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Idiopathic facial aseptic granuloma — Have we met?
By Warren R. Heymann, MD July 20, 2017 I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I know that I never made the diagnosis because I had never heard the term until I read the first reference. I surmise
Learning module: The red face
Goals and objectives for module ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients presenting with facial redness. ... After completing this module, the learner should be able to: ... Differentiate red rashes on the face
July 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 27, 2022 ... Facial hyperhidrosis: Botulinum toxin A injection vs. topical glycopyrrolate DermWorld Insights and Inquiries : JAKne is on the horizon Dupilumab for chronic prurigo, chronic idiopathic pruritus Safety
Erythropoietic protoporhyria in an adult: Something I usually don’t think about!
By Warren R. Heymann, MD April 19, 2016 I examined a 53 year-old woman this morning with a mild facial eruption that at best was slightly erythematous and papular. She had been out in the sun a few days ago; apparently this has happened periodically over the last few years.
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
August 11, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 11, 2021 ... Topical tofacitinib for alopecia areata affecting facial hair DermWorld Insights and Inquiries : Monitoring infantile hemangiomas — What’s the score? Is there an effective treatment for skin
November 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 3, 2021 ... Facial contact dermatitis from cosmetic allergens DermWorld Insights and Inquiries : Humbled again — Alopecic and aseptic nodules of the scalp Derm Coding Consult : Applying 2021
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
April 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 24, 2019 ... Dermal filler may effectively treat facial acne scarring DW Insights and Inquiries : Fever, rash, and lymphadenopathy may be wearing more than one DRESS AAD Board of
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
September 15, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 15, 2021 ... Worsening psoriasis after COVID-19 vaccination DermWorld Insights and Inquiries : Is ivermectin an old drug with new tricks? Frontal fibrosing alopecia and facial care products Biden administration
November 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 2, 2022 ... Factors that influence platelet rich plasma efficacy in androgenetic alopecia DermWorld Insights and Inquiries : Lipodystrophia semicircularis — A lipoatrophy not to get depressed about Underlying conditions
Best of DermWorld Insights and Inquiries
Dec. 27, 2023 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2023 — starting with the most popular issue of the year. ... 1. After 23 years, a
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
Phacing the future: When patients with PHACE syndrome grow up
By Warren R. Heymann, MD June 24, 2020 Vol. 2, No. 25 The acronym PHACE syndrome, emphasizing the characteristic findings of this neurocutaneous syndrome: ... p osterior fossa malformations, ... h emangiomas, ... a rterial anomalies, ... c oarctation of the aorta and cardiac defects, and ... e ye abnormalities,
December 23, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 23, 2020 ... The impact of COVID-19 on the practice of dermatology DermWorld Insights and Inquiries : Holiday greeting 2020 HHS announces additional Medicare relief funding FDA approves topical AK
How to prevent razor bumps
Tips from board-certified dermatologists ROSEMONT, Ill. (October 4, 2022) — There are many ways to get rid of unwanted facial and body hair, but shaving with a razor is one of the most common and inexpensive methods. Unfortunately, using a razor sometimes can lead to razor bumps, also called shaving
This month’s news from across the specialty
What’s hot ... November 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 Researchers in Amsterdam used karaoke to study the well-known, but poorly understood subtype of facial erythema known
February 22, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 22, 2023 ... How effective are field treatments for actinic keratosis? DermWorld Insights and Inquiries : Saving face — The importance of recognizing facial discoid dermatosis A systematic review of
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:
Reconstruction after skin cancer resection
Skin cancer is the most common cancer in the U.S. A variety of methods may be used in the treatment of skin cancer, and surgical resection is often performed. ... Reconstruction after skin cancer resection ... Access the full reconstruction after skin cancer resection guideline from JAAD (free access). ...
AAD publishes two new Skin Healthy issues to inform your patients
Spring, winter editions were full of useful tips. ... Two new issues of ... skin healthy, the Academy’s public-facing magazine, were published in 2024. AAD members received 50 copies of each of the spring and winter issues to place in their waiting rooms for patients to read. ... The summer
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)
Patient preference in dermatologist attire: A lesson from “Annie”
By Warren R. Heymann, MD June 5, 2016 The physician-patient relationship is predicated on trust and confidence. Impressions form rapidly and physician attire is an important component on how patients perceive their physician(s). ... Fox et al surveyed 255 patients (with 63% from a medical dermatology clinic, 24% a dermatologic
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
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,
After 23 years, a syndrome converted me into an eflornithine believer
By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.
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
Can oral ivermectin cure pediatric periorificial dermatitis? It mite!
By Warren R. Heymann, MD March 5, 2017 A 13-year-old boy with severe rosacea before (A) and 1 month (B) and 4 months (C) after receiving oral therapy with a single dose of 250 μg/kg ivermectin (case 3). Note the facial desquamation after the first weeks of therapy, not attributable
Optimizing telehealth services
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, July 1, 2020 Take the quiz to see if you're up to date. ... You spend seven minutes doing
Does he or doesn’t he? Only his oncologist knows for sure!
By Warren R. Heymann, MD July 17, 2017 Repigmented hair overlying melanoma in situ of scalp. Slowly darkening patch of previously white hair on superior scalp. ... Credit: ... JAAD I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I
When modifier 59 is not enough
By Alexander Miller, MD, FAAD, Oct. 1, 2013 ... A Medicare patient visits you for the second time in the calendar year, this time with complaints of growing, occasionally bleeding facial lesions. You identify scattered keratotic actinic keratoses (AKs) as well as probable basal cell carcinomas located on the cheek
Biting my nails worrying about atypical presentations of nail unit melanomas
By Warren R. Heymann, MD March 27, 2019 Vol. 1, No. 3 I recently encountered a patient who expressed his disappointment in me, complaining that I was too slow to diagnose a lentigo maligna in a facial solar lentigo that we had been following. How could I miss a melanoma?
