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Topical isotretinoin for ichthyoses: Striving for an “A” grade
By Warren R. Heymann, MD, FAAD Nov. 20, 2024 Vol. 6, No. 47 Two meaningful events changed my life in 1982 — my marriage and the introduction of isotretinoin. Forty-two years later, both remain front and center. Attending the focus session "Think like an expert about ichthyosis" at the AAD
One less headache to worry about: Using Isotretinoin in patients with a history of pseudotumor cerebri
By Warren R. Heymann, MD May 13, 2016 I have been prescribing isotretinoin since it was first introduced over thirty years ago, having encountered just a few patients with truly suspect pseudotumor cerebri (PTC). This was manifested by severe headaches and papilledema on ophthalmologic examination. Considering discretion the better part
Scarred by dogma: Revising recommendations for surgery and isotretinoin use
By Warren R. Heymann, MD Aug. 22, 2017 Severe acne. ... Credit: American Academy of Dermatology teaching slide ... I have had the privilege of prescribing isotretinoin since its release in 1982. Is there any other dermatologic medication that has benefited our patients so greatly? I’ve weathered every isotretinoin controversy
iPLEDGE
Advocacy updates ... Access information on the Academy’s ... ongoing advocacy efforts on the iPLEDGE Program. ... iPLEDGE is a distribution program designed to prevent pregnancies in patients taking isotretinoin and to prevent pregnant people from taking isotretinoin. Isotretinoin is sometimes used by dermatologists to treat severe acne, but it
Putting muscle into isotretinoin laboratory testing isn’t chopped liver!
By Danielle M. DeHoratius, MD August 14, 2019 Vol. 1, No. 23 When I first became interested in dermatology during medical school, I started shadowing dermatologists. When prescribing isotretinoin all the physicians needed was a small yellow sticker. They could give patients months of medication at a time. I am
Isotretinoin and diabetes: Of familiarity and surprise
By Warren R. Heymann, MD, FAAD July 6, 2022 Vol. 4, No. 27 On a gloriously sparkling, warm spring afternoon in 2009 I sat with my family in the right field bleachers of the new Yankee Stadium as the Bronx Bombers took on the Phillies. I relished the expansive majesty
May 29, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 29, 2024 ... Isotretinoin plus desloratadine vs. isotretinoin alone in patients with acne DermWorld Insights and Inquiries : Reflections on infantile perianal pyramidal protrusion and Hippocrates AADA president delivers powerful
Acne/rosacea
Putting muscle into isotretinoin laboratory testing isn’t chopped liver! Stress2 + Hormones2 = Acne2 The rosy reality of coffee Why we do what we do Scarred by dogma: Revising recommendations for surgery and isotretinoin use A novel sebum inhibitor for acne vulgaris: A slick maneuver Got milk? Got acne? Low
June 8, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 8, 2022 ... The administrative burden of prescribing isotretinoin DermWorld Insights and Inquiries : Sweating over acquired idiopathic generalized anhidrosis AADA counters IPMG objections to iPLEDGE improvements Actinic keratosis guidelines
June 19, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 19, 2024 ... Neuropsychiatric diagnoses after isotretinoin initiation in pediatric acne patients DermWorld Insights and Inquiries : Advances in pruritus therapeutics — It’s Greek to us Efficacy of treatment options
May 24, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 24, 2023 ... Mood changes in adolescent patients taking isotretinoin DermWorld Insights and Inquiries : Tinea gone wild — The emergence of Trichophyton indotineae as a global phenomenon Successful dose
Low dose isotretinoin for recalcitrant rosacea: I pledge to use it sporadically
By Warren R. Heymann, MD June 14, 2016 While rosacea can usually be reasonably managed with a combination of topical agents (metronidazole, azelaic acid, ivermectin, sulfacetamide, brimonidine), oral antibiotics (the tetracycline family), vascular lasers, intense pulsed light and surgery (for phymatous disease), some cases are recalcitrant to standard therapy. ...
