumor: You don’t know what you got ‘til it’s gone

By Warren R. Heymann, MD, FAAD Nov. 5, 2025 Vol. 7, No. 44 Understandably, dermatologists are often surprised to receive a histopathologic diagnosis of Merkel cell carcinoma, given the relatively nondescript clinical features that suggest a basal cell carcinoma or inflamed cyst. The purpose of this commentary is to introduce

What do syphilis and Rocky Mountain Spotted Fever have in common?

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, December 1, 2024 Besides the fact that both cause skin rashes, syphilis and spotted fever rickettsiosis (of which RMSF is one), are reportable to local/state health departments and are followed by

2026 quality measures for MIPS reporting

2026 QCDR measure specifications ... Access a spreadsheet of ... 2026 QCDR measure specifications . ... Access 2026 MIPS quality measures by selecting below. ... MIPS 47 Advance Care Plan ... MIPS 130 Documentation of Current Medications in the Medical Record ... MIPS 176 Tuberculosis Screening Prior to First Course

2025 quality measures for MIPS reporting

2026 QCDR measure specifications ... Access a spreadsheet of ... 2026 QCDR measure specifications . ... Access 2025 MIPS quality measures by selecting below. ... MIPS 47 Advance Care Plan ... MIPS 130 Documentation of Current Medications in the Medical Record ... MIPS 176 Tuberculosis Screening Prior to First Course

Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab

By Warren R. Heymann, MD, FAAD Sept. 13, 2023 Vol. 5, No. 37 This is an exciting time for cutaneous lupus erythematosus (CLE). Recently published findings from three clinical trials show substantial progress in developing more targeted, efficacious, and better-tolerated medications for patients with CLE, particularly by inhibiting the production

Boards Fodder: Medical dermatology

Select a title below to access the Boards Fodder PDF. The Medical dermatology category has 17 subsections, in alphabetical order by subject. At the end, find a subsection labeled "Other" for additional subjects. ... Benign and malignant tumors NEW! Keloids ... Access the PDF Angiosarcoma Atypical Fibroxanthoma Cutaneous smooth muscle

Using passion about dermatology to impact community

Therese Anne Limbana is a fourth-year medical student at New York College of Osteopathic Medicine . Therese Anne's story ... Therese Anne Limbana, fourth-year medical student. ... My path to medicine started when I was infected as a child with several dermatologic conditions and tuberculosis. This early experience nurtured my

Hand-wringing over the histology of mechanic’s hands and other cutaneous manifestations of dermatomyositis

By Warren R. Heymann, MD April 23, 2018 Dermatomyositis. Erythematous papules overlying the metacarpal and interphalangeal joints (Gottron papules). ... Credit: ... JAAD Of all the cutaneous manifestations of dermatomyositis (DM) — the heliotrope rash, Gottron’s papules, Gottron’s sign, shawl sign, holster sign, flagellate erythema, photosensitivity, poikiloderma, periungual erythema, periungual

Cutaneous Squamous Cell Carcinoma

Cutaneous squamous cell carcinoma (cSCC) is the second most common form of human skin cancer with at least 200,000 to 400,000 new cases of cSCC expected each year in the US. These evidence-based guidelines on the management of cSCC provide the most current information on biopsy techniques, histopathologic assessment, tumor

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

Get your KICS on Route IL-6

By Warren R. Heymann, MD March 1, 2018 Hemophagocytic lymphohistiocytosis (HLH) is a syndrome caused by hypercytokinemia (notably Th1 cytokines — interferon-gamma, tumor necrosis factor-alpha, and IL-6). Clinical manifestations are dramatic, presenting as fever, hepatosplenomegaly, hemophagocytosis, and cytopenias. (See the addendum for diagnostic criteria of HLH). Primary forms of HLH

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

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 —

The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma

By Warren R. Heymann, MD, FAAD July 19, 2023 Vol. 5, No. 29 I was aghast when I opened the PUVA unit when Joe told me that his mycosis fungoides (MF) was worsening — I understood why Alibert first described the disorder as resembling mushrooms in 1806. (1) His lesions

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

A plasma cell dyscrasia fable: AESOP and POEMS presenting concurrently

By Warren R. Heymann, MD Sept. 7, 2016 There is a moral to every fable. In this commentary, it is that VEGF (vascular endothelial growth factor) may have multiple cutaneous manifestations, even in the same patient. ... Rongioletti et al presented the case of a 70 year-old man with an

Cutaneous tuberculosis (caused by mycobacterium tuberculosis)

Destruction codes and differences between code categories

Destructons: In a nutshell ... Destruction involves the ablation of the lesion(s) with curettage, electrosurgery, cryosurgery, laser treatment, or chemical treatment. ... There are separate code categories for destruction of benign, premalignant lesions, malignant lesions, skin tag(s), and cutaneous vascular proliferative lesions. ... Coding rules vary within these categories. ...

Comprehending the association of orofacial granulomatosis and Crohn disease would be swell

By Warren R. Heymann, MD Sept. 25, 2017 Orofacial granulomatosis. A, Initial presentation with erythema and swelling of the upper lip, extending to the right oral commissure and lower lip. B, Complete resolution of erythema, swelling, and induration after 6 months of mycophenolate mofetil monotherapy (1000 mg/day). Only a small

Journal of Cutaneous Pathology

Eosinophilic dermatosis of hematologic malignancy: Reality bites Oy, another "Oid" to worry about: Cryptococcoid lesions Biting my nails worrying about atypical presentations of nail unit melanomas Deep penetrating thoughts about deep penetrating nevi Sophie’s choice: Assessing atypical Spitz tumors in the molecular era Develop a nose for suspecting angiosarcoma Granulomatous

Another mastocytosis surprise: IgM on DIF in bullous mastocytosis

By Warren R. Heymann, MD ... May 2, 2016 ... If I read my horoscope this week, it would no doubt say "Beware of any preconceived notions in your patients with mastocytosis." ... Now that I have expanded my horizons about TMEP, I also need to reconsider the notion that

Exploring the gamut of monoclonal gammopathy of cutaneous significance

By David A. Wetter, MD, FAAD Sept. 17, 2025 Vol. 7, No. 37 One of our favorite board-review books during my dermatology residency was ... Dermatology Quick Glance , authored by Drs. Saeed Jaffer and Abrar Qureshi in 2004. My coresidents and I would periodically meet during the few months

What are the updated guidelines of care for the management of primary cutaneous melanoma?

Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, December 3, 2018 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Susan M. Swetter, MD, and

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

Granulomatous slack skin: More than one type of mimicry

By Warren R. Heymann, MD November 18, 2020 Vol. 2, No. 46 My chief resident presented a case to me enamored with his clinical diagnosis of granulomatous slack skin (GSS). Although I was delighted that he considered the disorder, I explained why I thought these inguinal and submammary pink-white subtly

Learning module: The skin exam

Goals and objectives ... The purpose of this module is to help medical students develop a systematic approach to the skin exam and highlight the importance of examining the entire cutaneous surface. ... After completing this module, the learner should be able to: ... Discuss the key questions that make

Learning module: Drug reactions

Goals and objectives ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients who present with cutaneous drug eruptions. ... After completing this module, the learner should be able to: ... Describe the morphology of common drug

Does the JAK inhibitor baricitinib raise the bar on treating lupus?

By Warren R. Heymann, MD Aug. 20, 2018 Cutaneous lupus in dermatomal distribution. Erythematous papules in a dermatomal distribution along the patient's left lower extremity. ... Credit: ... JAAD Undeniably, the JAK inhibitors have been at the forefront of advances in immunologically-based diseases, including alopecia areata, vitiligo, psoriasis, rheumatoid arthritis,

Make no bones about it: Primary cutaneous ewing sarcoma is for real

By Warren R. Heymann, MD Aug. 15, 2016 Recently my partner biopsied a verrucous papule from the face of a young boy, without being confident of his clinical impression. Histologically, I knew I was looking at a malignant lesion, but could not identify it. I sent the slide for a

Learning module: Adult fungal infections

Goals and objectives ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients who present with cutaneous fungal infections. ... After completing this module, the learner should be able to: ... Identify and describe the morphologies of superficial

Metastatic uveal melanoma: Tebentafusp unobfuscated

By Warren R. Heymann, MD, FAAD June 25, 2025 Vol. 7, No. 25 Oncodermatology is a full-time occupation comprised of two major components — novel therapies for cutaneous malignancies and adverse reactions to treatments for diverse cancers. A novel class of anticancer agents is termed ImmTACs — immune mobilizing monoclonal

Fooled again: Misdiagnosing cutaneous follicle center lymphoma

By Warren R. Heymann, MD Nov. 9, 2016 I had never been so happy to misdiagnose a lesion. The patient was an 88 year-old man who I had known for years, as he is a life-long friend of my mother in-law. When he was examined for a variety of skin

Attending the masquerade ball with CTCL and alopecia areata

By Warren R. Heymann, MD Feb. 1, 2017 It comes as no surprise to dermatologists that cutaneous T cell lymphoma (CTCL) is associated with alopecia, especially in patients with follicular mucinosis (alopecia mucinosa), but how often does CTCL masquerade as alopecia areata? ... Amin et al reported a 33-year-old female

Support system

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... By Ruth

Asking psoriasis patients to open their mouths and say “Ahhh”

By Warren R. Heymann, MD March 5, 2018 Classification based on the pattern of tongue fissures. A, Central longitudinal pattern. B, Central transverse pattern. C, Lateral longitudinal pattern. D, Branching pattern. E, Diffuse pattern. ... Credit: ... JAAD A thorough cutaneous examination includes the hair, nails, and mucous membranes (lips,

April 12, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 12, 2023 ... Perioperative imaging for high-stage cutaneous SCC may guide management DermWorld Insights and Inquiries : Triskaidekaphobia legitimized: Fatal Factor XIII deficiency Contact allergens in nail products DataDerm™: 2022

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

Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus

By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE

Primary sclerosing cholangitis associated with pyostomatitis vegetans and pyodermatitis vegetans: A potentially bilious situation

By Warren R. Heymann, MD Aug. 29, 2016 Inflammatory bowel disease may be associated with multiple cutaneous manifestations including pyoderma gangrenosum (PG), erythema nodosum, or directly by fistulae or "metastatic" Crohn disease. Seven cases of pyostomatitis vegetans-pyodermatitis vegetans (PSV-PDV) were reviewed. All 7 patients had inflammatory bowel disease (IBD) —

COVID-19 and dermatology

What have we learned about the cutaneous manifestations of the virus and the vaccines? ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2021 While the immediate and long-term effects of COVID-19 on the human body are still being studied, new research regarding the cutaneous manifestations of the virus

November 17, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 17, 2021 ... Intralesional acyclovir for cutaneous warts DermWorld Insights and Inquiries : Biotin supplementation for hair and nail health — Does it pass the test? DermWorld Young Physician Focus

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

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

Allopurinol-induced adverse reactions: More than genetics

 ... By Warren R. Heymann, MD June 25, 2016 There are certain drugs that confer a high risk of severe cutaneous adverse reactions (SCAR) ranging from morbilliform drug eruptions, DRESS, Stevens-Johnson, to Toxic Epidermal Necrolysis. You know the usual suspects — anticonvulsive agents, sulfa drugs, other anti-infective agents, and

Coding guidance on reporting lesion treatment services with histopathological examination

Dermatologists have notified the Academy coding team that they have experienced payer reimbursement challenges on claims submitted for ... Shaving of epidermal or dermal lesions, as well as ... excision or destruction of cutaneous lesions for which histopathologic examination is separately performed. Specifically, some payers have misinterpreted the coding guidance

Dermatomyositis takes your breath away!

By Warren R. Heymann, MD Feb. 22, 2017 Anti-MDA5–associated DM. Eroded violaceous papules and plaques covered by scale and crust over the palmar joint creases and digital tips. ... Credit: ... JAAD The dermatopulmonary syndrome (DPS) is a newly recognized subset of dermatomyositis (DM) associated with anti-MDA5 (melanoma differentiation-associated gene

Crystallizing thoughts about crystalglobulinemia

By Warren R. Heymann, MD Dec. 14, 2017 ... A, Necrotic purpuric lesions on the dorsum of the foot in a patient with crystalglobulinemia. The thumb had been previously amputated because of necrotic gangrene secondary to occluded vessels. B, Histopathologic features in cutaneous lesions of crystalglobulinemia. Scanning power showing a

Striving to avoid an amebic nightmare: Recognizing cutaneous Balamuthia mandrillaris infection

By Warren R. Heymann, MD, FAAD May 22, 2024 Vol. 6, No. 21 Having received the worry gene from my mother, I have nightmares about missing diagnoses that have potentially devastating outcomes. My anxiety level reached new heights over 20 years ago, listening to a presentation by Dr. Amit Pandya

A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus

By Warren R. Heymann, MD, FAAD March 15, 2023 Vol. 5, No. 11 Keeping up with the expanding indications and adverse reactions to immune checkpoint inhibitors (ICIs) can be a full-time job. These drugs are anti-neoplastic because of cytotoxic T-cell activation. ICIs include the anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) agent ipilimumab,

Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6

Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than

Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6

Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than

I’ll have a necrobiotic xanthogranuloma to go – with mustard!