The pressure to prevent pressure ulcers
By Warren R. Heymann, MD, FAAD Aug. 24, 2022 Vol. 4, No. 34 Pressure ulcers (PUs, aka decubitus ulcers, pressure sores, bed sores) are due to prolonged pressure, characteristically over bony prominences such as the sacrum, occiput, ischial tuberosities, greater trochanters, heels, and lateral malleoli. (1,2) Interestingly, in the COVID-19
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,
PDF of psoriasis clinical pathways
Analogue Therapy Does t he pat ient have Does t he pat ient have If the patient does not have scalp or facial
PDF of Clinical guideline flowchart for treating psoriasis patients using systemic non-biologics
support groups, such as National Psoriasis Foundation - Consider patient's ability to adhere to treatement
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
PDF of biodegradeable part 1
FDA-approved indication Notes concentration Belotero Balance® 22.5 mg/mL 30 G Moderate to severe facial
PDF of Soft tissue fillers, part 1: Biodegradable
FDA-approved indication Notes concentration Belotero Balance® 22.5 mg/mL 30 G Moderate to severe facial
PDF of Derm surgery: Danger zones and relevant anatomy
MOTOR INNERVATION Sensory innervation of the face is primarily from the 3 branches Innervation of the facial
This month’s news from across the specialty
What’s hot ... September 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD What’s Hot? Capsaicin! The popular spice has been shown to decrease inflammation through a mechanism that is independent
Raising a toast to advances in treating alcohol-induced flushing
By Warren R. Heymann, MD November 11, 2020 Vol. 2, No. 45 Whether with pride or embarrassment, we have all blushed. Also known as flushing, the process is defined as a visible reddening of the skin accompanied by a sensation of warmth, characteristically affecting the face, ears, neck, and upper
Seeing red with dupilumab
By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used
Demodectic eruptions: More than you mite have imagined
By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the
July 9, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 9, 2025 ... Do at-home LED devices for acne work? DermWorld Insights and Inquiries : Standard postoperative wound care practice may be all wet Academy mourns the passing of Ronald
PDF of Evaluating the Cosmetic Patient
cheekbones, taper jaw line, narrow nasal base and thin lips Proportions, however, are largely based on facial
PDF of Lasers
Porphyrin Quasi- Vascular lesions, Hypertrophic scarring, Retina & choroid tunable dye continuous facial
October 4, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 4, 2023 ... Dermoscopic predictors of melanoma in small-diameter melanocytic lesions DermWorld Insights and Inquiries : The Venetian antithesis – Treating median canaliform nail dystrophy Risk between history of rosacea
August 23, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 23, 2023 ... Efficacy of upadacitinib in patients with recalcitrant vitiligo DermWorld Insights and Inquiries : Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill Efficacy of tretinoin cream in
What is the impact of shaving waivers on promotions for Black/African American U.S. airmen?
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, October 1, 2022 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Lt. Col. Simon
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
A pandemic of perception
Virtual life has negatively affected patients’ self-perception. Dermatologists may be in a position to help. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2022 Photo editing, once associated with flawlessly airbrushed celebrities, has become not only ubiquitous but nearly a requirement of social sharing. In a highly
The profound dermatological manifestations of COVID-19: Part VII — Who was that masked man?
By Warren R. Heymann, MD Sept. 23, 2020 Vol. 2, No. 38 Disclaimers: This commentary was written on Sept. 12, 2020 for a publication date of Sept. 23, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
PDF of optimizing the genital exam
Choose your words (and facial expressions) Irrespective of sex/gender identification concordance of
PDF of DIR Winter 2020
FDA-approved indication Notes concentration Belotero Balance® 22.5 mg/mL 30 G Moderate to severe facial
A new spin
Go to AAD Home ... Go to AAD Home ... Menu ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... By Victoria Houghton, assistant managing editor Professional football players, world-renowned
PDF of Boards Fodder for Surgical complications Part 1: Acute and sub-acute complications of cutaneous surgery
Inability to move - Temporary: Diffusion - Temporary: Time - Evaluate for pre-existing injury certain facial
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 —
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
October 13, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 13, 2021 ... How does wearing occlusive gloves impact hand eczema? DermWorld Insights and Inquiries : What’s up in Down syndrome? Relief funds available for health care providers, including some
Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill
By Warren R. Heymann, MD, FAAD Aug. 23, 2023 Vol. 5, No. 34 If Winston Churchill were a dermatologist, he would say that frontal fibrosing alopecia (FFA) is "a riddle wrapped in a mystery inside an enigma" (which is how he viewed Russia). Almost 30 years have passed since Kossard
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
PDF of Familial cancer syndromes
hypohidrosis, BCC hypotrichosis Beckwith-Widemann Syndrome Imprinting/Sporadic IGF2, p57 (KIP2) Hemangiomas, facial
Is there a best approach to widespread actinic keratoses?
By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but
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
Clinical pearls: DRESS syndrome
José Darío, Barbosa-Moreno, Laura Elena, Guerrero- Clinically, a widespread rash (97.6%), typical facial
PDF of AAD Atopic Dermatitis diagnostic testing supplement draft
Facial tinea incognito: a clinical, dermoscopic and mycological study of 38 cases.
Putting the pieces together
Dermatologist hair experts share insights on what may play a role in frontal fibrosing alopecia and central centrifugal cicatricial alopecia. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2024 Most dermatologists have likely encountered patients with a scarring alopecia like frontal fibrosing alopecia (FFA) or central centrifugal
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
This month’s news from across the specialty
What’s hot ... February 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Is the customer always right? Rude behavior by consumers toward frontline workers in all industries is on
2023 Global Education Day - IDS agenda
SCC on the nail Bengu Nisa Akay Pigmented facial
April 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 10, 2024 ... Whey protein consumption and acne severity in men with acne DermWorld Insights and Inquiries : Anticipating Iceland — Ice-pack dermatosis Derm Coding Consult : CMS creates permanent
PDF of Board Fodder on Procedural dermatology>Procedural modalities for scar revision
FACMS), Atrophic scars Atrophic or hypopigmented scars Hypertrophic and the Program Superficial facial
Attestation for Image Submission
Patient consent form ... Download a patient consent form to submit images with identifiable marks. ... Download Form I understand that the image(s) and accompanying information I submit to the AAD Image Collection will (i) be published on www.aad.org or an AAD-designed platform for members to access for educational purposes
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
PDF of Vascular malformations
GENETICS VASCULAR FEATURES ADDITIONAL CLINICAL FEATURES SYNDROMES Sturge-Weber Somatic mutations in GNAQ Facial
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
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
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
PDF of Diagnosis and associations
Erythema chronicum Lyme disese Flu-like symptoms, facial nerve palsy, meningeal symptoms, migrating
PDF of Hypertrichosis
Thicker, longer hair on face, ears, shoulders, as well as whole body, sparing glabrous regions; facial
January 28, 2026
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 28, 2026 ... Topical estrogens for skin aging DermWorld What’s Hot: Driver of psoriatic itch Outcomes across JAK inhibitors in prurigo nodularis Anticholinergic treatments for hyperhidrosis Assessment of GPT-4 vision
7 Rosacea skin care tips
Board-certified dermatologist weighs in ROSEMONT, Ill. (Apr. 9, 2024) — Rosacea is a common skin condition that affects at least 14 million U.S. adults and commonly appears as a tendency to blush or flush more easily than others. While treatable, symptoms, such as skin thickening and eye problems, can often
PDF of board fodder grafts
Freehand full-thickness grafting for facial defects: a review of methods. fellow residents.
PDF of Dermatologic manifestations of underlying endocrinology
dorsal hands Central obesity; Exophthalmos; rhythm in ACTH and Cortisol and elbows (Liddle sign — can Facial
New skin healthy touts your expertise
The Academy published a new issue of ... skin healthy this summer. Members receive 50 free issues of ... skin healthy and can place them in their waiting rooms and around their offices. ... Each issue of ... skin healthy features articles that directly quote members, so your patients receive
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
September 14, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 14, 2022 ... Real-world methotrexate use in pediatric patients with plaque psoriasis DermWorld Insights and Inquiries : The ever-changing world of nevus sebaceus New anti-wrinkle injection receives FDA approval FDA
What are clinical practice guidelines for the treatment and management of port-wine birthmarks, including those associated with Sturge-Weber syndrome?