December 21, 2022 DermWorld Weekly
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 21, 2022 ... Isotretinoin and the risk of psychiatric events in acne patients DermWorld Insights and Inquiries : Holiday greeting 2022 Risk of skin cancer in patients with chronic cutaneous
iPLEDGE update: Changes ahead
Strong advocacy efforts have prompted new changes to the program. What do they mean for you and your patients? ... Feature ... By Emily Margosian, Assistant Editor, August 1, 2024 Since 2005, isotretinoin has only been available through an FDA-mandated Risk Evaluation and Mitigation Strategies (REMS) program implemented to monitor
March 29, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 29, 2023 ... Low-dose isotretinoin for severe seborrheic dermatitis? DermWorld Insights and Inquiries : Can we chat? Risk of melanoma in patients with BCC Is AD severity correlated with food
August 31, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 31, 2022 ... Isotretinoin lab monitoring in acne treatment DermWorld Insights and Inquiries : Metformin mania — Is it an adequate chemopreventive agent for skin cancer? Monkeypox: A dermatologic primer
AADA pressure on FDA results in iPLEDGE wins
As a result of the Academy’s advocacy efforts, the FDA held a joint advisory committee meeting to discuss ways to minimize the burden of the iPLEDGE REMS program on patients and dermatologists while maintaining safe use of isotretinoin oral capsules for patients. ... Overall, their recommendations were aligned with the
AADA keeps pressure on IPMG to fix iPLEDGE REMS program
Recently, leaders of the AADA’s iPLEDGE Workgroup again met with representatives from the Isotretinoin Product Manufacturers Group (IPMG) and the FDA to advocate for improvements to the iPLEDGE Program. ... The purpose of the meeting was to follow up on the status of the planned updates that were shared during
December 12
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 12, 2018 ... Trouble prescribing isotretinoin to new patients? New tax bill would repeal indoor tanning tax Are you smarter than DataDerm?™ Apply for the AAD’s Cochrane Scholarship Academy Advisory
This month’s news from across the specialty
What’s hot ... May 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Avery LaChance, MD, MPH, FAAD Despite previously published studies refuting the risk of inflammatory bowel disease with isotretinoin use, patients and families commonly
November 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 1, 2023 ... Can oral nutraceuticals reduce isotretinoin side effects? DermWorld Insights and Inquiries : Exchanging plasma exchange for a novel approach — The potential of FcRn antagonists in dermatologic
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.,
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
December 13, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 13, 2023 ... Isotretinoin exposure and risk of adverse male sexual health outcomes in acne patients DermWorld Insights and Inquiries : Sparking the interest in Spark nevus Metronidazole for patients
Changes to iPLEDGE
Moving the needle ... By Victoria Houghton, Managing Editor, November 1, 2021 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. As many dermatologists are all too aware, iPLEDGE is a distribution program designed to prevent pregnancies in patients
March 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 13, 2019 ... Is routine laboratory monitoring for isotretinoin patients necessary? Welcome to Dermatology World Insights and Inquiries Innovative learning experiences equip members to provide compassionate patient care Scientists report
April 19, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 19, 2023 ... Acne scars: Low-dose oral isotretinoin monotherapy vs. combined therapy with picosecond laser DermWorld Insights and Inquiries : No longer flailing with Flegel disease Academy mourns the passing
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
April 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 13, 2022 ... Is there an association between isotretinoin and adverse neuropsychiatric outcomes? DermWorld Insights and Inquiries : Early recognition of rituximab-induced late onset neutropenia is essential 2022 Academy election
January 16
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 16, 2019 ... Isotretinoin may change bacteria levels on skin of acne patients We want your feedback: Psoriasis draft guidelines Cochrane collection gathers new diagnostic test accuracy reviews for skin
October 2, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 2, 2024 ... Risk of IBD in patients receiving isotretinoin DermWorld Insights and Inquiries : The pregnant pause in cutaneous lymphoma Hydroxychloroquine in patients with lichen sclerosus Abrocitinib vs. dupilumab
iPLEDGE member feedback
The AADA continues to advocate for change to the longstanding problems with the iPLEDGE system. While the IPMG appears to have improved the acute problems arising when they changed platforms, we want to hear from you about any ongoing issues you or your patients are experiencing using the iPLEDGE platform.
This month's news from across the specialty
What's hot ... October 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD We all know how frustrating it can be when a patient’s acne returns after isotretinoin, requiring them to undergo
What's hot?
What's hot ... August 23, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you over-checking labs for your acne patients on isotretinoin? An article from the ... JAAD’ s Best of
PS-Isotretinoin
Owner: Advocacy & Policy Reviewed: 2/19/2018 Position Statement on Isotretinoin \(Approved by
September 11, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 11, 2024 ... Safety of low-dose oral minoxidil for hair loss in patients receiving antihypertensive medications DermWorld Insights and Inquiries : Atopic dermatitis hide and seek — The impending role
May 8, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 8, 2024 ... A review of topical treatments for AK field therapy DermWorld Insights and Inquiries : Hard questions about subcutaneous fat necrosis of the newborn and hypercalcemia Derm Coding
July 13, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 13, 2022 ... Androgenic skin conditions and hormonal IUDs DermWorld Insights and Inquiries : COVID-19 can nail you in so many ways What does Europe’s tattoo ingredient ban mean for
FDA Implements AADA’s iPLEDGE recommendations
Changes alleviate administrative burdens for dermatologists and their patients WASHINGTON (Dec. 5, 2023) — The FDA agreed to require important American Academy of Dermatology’s (AAD) recommended changes to the iPLEDGE program that will alleviate administrative burdens for dermatologists. ... "Because of the AAD’s relentless advocacy over two years, the FDA has
November 16, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 16, 2022 ... Novel treatments for chronic spontaneous urticaria DermWorld Insights and Inquiries : Unrestricted fascination with restrictive dermopathy DermWorld Young Physician Focus : Academy staff offer refresher on top
November 20, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... DermWorld Weekly will not be published next week in observance of the Thanksgiving holiday. It will resume Wednesday, Dec. 4. IN THIS ISSUE / November 20, 2024 ... Is there an association between treatment with
October 30, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 30, 2024 ... Breast health outcomes in women on oral 5-alpha reductase inhibitors D ermWorld Insights and Inquiries : The breathless complications of anti-MDA-5-positive dermatomyositis What symptoms are most significantly
iPLEDGE changes
