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Learning module: Dermatoses in pregnancy

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 specific dermatoses of pregnancy. ... After completing this module, the learner should be able to: ... Identify and describe the

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

Probing pityriasis rosea in pregnancy

By Warren R. Heymann, MD, FAAD January 19, 2022 Vol. 4, No. 3 I have always been captivated by pityriasis rosea (PR). As a second-year medical student, my late brother Andrew (presumably) developed it. I was clueless when he showed me his rash. He immediately told my father that money

June 12, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2024 ... Acne in pregnancy: The safest options DermWorld Insights and Inquiries : CXCR4 antagonist therapy based on a WHIM syndrome Nonsteroidal approaches for treating patients with atopic dermatitis

Treatment options for pregnant women living with eczema and psoriasis

Board-certified dermatologist discusses considerations for pregnant women with common skin conditions NEW ORLEANS (March 17, 2023) — Psoriasis and eczema affect men and women differently, with women needing to take extra precautions when considering treatments if they’re planning for pregnancy. A board-certified dermatologist at the American Academy of Dermatology’s Annual

September 13, 2023

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

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

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

March 20, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 20, 2024 ... Combination imiquimod and 5-FU for treating AKs DermWorld Insights and Inquiries : San Diego AAD musings Talking points: Benzene found in acne care products Safety of dermatologic

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

Full disclosure

From the Editor ... Dr. Schwarzenberger is the physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, June 1, 2023 Many of you know that I am married to an ob-gyn, so treating pregnant patients has always been easy for me. Even in the middle of the night, I

November 13, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / November 13, 2024 ... Risk of pericardial effusions in patients with alopecia on low-dose oral minoxidil DermWorld Insights and Inquiries : The latest dirt on terra firma-forme dermatosis Rate of residual

PDF of Pregnancy dermatoses

boards’ fodder Pregnancy Dermatoses Kelly K.

June

Issue ... June January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Full disclosure What’s hot ... This month’s news from across the specialty Clinical Applications ... 2023 Allergen of the year: Lanolin Feature ... Problematic

May 17, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 17, 2023 ... What topical psoriasis treatments do patients prefer? DermWorld Insights and Inquiries : Leadership succession — Sunrise, sunset FDA extends approval of at-home pregnancy tests under iPLEDGE CDC

January 19, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 19, 2022 ... Finasteride: Topical vs. oral for male androgenetic alopecia DermWorld Insights and Inquiries : Probing pityriasis rosea in pregnancy Derm Coding Consult : Dermatology benign, premalignant, and malignant

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

Vascular Ehlers-Danlos syndrome: From rupture to rapture?

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

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

How to make melasma less noticeable

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

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

This month’s news from across the specialty

What’s hot ... April 1, 2023 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD The American Academy of Pediatrics (AAP) has released updated guidance on the diagnosis and management of head lice (

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

IL-36 and generalized pustular psoriasis: L’chaim!

By Warren R. Heymann, MD, FAAD March 9, 2022 Vol. 4, No. 10 In 1910, Leo Ritter von Zumbusch meticulously detailed the clinical course of "psoriasis pustulosa generalisata" (referred to herein as generalized pustular psoriasis, GPP) in a brother and sister, pondering if this was a variant of psoriasis or

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

PDF of Teratogenic medications and dermatology

Use during pregnancy is associated with increased risks of first-trimester pregnancy loss and congenital

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

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

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

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

PDF of Supplementary tables for treating psoriasis patients with systemic non-biologics

test • Hepatitis B and of therapy LFT LFT if indicated C and TB • Pregnancy test • LFT, CBC with

A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo

... By Warren R. Heymann, MD April 17, 2019 Vol. 1, No. 6 ... Vitiligo affects approximately 1% of the worldwide population of all racial/ethnic groups, equally affecting male and female patients. As neither immune nor non-immune mechanisms in isolation can sufficiently explain all parts of this complex disease,

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

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

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

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

Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis

By Warren R. Heymann, MD April 26, 2018 ... Pemphigoid gestationis in 34-year-old primigravida at 28 weeks gestation. A, Urticated erythema with multiple tense blisters on both thighs. B, Histopathologic findings reveal subepidermal blister formation with abundant eosinophils, accompanied by superficial and middermal perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin stain; original magnification:

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

April 17

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2019 ... Having trouble accessing compounded quinacrine tablets? Here’s why. DW Insights and Inquiries : A ‘pregnant pause’ is necessary before concluding on the obstetric risk of vitiligo Lessons

Bridging the digital divide during the COVID-19 pandemic and beyond

Innovative telehealth—including text messaging and video appointments—helps a patient with severe acne access safe, effective care. ... Alana's story ... Alana Nicholas, patient ... Like many, my skin started breaking out during my teenage years once I hit puberty. The physical effects of the deep, painful cysts that appeared on

PDF of Clinical guideline flowchart for treating psoriasis patients using systemic non-biologics

criteria: BSA > 10% Disease involving special areas Assess hist ory and physical exam inat ion* , pregnancy