Clinical Applications ... Dr. Hsu is a member of the ... DermWorld Editorial Advisory Workgroup. ... By Sylvia Hsu, MD, FAAD, March 1, 2022 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup Member Sylvia Hsu, MD, FAAD, talks with Kristen M. Kelly, MD, FAAD, and Sara Sabeti,
Statement on the FDA Safety Briefing about Radiofrequency Microneedling Risks
Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (Oct. 16, 2025) — The American Academy of Dermatology (AAD) is aware of the FDA’s recent safety communication regarding potential risks associated with certain uses of radiofrequency (RF) microneedling. ... Patient safety is the top priority
PDF of Board Fodder Infantile hemangioma
involvement - Propranolol (1 line) - Multifocal: if ≥5 lesions are present (GLUT-1) - FcgRII - Large facial
PDF of Medical mycology
Coccidiomycosis Coccidioides Inhalation of Facial pink Spherules Itraconazole; (San Joaquin immitis spores
PS-Restorative and Reconstructive Interventions for Vascular Anomalies and Malformations
Quality of life in adults with facial port-wine stains.
Patients (or customers?) welcome
Go to AAD Home ... Go to AAD Home ... Menu ... Can physicians enhance patient satisfaction without sacrificing care? ... Can physicians enhance patient satisfaction without sacrificing care? ... By Ruth Carol, contributing writer Whether or not you view patients as customers, there has been a growing emphasis on
British Journal of Dermatology
The pachydermoperiostosis prostaglandin paradigm Tofacitinib: A JAK inhibitor of all trades Focusing attention on X-linked ichthyosis We’ve gotta recognize GATA2 deficiency Sirolumus’s merit for the Kasabach-Merritt phenomenon Aha! The iodide paradox now makes sense! Changing perceptions of pediatric mastocytosis A string of (clinical) pearls about drug-induced linear IgA disease Dupilumab’s
PDF of Medically important spiders
Curcio, M.D., Hadronyche [Australia] (neurotoxin) piloerection, muscle tingling, facial muscle and
Educating the public – AAD online
Two years strong, AAD.org/public remains a prime, credible source for the public ... Two years after relaunching AAD.org/public, we have seen trends in content popularity and adapted our content strategy to meet the needs of the public, particularly during the ... COVID-19 pandemic . ... Resources and public content on
Lupus miliaris disseminatus faciei: A Simon and Garfunkel playlist
By Warren R. Heymann, MD, FAAD Oct. 1, 2025 Vol. 7, No. 39 William Tilbury Fox (1836-1879) was a brilliant dermatologist, the first in the United Kingdom to have a post in a teaching hospital. With Erasmus Wilson, he resurrected the prominence of British dermatology nearly half a century after
PDF of Update in melanoma theories
melanoma ing), thrombocytopenia, hepatic vation; response rates 5-20% and usu- necrosis, alopecia, facial
Shingles and the battle of the bulge
By Warren R. Heymann, MD Sept. 11, 2019 Vol. 1, No. 27 I thought I knew herpes zoster (HZ, shingles) inside and out — from patients’ experiences, my late mother’s herpes zoster ophthalmicus (I could not believe how devastatingly awful she appeared arriving back from Europe!), to my recent vaccination
Keeping an eye on retinoids as treatment for the ectropion of lamellar ichthyosis
By Warren R. Heymann, MD Nov. 9, 2017 ... Clinical examples of autosomal recessive congenital ichthyosis: harlequin ichthyosis (HI) at birth (A); HI evolves into generalized exfoliating erythrodermic ichthyosis (B and C) (reprinted from "Menschen mit Ichthyose - ein Bildband 2003" courtesy of Selbsthilfe Ichthyose e. V.); collodion membrane with
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
Pediatric dermatology
Finding Joy in pediatric phototherapy Congenital Juvenile Xanthogranulomas: Born To Be Wild (But Ultimately Mild) Sophie’s choice: Assessing atypical Spitz tumors in the molecular era The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy Sirolumus’s merit for the Kasabach-Merritt phenomenon A future therapeutic Harlequin Romance?
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
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
PDF of industry expert sessions for theater 2
Title: An Innovative Topical Retinoid for Treatment of Acne Description: 52% of people with facial
PDF of skin care for dermatologists
PROTECTING FACIAL SKIN Skin Damage 1.
International Peeling Society agenda
Visit Exhibitor Booths Deep Depth Peels 4:00 pm Current Evidence of Phenol-croton oil peels for facial
Hands-On Cosmetics Agenda
8:00am - 8:05am Welcome & course overview Rohit Kakar, MD, FAAD 8:05am - 8:30am Comprehensive Facial
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
Topical retinoid therapy for acanthosis nigricans: In the thick of it
By Warren R. Heymann, MD Dec. 11, 2019 Vol. 1, No. 39 At the risk of overgeneralizing, in my experience there are two types of patients with acanthosis nigricans (AN) — those who are devastated by it, and those are unaware that they have it. ... This commentary will focus
Paradoxical biological reactions and Grandma Dora’s waterbed
By Warren R. Heymann, MD January 22, 2020 Vol. 2, No. 3 My late maternal grandmother Dora — a real ... balabusta (Yiddish for "mistress of the house") — was the first person I knew to get a waterbed. That raised eyebrows, until I explained that it comforted her octogenarian
PDF of Oral disease, part 2
palisaded cuboi- marsupialization to curettage. w/mutations in PTCH the jaw Asymptomatic; rarely mild facial
PDF of Inborn errors of metabolism
Fucosidosis α-L- fucosidase Angiokeratomas, coarse fea- - Mental retardation (MR), neurologic AR tures, facial
A Frank discussion about earlobe creases
By Warren R. Heymann, MD, FAAD Dec. 14, 2022 Vol. 4, No. 49 A half-century has transpired since Sanders T. Frank reported: "All patients 60 years of age or younger who had a positive ear-lobe sign [characterized by a prominent crease in the lobule portion of the auricle] were studied
A quiver full of fillers
Go to AAD Home ... Go to AAD Home ... Menu ... New approvals target specific anatomic locations ... New approvals target specific anatomic locations ... By Ruth Carol, contributing writer There has been an influx of dermal fillers approved by the Food and Drug Administration (FDA) in recent years.
Skin care for health care workers during COVID-19 infographic
PROTECTING FACIAL SKIN Skin Damage 1.
PDF of infographic on skin care and health workers
PROTECTING FACIAL SKIN Skin Damage 1.