Ask the Expert ... By Apoorva Stull, Senior Manager, Advocacy Communications, April 1, 2024 DermWorld ... interviews John Barbieri, MD, MBA, FAAD, co-chair of the Academy’s Acne Guidelines Workgroup, about important changes to the iPLEDGE program. DermWorld : In a win for the AADA, dermatologists, and their patients, the FDA
Acne: The drought is over
After years of recycling the same ingredients, dermatologists have novel acne treatments and formulations available — with more on the horizon. ... Feature ... By Allison Evans, assistant managing editor, February 1, 2021 Over the past few years, an incredible amount of innovation has taken place for the treatment of
January 29, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 29, 2020 ... Patients are using YouTube to get information on isotretinoin. Here’s what you need to know. DW Insights and Inquiries: Getting steamed over vaping Derm Coding Consult: A
February 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 10, 2021 ... FDA clears device to improve cellulite DermWorld Insights and Inquiries: Leishmania episode 1a — attack of the clones Distance traveled: Dr. Lim’s diversity focus as Academy president
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 7
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 7, 2019 ... What effect has iPLEDGE had on pregnancy rates? DW Insights and Inquiries : Snitching on Schnitzler syndrome — The continuing search for an optimal biomarker U.S. Virgin
August 14
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 14, 2019 ... CMS seeks to reduce prior authorization burden on physicians DW Insights and Inquiries : Putting muscle into isotretinoin laboratory testing isn’t chopped liver! Applicants sought for research
Future shock of teledermatology
By Warren R. Heymann, MD April 16, 2016 The authors surveyed 62 patients older than 18 years, and 43 caregivers of patients younger than 18 who had been taking isotretinoin for at least 3 months. "Most respondents reported no concern about the safety of an e-visit compared with that of
Advocating for you — iPLEDGE advocacy forges ahead, with opportunities for positive change
Since the rollout, the AADA and physician members of its iPLEDGE Workgroup have met with the IPMG and FDA several times, outlining our concerns, and proposing several long-term reform solutions to iPLEDGE and other REMS programs. ... When the iPLEDGE program announced its intent to switch platforms in October 2021,
July 6, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 6, 2022 ... Long-term recurrence rates of actinic keratoses DermWorld Insights and Inquiries : Isotretinoin and diabetes — Of familiarity and surprise What physicians should know about monkeypox Anti-PD-1 therapy
June 6
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 6, 2018 ... Feedback requested: Primary cutaneous melanoma treatment draft guidelines Integrating the human touch at the AAD Annual Meeting Insurer reverses onerous isotretinoin policy FDA issues REMS draft guidance
AAD | Tool Drugs and Diseases
See a list of available drugs and dermatologic conditions available in the tool. ... Drug name ... 4% minocycline foam (Amzeeq®) ... Class 2 steroid ... Isotretinoin ... Tavaborole (Kerydin®) ... 5-fluorouracil (Efudex®) ... Clobetasaol ... Isotretinoin with enhanced absorption (Absorica®) ... Tazarotene (Tazorac®) ... Abrocitinib (Cibinqo®) ... Corticosteroid (spray
2024 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 17 - DWI&I Holiday Greeting 2025 Dec. 11 - Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders Dec. 4 - Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
JAAD
Putting muscle into isotretinoin laboratory testing isn’t chopped liver! The newest frontier for biologics and psoriasis may be adherence Progress for progressive multifocal leukoencephalopathy A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Dermatologists cannot be lax about acquired cutis laxa Congenital juvenile xanthogranulomas: Born to
Few words make a dermatologist grimace more than ‘iPLEDGE.’
From the Editor ... Dr. Schwarzenberger is the physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, August 1, 2024 Since its inception in 2005, the rigorous and often unyielding pregnancy risk mitigation program has made treating cystic acne a true challenge. While we all support safe use of
Medical dermatology
Topical retinoid therapy for acanthosis nigricans: In the thick of it Rituximab and dermatomyositis: Dr. Samitz would be proud The naked truth about total body skin examination: A lesson from Goldilocks and the Three Bears Getting the gist of GIST cutaneous hyperpigmentation disease I never wanted chaperones — until now
Advocacy Update Feb. 27
IN THIS ISSUE / Feb. 27, 2024 AADA calls for more involvement with planned iPLEDGE changes AADA, AMA raises concerns with VA’s National Standards of Practice Scope House of Representatives urges bicameral, bipartisan action on Medicare AADA Medicare cuts webinar calls membership to act Incoming AADA President Seemal Desai, MD,
Key messaging in social media about acne
Key messages ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (1)
PDF of 2015 revisions to iPLEDGE.
Because of this toxicity, isotretinoin can only be marketed under a special restricted distribution
FDA agrees to implement AADA’s iPLEDGE recommendations
The FDA agreed to require significant Academy-recommended changes to the iPLEDGE program that will alleviate administrative burdens for dermatologists. The AADA has been fighting for these changes since 2021 when the FDA transitioned to a new iPLEDGE platform that malfunctioned and disrupted treatment for many patients. ... In 2023, ...
FDA agrees to implement AADA’s iPLEDGE recommendations
Moving the needle ... By Apoorva Stull, Senior Manager, Advocacy Communications, May 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. The FDA agreed to require significant Academy-recommended changes to the iPLEDGE program that will alleviate administrative
This month’s news from across the specialty
What’s hot ... May 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the University of Virginia showed that ... utilization of telemedicine by pediatric specialists in one
iPLEDGE advocacy
The Academy advocates on behalf of dermatologists and patients for improvements to the iPLEDGE program. The FDA agreed to require significant Academy-recommended changes to the iPLEDGE program that will alleviate administrative burdens for dermatologists. The AADA has been fighting for these changes since 2021 when the FDA transitioned to a
This month’s news from across the specialty
What’s hot ... June 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Christen Mowad, MD, FAAD The American Academy of Dermatology SPOT Skin Cancer™ program has been very well received and provides a community service
This month’s news from across the specialty
What’s hot ... April 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate,MD, FAAD Melasma is a phenotype of photodamage with a complex and multifaceted etiology involving UV radiation, visible light, hormones, and genetics,
iPLEDGE advocacy updates
The statements to members below track the Academy’s ongoing advocacy efforts for the dermatology specialty on the iPLEDGE Program. ... Dec. 5, 2023 iPLEDGE Win: FDA implements AADA’s recommendations ... In response to AADA’s relentless advocacy, the FDA has finally agreed to implement important changes to the iPLEDGE program that
PDF of Retinoid biology, part 1
formulations available) metabolite of retinol; photo-unstable and may be oxidized by benzoyl peroxide Isotretinoin
Applying the 2021 E/M coding concepts in everyday practice – Part 4
Part four of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how chronicity and severity impacts the level of service provided. Missed the previous articles? Review them at ... Derm Coding Consult . Clinical vignette 13 ... 17-year-old male
What’s new in the management of acne vulgaris?