By Warren R. Heymann, MD May 11, 2016 Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma. He had 20% body surface area involvement, including

December 21, 2022 DermWorld Weekly

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 21, 2022 ... Isotretinoin and the risk of psychiatric events in acne patients DermWorld Insights and Inquiries : Holiday greeting 2022 Risk of skin cancer in patients with chronic cutaneous

August 17, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 17, 2022 ... Do dietary exclusions improve atopic dermatitis? DermWorld Insights and Inquiries : Promising therapeutic developments for cutaneous lupus erythematosus — Interfering with interferon Derm Coding Consult : Dermatology

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

2025 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 24 - DWI&I Holiday greeting 2025 Dec. 17 - Long COVID has a lot of nerve Dec. 10 - The illusions of IgG4-related skin disease Dec. 3 - Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas

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

November 5, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 5, 2025 ... An OTC finasteride alternative? DermWorld Insights and Inquiries : Diagnosing the primary cutaneous SMARCA4 deficient cutaneous tumor — You don’t know what you got ‘til it’s gone

January 18, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 18, 2023 ... Have cutaneous manifestations of COVID-19 changed during Delta, Omicron waves? DermWorld Insights and Inquiries : Complications of silicone injections – persistence, stigma, and treatment AAD releases updated

Learning module: Bacterial skin infections

Goals and objectives ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients who present with bacterial infections. ... After completing this module, the learner should be able to: ... Describe the morphology of common cutaneous bacterial

What's new in treating connective tissue disease

Dermatologists discuss the latest advances in treating cutaneous lupus, dermatomyositis, and systemic sclerosis. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2023 There are more than 200 disorders included within the term "connective tissue disease." Some of these disorders predominantly affect the skin or have skin-related implications,

Burden of Skin Disease briefs

Download the briefs using the cards below. ... Acne Burden of Skin Disease: Acne by the numbers ... Atopic dermatitis Burden of Skin Disease: Atopic dermatitis by the numbers ... Bullous diseases Burden of Skin Disease: Bullous diseases by the numbers ... Congenital abnormalities Burden of Skin Disease: Congenital abnormalities

September 9, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 9, 2020 ... What are the cutaneous side effects associated with drugs prescribed for COVID-19? DermWorld Insights and Inquiries : Mentorship mentation — Bringing out the best of us! Derm

From a JAK to a king of Castleman disease

By Warren R. Heymann, MD May 15, 2017 A 44-year-old Chinese woman with a 10-year history of asymptomatic cutaneous patches and plaques on her trunk (Fig 1, A) who reported intermittent fever and lymphadenopathy for 6 months. A skin biopsy specimen from a cutaneous plaque showed perivascular infiltration of plasma

August 27, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 27, 2025 ... A tool to assess patients at high-risk for cutaneous squamous cell carcinoma DermWorld Insights and Inquiries : Chanarin-Dorfman syndrome — Shifting out of neutral Carbon dioxide laser

What’s the latest on treating cutaneous dermatophyte infections in the era of Trichophyton indotineae?

Clinical Applications ... By Sylvia Hsu, MD, FAAD, March 1, 2025 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup member Sylvia Hsu, MD, FAAD, talks to Ananta Khurana, MD, Kabir Sardana, MD, and Anuradha Chowdhary, MD, about their JAAD ... paper, ‘ Clinico-mycological and therapeutic updates on

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

DW Insights and Inquiries archive

Explore hundreds of ... DermWorld Insights and Inquiries articles by clinical area, specific condition, or medical journal source. ... Access articles by publication date ... 2026 2025 2024 2023 2022 2021 2020 2019 Access articles by clinical area ... Dermatologic surgery Dermatopathology Medical dermatology Pediatric dermatology Access articles by condition

This month's news from across the specialty

What's hot ... December 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Bryan Carroll, MD, PhD, FAAD Being a fan of the Cleveland Browns football team, I am very familiar with organizational dysfunction. It’s not

Positively perplexing: Determining the meaning of CD30 positivity

By Warren R. Heymann, MD, FAAD Sept. 29, 2021 Vol. 3, No. 39 I’ll wager that most readers of DWI&I have experienced receiving a biopsy report, obtained from an inflammatory lesion, stating "scattered CD30+ cells were observed," accompanied by a comment that "clinicopathologic correlation is necessary to rule out the

Coming to terms with Louis Brocq and his diagram: Pityriasis lichenoides 2018

By Warren R. Heymann, MD July 16, 2018 ... A and B, Pityriasis lichenoides chronica–like drug eruption. The lower legs show several, 3- to 4-mm, red-brown, thin papules with centrally adherent micaceous scale and intermixed erosions. ... Credit: ... JAAD As a first-year dermatology resident in 1980, I struggled with

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

Malignant syphilis: History in the making

By Warren R. Heymann, MD, FAAD Jan. 3, 2024 Vol. 6, No. 1 As our new academic year commences, soon I will remind our new residents of Sir William Osler's famous aphorism, "He who knows syphilis knows medicine." As the great mimicker, our trainees will never go astray by including

We’ve gotta recognize GATA2 deficiency

Cutaneous findings in GATA2 deficiency. (A) Extensive human papillomavirus infection with vulvar and anal intraepithelial neoplasia, (B) cutaneous mycobacterial infection, and (C) erythema nodosum–like panniculitis in a 40-year-old woman with GATA2 deficiency. ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 26, 2018 I’ll begin with my conclusion —

Nom de plume: Affaire risquée

By Warren R. Heymann, MD ... Dec. 28, 2016 ... Performing laser surgery is risky business for the patient and the laser surgeon. Potential hazards may be due to the beam itself causing ocular or cutaneous injury. Nonbeam hazards may arise from the laser device or its interaction with

June 6

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 6, 2018 ... Feedback requested: Primary cutaneous melanoma treatment draft guidelines Integrating the human touch at the AAD Annual Meeting Insurer reverses onerous isotretinoin policy FDA issues REMS draft guidance

Prognosticating folliculotropic mycosis fungoides: Everything old is new again

By Warren R. Heymann, MD Sept. 16, 2016 I was dermatology resident in 1980 learning about mycosis fungoides when the late Peter Allen was in his glory singing "Everything Old is New Again". The universe of cutaneous T cell lymphoma was simultaneously more confusing (how would you differentiate poikiloderma

Warts and all

Remedies for warts abound, but high-quality studies are lacking. ... Feature ... By Jan Bowers, contributing writer, March 1, 2021 Warts, one of the most common skin disorders worldwide, can be easy to treat or maddeningly difficult. Although warts can resolve spontaneously, others readily respond to over-the-counter treatments such as

Getting a head up on cutaneous scalp malignancies

By Warren R. Heymann, MD, FAAD May 7, 2025 Vol. 7, No. 18 I’m confident that your alopecic patients with a suspected keratinocyte carcinoma or melanoma of the scalp jokingly ask you to be careful with your biopsy procedure so they do not lose any more hair. While patients and

Lichenoid and granulomatous dermatitis: Points to ponder

By Kiran Motaparthi, MD June 10, 2020 Vol. 2, No. 23 Clinical-pathologic correlation is the foundation of dermatologic diagnosis; often this is straightforward, but on occasion, getting to the precise diagnosis requires great thought and sleuthing. If you receive a report from your dermatopathologist with a descriptive diagnosis of "lichenoid

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.

This month's news from across the specialty

What's hot ... June 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Bryan Carroll, MD, PhD The debate over the curative benefit of radiotherapy for aggressive cutaneous invasive squamous cell carcinoma continues. The inflection point

The breathless complications of anti-MDA-5-positive dermatomyositis

By Warren R. Heymann, MD, FAAD Oct. 30, 2024 Vol. 6, No. 44 Dermatologists are familiar with the spectrum of dermatomyositis (DM) — classic DM, juvenile DM, amyopathic DM, and cancer-associated DM. Clinically, amyopathic DM is a form in which the patients typically develop characteristic cutaneous features of DM [heliotrope

Melanoma Reporting — Measure 397

Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ...  ... MEASURE ID:  ... 397 ...  ... Type: Process

Melanoma Reporting — Measure 397

Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ...  ... MEASURE ID:  ... 397 ...  ... Type: Process

Smoke and the skin

Experts discuss the cutaneous impact of occupational and natural exposure to smoke. ... Feature ... By Emily Margosian, Senior Editor, June 1, 2025 From wildfires to cigarettes, smoke drifts through every corner of life. ... Nearly 90% of the world’s population lives with unhealthy air caused by smoke, according to

Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440

Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ...  ... MEASURE

Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma (SCC): Biopsy Reporting Time — Pathologist to Clinician — Measure 440

Skin Cancer: Biopsy Reporting Time — Pathologist to Clinician ... DESCRIPTION: The percentage of biopsies with a diagnosis of cutaneous BCC, SCC, or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within seven days from receipt of the tissue specimen. ...  ... MEASURE

Aiming to hit the target in cutaneous granulomatous diseases

DermWorld discusses the latest treatment strategies for granulomatous skin diseases, and clinical advice for how to manage patients in the absence of approved therapies. ... Feature ... By Heidi Splete, Contributing Writer, February 1, 2026 Approved treatments for granulomatous skin diseases are lacking, but a growing number of case series

August 4, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 4, 2021 ... Probiotic supplements improve atopic dermatitis symptoms DermWorld Insights and Inquiries : Keeping abreast of drug-induced cutaneous lupus From mentoring LGBT dermatologists, to caring for HIV patients, GALDA

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,

October 19, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 19, 2022 ... Safety of minoxidil for hair disorders in pediatric patients DermWorld Insights and Inquiries : Telangiectasias: When is it TEMPI time? DermWorld Young Physician Focus : Revisiting physician

January 17, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 17, 2024 ... Risk of skin cancers in patients with actinic keratoses DermWorld Insights and Inquiries : A cold abscess remains a cold case — Multiple neonatal staphylococcal cold abscesses

February 8, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant

July 21, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 21, 2021 ... AADA secures iPLEDGE win DermWorld Insights and Inquiries : Getting to the heart of neonatal lupus erythematosus DermWorld Young Physician Focus : Advancing the cause Cutaneous reactions

Leishmania episode 1a: attack of the clones

By Kiran Motaparthi, MD February 10, 2021 Vol. 3, No. 6 Cutaneous leishmaniasis (CL), although not life-threatening, can progress to a disfiguring disease with prominent scarring. Humans serve as reservoirs for > 20 species of ... Leishmania, which are transmitted as flagellate promastigotes by sandflies. Within humans, the organisms convert

Patient advocate resources

Academy advocacy & patient education resources ... Advocacy priorities  ... Online public education on diseases and conditions Prior authorization patient resources Drug pricing and availability Step therapy legislation Patient power ... Read the ... DermWorld feature ... Patient Power: Technology amplifies the patient voice in advocacy groups . ...

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

Develop a nose for suspecting angiosarcoma

Angiosarcoma histopathology. Anastomosing dilated vessels, lined by crowded endothelial cells, extend between pre-existing collagen bundles. (Hematoxylin-eosin-saffron stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Nov. 12, 2018 Occasionally I read an article that disturbs me, because I know that I would miss the diagnosis, with

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,

Histologic overreliance on mucin for diagnosis may prove…sticky

By Warren R. Heymann, MD July 27, 2017 Cutaneous lupus mucinosis. A, Before treatment, large nodules covered with erythematous skin are seen on the lower back. B, After treatment with systemic prednisolone and tacrolimus, the sizes of the nodules are decreased and pigmentation is observed on the surface of the

June 26, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 26, 2024 ... Finasteride vs. minoxidil for female pattern hair loss DermWorld Insights and Inquiries : Pathway to reducing medical errors Cutaneous drug reactions to psychedelics and hallucinogens Trichophyton indotineae

March 25, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 25, 2026 ... Finasteride and dutasteride: Depression, suicidal ideation DermWorld What’s Hot: Need for expanded patch testing FDA approves icotrokinra for plaque psoriasis Cutaneous malignancy after biologic therapy Adverse events

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

May 22, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 22, 2024 ... Dermatologic findings associated with semaglutide use DermWorld Insights and Inquiries : Striving to avoid an amebic nightmare — Recognizing cutaneous Balamuthia mandrillaris infection Characteristics and treatment of

May 10, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 10, 2023 ... Is spironolactone use for acne associated with increased risk for venous thromboembolism? DermWorld Insights and Inquiries : PRAME sets its eyes on the road to fame How

Looking beyond ‘Ozempic face’

Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body

May 25, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 25, 2022 ... Placebo regrowth rate in alopecia areata trials DermWorld Insights and Inquiries : The globalization of monkeypox AADA renews calls for iPLEDGE improvements with IPMG, FDA Seeking comments

May 21, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 21, 2025 ... Factors associated with relapse after isotretinoin treatment DermWorld Insights and Inquiries : Fixating on doxycycline-induced fixed drug eruptions Can tattoos increase risk of skin cancer? Methotrexate gel

The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy

By Warren R. Heymann, MD Oct. 22, 2018 Residents jump for joy when they see the characteristic "jigsaw puzzle" appearance of cylindromas under the microscope. Histopathology, however, takes us only so far. The future lies in elucidating the molecular pathways of these tumors that lead to therapy. Who could have

What do the AAD's new non melanoma skin cancer guidelines say?

Acta Eruditorum ... Dr. Van Voorhees is the physician editor of ... Dermatology World . She interviews the author of a recent study each month. ... By Abby S. Van Voorhees, MD, February 1, 2018 In this month's Acta Eruditorum column, Physician Editor Abby S. Van Voorhees, MD, talks with

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

What are AAD Expert Resource Groups (ERGs) and how can I get involved?

Asked and Answered ... January 1, 2022 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 ERG’s

What is an AAD Expert Resource Group (ERG)? Do I need to be an expert to join?