Cosmetic treatments
Key messages ... The results you see after any cosmetic treatment depend largely on the skills and training of the person performing the treatment. That’s why the American Academy of Dermatology urges patients considering a cosmetic treatment to choose a board-certified dermatologist to get optimal results and consider their overall
Fear not the knife
Experienced dermatologists offer insights and encouragement to perform advanced cosmetic surgeries. ... Feature ... By Laura Vernaci, Contributing Writer, October 1, 2025 When it comes to the skin, less is more and safer is better. In some cases, surgery is the only option, and this requires advanced education and extra
June 24, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 24, 2020 ... Derm Coding Consult : Are you ready for E/M coding changes? DW Insights and Inquiries : Phacing the future — When patients with PHACE syndrome grow up
PDF of joint comments oppose TX Rule 193.17
concluded the following: there are a number of adverse events that are serious and unexpected, such as facial
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
PDF of Disorders of hyperpgimentation
Comedone-like lesions on the in melanosome uptake & back or neck, pitted perioral or facial scars. organelle
Pineapple and cicatricial pemphigoid: A need to dole out more studies
By Warren R. Heymann, MD Oct. 4, 2016 The benefits of pineapples have been touted in folk medicine for years. Increasing knowledge of its active ingredient bromelain has lead to a therapeutic pineapple renaissance. Bromelain is a complex natural mixture of proteolytic enzymes derived from pineapple (Ananas cosmosus) and possesses
2022: Best of DermWorld Insights and Inquiries
December 29, 2022 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2022 — starting with the most popular issue of the year. ... 1. Coming full circle (almost)
Topical tacrolimus topics
By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors
September 21, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 21, 2022 ... Does low-dose oral minoxidil affect blood pressure, heart rate? DermWorld Insights and Inquiries : The emergence of rituximab-induced pyoderma gangrenosum — An alert to dermatologists DermWorld Young
Refocusing on rosacea
Go to AAD Home ... Go to AAD Home ... Menu ... Experts reexamine the disease's classification ... Experts reexamine the disease's classification ... By Emily Margosian, assistant editor ‘Tis the season for rosy cheeks. However, for patients with rosacea, a St. Nicholas-worthy flush can be a major source of
Appropriate use of modifier 59
Modifier 59: In a nutshell ... Modifier 59 is used when you perform two or more distinct procedures in one visit. ... It is one of the most misused modifiers and can result in not getting paid for your services. ... You should only use modifier 59 if no other
A fact sheet on Medicare physician payment cuts from a coalition of physician and non-physician health care provider organizations.
August 21, 2020, Page 3 of 6 Throughout the pandemic, facial plastic surgeons have assumed — at considerable
PDF of Board Fodder Systemic Antifungal Agents
Side effects: facial swelling, increase in alkaline phosphatase, hypokalemia, hematuria/ proteinuria
Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses
By Warren R. Heymann, MD, FAAD July 5, 2023 Vol. 5, No. 27 At the inception of my dermatology residency in July 1980 I read a brief article entitled "Benign Lichenoid Keratosis" (BLK) by Detlef Goette (1) and thought to myself "Remember this — I’ll probably see this lesion now
The ever-changing world of nevus sebaceus
By Warren R. Heymann, MD, FAAD Sept. 14, 2022 Vol. 4, No. 37 The aphorism in medical education that half of what you learn in medical school will prove to be wrong could use the nevus sebaceus (sebaceous) of Jadassohn as its poster child. ... First described by Jadassohn in
PDF of Soundalikes in dermatology
granulomatosa Non-caseating granulomatous inflammation resulting in swelling of the lip; associ- ated with facial
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 -
Joint statement from the American Academy of Dermatology Association and the New York State Society of Dermatology and Dermatologic Surgery on New York City Council medspa investigation
Statement from the American Academy of Dermatology Association and the New York State Society of Dermatology and Dermatologic Surgery ROSEMONT, Ill. (Jan. 6, 2026) — In light of a recent ... investigation by the New York City Council into improperly licensed medical spas (medspas) in NYC, the American Academy of
PDF of Cysts
containing granular layer Milia Oral Tiny EICs Tiny white pap- Marie-Unna, Face ules Basex, Rombo, Oral-facial-digital
AAD Clinical Image Collection
Advancing dermatology with diverse images ... The American Academy of Dermatology is proud to introduce this new free member benefit, our very own library of diverse skin images, the AAD Clinical Image Collection. In dermatology, where images are critical for diagnoses, the lack of images of darker skin in professional
Multiple café au lait spots in fair skinned children without evidence of neurofibromatosis type 1: Don’t SPRE(A)D the word – yet
By Warren R. Heymann, MD Oct. 13, 2016 Café au lait spots (CALS) are extraordinarily common; six or more lesions (at least 0.5 cm prior to puberty or 1.5 cm post puberty) are considered one of the criteria for diagnosing neurofibromatosis type I (NF1), and are also seen in
PDF of Academy practice checklist for COVID-19
prior when taking care of patients to reduce touching to an appointment or on the day before the facial
I called a colleague the other day to discuss a patient
From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, March 1, 2022 I somehow found his office number, picked up the phone, and called him. We had a very productive chat, and at the end he thanked me and remarked
Caring for transgender patients
Go to AAD Home ... Go to AAD Home ... Menu ... Experts discuss cultural and medical competencies of providing care for transgender patients ... Experts discuss cultural and medical competencies of providing care for transgender patients ... By Victoria Houghton, assistant managing editor Cyndi Yag-Howard, MD, vividly remembers 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
Lipoid proteinosis’ weak, hoarse cry is crying for targeted therapeutic intervention
By Warren R. Heymann, MD, FAAD Nov. 6, 2024 Vol. 6, No. 45 Having recently participated in the excellent conference devoted to antisemitism in medicine organized by Heather Milbar at the University of Pennsylvania, I reacquainted myself with Erich Urbach, who described lipoid proteinosis (LP, Urbach-Wiethe disease) with the otolaryngologist
A novel sebum inhibitor for acne vulgaris: A slick maneuver
By Warren R. Heymann, MD Jan. 11, 2017 Illustrative photos of severe inflammatory acne vulgaris, largely without nodules (A). B, Very severe acne with cysts. ... Credit: ... JAAD What a pleasure it is to think about a novel treatment for acne! Honestly, have you gotten excited learning that the
Sirolimus for microcystic lymphatic malformations: Caviar for frog spawn
By Warren R. Heymann, MD Jan. 23, 2017 Recently, our understanding of lymphatic malformations (LMs) has vastly expanded. Genetic advances have focused on the PI3K/AKT/mTOR pathway allowing the use of mTOR inhibitors for those lesions involved in this pathway. As noted in a previous post (Rapalogs for vascular lesions: Caveat
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
Becker’s nevus: Mutations that shoulder responsibility
By Warren R. Heymann, MD Aug. 31, 2017 Systematized, bilateral Becker nevus with hypoplasia of left areola in 19-year-old man (Courtesy of Dr Carlos de la Torre, Pontevedra, Spain). ... Credit: ... JAAD My wife insisted I take a break from studying for the dermatology boards. ... "Warren, give it
March 27
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 27, 2019 ... Academy forms task force to address FDA proposed rule on sunscreen monograph, ingredients DW Insights and Inquiries: Biting my nails worrying about atypical presentations of nail unit
January 22, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 22, 2025 ... Considerations regarding GLP-1 receptor agonist use in dermatology DermWorld Insights and Inquiries : An encapsulation of palisaded encapsulated neuromas Pregabalin vs. gabapentin in patients with chronic pruritus
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
May 3, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 3, 2023 ... Oral oxybutyloride for hidradenitis suppurativa patients? DermWorld Insights and Inquiries : Necrobiosis lipoidica in a Wink Exposure to anesthesia and alopecia areata Do study authors accurately report
How to get the best results from fillers
Board-certified dermatologist shares five tips to consider before getting a filler ROSEMONT, Ill. (February 16, 2023) — When we’re young, our skin is soft, supple, and well hydrated, but as we age, our skin slowly loses its youthful characteristics, which can leave some people looking for a way to regain
PDF of Biopsy techniques
biopsy with techniques on convex sites www.aad.org/ enough depth or thin facial
Spironolactone: An increasingly recognized hero in acne therapy
By David A. Wetter, MD July 1, 2020 Vol. 2, No. 26 In 1983, Bonnie Tyler released the catchy and powerful anthem, "Holding Out for a Hero." Emotion exudes from the lyrics: ... I need a hero I’m holding out for a hero ‘til the morning light He’s gotta be
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
PDF of Photosensitivity disorders
Arthrogryposis (congenital joint contractures) and facio-skeletal Mutations in CBS, vision and distinctive facial
Frontal fibrosing alopecia: Bewitched, bothered, and bewildered
By Warren R. Heymann, MD Feb. 13, 2017 Women given the diagnosis of frontal fibrosing alopecia (FFA) with different severity grades. A, FFA grade I/V in a premenopausal 30-year-old woman, with a less than 1-cm wide area of cicatricial skin produced by the recession of the frontal and temporal hairline.