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with John Barbieri,
Adherence to acne treatments: Flipped sides of the coin for physicians and patients
By Warren R. Heymann, MD Dec. 6, 2016 It takes a motivated, dedicated patient to adhere to their prescribed acne regimen. According to Moradi Tuchayi et al, primary nonadherence occurs when the medication is not even started. This may be due to lack of knowledge, confusion about usage, a weak
DW Insights & Inquiries
The treatment of systemic juvenile xanthogranulomas matures Advances in genetics and molecular biology have identified pathways confirming the usefulness of targeted therapies in those patients with systemic juvenile xanthogranulomas harboring specific mutations. ... Best of Insights and Inquiries Read our top ten most popular issues of the year from DermWorld
What's hot?
What's hot ... April 26, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Having trouble managing your patients with burning mouth syndrome? In the February edition of ... Dialogues in Dermatology ,
December 6, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 6, 2023 ... iPLEDGE wins: FDA to implement AADA’s recommendations DermWorld Insights and Inquiries : Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years Treatment access
The darkness of lichen planus pigmentosus
By Warren R. Heymann, MD Oct. 24, 2016 Darkness defines lichen planus pigmentosus (LPP) — lesional morphology, the patient’s mood about their appearance, and our ability to understand or treat it. Both patient and physician are literally in the dark. ... The following abstract by Ghosh and Coondoo (1) is
Honing in on diffuse dermal angiomatosis
By Warren R. Heymann, MD February 17, 2021 Vol. 3, No. 7 Diffuse dermal angiomatosis (DDA) was conceptualized as a variant of reactive angioendothelimatosis (RA) in 1994 by Krell et al, reporting on two women, both with severe peripheral vascular disease requiring bypass grafts, presenting with ulcerated, violaceous plaques on
Evaluation and management in 2021: Part 4
Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, December 1, 2020 Jan. 1, 2021: A new structure for reporting office and other outpatient evaluation and management (E/M)
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)
PDF of iPledge workflow
patients, can request to bypass the initial 30-day waiting period and obtain quicker access to isotretinoin
Acne necrotica: A real head-scratcher
By Warren R. Heymann, MD, FAAD May 15, 2024 Vol. 6, No. 20 I sympathize with new residents in dermatology coming to grips with difficult terms and concepts that are essential in practice. As a novice, I recall struggling with the concept of acne necrotica (AN), dreading that I would
iPLEDGE changes
Ask the Expert ... By Victoria Houghton, Managing Editor, July 1, 2023 DermWorld ... spoke to Stephanie Croney, JD, assistant director of regulatory policy for the American Academy of Dermatology Association (AADA), about the recent FDA advisory committee meeting on recommended changes to the iPLEDGE REMS program. DermWorld : Recently,
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
What the end of the COVID-19 public health emergency (PHE) means for dermatologists
Answers in Practice ... By Faiza Wasif, Associate Director, Practice Management, May 1, 2023 Each month, DermWorld ... tackles issues "in practice" for dermatologists. The Biden Administration announced that the end of the COVID-19 public health emergency (PHE) will be on May 11, 2023. This announcement is both welcome and
JAKne is on the horizon
By Warren R. Heymann, MD, FAAD July 27, 2022 Vol. 4, No. 30 If you are like me, you have read much more about JAK inhibitors (JAKi) than have prescribed them. We are all on a learning curve. The rapid introduction of topical ruxolitinib (Opzelura), oral upadacitinib (Rinvoq), and abrocitinib
Acne clinical guideline
Acne guideline ... Access the full acne guideline from JAAD. ... Go to the guideline Acne vulgaris is a common skin condition occurring when hair follicles become clogged with oil and dead skin cells, leading to bacterial overgrowth and inflammation. Acne is one of the most common diseases worldwide, affecting
San Diego AAD musings
By Warren R. Heymann, MD, FAAD March 20, 2024 Vol. 6, No. 12 Pre-AAD ... Carlos Vieira, our second-year resident, was too polite to ask directly, so he sent our faculty an email stating the time and place of his first AAD presentation ("Tapinarof-induced acute generalized exanthematous pustulosis" at the
PDF of BF for Darier and Hailey-Hailey diseases
Systemic: Retinoids: acitretin, isotretinoin, alitretinoin Retinoids: isotretinoin, acitretin, or alitreti
May 25, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 25, 2022 ... Placebo regrowth rate in alopecia areata trials DermWorld Insights and Inquiries : The globalization of monkeypox AADA renews calls for iPLEDGE improvements with IPMG, FDA Seeking comments
Compliance and scope of practice
Use these practical step-by-step guides to make sure your practice is in compliance with government regulations, and find guidance on scope of practice issues. ... CLIA compliance guide A step-by-step guide to help you determine if you are CLIA compliant. Follow the tabs to learn how you must comply, depending
iPLEDGE win included in year-end package
The AADA’s 2022 advocacy efforts were successful in securing provisions on the iPLEDGE Program within the omnibus spending package that was signed into law in December 2022. ... Language that the AADA championed will ... require the FDA to provide a public comment period regarding patient access and provider administration
Post-pandemic checklist
The COVID public health emergency has ended. Experts discuss how dermatologists can stay compliant amid a changing policy landscape. ... Feature ... By Emily Margosian, Assistant Editor, June 1, 2024 COVID-19 is "over" — what’s next? ... In May 2023, the Biden Administration announced the end of the COVID-19 public
October 11, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 11, 2023 ... Is clascoterone effective for mild hidradenitis suppurativa? DermWorld Insights and Inquiries : Dermatologists should not be in the dark about kratom How often does scabies treatment fail?