Asked and Answered ... December 1, 2023 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 ERG’s

March 2, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 2, 2022 ... Biotin beware: Physician, patient knowledge about lab interference DermWorld Insights and Inquiries : The rhythm of RIME Infections in children treated with dupilumab Cutaneous adverse events are

March 15, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Topical cetirizine with minoxidil vs. minoxidil in androgenetic alopecia DermWorld Insights and Inquiries : A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus DermWorld Young Physician Focus

May 29, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 29, 2024 ... Isotretinoin plus desloratadine vs. isotretinoin alone in patients with acne DermWorld Insights and Inquiries : Reflections on infantile perianal pyramidal protrusion and Hippocrates AADA president delivers powerful

November 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 10, 2021 ... CMS, OSHA release rules expanding workforce vaccination requirements DermWorld Insights and Inquiries : Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP Prognostic value of lymphovascular invasion

October 15, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 15, 2025 ... Do new psoriasis biologics have better safety profiles than adalimumab? DermWorld Insights and Inquiries : Erectile dysfunction in dermatology — A silent epidemic AAD seeks member comments

Insult to injury: COVID-19-associated mucormycosis

By Warren Heymann, MD June 9, 2021 Vol. 3, No. 23 As America unmasks this Memorial Day, COVID-19 is ravaging India. The scenes of desperation stemming from the overwhelmed heath system, poverty, and funeral pyres are almost unfathomable. In the midst of the devastation, doctors in India have observed an

March 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy

March 24, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 24, 2021 ... Derm Coding Consult : Applying 2021 E/M coding concepts in everyday practice — Part 1 DermWorld Insights and Inquiries : Lipschütz ulcers — Not only for women

Scratching below the surface for the etiology of lichen amyloidosis — no sweat?

By Warren R. Heymann, MD July 10, 2017 Lichen amyloidosis reveals multiple hyperkeratotic papules on anterior leg. ... Credit: ... JAAD We have all confronted patients with maddeningly pruritic, recalcitrant cases of lichen amyloidosis (LA). Establishing the diagnosis is easier than treating the disorder; understanding its pathogenesis is even more

July 19, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 19, 2023 ... Use of hair oils to treat androgenetic alopecia DermWorld Insights and Inquiries : The intimate dance of Staphylococcus aureus and cutaneous T-cell lymphoma Imiquimod for management of

Resident Quality Improvement Award project presentations 2024

The recipients of the 2024 Resident Quality Improvement Award present their quality improvement projects. ... Minimizing cost, increasing efficiency, and reducing waste with dermatology procedure tray optimization ... Lauren Chen, MD ... Vaccines and Dermatology: Expanding the Role of Dermatology Clinics in the Name of Public Health ... Charles Dunn,

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

April 22, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 22, 2020 ... Are you exempt from the COVID-19 FMLA and paid sick leave provisions? DW Insights and Inquiries: The profound dermatological manifestations of COVID-19: Part IV - Cutaneous features

October 27, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 27, 2021 ... COVID-19 and nails: A review of clinical findings DermWorld Insights and Inquiries : Taking woolly hair to heart Derm Coding Consult : CMS revises Advance Beneficiary Notice

2021 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 29 - 2021: Best of DermWorld Insights and Inquiries Dec. 22 - DWI&I Holiday Greeting 2021 Dec. 15 - Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa Dec. 8 - Propranolol and neutrophilic dermatoses: Can

March 23, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 23, 2022 ... Acitretin: A new therapy for onychomycosis? DermWorld Insights and Inquiries : A new wrinkle in the diagnosis of cystic fibrosis? Injury and litigation in cutaneous laser surgery

July 7, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 7, 2021 ... OTC eczema products with high prevalence of potentially allergenic ingredients DermWorld Insights and Inquiries : Progress in pemphigus — Solidifying rituximab’s role Share your comments on the

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

Laboratory testing for syphilitic alopecia: Time to renew old habits?

By Warren R. Heymann, MD June 4, 2018 I’m not sure how this happened. I used to check several laboratory studies in patients presenting with alopecia, including a rapid plasma reagin (RPR) for syphilis (in addition to a CBC, TSH, iron binding studies, ANA and vitamin D; testosterone and DHEAS

March

Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... It is hard to compete with the Annual Meeting. What’s hot ... This month’s news from across the specialty Clinical Applications ... How can

November

Issue ... November January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... They are hot. What’s hot ... This month’s news from across the specialty Clinical Applications ... What can dermatologists do to advocate for expanded

June

Issue ... June January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Where there’s smoke, there’s fire… What’s hot ... This month’s news from across the specialty Clinical Applications ... How are patients with skin of

February

Issue ... February January February March April May June View digital flipbook In this issue ... From the Editor ... All you need is love. What’s hot ... This month’s news from across the specialty DermWorld Insights and Inquiries ... Deeper thoughts about acne keloidalis nuchae Feature ... The bigger

July

Issue ... July January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... This one was easy. What’s hot ... This month’s news from across the specialty Clinical Applications ... What are the effects of nemolizumab treatment

December

Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Pets are amazing creatures What’s hot ... This month’s news from across the specialty Clinical Applications ... What are the cutaneous clues for diagnosing

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

Deciding the right time for treatment

Experts discuss neoadjuvant vs. adjuvant immunotherapy for melanoma — and recent advances in the neoadjuvant space. ... Feature ... By Emily Margosian, Assistant Editor, May 1, 2025 "The melanoma landscape, especially in the last decade or so, has changed remarkably in ways I never thought I would see in my

August 13, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 13, 2025 ... Effects of GLP-1RA on inflammatory skin diseases DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma Beta-HPV virus can

August 15

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 15, 2018 ... The good, the bad, and the unknown in CMS E/M proposals DataDerm™: Better your practice, better the specialty AAD Election call for nominations FDA approves new drug

February 9, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 9, 2022 ... Tinted sunscreens: A practical guide to counseling patients DermWorld Insights and Inquiries : Lightening the cutaneous and emotional burden of melasma — cysteamine’s role Nemolizumab plus topicals

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

May

Issue ... May January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Life is not always pretty. What’s hot ... This month’s news from across the specialty Clinical Applications ... What’s new in the management of

Medical dermatology

Topical retinoid therapy for acanthosis nigricans: In the thick of it Rituximab and dermatomyositis: Dr. Samitz would be proud The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears Getting the gist of GIST cutaneous hyperpigmentation disease I never wanted chaperones — until now

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

June 2, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 2, 2021 ... Acne and enthesitis: Is there an association? DermWorld Insights and Inquiries : Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod Derm Coding Consult : Applying

Nails

Breaking the terbinafine laboratory habit for onychomycosis Biting my nails worrying about atypical presentations of nail unit melanomas Dyeing for a "new" topical agent for psoriasis? Think indigo Clawing to understand lichen nitidus Cutaneous green and E-A-G-L-E-S! Nailing the diagnosis of psoriatic arthritis  ... All content found on Dermatology

March 16, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 16, 2022 ... Comparing four cSCC staging systems DermWorld Insights and Inquiries : Mind the gap DermWorld Young Physician Focus : Talking points Potassium monitoring in women on spironolactone Using

June 13

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 13, 2018 ... FDA approves first hyaluronic acid filler for hands Feedback requested: Primary cutaneous melanoma treatment draft guidelines After 60 years, a new treatment for pemphigus vulgaris Jack Resneck

Boards Fodder: Pathology and dermoscopy

Select a title below to access the Boards Fodder PDF. ... NEW! Promontory sign microscopic differential diagnosis ... Access the PDF Common hair trichoscopy structures Dermatopathologic external agents and artifacts Dermoscopic approach to melanocytic lesions of volar skin Dermoscopic structures and their correlations Dermoscopy buzzwords and phrases Dermpath buzzwords Direct

December

Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... From the editor Asked and Answered ... How can I use DataDerm to report for MIPS? What's hot ... What's hot? Cracking the Code

Boards Fodder: Drugs and drug reactions

Select a title below to access the Boards Fodder PDF. ... NEW! UV radiation and sunscreen ... Access the PDF Advanced and immuno-therapies Adverse events from immune checkpoint inhibitors Biologics update 2019 Chemotherapy-specific cutaneous reactions Clinically relevant drug interactions in dermatology Drug interactions in dermatology, part 2 Disorders of hyperpigmentation

Hands-On: Cosmetics | American Academy of Dermatology

Innovative. Interactive. Hands On. ... Oct. 24-25, 2026, Chicago IL Palmer House Hilton Join us this fall for AAD’s Hands-On: Cosmetics course, an immersive, two-day experience designed to build confidence and skill in cosmetic dermatology. Practice foundational injection techniques alongside nationally recognized expert faculty in a supportive, hands-on environment where

September 13, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 13, 2023 ... Are psoriasis biologics safe during conception, pregnancy? DermWorld Insights and Inquiries : Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus

January 24, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 24, 2024 ... Micrographic vs. conventional excision: Reducing rates of BCC, SCC DermWorld Insights and Inquiries : Senile gluteal dermatosis — The term ‘senile’ is getting old and should be

June 11, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 11, 2025 ... Combination oral minoxidil and bicalutamide for the treatment of female pattern hair loss in adolescents DermWorld Insights and Inquiries : From Down Under to all over —

September 17, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 17, 2025 ... Is there an association between isotretinoin and sexual dysfunction? DermWorld Insights and Inquiries : Exploring the gamut of monoclonal gammopathy of cutaneous significance Is there an association

September 23, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 23, 2020 ... Nail manifestation and COVID-19: The red half-moon sign DermWorld Insights and Inquiries : The profound dermatologic manifestations of COVID-19: Part VII — Who was that masked man?

December

Issue ... December January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... 2021 What's hot ... This month's news from across the specialty Feature ... COVID-19 and dermatology What have we learned about the cutaneous manifestations

Research grants from outside organizations

Numerous organizations offer funding to support research in dermatology. The AAD has collected the information below to help members who may seek financial support for their research efforts. ... American Skin Association (ASA) Established 36 years ago to serve the now more than 100 million Americans afflicted with skin disorders,

Clinical Pearls archive

Clinical Pearls help prepare residents for the future by providing them with top tips from experts about what they should know about specific, key subject areas by the time they complete their residency. ... NEW! Measles ... by John Trinidad, MD, MPH, FAAD ... Access the PDF Alopecia areata by

Taming toxic erythema of chemotherapy with high-dose vitamin D

By Warren R. Heymann, MD, FAAD Feb. 28, 2024 Vol. 6, No. 9 The administration of chemotherapy can lead to a host of cutaneous findings, ranging from adverse reactions to specific drugs to infectious complications caused by immunosuppression and neutropenia. While some of the drug reactions are allergic in nature,

The H syndrome – Understanding Y

By Warren R. Heymann, MD April 15, 2020 Vol. 2, No. 15 It has been more than a decade since the H syndrome was described by Molho-Pessach et al, in their report of 10 patients from 6 Arab consanguineous families. (1) More than 100 cases have now been reported worldwide.

April 9, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 9, 2025 ... Finasteride: Risk of depression and suicide? DermWorld Insights and Inquiries : Till death do us part — Love, marriage, and cutaneous oncology Adding oral minoxidil to standard

July

Issue ... July January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Most days, Dermatology World is a very happy place. What's hot ... This month's news from across the specialty Clinical Applications ... Cutaneous findings

Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome

By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was

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,

November 6, 2019

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 6, 2019 ... SPF 50+ vs. 100+ — is there a difference? DW Insights and Inquiries : Getting the gist of GIST cutaneous hyperpigmentation disease Academy announces new Executive Director

COVID-19 can nail you in so many ways

By Elizabeth Yim, MD, MPH, FAAD, and John Montgomery Yost, MD, MPH, FAAD July 13, 2022 Vol. 4, No. 28 Dr. Elizabeth Yim and Dr. John M. Yost. ... During these difficult and quite frankly, scary times, we have heard numerous reports of various cutaneous manifestations by the SARS-COV-2 infection

Can nail clippings save lives?

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, April 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Adam Rubin, MD,

March 1, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 1, 2023 ... Isotretinoin: Risk of IBS, ulcerative colitis, and Crohn’s disease? DermWorld Insights and Inquiries : Seeing red with dupilumab IL-17 inhibitors in psoriasis patients in the real world

June 29, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 29, 2022 ... Psoriasis treatment adherence: Adalimumab vs. ixekizumab DermWorld Insights and Inquiries : When to see red in linear erythronychia — Malignant onychopapilloma Dermatologist Jack Resneck Jr., MD, FAAD,

Identifying illicit drug reactions

Dermatologists discuss the cutaneous signs of established and emerging illicit substances. ... Feature ... By Emily Margosian, Assistant Editor, May 1, 2024 It was a medical mystery. A long-term patient with a persistent skin finding and no known cause. ... "I had an individual who came to see me for

Prioritizing patient satisfaction

Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2024 DermWorld ... talks to Vinod Nambudiri, MD, MBA, EdM, FAAD, associate professor of dermatology at Harvard Medical School, about strategies for improving patient satisfaction. Vinod Nambudiri, MD, MBA, EdM, FAAD ... DermWorld: Tell us about your practice. Dr.