Understanding the risk of Wilms Tumor in hemihypertrophy: Are we halfway there?
By Warren R. Heymann, MD Nov. 16, 2017 ... Diffuse capillary malformation with overgrowth. A 2-month-old girl with ill-defined erythematous patches of the bilateral upper extremities, posterior trunk, and left lower extremity. There is also overgrowth of the left lower extremity. ... Credit: ... JAAD Wilms tumor (WT, nephroblastoma) is
PDF of the Academy position on reflectance confocal microscopy.
The value of reflectance confocal microscopy in diagnosis of flat pigmented facial lesions: a prospective
October 1, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 1, 2025 ... Antiandrogen therapy for the treatment of female pattern hair loss DermWorld Insights and Inquiries : Lupus miliaris disseminatus faciei — A Simon and Garfunkel playlist Academy mourns
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
Collodion babies and endocrine disorders: Another concern
By Warren R. Heymann, MD June 23, 2017 Collodion baby. Tight, shiny film or dried collodion reminiscent of the skin of a sausage covers the entire surface of this 2-day-old neonate whose mother was treated with infliximab throughout her pregnancy. ... Credit: ... JAAD Collodion baby (CB) describes an infant
December 4, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / ... December 4, 2019 ... New opioid prescribing guidelines for dermatologic procedures DW Insights and Inquiries: Beware — discordance abounds among pathologists in the diagnosis of melanocytic neoplasms Prepare for next
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
May 9
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / MAY 9, 2018 ... FDA grants lidocaine HCL 1% approval to Spectra Medical AAD Board selects Daniel D. Bennett, MD, as next assistant secretary-treasurer Hawaii passes legislation banning sunscreen with oxybenzone
September 18, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 18, 2024 ... Spironolactone for alopecia: Blood pressure changes DermWorld Insights and Inquiries : The appropriate dermatologic response when considering the capillary malformation-arteriovenous malformation syndrome — Fast flow to referral
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
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
New treatments for HIV and other STIs provide hope for better quality of life
Dermatologist discusses emerging treatments in LGBTQ+ healthcare SAN DIEGO (March 8, 2024) — LGBTQ+ individuals have unique skin care needs, including concerns about sexually transmitted infections (STI), like HIV, as well as acne and hair growth and removal, especially relating to hormone replacement therapy. With over 14 million U.S. adults
PDF of Clinical Pearls on Inpatient dermatology
Morbilliform you are probably the only person in the hospital who the department of eruption with facial
Eyebrow-raising complications of microblading
By Warren R. Heymann, MD, FAAD May 1, 2024 Vol. 6, No. 18 One of the most significant challenges of being a medical dermatologist is that patients assume you are well-versed in all aspects of dermatology, including cosmetic procedures. It is a reasonable expectation that dermatologists have at least a
Warning signs
Go to AAD Home ... Go to AAD Home ... Menu ... Screening and treating patients with body dysmorphic disorder ... Screening and treating patients with body dysmorphic disorder ... By Ruth Carol, contributing writer Patients routinely come in for cosmetic procedures, but how do you know if the patient
A new chapter in vitiligo management
Recent advances in vitiligo treatment and research open doors for physicians and patients. ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2024 Since the Bronze Age, humans have recorded cases of vitiligo — and attempted to cure it. ... "3,400 years ago, ancient Indian texts called the ...
Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow
By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought
Attending the masquerade ball with CTCL and alopecia areata
By Warren R. Heymann, MD Feb. 1, 2017 It comes as no surprise to dermatologists that cutaneous T cell lymphoma (CTCL) is associated with alopecia, especially in patients with follicular mucinosis (alopecia mucinosa), but how often does CTCL masquerade as alopecia areata? ... Amin et al reported a 33-year-old female
April 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 27, 2022 ... A novel treatment for molluscum contagiosum? DermWorld Insights and Inquiries : Eye-opening news about oxymetazoline Trends in prescribing spironolactone for acne, HS in adolescents Racial biases in
December 15, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 15, 2021 ... Female-pattern hair loss: Effect of bicalutamide on minoxidil-induced hypertrichosis DermWorld Insights and Inquiries : Speculating on spicules — Our incomplete knowledge of trichodysplasia spinulosa DermWorld Young Physician
July 17
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 17, 2019 ... Isotretinoin, depression, and suicide: What’s the connection? DW Insights and Inquiries : Should dermatologists be anti-antihistamine for atopic dermatitis? 2018 MIPS performance feedback, final score, and targeted
The 2025 Allergen of the Year is to dye for
By Christen Mowad, MD, FAAD Oct. 29, 2025 Vol. 7, No. 43 The "Allergen of the Year" announcement is always much anticipated in the world of contact dermatitis and patch testing. This year the honor has gone to toluene-2,5-diamine sulfate (PTDS). (1) PTDS is an aromatic amide that is used
Calcineurin inhibitors under occlusion – I could’ve had a V8!