September 27, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 27, 2023 ... Is roflumilast effective in patients with seborrheic dermatitis? DermWorld Insights and Inquiries : Diminishing diagnostic cognitive bias — Anchors away JAK inhibitors for granulomatous dermatoses Is there
iPLEDGE win included in year-end package
Moving the needle ... By Victoria Houghton, Managing Editor, May 1, 2023 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. The AADA’s 2022 advocacy efforts were successful in securing provisions on the iPLEDGE Program within the omnibus spending
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
PDF of Granulomas
children umbilication; Niacinamide amongst altered col- (boys>girls) < 6 SubQ: deep nodules common Isotretinoin
PS-Sexual and Gender Minority Health in Dermatology
the online AAD basic dermatology curriculum modules Revision of the AAD position statement on isotretinoin
April 6, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 6, 2022 ... A comprehensive review of rosacea treatments DermWorld Insights and Inquiries : "Stepping up" to off-label dosing of biologics Improving itch in prurigo nodularis patients What acne treatments
July 4
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JULY 4, 2018 ... iPLEDGE hits a snag with patients Hawaii governor signs legislation banning sunscreen with oxybenzone and octinoxate Medicare announces new MUE limit for aminolevulinic acid HCI, 10% (Ameluz)
ICD-10-CM diagnosis coding updates for 2022
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding & reimbursement, September 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . The National Center for Health Statistics (NCHS) within
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?
DWI&I holiday greeting 2020: Eyeing dermatology’s future
By Warren R. Heymann, MD Dec. 18, 2019 Vol. 1, No. 40 2020 will be replete with innumerable references focusing on vision. As I composed this holiday greeting, I had the privilege of touring Norway above the Arctic Circle, perplexed and awestruck by the Northern Lights. Vision may be hindsight, current,
May 10, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 10, 2023 ... Is spironolactone use for acne associated with increased risk for venous thromboembolism? DermWorld Insights and Inquiries : PRAME sets its eyes on the road to fame How
A future therapeutic Harlequin Romance?
By Warren R. Heymann, MD Sept. 17, 2018 A neonate with harlequin ichthyosis on day 21 of life after 3 weeks of treatment with acitretin at 1 mg/kg/d. ... Credit: ... JAAD My fiancé Ronnie, then a pediatric resident, called me excitedly, asking for my opinion about a remarkable neonate
Member toolkit: Resources
Stay connected with the Academy ... Whether you are just getting started or a well-seasoned veteran, the Academy’s social media platforms are great resources for staying up to date with the specialty and educating the public. ... Follow @AADmember ( ... Facebook , ... Twitter , ... Instagram ) ...
April 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 5, 2023 ... What’s the effect of probiotics on skin photoaging? DermWorld Insights and Inquiries : An appealing step closer to targeted topical therapies Does nicotinamide prevent keratinocyte cancers in
What we have learned about E/M coding and reimbursement in 2021
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding & reimbursement, April 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . On Jan. 1, 2021, changes were implemented to
State law and teratogenic medications
Patient access to teratogenic medication may be impacted by state abortion access laws. The Academy has resources for members who prescribe teratogenic medications. ... Patient access to reproductive resources ... Do you have questions about changes to state laws since the Supreme Court decision overturning ... Roe v Wade? Do
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
How aligned are Redditor-driven recommendations with the current AAD acne guidelines?
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, FAAD, October 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Justin Marson,
2023 AAD Innovation Academy educational schedule-at-a-glance
Branding and the Business of Dermatology • Advances and Quandaries in • Practice Management Course Isotretinoin
2019 DW Insights and Inquiries archive
Explore Dermatology World Insights and Inquiries articles by publication date. ... December ... December 18 - DWI&I holiday greeting 2020: Eyeing dermatology’s future December 11 - Topical retinoid therapy for acanthosis nigricans: In the thick of it December 4 - Beware: Discordance abounds among pathologists in the diagnosis of melanocytic
Why we do what we do
By Warren R. Heymann, MD June 19, 2018 The relentless drumbeat of dictates, regulations, prior authorizations, audits, and social media reviews is taking its toll on physicians’ psyche. Combined with downward reimbursement, narrow insurance networks, pressure to be increasingly productive, and far too many clicks on the electronic medical record,
A mixed bag
A burgeoning style of dermatologic care that combines traditional medicine with evidence-based alternatives is taking shape ... Feature ... By Allison Evans, assistant managing editor, August 1, 2021 As a child, Peter Lio, MD, FAAD, was an enthusiast for all things mysterious — telepathy, Bigfoot, the Loch Ness Monster. Despite
2022 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 28 - 2022: Best of DermWorld Insights and Inquiries Dec. 21 - Holiday Greeting 2022 Dec. 14 - A Frank discussion about earlobe creases Dec. 7 - Xylazine ("Tranq"): The potential for loss of life and
From the editor
From the Editor ... Dr. Schwarzenberger is the physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, September 3, 2018 I have learned many new things from the past few editors of ... Dermatology World . This edition is no exception. I know much more about microneedling than I did
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
PDF of Drugs and dermatologic diseases
sticky skin, eruptive xanthomas, alopecia (Acitretin), pyogenic granuloma like tissue reaction (isotretinoin