Setting the stage

Changes to TNM system enhance prognostication for cutaneous cancers ... Feature ... By Jan Bowers, Contributing Writer, October 1, 2021 When French surgeon Pierre Denoix, MD, pioneered the development of a simple staging system for breast cancer in the 1940s and ’50s, he opened a path for physicians treating many

Rounds on pityriasis rotunda

By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and

Giving a NOD2 to Yao syndrome

By Warren R. Heymann, MD, FAAD March 5, 2025 Vol. 7, No. 9 The 21 ... st ... century has witnessed an expanding array of systemic autoinflammatory disorders (SAIDs) due to innate immunity dysfunction. SAIDs are characterized by recurrent attacks of fever, cutaneous signs, chest or abdominal pain, lymphadenopathy, vasculopathy,

Finding Joy in pediatric phototherapy

By Warren R. Heymann, MD Aug. 28, 2019 Vol. 1, No. 25 This commentary is dedicated to Joy, a bright, rambunctious, delightful bundle of energy with (formerly) recalcitrant atopic dermatitis, who taught me a great deal about phototherapy in children. ... The cutaneous effects of ultraviolet (UV) light are by

2019 DW Insights and Inquiries archive

Explore Dermatology World Insights and Inquiries articles by publication date. ... December ... December 18 - DWI&I holiday greeting 2020: Eyeing dermatology’s future December 11 - Topical retinoid therapy for acanthosis nigricans: In the thick of it December 4 - Beware: Discordance abounds among pathologists in the diagnosis of melanocytic

Do acral biopsies in dermatomyositis patients have less-prominent histopathologic findings than biopsies from other anatomic locations?

Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, August 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Anthony Patrick Fernandez, MD, PhD, FAAD, about his recent Journal of Cutaneous Pathology ... article, ‘ Histopathologic Features of Acral Skin Biopsies in Dermatomyositis Patients

May 15, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 15, 2024 ... Sexual dysfunction with 5-alpha reductase inhibitors for androgenetic alopecia DermWorld Insights and Inquiries : Acne necrotica — A real head-scratcher Benzoyl peroxide in acne: Risk of acute

May 7, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 7, 2025 ... Low-dose oral minoxidil vs. combination therapy with dutasteride or finasteride DermWorld Insights and Inquiries : Getting a head up on cutaneous scalp malignancies Academy mourns the passing

The expanding horizon of anti-IL-36 therapy

By Warren R. Heymann, MD, FAAD Sept. 25, 2024 Vol. 6, No. 39 An abridged version of this commentary was published in "A Clinician’s Perspective" in the April 2024 issue of the JAAD ... . We last explored the relationship between IL-36 and generalized pustular psoriasis (GPP) and the use

Intermediate and complex repairs 2020: Part 1

Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2019 Test your knowledge: Intermediate and complex repairs 2020 — Part 1 ... Take the quiz to

This month’s news from across the specialty

What’s hot ... October 1, 2025 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Rosalie Elenitsas, MD, FAAD Pathologists and dermatopathologists frequently encounter poorly differentiated tumors that fail to reveal a defined lineage. In cutaneous specimens, these are

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

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

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

Getting the GIST cutaneous hyperpigmentation disease

By Warren R. Heymann, MD Nov. 6, 2019 Vol. 1, No. 35 Gastrointestinal stromal tumors (GISTs) are mesenchymal malignancies arising from the interstitial cells of Cajal (cells that create bioelectrical slow wave potential, leading to smooth muscle contraction, thereby aiding peristalsis). GISTs were initially recognized by identification of KIT (CD117)

This month's news from across the specialty

What's hot ... March 1, 2020 In this monthly column, members of  ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty.   ... BRYAN CARROLL, MD, PHD There are relationships of psoriasis lesions with candida, staph aureus, and now bacteriophages. Our understanding of the interplay

FAQs - Coding for Intermediate and Complex Repairs in 2020 and beyond

Q: Are there any changes to the Simple Repair guidelines? A: No, the simple repair guidelines will remain unchanged for 2020 and beyond. ... Q: How should I code a nasal tip excision, for which the defect is repaired with a linear layered closure (3 cutaneous and 5 super-ficial sutures)

Cutaneous complications of immune checkpoint inhibitors

DermWorld highlights some of the common (and not-so-common) skin complications associated with ICIs and shares expert tips for management. ... Feature ... By Heidi Splete, Contributing Writer, March 1, 2024 Immune checkpoint inhibitors (ICIs) are a mainstay of immunotherapy for many cancer types — including breast, colon, liver, lung, skin,

Intestinal obstruction of justice raises a question for dermatology residency applicants: Are you a real doctor?

By Warren R. Heymann, MD Jan. 19, 2019 Hon. George M. Heymann ... "Are you a real doctor?" ... Every dermatologist has been asked this question. ... Ask Sam (not his real name). Last summer, he and his wife came for their annual skin cancer examinations. Sam, an ordinarily jovial

Saving face: The importance of recognizing facial discoid dermatosis

By Warren R. Heymann, MD, FAAD Feb. 22, 2023 Vol. 5, No. 8 I get excited when astute dermatologists describe and label dermatoses that I have seen but could not adequately diagnose. Two recent examples include acute inflammatory edema and alpha-gal syndrome. I (and presumably you too) have encountered patients

Coding for surface radiation therapy in dermatology: A practical guide

Surface radiation therapy (SRT), previously referred to as superficial radiation therapy, has become an increasingly employed modality for treating cutaneous tumors such as nonmelanoma skin cancers and select benign lesions in dermatology. With the 2026 CPT ... ® ... changes, the SRT code set has been modified and streamlined, and

Joining the bullae pulpit: PD-1 inhibitors

By Warren R. Heymann, MD Aug. 25, 2016 As the use of immune checkpoint inhibitors has increased, so have the number of severe immunotherapy-related adverse events (irAEs). Although discontinuation of therapy may result in resolution of these untoward reactions, long-term sequelae and death have been reported. In a recently published

What is the role of sentinel lymph node biopsy for primary cSCC of the head and neck?

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

March 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy

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

Thinking of discontinuing the PD-1 inhibitor because of a lichenoid eruption? Don’t do it!

By Warren R. Heymann, MD May 21, 2016 Immune checkpoint inhibitors have been the proverbial "game changers" in oncology, and offer hope (and a chance of survival) where none existed just a few years ago. ... Cutaneous manifestations are the most common adverse reactions to these drugs. Indeed, more than

Benzene in consumer products

What dermatologists and patients should know. ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2025 From dry shampoo to acne medication — benzene, a known human carcinogen, has been detected in multiple cosmetic and cutaneous products over the past several years. ... The International Agency for Research on

Here’s looking at you, KID

By Warren R. Heymann, MD April 7, 2017 Late skin findings in lethal keratitis-ichthyosis-deafness syndrome. Intertriginous hyperkeratosis and denudation in a patient with GJB2 p.A88V mutation. ... Credit: ... JAAD Keratitis, ichthyosis, and deafness (KID) syndrome is a rare genodermatosis associated with mutations in the GJB2 gene, which encodes connexin

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

Thyroid hormone, mitochondria, photoaging and April 7, 2017

By Warren R. Heymann, MD Sept. 24, 2016 On April 7, 1997 I filed a patent entitled "Method for the treatment of dry skin," utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017. ... Some of you

This month's news from across the specialty

What's hot ... January 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Rosalie Elenitsas, MD Cutaneous Lyme disease, erythema chronicum migrans, is a clinical diagnosis. Serologic testing may be unreliable as both false positive and

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

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

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

Cocaine-associated plasma cell orificial mucositis: Anything goes

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, April 1, 2026 Vol. 8, No. 4 Dermatologists will never be bored by cocaine. The mucocutaneous manifestations are so vast that one can almost say that "anything goes," but there are clinical scenarios where clinicians should suspect cocaine use

Dermatologists should not be in the dark about kratom

By Warren R. Heymann, MD, FAAD Oct. 11, 2023 Vol. 5, No. 41 Dermatological sleuthing mandates an ever-expanding knowledge database. The correct diagnosis may prove elusive if you do not know the right questions to ask. Astute clinicians have a differential diagnosis of cutaneous and/or mucosal hyperpigmentation, including heavy metal

Methotrexate toxicity: What’s in a name?

By Warren R. Heymann, MD Aug. 24, 2017 Methotrexate-induced skin toxicity: photographs of 4 illustrative cases. A, Erosions in psoriatic plaques over the torso (patient 1). B and C, Ulcerated and reticulated psoriatic plaques over the arms (patient 2). D, Small shallow cutaneous erosions (patient 4). E, Mucosal erosions over

Unmasking the complications of personal protective equipment

By Christen Mowad, MD August 5, 2020 Vol. 2, No. 31 Allergic contact dermatitis and irritant contact dermatitis have long been identified as potential adverse reactions to personal protective equipment (PPE) most commonly due to gloves. The global pandemic caused by COVID-19 has heightened the need to use PPE as

The not-so-full body skin examination

By Warren R. Heymann, MD, FAAD April 16, 2025 Vol. 7, No. 15 It is not my imagination. With every passing year, an increasing number of new patients schedule an appointment for a full (or total) body skin examination (FBSE, TBSE) to be checked (or, as some patients say, "scanned")

This month’s news from across the specialty

What’s hot ... August 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to

Is ivermectin an old drug with new tricks?

By Temitayo Ogunleye, MD, FAAD Sept. 15, 2021 Vol. 3, No. 37 Most of us are familiar with the use of oral ivermectin in the setting of treating extensive or resistant scabetic or lice infestations, or more rarely (in the United States but very commonly globally) for conditions such as

October 5, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 5, 2022 ... Is there an association between low-dose methotrexate and melanoma? DermWorld Insights and Inquiries : Optimizing the dermatologist-patient encounter FDA approves first treatment for prurigo nodularis Perioperative practices

Can computer algorithms improve dermatologists’ accuracy when diagnosing melanoma?

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, January 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Michael A. Marchetti, MD, about

Can topical ketoconazole tip the scales for acne vulgaris?

By Warren R. Heymann, MD Oct. 21, 2020 Vol. 2, No. 42 "Now trending." How often have you seen that phrase when you go online? When it comes to trends in treating acne vulgaris (AV), despite the new addition of oral sarecycline and the release of topical minocycline foam, there

This month's news from across the specialty

What's hot ... June 1, 2020 In this monthly column, members of  ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty.   ... BRYAN CARROLL, MD, PhD We may need to channel Carl Sagan to appreciate the vastness of the recently released billions upon billions

Can topical ketoconazole tip the scales for acne vulgaris?

By Warren R. Heymann, MD Oct. 28, 2020 Vol. 2, No. 43 How often do you perform an oral examination? If you’re like me, probably only under two circumstances — when the patient has specific complaints (soreness, a raised lesion, or a discoloration noted by their dentist), or when we

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

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

Atopic dermatitis hide and seek: The impending role of OX40 inhibition

By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside

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:

Which treatment modality of pyogenic granuloma is worth its weight in salt?

By Warren R. Heymann, MD, FAAD July 31, 2024 Vol. 6, No. 31 I get palpitations with every pyogenic granuloma (PG) I encounter. Even though the clinical diagnosis is instant, my personal Jiminy Cricket dermatologist reminds me not to miss an amelanotic melanoma, squamous cell carcinoma, or cutaneous metastasis. If

Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication

By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain

What's hot?

What's hot ... July 24, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The first human retrovirus, identified in 1980, was not HIV, but human T-cell lymphotrophic virus-1 (HTLV-1). It

This month’s news from across the specialty

What’s hot ... March 1, 2026 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Harry Dao Jr., MD, FAAD Injectable biologics remain the gold standard for achieving optimal clinical responses in psoriasis, but fear of injections leads many

Optimizing melasma management

Experts discuss treatment strategy, new insights into pathogenesis, and emerging therapies. ... Feature ... By Emily Margosian, Senior Editor, March 1, 2026 Pigmentary disorders represent some of the most common cutaneous concerns globally. In the U.S. alone, melasma affects more than 5 million people (doi:10.1016/j.jaad.2010.12.046). ... While primarily a cosmetic

Melanoma controversies

Screening, biopsy practices questioned as incidence rate increases ... Feature ... By Jan Bowers, contributing writer, September 1, 2021 At first glance, dermatologists would seem to be wildly successful in their decades-long effort to detect and remove cutaneous melanoma lesions before they can metastasize and become deadly. According to the

The emergence of rituximab-induced pyoderma gangrenosum: An alert to dermatologists

By Warren R. Heymann, MD, FAAD Sept. 21, 2022 Vol. 4, No. 38 Recognizing cutaneous adverse drug reactions is medical dermatologist’s forte. This commentary will focus on rituximab-induced pyoderma gangrenosum (RIPG) that characteristically presents as vulvovaginal pyoderma gangrenosum (VVPG) — a condition that I have not encountered (and hope that

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,

Vasculitis on the run

By Warren R. Heymann, MD, FAAD July 10, 2024 Vol. 6, No. 28 I am not a runner, but I live vicariously through my residents who are. This weekend, our first-year resident, Erika Tvedten, will run the Philadelphia marathon for the first time. I have been intrigued (and impressed!) by

The profound dermatological manifestations of COVID-19: Part IV – Cutaneous features

By Warren R. Heymann, MD April 22, 2020 Vol. 2, No. 16 Disclaimers: This commentary was written on April 17, 2020 for a publication date of April 22, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer

Granulomatous cheilitis: Back to the Future

By Warren R. Heymann, MD, FAAD June 1, 2022 Vol. 4, No. 22 I opened my dermatology practice in 1985 — looking retrospectively, life was then both simpler and more complicated. It was the pre-computer era when patients paid their fee at the time of their visit, utilizing a peg-board

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

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 illusions of IgG4-related skin disease

By Warren R. Heymann, MD, FAAD Dec. 10, 2025 Vol. 7, No. 48 "The greatest enemy of knowledge is not ignorance; it is the illusion of knowledge." – Stephen Hawking Prior to researching this commentary, I had illusions that I grasped the fundamental concepts of IgG4-related disease (IgG4-RD); after writing