By Warren R. Heymann, MD June 6, 2017 I have used topical steroids under occlusion for as long I have been in dermatology. What a fabulous maneuver this is for difficult to treat dermatoses such as lichen simplex chronicus, recalcitrant psoriasis, or hypertrophic lichen planus, etc. I recommend Saran wrap
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
Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons
By Warren R. Heymann, MD April 10, 2017 Histopathologic features of Kimura's disease. A, Scanning view shows prominent germinal center formation. B, Higher magnification of a germinal center with abundant number of eosinophils. C, Focally, blood vessels may show prominent endothelial cells with vacuolated cytoplasm. (A-C, Hematoxylin-eosin stain; original magnifications:
April 21, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 21, 2021 ... Do hydrolyzed collagen supplements affect skin aging? DermWorld Insights and Inquiries : Nailing down the treatment for ungual melanoma in situ Young Physician Focus : A little
August 25, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 25, 2021 ... TNF inhibitors vs. IL-17/IL-23 inhibitors for psoriasis and PsA DermWorld Insights and Inquiries : Immediate pathology report release to patients — Is the 21st Century CURES Act
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
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
August 2, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 2, 2023 ... Isotretinoin for seborrheic dermatitis: A review DermWorld Insights and Inquiries : Cellular neurothekeoma: A tribute to Barnhill and Mihm and a remembrance of Martin C. Mihm Jr.,
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
August 24, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 24, 2022 ... Comparing efficacy and safety of laser treatments for tattoo removal DermWorld Insights and Inquiries : The pressure to prevent pressure ulcers Derm Coding Consult : AMA releases
This month’s news from across the specialty
What’s hot ... January 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD As dermatologists, we often advise our patients to keep their post-operative dressings dry and in place for 24-27 hours
This month’s news from across the specialty
What’s hot ... August 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 SARMs is a growing and dangerous social media trend. ... The U.S. Food and Drug Administration (FDA)
Think that DIY acne trick is helping? Here’s what dermatologists want you to know
Board-certified dermatologist provides tips for clearer skin ahead of Acne Awareness Month ROSEMONT, Ill. (May 27, 2025) — Acne is one of the most common skin conditions, affecting nearly 85% of people at some point in their lives. With people increasingly turning to social media for skin care advice, at-home
PDF of Autoinflammatory Syndrome with Skin Involvement
Cryopyrin Canakinumab Neurologic prominence, saddle cryopyrinopathies Thalidomide Cutaneous nose, facial
PDF of Soft tissue fillers, non-biodegradable pt 2
(Silicone oil) ment or tam- droplet tech- 27 G ponade in select nique) cases; off-label use as facial
Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia
By Warren R. Heymann, MD, FAAD May 8, 2024 Vol. 6, No. 19 Neonatal dermatoses are anxiety-provoking for both physicians and parents because of crucial questions — Are there associated systemic problems? What are long-term sequelae? How should the infant be followed? One of the most striking neonatal disorders is
PDF of Mohs surgery AUC
primary SCC without aggressive histologic fea- decision. tures, primary SCC KA type (not central facial
The pachydermoperiostosis prostaglandin paradigm
By Warren R. Heymann, MD July 10, 2019 Vol. 1, No. 18 Prostaglandins were the rage when I started medical school in 1975; their role in inflammatory dermatoses was considered of paramount importance throughout my residency in the early 1980s. Hours were spent studying the transformation of arachidoinic acid to
April 7, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 7, 2021 ... Applying 2021 E/M coding concepts in everyday practice – Part 2 DermWorld Insights and Inquiries : Keeping an eye on melanoma AAD collaborates with OM1 to enhance
November 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 18, 2020 ... Hydrogen peroxide and the common wart: Phase 2 results are in DermWorld Insights and Inquiries : Granulomatous slack skin — More than one type of mimicry FDA
March 19, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 19, 2025 ... Association between actinic keratosis treatments and use of antihypertensives? DermWorld Insights and Inquiries : Mastering dermatology Laser and energy treatments for acne scarring Efficacy of upadacitinib vs.
This month’s news from across the specialty
What’s hot ... March 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 "Greatest Greetings of Todays Dr. Carroll! Taking this opportunity, we would like to cordially invite you to contribute
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 " ...
PDF of Summer 2020 Directions
Freehand full-thickness grafting for facial defects: a review of methods. fellow residents.
PDF of summer 2021 DIR
Choose your words (and facial expressions) Irrespective of sex/gender identification concordance of
Alopecia areata incognita in Cronkhite-Canada syndrome suggests an autoimmune etiology – and that’s the way it is.
By Warren R. Heymann, MD Sept. 14, 2017 Cronkhite–Canada syndrome. A, Onycholysis. B, Alopecia. ... Credit: ... JAAD I have always been intrigued by the mysterious nature of the Cronkhite-Canada syndrome (CCS) — although I have considered the disorder in my differential diagnosis, I have never seen a case. ...
December 2, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 2, 2020 ... Surgical vs non-surgical interventions for basal cell carcinoma DermWorld Insights and Inquiries : Pigmented onychomatricoma — Avoid getting nailed by misdiagnosis Derm Coding Consult : Coding for
November 11, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 11, 2020 ... How effective are steroid-sparing agents in treating chronic alopecia areata? DermWorld Insights and Inquiries : Raising a toast to advances in treating alcohol-induced flushing Derm Coding Consult
January 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 10, 2024 ... Intralesional MMR vaccine after failure of intralesional Candida antigen in patients with recalcitrant warts DermWorld Insights and Inquiries : Beyond disfigurement — The potential for keratinocyte carcinoma
July 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 20, 2022 ... FDA approves first vitiligo treatment for skin repigmentation DermWorld Insights and Inquiries : A single case report has the potential to change the world — Could JAK
This month’s news from across the specialty
What’s hot ... March 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 Palliative medicine assists patients with balancing their goals of care with multiple physicians. The shared decision-making with patients
PDF of BF GVHD
MPH, FAAD Clinical features to differentiate systemic sclerosis from chronic GVHD Uncommon facial involvement
PDF of Tropical dermatology
cutaneous presenta- Transmitted by tions (morbiliform, vesiculobullous, acral/ Aedes aegypti mosquito facial
PDF of AAD Atopic Dermatitis diagnostic testing guideline draft
Facial, neck, and extensor involvement in infants and children 2.
Pediatric diseases in disguise
Dermatologists discuss conditions that may be harder to diagnose in children. ... Feature ... By Allison Evans, Assistant Managing Editor, October 1, 2025 Despite years of rigorous training and experience, even the best dermatologists may miss a pediatric diagnosis, particularly for dermatologists who don’t see as many pediatric patients. Some
PDF of Modifier 25 Educational Tool
The diagnosis of facial, mixed inflammatory / comedonal acne is made.
Talk of the town: JAK inhibitors in dermatology
Dermatologists discuss the influx of new JAK inhibitors in dermatology and how they are breaking new ground for the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2024 Over the last decade, research and development of Janus kinase (JAK) inhibitors have exploded. Three years ago, JAK
Laser focus
Dermatologist experts discuss the latest advances in laser technology and offer tips on how to navigate the research and acquisition process ... Feature ... By Allison Evans, assistant managing editor, April 1, 2021 For the new dermatologist moving from residency to practice, or the established dermatologist simply seeking a challenge,
PDF of late-breaking research abstracts
Laser-assisted hair removal for facial hirsutism in women: A review of evidence.
June 23, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 23, 2021 ... Subcutaneous vs. oral methotrexate for psoriasis patients DermWorld Insights and Inquiries : Dermatology and dermatopathology awake — now is the time to embrace the AI revolution Young
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,
This month's news from across the specialty
What's hot ... December 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD Choice and transparency dominate our landscape. It is hard to believe that it was only 2013 when the FDA
Applying the 2021 E/M coding concepts in everyday practice – Part 2
In our ongoing efforts to help members navigate the E/M changes in a simplified and relatable manner in everyday practice, part two of the AADA’s clinical vignettes focuses on the application of the concepts necessary to support reporting a high level of number and complexity of problems addressed, data analyzed,
Directions in Residency, Summer 2023, PDF
José Darío, Barbosa-Moreno, Laura Elena, Guerrero- Clinically, a widespread rash (97.6%), typical facial
Why you should hear about the red ear syndrome
By Warren R. Heymann, MD July 22, 2020 Vol. 2, No. 29 Is it my imagination that the "by the way" comments at the presumed end of a patient encounter cause the most angst? Usually, it’s something like "Oh, I forgot to mention that I’m losing my hair!" Recently, at
April 26, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 26, 2023 ... Paroxetine for refractory erythema of rosacea? DermWorld Insights and Inquiries : Demodectic eruptions — More than you mite have imagined Nonthermal atmospheric plasma for molluscum and verruca
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
PDF of AMA sign-on letter regarding CARES act.