October 23, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2024 ... Botulinum toxin type A with topical minoxidil vs. topical minoxidil alone in males with androgenetic alopecia DermWorld Insights and Inquiries : Shocking news — Heat shock protein
October 9, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 9, 2024 ... Topical 5-FU/calcipotriene cream for the treatment of squamous cell carcinoma in situ DermWorld Insights and Inquiries : Shedding light on tumoral melanosis FDA weighing approval of new
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
Of every possible solution for elastosis perforans serpiginosa, fractional carbon dioxide laser may be the best
By Warren R. Heymann, MD Nov. 13, 2017 ... Elastosis perforans serpiginosa. Clinical presentation. ... Credit: ... JAAD My initial attraction to dermatology, which still offers great appeal, is the challenge and joy of differential diagnosis and clinical-pathologic correlation. I learned quickly, however, that patients don’t want to be interesting
JAMA Dermatology
Life is just a bowl of cherry angiomas Breaking the terbinafine laboratory habit for onychomycosis Coughing up a new warning for ustekinumab The rosy reality of coffee The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy Old stains leaving new marks in dermatology A future
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
American Academy of Dermatology issues updated guidelines for the management of acne
Both newly approved and well-established treatments recommended ROSEMONT, Ill. (Jan. 31, 2024) — Acne is the most common skin condition in the United States, affecting nearly 50 million Americans each year, with symptoms usually beginning in puberty. Acne affects 85% of adolescents and can also often begin or continue in
April 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 20, 2022 ... Which biologics are most effective for psoriasis? DermWorld Insights and Inquiries : One Toker over the line — Clarifying Toker cell hyperplasia in Zuska disease and its
December 8, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 8, 2021 ... Factors that may predict chronic spontaneous urticaria recurrence DermWorld Insights and Inquiries : Propranolol and neutrophilic dermatoses — Can beta-blockade be better blockade? Feedback requested: Actinic keratosis
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
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
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
Advocacy Update 2024 archive
Explore ... Advocacy Update articles by publication date. ... 2024 ... December ... Dec. 17 - Congress is working on a tentative legislative Medicare physician payment deal. ... Dec. 10 - AADA members should contact Congress to stop the 2025 Medicare cut. ... November ... Nov. 26 - U.S. Senate
Changing the narrative: The AAD and member centricity
by Melanie Tolley Hall Chief Communications and Marketing Officer, AAD In my previous articles on the AAD rebrand, I touched on two areas of strength the Academy demonstrates: ... education for dermatologists and ... advocacy on behalf of the specialty. This month, I want to shift gears and address member-centricity,
Darier disease is rough clinically and therapeutically. MEK inhibition may offer a smoother future
By Warren R. Heymann, MD, FAAD Dec. 4, 2024 Vol. 6, No. 48 Consultative medical dermatology is stressful because challenging patients come with high hopes. Usually, the referring dermatologist is thorough, thoughtful, and on-target diagnostically and therapeutically. The key is setting expectations — if the dermatosis is easily manageable, they
September 4, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 4, 2024 ... Most effective treatment for moderate-to-severe acne DermWorld Insights and Inquiries : Periocular hypopigmentation of the elderly — A new POTUS dermatosis? Berdazimer gel in patients with molluscum
May 31, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 31, 2023 ... Cause or cure: Dupilumab and alopecia areata DermWorld Insights and Inquiries : Taking it on the shin – part 1 A simplified dermoscopic algorithm for melanoma diagnosis
June 1, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 1, 2022 ... What’s new in adult acne over the last two years? DermWorld Insights and Inquiries : Granulomatous cheilitis — Back to the Future Derm Coding Consult : Cigna’s
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)
Erosive pustular dermatosis of the scalp must no longer be dermatology’s secret
By Warren R. Heymann, MD May 30, 2017 As dermatologists, we get used to discussing disorders that are foreign to other physicians. A typical story would be someone with classic notalgia paresthetica whose primary care physician does not believe that cervical arthritis is responsible for the maddening scapular pruritus. "My
Advocacy Update Dec. 17 2024
IN THIS ISSUE / Dec. 17, 2024 Congress working to partially alleviate 2025 Medicare physician payment cut AADA works with Midwest Business Group on Health to educate employers Dermatology societies address patch testing policy issues AADA presses for iPLEDGE REMS program changes Take action: Comment on USP draft buffered lidocaine
PDF of Autoinflammatory Syndrome with Skin Involvement
sterile Pyoderma gangrenosum, Tetracycline/ Arthritis destroys non-axial [AD] Arthritis acne Isotretinoin
PDF of Teratogenic medications and dermatology
Isotretinoin (Retinoids) Teratogenic. Lapatinib Can cause fetal harm.
August 30, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 30, 2023 ... Does low-dose oral minoxidil improve hair density in traction alopecia? DermWorld Insights and Inquiries : A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma Methotrexate: Drug survival and predicative
Moving in to first place: Antimalarials for treating generalized granuloma annulare
... By Warren R. Heymann, MD March 26, 2017 Localized granuloma annulare. Erythematous annular plaques may be singular (A) or multiple (B). Localized granuloma annulare may also present as papules coalescing into circular plaques (C). ... Credit: ... JAAD At a University of Pennsylvania Duhring Conference years ago, an
PDF of Clinical Pearls on Hidradenitis suppurativa for Winter 2024
Don’t wait, we aim to start patients on isotretinoin before there is Epub 2019 Mar 11.