Acquisition and loss: A tribute to Jouni Uitto, MD, PhD

By Warren R. Heymann, MD, FAAD Jan. 11, 2023 Vol. 5, No. 2 I was stunned and frozen in time and thought when Dr. Sylvia Hsu informed me that Dr. Jouni Uitto had passed away — a similar reaction as I experienced when hearing of President Kennedy’s or John Lennon’s

Dupilumab: The first year

By Warren R. Heymann, MD  ... Jan. 8, 2018 A patient with severe atopic dermatitis has benefited from dupilumab. ... Credit: Warren R Heymann ... When introduced as dermatologist to a new acquaintance, I’m sure you have heard: "Dermatology is a great field — you don’t cure anybody, so

Twenty-first century pellagra

By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly

From Down Under to all over: Kava-induced cutaneous adverse reactions

By Warren R. Heymann, MD, FAAD June 11, 2025 Vol. 7, No. 23 Firmly ensconced in my bucket-list travel time, I eagerly anticipate our trip to New Zealand, Tasmania, and mainland Australia in January 2025. ... (Editor’s note: This piece was written prior to the trip.) As a dermatologist, I

Complications of silicone injections: persistence, stigma, and treatment

By Howa Yeung, MD, MSc, FAAD Jan. 18, 2023 Vol. 5, No. 3 Walking in with a cane and reporting his severe skin pain, a patient of mine recalled travelling with their friend to get buttock injections in a hotel room in another state over a decade ago. ... The

PDF of BSD Cutaneous lymphona

PDF of Common cutaneous metastasis

Cutaneous T-cell lymphoma

Old stains leaving new marks in dermatology Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the "Sarcoidosis-Lymphoma Syndrome" Brentuximab vedotin update and the #MeToo saga of the Reed-Sternberg cell Attending the masquerade ball with CTCL and alopecia areata  ... All content found on Dermatology World Insights and Inquiries, including:

Vitamin C as treatment of basal cell carcinoma: Is it fruitful?

By Warren R. Heymann, MD ... July 3, 2016 ... For those of us who learned that taking mega dose vitamin C for the common cold, as advocated by the late Nobel Laureate Linus Pauling, was truly something to sneeze at, I always approach studies lauding the effects of nutrient-based

Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas tale

By Warren R. Heymann, MD, FAAD Dec. 3, 2025 Vol. 7, No. 47 Santa Claus waving from his sleigh on Central Park West on Black Friday traditionally commenced the Christmas holiday season. That "official" start now occurs after the last trick-or-treater devours their Hershey bar on Halloween. Realistically, it is

Differentiating lichen planopilaris from chronic cutaneous lupus may be as easy as 1,2,3 (actually CD123)

By Warren R. Heymann, MD June 4, 2016 My last dermatopathology case of the week was that of a woman with scarring alopecia, which was clearly well advanced. Hardly any follicles remained, and on one section there was a small follicular unit with a peri-infundibular mononuclear infiltrate and slight vacuolar

PDF of Cutaneous manifestations of HIV infections

PDF of Chemotherapy specific cutaneous reactions

PDF of Cutaneous Smooth Muscle Tremors

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

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

PDF of Non-tuberculous cutaneous mycobacterial infections

Coughing up a new warning for ustekinumab

By Warren R. Heymann, MD May 15, 2019 Vol 1, No. 10 After using a drug for years, physicians become comfortable with the benefits and risks of the frequently prescribed agent. I have utilized ustekinumab extensively — learning of new adverse reactions is sobering. ... Ustekinumab has been in use

June 19

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 19, 2019 ... Do hidradenitis suppurativa patients have a greater comorbidity burden than psoriasis patients? DW Insights and Inquiries : The newest frontier for biologics and psoriasis may be adherence

Weighing the options

As biologic therapies expand indications to children and adolescents, what do dermatologists need to know about balancing the risks and benefits? ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2023 Over the past five years, younger patients have steadily gained access to a range of FDA-approved targeted

The newest frontier for biologics and psoriasis may be adherence

By Warren R. Heymann, MD June 19, 2019 Vol. 1, No. 15 My first job as an attending dermatologist was heading the psoriasis day care center at the Albert Einstein College of Medicine in 1983. The challenges of treating severe psoriasis with the Goeckerman regimen, PUVA, methotrexate, etc. made

PDF of Clinical Pearls Cutaneous T-cell Lymphona

Cutaneous green and E-A-G-L-E-S!

By Warren R. Heymann, MD Jan. 25, 2018 Dermatologists will be seeing a lot of green in their offices the next two weeks, especially here in the Delaware Valley, in anticipation of Super Bowl LII in Minneapolis on February 4th, 2018. ... May this serve as a reminder that some

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

The planet and the patient

How dermatologists confront the impact of climate change on patients. ... Feature ... By Jan Bowers, December 1, 2020 While political and economic concerns have permeated the debate around climate change, particularly in the United States, medical issues are increasingly coming to the forefront. According to the Centers for Disease

PDF of Board Fodder on primary cutaneous T-cell lymphomas

Melanoma management forges a new path

Experts discuss how personalized vaccines may reshape the future of cancer treatment. ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2023 Melanoma is among the most common cancer types and has one of the most rapidly increasing incidences around the world, ... studies say. However, over the last

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

PDF of Cutaneous squamous cell carcinoma staging, risk classification, and management

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

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

Out of the (check) box

Dermatologists break down how to make quality and practice improvement activities manageable while benefiting their practice and patients. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2022 Quality improvement (QI) efforts are increasingly tied to reimbursement. Reporting measures in the quality category of the Merit-based Incentive Payment

Gold Medal Award

Gold Medal Award ... During the AAD Annual Meeting Opening Ceremony ... Henry W. Lim, MD, FAAD was honored as the 2026 Gold Medal Recipient. ... Henry W. Lim, MD, FAAD Dr. Lim is currently serving as the president of the International League of Dermatological Societies, which consists of over

Always another worry for patients with hidradenitis suppurativa: Amyloid A amyloidosis

By Warren R. Heymann, MD, FAAD March 27, 2024 Vol. 6, No. 13 My introduction to hidradenitis suppurativa (HS) was as a first-year dermatology resident on the inpatient dermatology service at Van Etten Hospital in the Bronx, caring for a most unfortunate woman with HS; she had secondarily infected pyoderma

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

PDF of Boards Fodder for Surgical complications Part 2: Long-term complications of cutaneous surgery

Getting to the heart of neonatal lupus erythematosus

By Warren R. Heymann, MD, FAAD July 21, 2021 Vol. 3, No. 29 I have found that rendering the diagnosis of neonatal lupus erythematosus (NLE) is fraught with emotional challenges. Not only are mothers concerned for their children, frequently they are unaware of the fact that they are also at

This month's news from across the specialty

What's hot ... August 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Journalists at ... Kaiser Health News and The Guardian have collaborated on a program called " ...

Et tu, Ibrutinib?

By Warren R. Heymann, MD July 8, 2020 Vol. 2, No. 27 When it comes to medications that I never prescribe, I learn from my patients who present with findings that compel me to do my homework. Such was the case of a middle-aged woman with chronic lymphocytic leukemia (CLL)

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.

The mysteries of malakoplakia

By Warren R. Heymann, MD May 24, 2017 A, Dermal nodule with confluent sheets of histiocytes containing abundant granular amphophilic cytoplasm (arrows) admixed with an inflammatory infiltrate and scattered collection of neutrophils. B, Histiocytic inclusions staining positively for calcium on a von Kossa stain. These findings were consistent with malakoplakia.

PDF of Boards Fodder for Surgical complications Part 1: Acute and sub-acute complications of cutaneous surgery

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

Mogamulizumab for CTCL: Targeted therapy and immunotherapy crossing paths

By Ellen Kim , MD August 12, 2020 Vol. 2, No. 32 Preserving the host-immune system for as long as possible has been one of the guiding principles for me in treating patients with mycosis fungoides/Sezary Syndrome (MF/SS) subtypes of CTCL. As a CTCL clinical trial researcher, it has been

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

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

Tofacitinib for dermatomyositis: A potential belle of the ball?

By Warren R. Heymann, MD Aug. 23, 2016 JAK1/3 signaling participates in the pathogenesis of inflammatory disorders while JAK1/2 signaling plays a role in the development of several malignancies including leukemias, lymphomas, and myeloproliferative neoplasms. Tofacitinib (Xeljans) is a pan-JAK inhibitor that is approved by the FDA for the treatment

Debunking the myth of the aggressive nature of acantholytic squamous cell carcinomas

By Warren R. Heymann, MD ... Feb. 6, 2017 ... Acantholytic squamous cell carcinoma (aSCC), follicular pattern. The tumor is centered upon follicular epithelium but also involves epidermis. Some features of actinic keratosis (parakeratosis, basilar epidermal atypia) are present; by our definition, this example did not qualify for aSCC

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

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.

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

October 9, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 9, 2024 ... Topical 5-FU/calcipotriene cream for the treatment of squamous cell carcinoma in situ DermWorld Insights and Inquiries : Shedding light on tumoral melanosis FDA weighing approval of new

Clinical guidelines

The Academy is dedicated to promoting and encouraging dermatology research and the application of these findings to improving patient care. This includes the development of rigorous, evidence-based guidelines of care for dermatologic conditions.  ... Learn more about the guideline development process . ... Review current clinical guidelines, those in development,

Melanoma: A family affair

By Warren R. Heymann, MD Nov. 4, 2016 It has now been 5 years since I was diagnosed with melanoma. Six years ago, my wife Ronnie found a tick on my back; when she noted a lesion in the same region a year later, I remember asking her "What did

Of sirolimus, shagreen, and chagrin

By Warren R. Heymann, MD July 24, 2017 Shagreen patch is a connective tissue hamartoma composed of excess collagen and elastic tissue. ... Credit: ... JAAD By the time I left the superlative World Congress of Pediatric Dermatology in Chicago I wanted to add sirolimus to the water supply. The

Old stains leaving new marks in dermatology

 ... By Warren R. Heymann, MD Oct. 15, 2018 A new blue-gray papule was noted on the left side of the neck and was excised as outlined by gentian violet surgical marker. ... Credit: ... JAAD Periodically I will pull an ancient tie from my rack. I’m delighted if

Angiosarcomas and morbid obesity: An enormous problem

By Warren R. Heymann, MD Feb. 26, 2017 Localized lymphedema. A, Case 7 showed many polypoid lesions that varied in size and were localized throughout the vulva, pubis, and perineum. B, Case 9 showed multiple small polypoid lesions with cauliflower-like morphology in the penis and scrotum. C, Case 3 showed

July 12, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 12, 2023 ... Association between hydrochlorothiazide use and nonmelanoma skin cancer DermWorld Insights and Inquiries : After 23 years, a syndrome converted me into an eflornithine believer Potential applications of

Quality assured

Engaging in quality improvement activities can boost patient outcomes, practice efficiencies, and satisfaction all around ... Feature ... By Ruth Carol, Contributing Writer, November 1, 2021 Quality improvement (QI) efforts can boost reimbursement but engaging in QI activities can have an even more positive impact on a dermatology practice’s overall

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.

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,

Systemic amyloidosis presenting as nail dystrophy (and inducing onychophagia in the reviewer)

By Warren R. Heymann, MD June 20, 2016 I admit it — I am plagued with onychophagia (nail biting). It is a life-long habit, and now that I’m 61, I presume that this foible will remain with me to the end. It is worse with anxiety — after reviewing the

Paraneoplastic syndromes (PNS) associated with merkel cell carcinoma are analogous to small cell cung Cancer: A comparison to other lung cancers

By Warren R. Heymann, MD Sept. 2, 2016 Merkel cell carcinomas (MCC) are neuroendocrine tumors associated with the Merkel cell carcinoma polyomavirus in >80% of tumors (1). Small cell lung cancer, another neuroendocrine tumor, is associated with paraneoplastic syndromes (PNS) in up to 20% of cases, notably the syndrome of

Race for the Case Answers

Diagnose this new case by Haowei Han, DO, and Aysham Chaudry, DO ... A 64-year-old woman presented to the dermatology clinic with a two-year history of a widespread rash involving the scalp and left ear. She reported associated joint pain but denied fevers, fatigue, weight loss, oral ulcers, photosensitivity, or

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

The Term “Dermal Hyperneury” Hits a Nerve

By Warren R. Heymann, MD Dec. 21, 2017 ... A, On hematoxylin-eosin stain, the borders of this nerve bundle are sharply demarcated from the surrounding connective tissue with no associated inflammation or fibrosis. A thin layer of epithelium can be seen encapsulating the intersecting fascicles of nerve fibers. Within the

Oy, another “Oid” to worry about: Cryptococcoid lesions

By Warren R. Heymann, MD July 3, 2019 Vol. 1, No. 17 The suffix "oid" m ... eans "resembling." There is a plethora of "oids" in dermatology — lichenoid, Pagetoid, rupioid, targetoid, to name a few. (My favorite is "oid-oid" disease, aka Sulzberger-Garbe disease, or exudative discoid and lichenoid chronic

Parvovirus infections: What’s relevant?