Academy of Dermatology Association American Academy of Emergency Medicine American Academy of Facial
An AMA letter to congressional leaders requesting provisions to help physicians sustain their practices and provide their patients with the best possible care during the COVID-19 emergency.
American Academy of Dermatology Association American Academy of Emergency Medicine American Academy of Facial
This month's news from across the specialty
What's hot ... December 1, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... BRYAN CARROLL, MD, PhD X marks the spot — PRAME expression for marking melanoma. PRAME ( ... PR eferentially expressed ... A
Cosmetic conundrums
Contact dermatitis experts discuss key cosmetic allergens and how to investigate which product may be causing a patient’s allergic reaction. ... Feature ... By Emily Margosian, Assistant Editor, September 1, 2023 Thousands of substances can cause an allergic skin reaction, offering a broad lineup of potential "suspects" for contact dermatitis
Sweating over acquired idiopathic generalized anhidrosis
By Warren R. Heymann, MD, FAAD June 8, 2022 Vol. 4, No. 23 As I am composing this commentary, I find myself daydreaming about the warmth that will envelop the Delaware Valley later this week — it has been a long, cold, lonely COVID-19 winter. Rising temperatures mean outdoor exercise
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
June 14, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 14, 2023 ... Truncal acne in young adults DermWorld Insights and Inquiries : Teatime for radiation dermatitis (and beyond) Comorbidities of keloid and hypertrophic scars Misconceptions about biosimilars in dermatology
NSA (neutrophilic sebaceous adenitis) secrets revealed
By Warren R. Heymann, MD, FAAD Nov. 8, 2023 Vol. 5, No. 45 If asked what the acronym NSA means, most of us — dermatologists included — would respond, "National Security Agency." News of security leaks (think Edward Snowden or Jack Teixeira) are in the headlines, but neutrophilic sebaceous adenitis
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have
Bring your own device: Legal risks and responses
Legally Speaking ... Daniel F. Shay, Esq., is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Daniel F. Shay, Esq., March 1, 2023 DermWorld ... covers legal issues in "Legally Speaking." This month’s author, Daniel F. Shay, Esq. is a health care attorney at Alice
PDF of Advanced and Immuno-therapies
Stomatitis; genital involvement Alopecia; brittle, curly, depigment- ed hair; facial rash that looks
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
Unrestricted fascination with restrictive dermopathy
By Warren R. Heymann, MD, FAAD Nov. 16, 2022 Vol. 4, No. 46 Barely a week into our fellowships at the University of Pennsylvania in 1984, my wife (a geneticist) asked her favorite dermatologist (me) if I had any thoughts about a neonate with skin that was thin, taut, and
November 20, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 20, 2019 ... Which types of dermal fillers are associated with increased complications? DW Insights and Inquiries: Rituximab and dermatomyositis — Dr. Samitz would be proud An ode to the
October 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 24, 2018 ... Drug shortages affecting your patients? Tell the FDA. When dealing with payers, the data can speak for itself Are you smarter than DataDerm™? Adalimumab biosimilar launches in
June 5
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 5, 2019 ... Self-injection of black market dermal fillers poses health concern DW Insights and Inquiries : Stress 2 ... + Hormones 2 ... = Acne 2 ... CMS/NCCI announce
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
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).
PDF of Oral disease, part 1
focus of infec- Sinus Tract on alveolar process +/- diffuse, tender tion (extraction). swelling of facial
PDF of Parasites
Erisipela de la costa - acute facial swelling and erythema Mal morado - urticarial eruption with hyperpigmentation
Firefighter Skin Cancer Checks
The AAD’s Firefighter Skin Cancer Checks Program gives dermatologists a chance to help the heroes who keep our communities safe by providing skin checks to firefighters at elevated occupational risk. To reach firefighters, the AAD has partnered with the ... Firefighter Cancer Support Network (FCSN) , but we still need
Social media in medicine
Go to AAD Home ... Go to AAD Home ... Menu ... How can you use social media to enhance your career and promote your practice? ... How can you use social media to enhance your career and promote your practice? ... By Danielle Tokarz, staff writer The concept of
PDF of Directions in Residency Winter 2022
FACMS), Atrophic scars Atrophic or hypopigmented scars Hypertrophic and the Program Superficial facial
Coming full circle (almost): Low dose oral minoxidil for alopecia
By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall
Lipodystrophia semicircularis: A lipoatrophy not to get depressed about
By Warren R. Heymann, MD, FAAD Nov. 2, 2022 Vol. 4, No. 44 A colleague asked me if I could evaluate his 26-year-old daughter while she was briefly on break from her graduate studies in Barcelona. He was concerned that she had developed lipodystrophy. Of course, I agreed, without his
Propranolol and neutrophilic dermatoses: Can beta-blockade be better blockade?
By Warren R. Heymann, MD, FAAD December 8, 2021 Vol. 3, No. 48 Ask any dermatology resident what the first-line treatment is for infantile hemangiomas (IH) and you will get a matter-of-fact response — "propranolol" — as if this has been an entrenched fact for decades. Barely more than a
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
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
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.
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
Paging Dr. Google
Dermatologists discuss the consequences of self-practiced medicine and what physicians can do to educate patients ... Feature ... By Emily Margosian, Assistant Editor, August 1, 2022 "There is no doubt that the modern internet age has empowered people with more information than ever before in human history. Like any tool,
Anticoagulants in dermatology
Dermatologists discuss perioperative management of patients on anticoagulant therapy ... Feature ... By Allison Evans, Assistant Managing Editor, June 1, 2022 Writing a script for an anticoagulant is not something dermatologists typically do, although these medications play an important role in clinical and surgical practice. The anticoagulant world has advanced
PDF of resident & fellows abstract
Methods: Thirty individuals with facial acne scars, underwent a treatment with 2,940 nm Er:YAG laser.
A guide to preventing and treating occupationally induced dermatologic conditions during COVID-19
Mask_Position_Paper_FI NAL_fo.pdf National Pressure Injury Prevention group (NPIAP0), NPIAP Protecting Facial
The state of scope of practice
Go to AAD Home ... Go to AAD Home ... Menu ... Where do things stand with scope of practice legislation and how has the pandemic affected the law? ... Where do things stand with scope of practice legislation and how has the pandemic affected the law? ... By Emily
Giving a great talk
Answers in Practice ... By Emily Margosian, Assistant Editor, November 1, 2024 DermWorld ... talks to Ilona Frieden, MD, FAAD, and Kelly Cordoro, MD, FAAD, about their public speaking tips for delivering a successful scientific lecture. DermWorld: Earlier this year you co-hosted a session at the AAD Annual Meeting on
PDF of Disorders of hypopigmentation
consider in children with ≥ 3 hypomelanotic macules MD and Anne poor melanization of melanosomes Triad: facial
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
Propranolol for infantile hemangiomas: Start to finish
By Warren R. Heymann, MD, FAAD March 26, 2025 Vol. 7, No. 12 "We have observed that propranolol can inhibit the growth of these [infantile capillary] hemangiomas." (1) In my career, I cannot think of any statement that led to such a swift, dramatic paradigm shift in management more than
Entering a golden age of toxins
Go to AAD Home ... Go to AAD Home ... Menu ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ... As more drugs and treatment indications receive FDA clearance, how do the new arrivals compare to industry heavyweights? ...