May 11, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 11, 2022 ... Sexual dysfunction associated with finasteride use in men with androgenetic alopecia DermWorld Insights and Inquiries : Lagging ahead — LAG-3 checkpoint inhibition for advanced melanoma FDA grants
September 12
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 12, 2018 ... CMS continues to tinker with MIPS in 2019 proposal Experimental acne vaccine targets skin bacteria Call for nominations deadline is Oct. 1 Hospitals launch generic drug company
October 31
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 31, 2018 ... Oral antibiotic gets FDA approval for acne Teamwork Hero: Steven Daveluy, MD Are you smarter than DataDerm? ABMS approves Micrographic Dermatologic Surgery subspecialty Trump administration announces plans
November 17, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 17, 2021 ... Intralesional acyclovir for cutaneous warts DermWorld Insights and Inquiries : Biotin supplementation for hair and nail health — Does it pass the test? DermWorld Young Physician Focus
October 14, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 14, 2020 ... OTC scar treatments: What does the evidence say about efficacy? DermWorld Insights and Inquiries : Studying skin aging never gets old — The potential role of oxytocin
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
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
New evaluation and management (E/M) coding changes are coming in 2021 – Practical applications of the 2021 E/M coding changes
Selecting the E/M level of service ... Part 3 of the "E/M coding changes are coming in 2021" series will focus on the practical application of the changes to dermatology-specific encounters based on ... medical decision making (MDM) or ... time . (Review ... part 1 and ... part 2
March 13, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 13, 2024 ... Men with androgenetic alopecia may benefit from platelet-rich plasma DermWorld Insights and Inquiries : Coming clean on chlorhexidine-induced dermatoses Roflumilast for the treatment of seborrheic dermatitis Potential
Not aging like fine wine: The myths and mysteries of acquired port wine stains
By Warren R. Heymann, MD January 13, 2021 Vol. 3, No. 2 Port wine stains (PWS, aka nevus flammeus, nevus simplex, salmon patch) are cutaneous capillary malformations that are characteristically congenital (CPWS) but may be acquired (APWS). APWS was first described in a German publication by Fegeler in 1949, hence
Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum
By Warren R. Heymann, MD April 12, 2018 The front (A1) and back (A2) portions of his upper thigh show signs of severe Erythema Annulare Centrifugum. ... Credit: ... JAAD When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting
Understanding the dermatologic manifestations of COVID-19
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, June 1, 2020 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Esther Freeman, MD, PhD, about the
September 5
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 5, 2018 ... CMS values virtual appointments AMA House of Delegates votes on critical health policy resolutions High drug costs send patients seeking foreign medications FDA approves tretinoin lotion for
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 21, 2020 Vol. 2, No. 42 "Now trending." How often have you seen that phrase when you go online? When it comes to trends in treating acne vulgaris (AV), despite the new addition of oral sarecycline and the release of topical minocycline foam, there
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
PDF of Chemotherapy specific cutaneous reactions
Grade 2/3: Doxycycline and/or low- distributed on the face, scalp, BRAF inhibitors dose systemic isotretinoin
Managing Gen Z patients
Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2023 DermWorld ... talks to Brittany Craiglow, MD, FAAD, from Yale School of Medicine, about tips for managing Gen Z patients — individuals born after 1996. DermWorld: Tell us about your practice. Brittany Craiglow, MD, FAAD ... Dr. Craiglow:
Breaking the terbinafine laboratory habit for onychomycosis
By Warren R. Heymann, MD May 22, 2019 Vol. 1, No. 11 ... Are you a creature of habit when it comes checking laboratory tests for certain prescriptions? I am. I get nervous if the quantiferon TB test is not checked annually for patients on biologics. If my patient is
PDF of Alopecia
papules on occiput Dissecting Follicular hyperkeratosis, Most common in Perifollicular mixed Isotretinoin
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
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
Dermatopathology
Cutting giant congenital nevi down to size molecularly Eosinophilic dermatosis of hematologic malignancy: Reality bites Oy, another "Oid" to worry about: Cryptococcoid lesions Biting my nails worrying about atypical presentations of nail unit melanomas Deep penetrating thoughts about deep penetrating nevi Sophie’s choice: Assessing atypical Spitz tumors in the molecular
Stress^2 + Hormones^2 = Acne^2
By Warren R. Heymann, MD June 5, 2019 Vol. 1, Issue 13 I would wager that every human being has experienced at least one pimple attributed to stress. I recall a devastatingly embarrassing moment during 10th grade world history class at Martin Van Buren High School (Queens, New York), when
The pregnant pause in cutaneous lymphoma
By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12
Definitions for the medical decision-making elements terminology
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, February 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Beginning Jan. 1, 2021, the selection of office
Which treatment modality of pyogenic granuloma is worth its weight in salt?
By Warren R. Heymann, MD, FAAD July 31, 2024 Vol. 6, No. 31 I get palpitations with every pyogenic granuloma (PG) I encounter. Even though the clinical diagnosis is instant, my personal Jiminy Cricket dermatologist reminds me not to miss an amelanotic melanoma, squamous cell carcinoma, or cutaneous metastasis. If
The Venetian antithesis: Treating median canaliform nail dystrophy
By Warren R. Heymann, MD, FAAD Oct. 4, 2023 Vol. 5, No. 40 Tony Bennett may have left his heart in San Francisco, but mine remains in Venice. ... (The editorial staff of DWI&I offer our sincerest condolences to the families of those who perished, and our prayers for recovery
Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP
By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —
Coding for preventive skin examination in 2021 and beyond
To understand the new evaluation and management (E/M) coding guidance, the AAD/A recommends reviewing and applying the coding guidelines holistically. When coding is based on medical decision making (MDM), documentation for the encounter must meet or exceed two of the three elements as described in the ... E/M Office Visit
PDF of Cultural competency 21st century
dermatology, a applying methodologic rigor to assess curricular 54 study analyzing the use of isotretinoin
AAD adopts position statement on sexual and gender minority health
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... At its March meeting, the American Academy of Dermatology’s Board of Directors adopted a ... position statement on sexual and gender minority health . In this interview with ... Dermatology World Weekly , Klint Peebles,
AMA introduces new prolonged service code for 2021
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, January 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Coding based on time ... As previously discussed
Telemedicine in the time of COVID-19...and beyond
How a novel virus disrupted and transformed health care delivery ... Feature ... By Allison Evans, assistant managing editor, July 1, 2021 Since its beginnings in the late 1960s, telemedicine has been relegated to the periphery of the health care system. Rigid rules around patient location and eligible services, interstate
Denied!