By Warren R. Heymann, MD Nov. 24, 2017 ... Parvovirus B19 infection. Purpuric rash on the legs (A) and hands (B) in a patient with a gloves-and-socks syndrome. ... Credit: ... JAAD It seems as though the expression "It could be Parvovirus" has entered our differential diagnostic discussions with increasing

Something from nothing: The role of random skin biopsies

By Warren R. Heymann, MD Sept. 22, 2017 There are a few reports suggesting the usefulness of the random or blind skin biopsy from normal-appearing skin for diagnosis of intravascular lymphoma. Punch biopsy results from the abdomen. A, Intravascular large lymphoid cells. B, CD20+ tumor cells. (A, Hematoxylin-eosin stain; B,

June 9, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 9, 2021 ... Merkel cell carcinoma survival by anatomic site DermWorld Insights and Inquiries: Insult to injury — COVID-19-associated mucormycosis Microneedling with topical therapies for melasma Photosensitivity reaction from benzodiazepines

All you need is love.

From the Editor ... Dr. Heymann is the physician editor of ... DermWorld . ... By Warren R. Heymann, MD, FAAD, February 1, 2026 In February 1979, the month before my match in internal medicine, I was struck by Cupid’s arrow during my dermatology elective, which changed the trajectory of

July 5, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 5, 2023 ... Petroleum jelly: Safety, myths, and misconceptions DermWorld Insights and Inquiries : Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses Managing CLE with JAK inhibitors Homelessness

Breaking through

Go to AAD Home ... Go to AAD Home ... Menu ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... Advances in disease pathogenesis and treatments offer new promise for patients with connective tissue disease ... By Allison Evans, assistant managing editor

Taking woolly hair to heart

By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch

2023 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 20 - DWI&I Holiday Greeting 2023 Dec. 13 - Sparking the interest in Spark nevus Dec. 6 - Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years November ... Nov. 29 -

Inpatient consultative dermatology: Where are we now?

Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, May 1, 2019 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Lauren Madigan, MD, and Lindy

This month’s news from across the specialty

What’s hot ... November 1, 2023 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MS, MPH, FAAD All medical fields can learn from their past mistakes. The path to modern medical practice was not

LIDA* rose the insulin requirement

By Warren R. Heymann, MD April 14, 2021 Vol. 3, No. 15 * Localized insulin-derived amyloidosis ... Amyloidosis, I thought I knew ye. But alas, you fooled me again. ... Amyloid is an insoluble protein folded in ... β -pleated sheets that is deposited extracellularly. Amyloid can accumulate in one

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

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

PRIDE without prejudice

By Warren R. Heymann, MD, FAAD July 30, 2025 Vol. 7, No. 30 As the years march on, I am bemused by having witnessed once-novel findings become mainstream affairs. I recall my excitement describing the development of paronychia in a 76-year-old woman with metastatic colon carcinoma who was participating in

Further dermatologic observations in cystic fibrosis

By Warren R. Heymann, MD, FAAD Aug. 6, 2025 Vol. 7, No. 31 Watson: And yet I believe that my eyes are as good as yours. Holmes: Quite so. You see, but you do not observe... – Sherlock Holmes in "A Scandal in Bohemia" (1891, written by Sir Arthur Conan

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

What are keratoacanthomatous lesions of the legs in mature women?

By Warren R. Heymann, MD Dec. 11, 2017 ... Right thigh, keratoacanthomatous atypical squamous proliferation. (Hematoxylin-eosin stain; original magnification: ×10.) ... Credit: ... JAAD I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. "Why am I getting these? Are they cancer? Why

July 24, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 24, 2024 ... Is there an association between benzoyl peroxide use and increased blood benzene levels? DermWorld Insights and Inquiries : Pancreatic panniculitis — Getting spooked by ghost cells AADA

July 30, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 23, 2025 ... Intralesional acyclovir vs. quadrivalent HPV vaccine for recalcitrant warts DermWorld Insights and Inquiries : PRIDE without prejudice FDA approves delgocitinib for chronic hand eczema Efficacy of hedgehog

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

July 13, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 13, 2022 ... Androgenic skin conditions and hormonal IUDs DermWorld Insights and Inquiries : COVID-19 can nail you in so many ways What does Europe’s tattoo ingredient ban mean for

December 4, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 4, 2024 ... What’s the best treatment for squamous cell carcinoma in situ? DermWorld Insights and Inquiries : Darier disease is rough clinically and therapeutically. MEK inhibition may offer a

Burden of skin disease

In 2016, the AAD embarked on a research study that looked at the effects of having skin disease on the United States patient population, and to provide an up-to-date analysis of the burden of skin disease that reflects these recent changes in the practice of medicine. ... Burden of Skin

Fever, rash, and lymphadenopathy may be wearing more than one DRESS

By Warren R. Heymann, MD April 24, 2019 Vol. 1, No. 7 As a dermatology resident, I was mesmerized by the concept of "angioimmunoblastic lymphadenopathy with dysproteinemia" (AILD) after seeing a patient presented at our weekly conference at the Albert Einstein College of Medicine. I was perplexed as to how

Keeping an eye on melanoma

By Warren R. Heymann, MD April 7, 2021 Vol. 3, No. 14 If your practice bears any resemblance to mine, a significant portion of your schedule is devoted to patients following up because of their history of melanoma. Prior to seeing the patient, our medical assistant runs through a focused

Move over Lues: Graft-versus-host disease is the new mimicker king

By Warren R. Heymann, MD May 9, 2016 I have always been intrigued by graft-versus-host disease (GVH). I first learned of the disorder in my college immunology course when it was referred to as a cause of "runting syndrome" in mice. ... In the context of transplant recipients, classical features

Learning about proton pump inhibitor-induced dermatologic adverse reactions is ulcerogenic

By Warren R. Heymann, MD June 7, 2016 How many of your patients are on protein pump inhibitors (PPI) such as Nexium [esomeprazole], Prevacid [lansoprazole], or Prilosec [omeprazole] for GERD? Let me rephrase the question. How many of your patients are NOT on PPIs? ... Alkeraye et al reported two

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

A potential roadMAP for treating malignant atrophic papulosis

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, June 1, 2026 Vol. 8, No. 6 Certain skin lesions evoke dread in the dermatologist who encounters them, fearing a poor prognosis for their patient. Examples include a Sister Mary Joseph nodule, a thick melanoma, or rhinocerebral mucormycosis, among

July 10, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2024 ... Efficacy of probiotics in the treatment of patients with acne DermWorld Insights and Inquiries : Vasculitis on the run Cosmetic tattoos, permanent makeup may cause allergic contact

April 30, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 30, 2025 Efficacy of spironolactone in treating patients with acne DermWorld Insights and Inquiries : A tale of two disorders of hypopigmentation — The potential role of Cutibacterium acnes dysbiosis

March 11, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 11, 2026 ... Does home-use low-level laser therapy improve androgenetic alopecia? DermWorld What’s Hot: Is an oral IL-23 inhibitor on the way for psoriasis? Safety of the use of concomitant

Nailing the diagnosis of the BAP1 tumor predisposition syndrome

By Warren R. Heymann, MD, FAAD June 5, 2024 Vol. 6, No. 23 I never imagined that I would be writing another commentary on onychopapillomas (Ops) so soon. The initial commentary was devoted to rare malignant Ops. (1) Unsurprisingly, additional reports of malignant Ops have been reported. (2) What else

This month's news from across the specialty

What's hot ... September 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Bryan Carroll, MD, PhD, FAAD The parable of the blind men and the elephant speaks to the limitations of an individual’s perception in

On the cusp of extraordinary advances in extramammary Paget disease

By Warren R. Heymann, MD May 27, 2020 Vol. 2, No. 21 I always include extramammary Paget disease (EMPD) and Bowen disease in my differential diagnosis of anogenital rashes for fear of missing them. It is good form to biopsy such lesions should they not respond to standard therapies for

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

This month’s news from across the specialty

What’s hot ... December 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MS, MPH, FAAD More than 80% of prior authorization appeals are overturned. Insurance plans’ most common interventions to manage utilization

ALDY and the redemptive power of “I don’t know”

... By Warren R. Heymann, MD Jan. 28, 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

Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow

By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought

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

October 16, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 16, 2024 ... High levels of benzene detected in OTC acne treatments DermWorld Insights and Inquiries: Homing in on hornerin — Breaking down the barrier to understand its crucial role

October 30, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2024 ... Breast health outcomes in women on oral 5-alpha reductase inhibitors D ermWorld Insights and Inquiries : The breathless complications of anti-MDA-5-positive dermatomyositis What symptoms are most significantly

What's hot?

What's hot ... November 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... On Oct. 5, the ... U.S. FDA approved the Gardasil 9 human papillomavirus (HPV) vaccine for men

JAAD

Putting muscle into isotretinoin laboratory testing isn’t chopped liver! The newest frontier for biologics and psoriasis may be adherence Progress for progressive multifocal leukoencephalopathy A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Dermatologists cannot be lax about acquired cutis laxa Congenital juvenile xanthogranulomas: Born to

Tag, you’re it!

By Warren R. Heymann, MD, FAAD Sept. 28, 2022 Vol. 4, No. 39 Chances are you will see a patient with skin tags today. ... Patients will likely ask you two questions: Why do I get them? What do you mean my insurance won’t cover their removal (for asymptomatic lesions)?

What's new in dermatology?

Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2022 The history of medical diagnosis traces back to ancient Egypt, where the first recorded examples can be found in the writings of Imhotep dating 2630–2611 BC. In the

February 1, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 1, 2023 ... Are topical AK treatments associated with increased risk of SCC? DermWorld Insights and Inquiries : A seasoned approach to treating the ‘salt and pepper’ dyspigmentation of systemic

Vitamin D fact sheet

Vitamin D stats and facts ... The American Academy of Dermatology recommends that healthy adults should obtain an adequate amount of Vitamin D from a diet that includes foods naturally rich in vitamin D and/or foods/beverages fortified with vitamin D. ... Because ultraviolet rays from the sun and tanning beds

Short duration cyclosporine may undress DRESS

By Warren R. Heymann, MD July 22, 2016 DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) is a severe drug-induced hypersensitivity syndrome (DIHS) that may affect adults and children. The eruption of DRESS usually appears 3 weeks to 2 months after introduction of the drug. The rash is primarily morbilliform,

What's new in pediatric dermatology?

Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2022 The world looked different in 2012, particularly in the world of medicine. Among the many changes of the last decade, new diagnoses have emerged within the field of

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

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

Psoriasis clinical guideline

Psoriasis is a chronic, inflammatory multisystem disease, which affects up to 3.2% of the U.S. population. The guideline is based on current evidence, emphasizing treatment recommendations and the role of the dermatologist in monitoring and educating patients about benefits as well as risks that may be associated. ... Psoriasis guideline

Best of DermWorld Insights and Inquiries

Dec. 26, 2024 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2024 — starting with the most popular issue of the year. ... 1. Weighing in on glucagon-like

2021: Best of DermWorld Insights and Inquiries

December 30, 2021 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2021 — starting with the most popular issue of the year. ... 1. Biotin supplementation for hair

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

Standard postoperative wound care practice may be all wet

By Warren R. Heymann, MD, FAAD July 9, 2025 Vol. 7, No. 27 Dermatologists perform procedures throughout the day, including straightforward skin biopsies, electrodesiccation, curettage, cryosurgery, laser treatments, etc. Postoperatively, many of these wounds are dressed, and patients are given instructions for caring for them. ... The following, entitled "After

This month’s news from across the specialty

What’s hot ... November 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD An ... investigation by the Kaiser Family Foundation shows that medical debt is the most common form

This month’s news from across the specialty

What’s hot ... July 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD Social media can be a very useful tool for practices to grow their practice population, and has become a

Transplantation dermatology: Race matters

By Warren R. Heymann, MD June 21, 2017 African American man with generalized vitiligo. Medial aspect of foot before (A) and 5 months after (B) melanocyte-keratinocyte transplantation procedure. ... Credit: ... JAAD December 3rd, 2017 will mark the 50th anniversary of the first human-to-human heart transplant performed by the late

What role can dermatologists play in diagnosing a cancer syndrome like BAP1?

Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, March 1, 2018 In this month's Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Hensin Tsao, MD, PhD, and

Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma

By Warren R. Heymann, MD, FAAD Aug. 20, 2025 Vol. 7, No. 33 As I write this commentary, March Madness is underway. According to the NCAA, the odds of predicting all 63 NCAA tournament games correctly are approximately 1 in 9.2 quintillion (a quintillion is 10 to the 18th power).

It is hard to compete with the Annual Meeting.

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, March 1, 2024 Seriously, getting together with friends and colleagues, being able to pick from hundreds of talks given by expert speakers from all over the world, hearing from leadership about

Telangiectasia macularis eruptiva perstans revisited

By Warren R. Heymann, MD April 29, 2016 I have always struggled with the diagnosis of telangiectasia macularis eruptive perstans (TMEP). Aside from taking the first 6 months of my residency to remember how to say it, I have never been confident of securing the diagnosis. It would always enter

Best of DermWorld Insights and Inquiries

Dec. 31, 2025 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2025 — starting with the most popular issue of the year.  ... 1. Loss and legacy: A

2024 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future

July

Issue ... July January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... We meet again. What’s hot ... This month’s news from across the specialty Clinical Applications ... Cooperating with the CDC to help clinicians treat

What role does commensal bacteria play in triggering autoimmunity in lupus?