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,

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

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

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

Boards Fodder: Medical dermatology

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

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

The rosy reality of coffee

Ronnie and me enjoying our rosacea prevention tour of Madrid in 2012 ... By Warren R. Heymann, MD Nov. 5, 2018 To paraphrase Justice Kavanaugh, I loved coffee. I still love coffee. I have probably been drinking coffee since my time in utero. My mother was a coffee addict; she

October 18, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 18, 2023 ... Risk factors for subsequent primary melanoma in patients with previous melanoma DermWorld Insights and Inquiries : Wolf’s isotopic response — Where and when Derm Coding Consult :

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

What dermatology practices need to know about laws protecting pregnant and lactating employees

Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, DC, and serves as legal counsel for the AAD and AADA. ... By Ben Tesdahl, JD, LLM, Jason Qu, JD, and Rob Portman, JD, MPP, September 1, 2024 Every

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?

January 2016 Dialogues in Dermatology Issue

Identify dermatoses that present during pregnancy. ... CME credit is only available to purchasers.

Tailor-made care

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

April 24, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 24, 2024 ... False negatives: How biotin can interfere with lab tests DermWorld Insights and Inquiries : Dermatofibrosarcoma protuberans recurrence — Size matters Risk of paradoxical eczema in patients receiving

PDF of Herbal supplements in dermatology

University of Oklahoma Feverfew Tanacetum (Chrysanthemum) Anti-inflammatory Contraindicated during pregnancy

PDF of 2015 revisions to iPLEDGE.

There is an extremely high risk that severe birth defects will result if pregnancy occurs while taking

January 2016 Dialogues in Dermatology Issue

Identify dermatoses that present during pregnancy. ... CME credit is only available to purchasers.

Your Dermatologist Knows sees more strong performance on social media

Since the Your Dermatologist Knows consumer positioning strategy launch in October of 2022, the Academy’s social media accounts have seen staggering levels of engagement, broadcasting to millions that only a board-certified dermatologist has the experience and expertise necessary to treat skin, hair, and nails. ... The strategy involves a robust

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

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

By Warren R. Heymann, MD, FAAD Dec. 4, 2024 Vol. 6, No. 48 Patients often ask me, "Doctor, is my disease rare?" I’m never quite sure how to respond — while most patients are relieved to know that they are not alone ("misery loves company"), some relish the experience of

PDF of bullous disease

Usually in 4th to Mucosa spared IF: Linear C3 at Edema of dermal 7th month of Tense Bulla BMZ papilla pregnancy

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

Predicting malignancies in Sweet syndrome has become sweeter

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

PDF of Phototherapy

cm2 in Type ritus; photoaging; Contraindicated urticaria VI. 2-4 treatments per carcinogenesis in pregnancy

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

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

Young Physician Focus: March 2023

Putting the proper safeguards into place ... By Bridget McIlwee, DO, FAAD,  ... DermWorld  young physician advisor ... This month’s ... DermWorld article " ... Estate planning 101 " is especially important for young physicians to read. The long, all-consuming years between adolescence and physicianhood can become a blur —

Melanoma clinical guideline

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

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

PDF of Nutritional diseases

cephalosporins, salicylates malabsorption; biliary disease, inhibit Vit K epoxide reductase cholestasis of pregnancy

PDF of Infestations: scabies and pediculosis

burrows delta-wing jet months of age Transmission - Higher involving web spaces, sign • Safe in pregnancy

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

Talking to patients about sexually transmitted infections

Dermatologists discuss interview techniques for taking a sexual history and screening for sexually transmitted infections. ... Feature ... By Emily Margosian, Assistant Editor, January 1, 2023 Historically, dermatologists have played a key role in the diagnosis and treatment of sexually transmitted infections (STIs), many of which have skin involvement. What

April 1, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 1, 2020 ... What to do with iPLEDGE patients during COVID-19 DW Insights and Inquiries : Knuckling down on knuckle pads Medicare offers physicians advance payments to address COVID-19 cash-flow

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 claims specs for MIPS 128

receiving palliative or hospice care OR Denominator Exclusion: G9997: Documentation of patient pregnancy

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

Oral minoxidil: A new use for an old drug?

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, September 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Antonella Tosti, MD, about

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

Atopic dermatitis: Up in smoke!

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

PS-Vitamin D

Recommended Dietary Allowance \(RDAs\ for Vitamin D22 Age Male Female Pregnancy Lactation 0-12 Months

PDF of Boards Fodder on Dermatofibrosarcoma protuberans

plaques or nodules that feel firmly attached to subcutaneous tissue ● May also grow rapidly during pregnancy

PDF of non-syndromic ichthyoses

carriers) ∗ Prolonged labor secondary to placental sulfatase deficiency ∗ Decreased serum estriol in pregnancy

Direct-to-consumer telemedicine websites: Caveat emptor, a prediction, and proposal

By Warren R. Heymann, MD ... July 17, 2016 ... Two weeks ago, I experienced pain extending from my right groin to my buttock to the degree that I almost could not bear weight. I felt as though I was 90, and if anyone saw my gait, they would have