Go to AAD Home ... Go to AAD Home ... Menu ... When a Medicare Part D patient is denied treatment, what are the options? ... When a Medicare Part D patient is denied treatment, what are the options? ... By Allison Evans, assistant managing editor An elderly patient
Focus on the FDA
Where do things currently stand on issues that concern dermatologists? ... Feature ... By Emily Margosian, assistant editor, September 1, 2021 Since its founding in 1906 during Theodore Roosevelt’s presidency, what is now known as the U.S. Food and Drug Administration (FDA) has been tasked with protecting America’s public health
A new wrinkle in the diagnosis of cystic fibrosis?
By Warren R. Heymann, MD, FAAD March 23, 2022 Vol. 4, No. 12 Sir, - I have observed that the skin of children with cystic fibrosis wrinkles excessively early when soaked with tap water. The physical sign is highly reliable irrespective of the degree of nutrition of the patient…It is
Coding for office visit evaluation and management (E/M) in 2021 and beyond: Frequently asked questions (FAQs)
The following scenarios of dermatology encounters have been developed by the American Academy of Dermatology Association (AAD/A) coding team. The 2021 office and other outpatient evaluation and management (E/M) coding guidelines were used to determine the appropriate E/M level of service. Dermatology practices are encouraged to use these examples to
DataDerm™: The power of data
Academy members discuss how data from dermatology’s largest clinical data registry is being used to improve patient care and support the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, October 1, 2023 Fact: Physicians are busy. Dermatologists have jam-packed patient schedules, an increase in administrative tasks, and ever-changing
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,
Problematic in pregnancy?
Dermatologists discuss the safety of common dermatologic drugs in pregnant patients. ... Feature ... By Jan Bowers, Contributing Writer, June 1, 2023 Few mourned the end of the FDA’s pregnancy risk letter categories for prescription and biologic drug labeling in 2015. In addition to being an oversimplified distillation of available
Leaders in medicine – Part 2
DermWorld talks to dermatologists in leadership roles in the house of medicine. ... Feature ... By Matthew Walsh, Member Communications Specialist, June 1, 2023 This is the second part of a series of interviews in which ... DermWorld spoke with nine board-certified dermatologists who serve or have served in important
E/M codes: Change is here
What dermatologists need to know about the restructured evaluation and management codes to ensure correct reimbursement ... Feature ... By Allison Evans, assistant managing editor, January 1, 2021 Evaluation and management (E/M) visit codes are by far the most heavily used codes across all specialties. They accounted for about 15%
What's the fuss about fungus?
Dermatologist nail experts discuss the diagnosis and management of onychomycosis as well as increasing resistance to anti-fungal therapies. ... Feature ... By Allison Evans, Assistant Managing Editor, January 1, 2024 Onychomycosis (tinea unguium) represents the highest proportion of nail disorders seen in clinical practice. With long and often unappealing therapeutic
Back in the day...
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... Dermatologists reflect on how the practice of dermatology has changed over the past 40 years ... By Allison Evans, assistant managing editor
Leaders in medicine – Part 1
DermWorld talks to dermatologists in leadership roles in the house of medicine. ... Feature ... By Matthew Walsh, Member Communications Specialist, May 1, 2023 The American Academy of Dermatology is one of hundreds of medical associations in the U.S., each offering opportunities for doctors to assume important leadership positions. Engaged
Practicing during a pandemic
How has COVID-19 impacted dermatologists and their patients? ... Feature ... By Emily Margosian, assistant editor, May 1, 2021 While the ongoing national vaccine rollout has offered a glimmer of light at the end of the tunnel, COVID-19 isn’t over yet. More than a year has passed since the first
PDF of member ethics resources
Prescribing isotretinoin in the United States for transgender individuals: Ethical considerations.
Professionalism and Ethics
Ethics and medicine have been intertwined since the dawn of our profession. From the ancient Hippocratic Oath to the principle of ... primum non nocere to modern-day principlism, medical ethics have evolved over time. ... As public and professional interest in medical ethics increases, it is important for clinicians, researchers,
Q3 2020 PDF of Derm Coding Consult articles
with an exacerbation of severe nodulocystic acne requiring care coordination and initiation of isotretinoin
PDF of resident & fellows abstract
Treatment of acanthosis nigricans with oral isotretinoin. Arch Dermatol 1980;116:110-111. 15.
Derm Rotation Handbook - Resident International Grant
Severe acne: Isotretinoin (RoAccutane) is not currently available but if it becomes available again,
PDF of gross and micro abstract programs
Isotretinoin (150 mg/kg) + prednisone taper was initiated for abruptly worsening facial edema.
PDF of governance handbook
such as the reclassification of tanning beds and the iPledge program for the administration of isotretinoin