Acta Eruditorum ... Dr. Schwarzenberger is the former physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, January 1, 2019 In this month’s Acta Eruditorum column, Physician Editor Kathryn Schwarzenberger, MD, talks with Teri Greiling, MD, PhD, about

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

Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum

By Warren R. Heymann, MD April 12, 2018 The front (A1) and back (A2) portions of his upper thigh show signs of severe Erythema Annulare Centrifugum. ... Credit: ... JAAD When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting

Eccrine syringofibroadenoma: Sweating over the details

By Warren R. Heymann, MD, FAAD January 26, 2022 Vol. 4, No. 4 While learning about rare entities during our training, we may wonder if we will ever encounter the disorders in "real life." Eccrine syringofibroadenoma (ESFA), first described in 1963 by Mascaro, was considered a relatively "new" lesion when

Why use AAD measures

What are the different types of measures for MIPS reporting? ... There are two different categories of quality measures for reporting: MIPS measures and QCDR measures. Both can be used for MIPS reporting. ... MIPS measures are measures that are approved by CMS to be included in the Quality Payment

Dermatology World Weekly

DermWorld Weekly  is a brief, concise digest of the latest news, hand-picked by  ... DW’s  editorial team with analysis of why it matters to dermatologists. ... Each week editors review the landscape of health care news in  ... DermWorld's  core areas of practice management, policy, and patient care, and highlight

May

Issue ... May January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... This is probably the hardest column I’ve ever had to write What's hot ... This month's news from across the specialty Clinical Applications ...

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

October

Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Can you imagine not wearing a mask? What's hot ... This month's news from across the specialty Clinical Applications ... Can proteasome inhibitors effectively

Diagnosis coding updates for 2026

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, November 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention

AESOP: The ants and the grasshopper

By Warren R. Heymann, MD, FAAD Aug. 21, 2024 Vol. 6, No. 34 Unquestionably, AESOP ( ... A denopathy and ... E xtensive ... S kin patch ... O verlying a ... P lasmactyoma) is rare — to date, fewer than 25 cases have been reported. (1) Why write (or

Wolf’s isotopic response: Where and when

By Warren R. Heymann, MD, FAAD Oct. 18, 2023 Vol. 5, No. 42 Wolf’s isotopic response (WIR) has been a mysterious and controversial dermatological sign for almost 40 years. In 1984, the Doctors Wolf (Ronni and Danny) described two cases — a 52-year-old man and a 12-year-old girl — both

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

New data to recall when considering radiation recall dermatitis

By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For

Rituximab and dermatomyositis: Dr. Samitz would be proud

By Warren R. Heymann, MD Nov. 20, 2019 Vol. 1, No. 37 The gifted dermatologist clinician-educator Morris H Samitz, MD, has been honored with an annual lectureship at the Perelman School of Medicine at the University of Pennsylvania for the past 44 years. Dr. Samitz passed away in 1993, but

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

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

Dermatomyositis oddities: Could one be responsible for the other?

By Warren R. Heymann, MD Sept. 19, 2016 So much about dermatomyositis (DM) has intrigued me since medical school. Over the years, I have probably read more about this disease than any other malady. I am always amazed how I much more there is to learn. ... There were two

An acne vaccine to make patients happy CAMPers?

By Warren R. Heymann, MD Nov. 12, 2018 When walking back to my office after receiving my flu shot, I thought about how wonderful it be to have a preventive therapy for common dermatologic disorders such as acne. That may not be so far-fetched. ... Acne vulgaris (referred to as

December 22, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 22, 2021 ... Can COVID-19 be transmitted through the skin? DermWorld Insights and Inquiries : Holiday greeting 2021 Derm Coding Consult : Anthem updates virtual visit policies No Surprises Act

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

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

I am considering joining a practice. What resources does the Academy offer to help me learn more about navigating employment contracts?

Asked and Answered ... December 1, 2022 Whether you’re starting a practice, transitioning, or preparing to retire, it’s important to understand what’s involved in these life-changing decisions. If you’re considering starting or switching practices, the Academy offers resources and guidance to ensure that you are prepared to choose a path

Moving or closing practices? Here's what you need to know.

In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, December 3, 2018 There is a lot you must consider before you move or close your practice including the

I missed AAD VMX. How can I access it on-demand?

Asked and Answered ... July 1, 2020 If you missed the live premiere of the AAD ... Virtual Meeting Experience (AAD VMX), the event can be accessed online through Dec. 31, 2020. ... AAD VMX on-demand benefits include: ... Opportunities to receive CME credits ... More than a dozen robust

Lost in translation?

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, March 1, 2024 In a recent article published in ... JAMA Network Open, authors investigated how well adult patients understand common medical jargon used by physicians (2022;5(11):e2242972). The study surveyed a cross section of the public, comparing jargon vs. nonjargon

Vitamin D and UV exposure

Key messages ... The American Academy of Dermatology recommends that healthy adults should obtain an adequate amount of Vitamin D from a diet that includes foods naturally rich in vitamin D and/or foods/beverages fortified with vitamin D. (1) ... Because ultraviolet rays from the sun and tanning beds can cause

We’re in hot water! Vibrio vulnificus infections are heading north

By Warren R. Heymann, MD Dec. 16, 2020 Vol. 2, No. 49 When driving to work, I usually listen to our local 24-hour news station, paying half-attention as I’m mentally sorting out the upcoming day’s agenda. Upon hearing a report of several cases ... Vibrio vulnificus (Vv) at my hospital

Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma

By Warren R. Heymann, MD, FAAD Aug. 13, 2025 Vol. 7, No. 32 A highlight of my week is leisurely reading the ... Philadelphia Inquirer on quiet Sunday mornings, skimming over the troubling headlines, and concentrating on positive happenings in the Delaware Valley. My bliss was rudely interrupted by a

A dermatologic riddle: How is IgG4-related ophthalmic disease parliamentary?

By Warren R. Heymann, MD March 22, 2017 Immunostains of infiltrate. A, Immunostain shows an infiltrate rich in IgG4+ plasma cells. The infiltrate had an IgG4+ cell count of 80 per HPF and an IgG4+/IgG+ ratio of 80%. B, IgG immunostain shown for comparison. (A and B, original magnifications:

DI&I encore: Better than a back scratcher?

By Warren R. Heymann, MD March 30, 2017 The potential toxicity of the combination of topical ketamine/amitriptyline/lidocaine (TKAL) was discussed in a recent entry detailing the encephalopathic findings in an octogenarian Parkinsonian man with atopic dermatitis who was treated with the compound. I concluded: "As our therapeutic options for recalcitrant

The nerve of Zika!

By Warren R. Heymann, MD April 17, 2017 Zika virus–associated skin exanthem. Peripheral edema of bilateral hands (A) and feet (B). Generalized lymphadenopathy was also present. ... Credit: ... JAAD Zika virus infections have dominated the headlines, most notably because of its association with microcephaly. According to the valuable CDC

Viva ex vivo dermoscopy?

By Warren R. Heymann, MD March 12, 2017 Evaluation of dermoscopic features on a formalin-fixed specimen (ex vivo dermoscopy) using a smartphone attached to a dermoscope. ... Credit: ... JAAD It has been said that the best "special stain" is a deeper section — wise words indeed. While always gratifying

April 14, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 14, 2021 ... Pulsed dye laser versus ablative fractional CO2 laser for hypertrophic scars DermWorld Insights and Inquiries : LIDA rose the insulin requirement Actinic keratosis clinical guideline published Do

December 16, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 16, 2020 ... What are risk factors for frontal fibrosing alopecia? DermWorld Insights and Inquiries : We’re in hot water! Vibrio vulnificus infections are heading north. Vaccine distribution begins: When

April 1, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 1, 2026 ... Aesthetic treatment considerations for perimenopausal, menopausal patients DermWorld Insights and Inquiries : Cocaine-associated plasma cell orificial mucositis — Anything goes Effects of PRP, minoxidil in patients with

How can I use DataDerm to report for MIPS?

Asked and Answered ... November 29, 2018 DataDerm™ can help you report for all three MIPS categories in 2018: ... Quality Promoting interoperability (PI) Improvement activities (IA) Here’s how to get started: ... 1. Step one: Sign up. ... Complete the sign-up portal at ... https://dataderm.aad.org/signup/Login.aspx by ... Dec. 7,

Which states participate in the IMLC?

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, December 1, 2022 For the past decade, telemedicine has broadened access to patients in rural and underserved areas. With the onset of COVID-19, CMS temporarily waived the requirement that physicians need to be licensed in the state where the patient

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

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

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

Does HPV vaccination change the burden of disease in patients with actinic keratosis?

Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, September 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Emily Wenande, MD, PhD, about her JAMA Dermatology ... paper, ‘ Human Papillomavirus Vaccination and Actinic Keratosis Burden: The VAXAK Randomized Clinical Trial .’ DermWorld:

Cutting giant congenital nevi down to size molecularly

By Warren R. Heymann, MD Oct. 2, 2019 Vol. 1, No. 30 Personally, I find giant congenital melanocytic nevi (GCMN) to be among the most unnerving skin lesions imaginable. The risk of melanoma, leptomeningeal melanocytosis, and psychosocial stresses are profoundly burdensome to patients, their families, and health care professionals. With

Xylazine (“Tranq”): The potential for loss of life and limb

By Warren R. Heymann, MD, FAAD Dec. 7, 2022 Vol. 4, No. 48 The U.S. overdose crisis continues its exponential growth, although the landscape of responsible substances has changed over the past two decades — cocaine (2000-2006) to prescription opioids (2007-2013), heroin (2014-2015), and illicitly-manufactured fentanyl (2016-present). (1) ... Xylazine

Dermatopathology

Cutting giant congenital nevi down to size molecularly Eosinophilic dermatosis of hematologic malignancy: Reality bites Oy, another "Oid" to worry about: Cryptococcoid lesions Biting my nails worrying about atypical presentations of nail unit melanomas Deep penetrating thoughts about deep penetrating nevi Sophie’s choice: Assessing atypical Spitz tumors in the molecular

Eosinophilic dermatosis of hematologic malignancy: Reality bites

By Warren R. Heymann, MD July 24, 2019 Vol. 1, No. 20 Our new gazebo’s screening beckons! Finally completed late last fall, I have longingly stared at it, waiting for spring’s warm embrace to invite me in. I cherish being outside, but in the shade and protected from the annoyance

Shedding light on tumoral melanosis

By Warren R. Heymann, MD, FAAD Oct. 9, 2024 Vol. 6, No. 41 Tumoral melanosis (TM) is a worrisome and confounding lesion for dermatologists and dermatopathologists alike. TM presents as darkly pigmented macules, papules, or nodules mimicking the appearance of a melanoma. Most cases are associated with either partial or

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.

Dermatology heads to Capitol Hill

Facts at your Fingertips ... By Emily Margosian, assistant editor, December 3, 2018 The contentious midterm election season has concluded, but the impact from the 2018 AADA Legislative Conference is still going strong. In July, physicians, patients, patient advocates, dermatology nurses, and dermatology practice administrators gathered in Washington, D.C. to

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

This month’s news from across the specialty

What’s hot ... November 1, 2025 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Bryan Carroll, MD, PhD, FAAD I don’t see an important word — ‘teledermatology’ — in the title of a recent publication about 3D total-body

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

Malassezia folliculitis: Simultaneously seen and invisible

By Warren R. Heymann, MD March 19, 2018 Cellophane, Mister Cellophane ... Should have been my name, Mister Cellophane ... ‘Cause you can look right through me ... Walk right by me and never know I’m there ... If a rash could commiserate with Amos, the accused murderess Roxie Hart’s

Radical chik: Chikungunya fever presenting as a toxic epidermal necrolysis-like eruption

By Warren R. Heymann, MD June 25, 2018 ... Chikungunya fever: morbilliform rash with islands of sparing. Photograph courtesy of Zawar Vijay, MD, Nashik, India. ... Credit: ... JAAD I have seen only one documented case of Chikungunya fever (CF), in a young woman who returned from Puerto Rico, presenting

February 14, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 14, 2024 ... Topical tofacitinib for lichen planopilaris, frontal fibrosing alopecia DermWorld Insights and Inquiries : Caveat mTOR revisited — Neurofibromatosis Risk factors for development of tinea pedis, onychomycosis Mpox

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

June 7, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 7, 2023 ... Treatments for pseudofolliculitis barbae DermWorld Insights and Inquiries : Taking it on the shin – part two Efficacy of abrocitinib for the treatment of lichen sclerosus? Scientists

Medicine pays the price in ransomware attacks

Facts at your fingertips ... By Emily Margosian, assistant editor, July 1, 2020 As health care becomes increasingly digitized, ransomware attacks seeking valuable patient records have accelerated, resulting in enormous costs. According to a 2020 Comparitech report, U.S. health care organizations spent over $160 million in ransomware recovery costs from

Does the AAD offer resources to help with private payer denials?

Asked and Answered ... March 1, 2024 Yes — members can access a variety of private payer resources, including a customizable private payer appeal letter generator, in the Academy’s Private Payer Resource Center. This tool can be used by dermatologists and their staff to generate letters from automated templates. These

What is the difference between the AAD and the AADA?