PDF of Drug eruptions
due to alteration in eosinophilia and Allopurinol, >3weeks after with follicular accentuation; facial
PDF of scope of practice toolkit
The focus of their education is oral health rather than skin and facial tissue.
2019 World Congress Fund Poster Abstract eBook
Nepal months) Dapsone Users: A Clinical Trial Himali Sudusinghe, Base Hospital Kanthale, Sri Lanka Facial
Cosmetic complications
Dermatologists offer insight and instruction for approaching procedural afflictions. ... Feature ... By Laura Vernaci, Contributing Writer, September 1, 2025 It goes without saying that dermatologists do everything in their power to keep their patients safe and avoid complications or adverse events. However, stay in the business long enough and
Your Dermatologist Knows media wins 2024
A key part of Your Dermatologist Knows is pitching stories to media outlets in hopes they’ll run news stories sharing information about the wide breadth of knowledge dermatologists have to their readership. We consider every new story published as a result of our pitches as a win, regardless of whether
PDF of Fall 2021 DIR
involvement - Propranolol (1 line) - Multifocal: if ≥5 lesions are present (GLUT-1) - FcgRII - Large facial
Tarrying for tapinarof
By Warren R. Heymann, MD, FAAD January 12, 2022 Vol. 4, No. 2 Today we held our first round of interviews for our dermatology residency program for 2023. Meeting dermatology resident applicants is a delight — they are brilliant, engaging, and a source of pride for our discipline. We started
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
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
Not the usual suspects
Go to AAD Home ... Go to AAD Home ... Menu ... Drugs you never thought you’d use in dermatology ... Drugs you never thought you’d use in dermatology ... By Jan Bowers, contributing writer ... Young dermatologists quickly become familiar with mainstays of treatment such as antibiotics,
Cosmetic crackdown
FDA to be granted greater authority over cosmetic regulations in 2024. ... Feature ... By Andrea Niermeier, Contributing Writer, October 1, 2023 Social media has opened the door for cosmetic brands to use new and innovative ways to connect with consumers. Instead of walking the aisles of their favorite store,
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
Managing menopause
Dermatologists discuss dermatologic changes before and during menopause and the dermatoses that may occur. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2025 Menopausal transitions can be stressful. While rapidly declining estrogen levels can wreak havoc internally, many of these changes involve the skin, hair, and vulvar
Hot coding topics from the field
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, July 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Navigating the complexities of dermatology coding can
Trouble in paradise?
As the medical tourism industry grows, patients seeking a discount on health care abroad may pay an unexpected price. ... Feature ... By Emily Margosian, Assistant Editor, August 1, 2023 Earlier this year, medical tourism grabbed headlines — for the wrong reasons. Four American tourists traveling to Mexico in pursuit
From "slugging" to snail mucin
Dermatologists discuss popular social media trends impacting the skin. ... Feature ... By Emily Margosian, Assistant Editor, October 1, 2023 Social media and the skin have a long history together. For over 15 years, social media has been an ever-growing presence in nearly all facets of life: politics, commerce —
A menagerie of zoonoses
Common and emerging zoonotic disease in dermatology ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2022 From the Black Death to Avian Flu, throughout history, humans have been plagued by epidemics of infectious disease that originated from animals. Zoonoses represent a major public health problem around the world
The skin and stress connection
Experts explore the underlying mechanisms of the link between the brain and the skin. ... Feature ... By Allison Evans, assistant managing editor, December 1, 2020 There is generally no question among dermatologists that psychological stress can affect the skin. This year, more than ever, the heightened stress of living
An appetite for healthy skin
Can diet affect dermatologic health? Experts weigh in on the evidence. ... Feature ... By Emily Margosian, assistant editor, November 1, 2020 You are what you eat — more than just a mantra, the phrase encapsulates a growing public desire for food-based solutions to targeted health outcomes. However, mixed media
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
An uphill battle
Pediatric dermatologists share struggles and successes obtaining treatments for their patients ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2021 In a perfect world, a dermatologist would diagnose their patient’s condition and prescribe a therapy, and the patient would receive treatment. Unfortunately, in reality, dermatologists diagnose a
Choosing wisely: Recommendations about treatments, tests, and procedures
The ABIM Foundation’s Choosing Wisely ... ® ... campaign is focused on encouraging physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm. To join, a medical society must provide expert guidance on five medical tests or treatments commonly used in its field.
Photobiomodulation: Seeing the light
DermWorld highlights the most popular (and effective) applications of red-light therapies, and how to advise patients about the proliferation of products for at-home use. ... Feature ... By Heidi Splete, Contributing Writer, December 1, 2025 Photobiomodulation (PBM) — including low-level laser therapy, low-light therapy, or red-light therapy — involves the
Shedding light on treatments for female pattern hair loss
Dermatologist hair experts discuss the efficacy and safety considerations of off-label treatments for female pattern hair loss. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2025 A female patient presents with thinning hair and a reduction in hair density at the top of the scalp. Is it
Beyond bedside basics
Dermatologists and physician experts discuss bedside manner tips and trends, and how to strengthen the physician-patient relationship. ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2025 Imagine you are sitting at a table on the opposite end from the patient with the problem in the middle. What
Beyond dermoscopy
Emergent technologies enhance imaging, target rare diseases. ... Feature ... By Jan Bowers, Contributing Writer, August 1, 2023 Dermoscopy has arrived. "While there are established practicing dermatologists who are not using it, it’s integrated across the residency programs," said Ashfaq A. Marghoob, MD, FAAD, attending physician at Memorial Sloan Kettering
World Congress Fund Poster Abstract eBook
The difference between SJS, presented with erythematous facial rash that is exacerbated by patients
AAD guidance on steps members can take in response to COVID-19
Wearing masks and protective eyewear when taking care of patients may reduce touching facial mucous
Advances in dermatopathology
Dermatopathologists discuss the latest trends and developments in dermpath. ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2023 The field of dermatopathology is experiencing much growth and change. From how to use PRAME to aid in determining whether a lesion may be malignant, to digitizing glass slides
PDF of DIR spring 2023
Morbilliform you are probably the only person in the hospital who the department of eruption with facial
PDF of gross and micro abstract programs
| | 2020 AAD ABSTRACTS • GROSS & MICROSCOPIC 2 GROSS & MICROSCOPIC FINALISTS Facial flushing
PDF of AAD Atopic Dermatitis pediatric guideline draft
In children aged 1 473 to 12 months with infantile facial AD (n=36), mometasone furoate 0.1% cream
PDF of AAD Elections Ballot Book
INTEREST Innovative suturing techniques Visual processing as related to our perception of beauty Facial
PDF of AAD Atopic Dermatitis pediatric supplement draft
The treatment of facial atopic dermatitis in children who are intolerant of, or dependent on, topical
Derm Rotation Handbook - Resident International Grant
--if a patient has recently started ARVs, KS associated IRIS is common and severe facial swelling is