Asked and Answered ... February 1, 2026 The AAD is a 501c3 nonprofit organization, meaning it operates primarily for educational, scientific, and charitable purposes. This includes offering opportunities in professional development, continuing medical education, and patient and public education. The AAD also hosts networking events like Innovation Academy and the

Accolades pile up for Academy publications

2025 was another strong year for Academy publications, which won a litany of professional awards and continued to lead the field in terms of impact and citations. ... The July 2024 issue of ... DermWorld won the APEX Award in the highly competitive "Magazines, Journals, & Tabloids" category. The APEX

Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa

By Warren R. Heymann, MD, FAAD December 15, 2021 Vol. 3, No. 49 For inexplicable reasons, there are certain differential diagnoses that I find particularly satisfying, one being disorders responsible for facial follicular spicules: follicular mucinosis (1), pityriasis folliculorum ... (Demodex folliculorum) (2), follicular hyperkeratotic spicules (myeloma immunoglobulin or cryoglobulin)

Advances in therapy for the Cronkhite-Canada syndrome have increased survival: And that’s the way it is

By Warren R. Heymann, MD, FAAD Aug. 28, 2024 Vol. 6, No. 35 Part of the folklore at the Albert Einstein College of Medicine when I rotated as a fourth-year medical student in dermatology was that a prior resident made the correct diagnosis of Cronkhite-Canada syndrome (CCS). The constellation of

An encapsulation of palisaded encapsulated neuromas

By Warren R. Heymann, MD, FAAD Jan. 22, 2025 Vol. 7, No. 3 You know the drill — a patient presents with a solitary, slowly enlarging, dome-shaped, non-pigmented painless facial papule and asks, "Is it skin cancer?" Your clinical and dermoscopic examinations are not definitive, so you respond with uncertainty,

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

This month’s news from across the specialty

What’s hot ... May 1, 2023 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Avery LaChance, MD, MPH, FAAD Despite previously published studies refuting the risk of inflammatory bowel disease with isotretinoin use, patients and families commonly

This month’s news from across the specialty

What’s hot ... October 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD With growing media hype, "rule-out monkeypox" consults with dermatologists are increasing. So, as a dermatologist, what do you need

This month’s news from across the specialty

What’s hot ... July 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD Is topical 5-fluorouracil toxic to our pets? The answer is yes, as explained by Young et al in their

This month’s news from across the specialty

What’s hot ... April 1, 2025 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Kaiser Family Foundation Health News reported on the very large and growing advertising spending by direct-to-consumer health

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

March 30, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 30, 2022 ... The rankings are in: Minoxidil, finasteride, and dutasteride for male androgenetic alopecia DermWorld Insights and Inquiries : Bowel-associated dermatosis-arthritis syndrome (BADAS) — The story behind the acronym

July 23, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 23, 2025 ... How to recognize a difficult squamous cell carcinoma DermWorld Insights and Inquiries : Sebaceous carcinoma — Double trouble Exploring novel therapies for acne scar treatment Survival after

Forever young with chocolate

By Warren R. Heymann, MD May 19, 2016 Recently we discussed how dark chocolate can exacerbate acne. How many times have you heard a patient complain that it’s just not fair — they’re getting wrinkles and are still breaking out? Here is some good news! ... Kim et al have

Skin cancer/ melanoma

Cutting giant congenital nevi down to size molecularly Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo? Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections Biting my nails worrying about atypical presentations of nail unit melanomas 41’s gracious contribution to skin cancer awareness Dermatopathology reports about basal cell

Cost (30%)

Unlike the other MIPS categories, dermatologists and other eligible clinicians do not have to actively report data for the cost category. Instead, CMS automatically calculates the clinician’s performance score using information from claims data. ... If dermatologists have at least 10 melanoma resection episodes that meet the eligibility criteria for

2026 AAD Innovation Academy: Session highlights

Curated education for every attendee ... Stay ahead with the latest in dermatology at the 2026 AAD Innovation Academy.Tailor your schedule to fit your needs and create a personalized agenda to maximize your learning. earchable program to build your personalized learning experience. ... Search program Explore curated session recommendations tailored

Links in the care chain

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... Dermatologists are key providers in multispecialty care of melanoma, serious skin disease ... By Jan Bowers, contributing writer A diagnosis of advanced melanoma marks the

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

For the win! Championing the use of the term “reactive granulomatous dermatitis” in clinical practice

By David A. Wetter, MD, FAAD March 8, 2023 Vol. 5, No. 10 Growing up in the 1980s in suburban St. Louis, Missouri, I spent many evenings listening to Cardinals’ baseball on the local AM radio station, KMOX 1120. After the final out of each Cardinals’ victory, the late Hall-of-Fame

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

Can tocilizumab deep six recalcitrant morphea?

By Warren R. Heymann, MD, FAAD Sept. 20, 2023 Vol. 5, No. 38 Glenda’s middle-aged ankles still hurt badly. I have been treating morphea enveloping her ankles for several years. With therapies including methotrexate, mycophenolate mofetil, clobetasol, calcipotriene, and physical therapy, her tenderness has improved from exquisite to barely tolerable.

This month's news from across the specialty

What's hot ... November 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Health care support workers (phlebotomists, medical assistants, licensed practical nurses, nursing aides, and medical secretaries) are essential

A string of (clinical) pearls about drug-induced linear IgA disease

By Warren R. Heymann, MD Aug. 6, 2018 Linear IgA dermatosis patient with urticarial eruption of the trunk. ... Credit: ... JAAD The late sage Wallace Clark taught me that once a diagnosis is secured, thinking ceases. Admittedly in cases of drug-induced linear IgA dermatosis (DI-LAD) that I have encountered

Could human polyomaviruses cause grover disease?

By Warren R. Heymann, MD May 5, 2017 Clinical images of a man with Grover disease. A, papulovesicular rash on the trunk evolving to crusts and keratotic erosions. B, Zoomed-in image. ... Credit: ... JAAD My profound dermatologic experience in 1970 was the embarrassment I endured abruptly leaving Vincent Chiarello’s

Dermatopathology reports about basal cell carcinoma margins cannot be marginal

By Warren R. Heymann, MD July 30, 2018 ... Significant portions of residual basal cell carcinoma can be missed in the dermis (A) or subcutaneous fat (B). Small nests are highly unlikely to be detected by serial cross-sections (C). The line from the transparency is visible in A and B

Taking it on the shin: Part one

By Warren R. Heymann, MD, FAAD May 31, 2023 Vol. 5, No. 22 I am intentionally skeptical of medical literature that purports "new" entities. Are they novel and distinct or just minor variations of long-recognized dermatoses? This two-part commentary will focus on two disorders that involve the pretibial region —

January 4, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 4, 2023 ... Frontal fibrosing alopecia, sunscreen, and actinic damage DermWorld Insights and Inquiries: Sniffing out the meaning of perialar intertrigo Topical eye medications causing allergic contact dermatitis Achieving an

July 2, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 2, 2025 ... Isotretinoin for seborrheic dermatitis DermWorld Insights and Inquiries : Turning our attention to melanoma risk in Turner syndrome CMS updates MUE limit for Ameluz — Effective July

Diagnosing pyoderma gangrenosum? Consider cocaine/levamisole as a potential culprit!

By Warren R. Heymann, MD May 1, 2016 The authors presented 8 patients with PG following exposure to levamisole-contaminated cocaine. All patients had lower extremity involvement, and 6 also had PG on the upper extremities. Retiform purpura was only observed in 3 patients. Most had elevated titers for p-ANCA and

DWI&I holiday greeting 2020: Eyeing dermatology’s future 

By Warren R. Heymann, MD Dec. 18, 2019 Vol. 1, No. 40 2020 will be replete with innumerable references focusing on vision. As I composed this holiday greeting, I had the privilege of touring Norway above the Arctic Circle, perplexed and awestruck by the Northern Lights. Vision may be hindsight, current,

Reporting excimer laser therapy: When to use 96999 vs 9692x

As a result of a code descriptor change for CPT codes 96920-96922 effective Jan. 1, 2024, these codes are now to be used only for excimer laser treatment of psoriasis. This change was made by the AMA CPT to better align with the intended use of these services exclusively for

Turning a blind eye on second opinions

By Warren R. Heymann, MD, FAAD June 21, 2023 Vol. 5, No. 25 Whenever I encounter patients who ask for, or are being seen for, second opinions, I silently chuckle at Henny Youngman’s timeless one-liner about the subject (you can Google it). The fact is that second opinions are no

This month's news from across the specialty

What's hot ... January 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Sylvia Hsu, MD, FAAD Diagnostic conundrums are often presented at dermatology teaching conferences in which the presenter asks the audience for a differential

Leading when you’re not the practice owner

Answers in Practice ... By Megan Bennett, Staff Writer, November 1, 2025 DermWorld ... talks to Sama Carley, MD, FAAD, chief of dermatologic surgery at Sharp Rees-Stealy in San Diego, about exhibiting leadership qualities even when you don’t lead the practice. DermWorld: Tell us about your practice. Dr. Carley: The

Anterolateral leg alopecia: An example of a new dermatologic statistic — seen but unrecognized

By Warren R. Heymann, MD March 4, 2020 Vol. 2, No. 9 Aside from my family, my two greatest passions in life are dermatology and baseball. There is an infinite amount to learn in each discipline — for wisdom in each I turn to Bill James (two different people). Most

Deep penetrating thoughts about deep penetrating nevi

By Warren R. Heymann, MD Jan. 14, 2019 Histopathological features of deep penetrating nevus (DPN). A, At low power, the punch biopsy specimen demonstrates a well-circumscribed, wedge-shaped, pigmented dermal lesion, tapering toward the subcutaneous fat. B, DPN typically track along adnexal structures and neurovascular bundles, as shown on this high-power

For patients with erythropoietic protoporphyria the tide has come in

By Warren Heymann, MD May 12, 2021 Vol. 3, No. 19 Oct. 8, 2019, was an eventful day for patients with erythopoietic protoporphyria (EPP) in the United States, when the FDA announced its approval of afamelanotide (Scenesse). (1) The drug was first approved in Italy in 2010. (2) ... Patients

May 26, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 26, 2021 ... Managing itch: Wearable sensor quantifies symptoms DermWorld Insights and Inquiries : Stevens-Johnson Syndrome-toxic epidermal necrolysis — The aftermath Bringing diversity to Academy committees and task forces Is

Cimetidine offers a ray of sunshine for patients With erythropoietic protoporphyria

By Warren R. Heymann, MD Nov. 16, 2016 Only once in a great while an article makes me want to break into my happy dance — the report of 3 pediatric cases of erythropoietic protoporhyria (EPP) by Tu et al had that effect. Recently, I ran a post on EPP

Should the ABD offer a Mohs surgery sub-certification?

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Over the last two years, dermatology has engaged in debate about whether the American Board of Dermatology (ABD) should pursue a subspecialty certification in "Micrographic Surgery and Dermatologic Oncology." As of now there is no

Digital media kit: DermWorld editorial calendar

Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...

2026 AAD Innovation Academy: Schedule at-a-glance

Experience the energy of dermatology’s latest advancements in New York this summer! ... 2026 AAD Innovation Academy arrives in New York City with just as much momentum and energy as the city itself. Explore a future focused program featuring high-impact sessions, standout speakers, and immersive learning experiences designed to keep

Cost (30%)

Cost field test on non-pressure ulcers ... CMS will conduct field testing from Jan. 29 to Feb. 27, 2026, for a new episode-based cost measure on non-pressure ulcers. Field testing does not impact Medicare payments, but CMS encourages recipients to review their report in the Quality Payment Program (QPP) portal

Jane Grant-Kels, MD, FAAD, elected American Academy of Dermatology president for 2028

ROSEMONT, Ill. (April 8, 2026) — Connecticut-based board-certified dermatologist Jane Grant-Kels, MD, FAAD, has been elected to lead the American Academy of Dermatology. She will be installed as president-elect in March 2027 and will hold the office of president for one year beginning in March 2028. ... As president, Dr.

The vexing verruciform xanthoma

By Warren R. Heymann, MD, FAAD February 23, 2022 Vol. 4, No. 8 Verruciform xanthomas (VX) were first described 50 years ago, and they are still a source of debate. Only the most astute dermatologists will make the diagnosis clinically, with the possible exception of recognizing such lesions in patients

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

Donning many hats

Dermatology hospitalists work in several roles to deliver quality expert care. ... Feature ... By Andrea Niermeier, Contributing Writer, March 1, 2024 As medicine is constantly evolving, so are the roles of physicians providing the latest treatments to patients. Dermatology is no exception: before it became its own specialty in

This month’s news from across the specialty

What’s hot ... August 1, 2025 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the Clear Clinical Communications group at the University of Minnesota ... studied children’s understanding of

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 ... December 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Harry Dao Jr., MD, FAAD One advantage of working in the same practice as your surgeons is the ability to quickly confirm biopsy

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)

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

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

A potentially effective itsy-bitsy therapy for spider angiomas: Topical timolol

By Warren R. Heymann, MD, FAAD Oct. 22, 2025 Vol. 7, No. 42 The joys of compressing the central arteriole of a spider angioma (SA), letting go, and watching the peripheral vessels fill have never diminished. I can reassure patients that the lesion is benign, tell them it may resolve

May 27, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 27, 2020 ... How to classify COVID-19 rashes DW Insights and Inquiries : On the cusp of extraordinary advances in extramammary Paget disease Derm Coding Consult : Telephone code Medicare

A Trumpian analysis of infliximab-induced follicular mucinosis: Something’s going on here

By Warren R. Heymann, MD July 10, 2016 Williams et al presented two cases of biopsy-proven facial follicular mucinosis (FM), apparently induced by infliximab, with a normal tissue CD4/CD8 ratio of 2/1 and the presence of CD7, thereby ruling out CTCL. The first case was a 23 year-old man with

About DermWorld Insights and Inquiries

Mission statement ... DermWorld Insights and Inquiries provides critical perspectives on current dermatologic literature meant to be used in the clinic today and in the future. ... About the editor ... Dr. Warren R. Heymann is the editor of  ... DermWorld Insights & Inquiries . He received his MD degree