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

Key messages for social media about hair loss

Hair loss ... Many conditions and diseases can result in hair loss, as can improper hair care. ... The most common cause of hair loss is hereditary thinning or baldness, also known as androgenetic alopecia. ... 1 ... This condition affects an estimated 80 million Americans — 50 million men

Resorcinol’s resourcefulness in hidradenitis suppurativa

By Warren R. Heymann, MD, FAAD March 22, 2023 Vol. 5, No. 12 Management of hidradenitis suppurativa (HS) is challenging, including medical and surgical approaches, which are often combined for best outcomes. Lifestyle changes, pain management, and emotional/psychiatric issues must be addressed. Therapeutic approaches include the use of topical therapies

August 21, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 21, 2024 ... Botulinum toxin in males with androgenetic alopecia DermWorld Insights and Inquiries : AESOP — The ants and the grasshopper FDA approves nemolizumab for prurigo nodularis 2025 Medicare

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

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

Malassezia folliculitis: Simultaneously seen and invisible

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

Parvovirus infections: What’s relevant?

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

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)

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

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)

PDF of Direct immunofluorescence patterns

BPAG2 & eosinophils Pattern along the BMZ - BP of Pregnancy=HG BPAG1 with C3 > IgG Herpes Gestationis

October 19, 2022

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

February 16, 2022

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

PDF of psoriasis clinical pathways

Goeckerman therapy) Tazarot ene Therapy Topical Salicylic Acid Is t he pat ient pregnant or considering pregnancy

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

Considering palmar erythema requires memory (and lane)

By Warren R. Heymann, MD Oct. 26, 2017 ... Bilateral palmar erythema with scattered purplish telangiectasias. ... Credit: ... JAAD I cannot imagine how many patients I have seen with palmar erythema (PE) during my career. It is usually asymptomatic, and when present, is often in the context of a

This month’s news from across the specialty

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

Skin of color

Skin of color ... Conditions affecting skin pigmentation, including melasma and hyperpigmentation, are common in patients with skin of color. ... People with skin of color can get skin cancer, so it’s important for them to regularly perform skin self-exams to detect the disease early, when it’s most treatable. ...

PDF of boards fodder neutrophilic dermatoses

SLE) of the dorsal hands: vari- infiltration of neu- ant with erythematous- trophils and histio- Pregnancy

The profound dermatological manifestations of COVID-19: Part III

By Warren R. Heymann, MD April 8, 2020 Vol. 2, No. 14 Disclaimers: This commentary was written on April 5, 2020 for a publication date of April 8, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer

Can dermatology employers require employees to receive the COVID-19 vaccine?

Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, DC, and serves as legal counsel for the AAD and AADA. ... By Ben Tesdahl, JD, LL.M, Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, April 1,

PDF of Boards Fodder Local anesthesia

Reduces uterine blood flow in vasodilatory effects of most local Systemic absorption of anesthetics, pregnancy

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

Family and Medical Leave Act of 1993

Legally Speaking ... Clifford Warren Lober, MD, JD, presents legal dilemmas in dermatology every other month. He is a dermatologist in practice in Florida and a partner in the law firm Lober, Brown, and Lober. ... By Clifford Warren Lober, MD, JD, February 1, 2019 Question: My office manager is

Striae due to bartonella is a stretch

By Warren R. Heymann, MD May 1, 2018 ... A, Localized striae distensae on the left upper limb (flexor aspect). B, Clinical improvement 9 weeks after treatment. ... Credit: ... JAAD I met a woman in her early 20’s who is being treated for chronic Lyme disease and Bartonella infections

Cosmetic surgery

Cosmetic surgery ... The American Academy of Dermatology urges patients considering cosmetic surgery to choose a board-certified physician. Board-certified dermatologists have expertise in the medical, surgical, and cosmetic treatment of skin, hair, and nails. ... While nonphysicians performing cosmetic procedures in spas, shopping malls, and walk-in clinics may offer convenience,

PDF of urticaria guidelines for comment

, at least before the pregnancy was confirmed.

Itching to prescribe the right treatment for scabies: Topical permethrin or oral ivermectin?

By Warren R. Heymann, MD ... Feb. 1, 2018 ... Scabies burrow via high-resolution digital photography (4 megapixels). ... Credit: ... JAAD Three weeks after confirming the diagnosis of crusted scabies on an HIV-positive patient, I started to scratch while driving in the parking lot at Cooper University Hospital.

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

Naltrexone therapy for Hailey-Hailey disease: Confirming my addiction to evidence-based medicine

By Warren R. Heymann, MD Aug. 28, 2017 Hailey-Hailey disease. Patient 1: erythematous-crusted plaques on the lower midback before radiation treatment. ... Credit: ... JAAD I was fascinated by a presentation at the recent World Congress of Pediatric Dermatology discussing improvement of epidermolysis bullosa wounds with topical CBD (cannabis) oil.

This month's news from across the specialty

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

It's time for a CLIA refresher!

In Practice ... Faiza Wasif, MPH, is the AAD's practice management manager. Her column offers tips on an area she commonly receives questions about from members. ... By Faiza Wasif, MPH, August 1, 2019 What comes to mind when you hear CLIA? Probably that it’s just another burdensome federal regulation

Key messages for social media about nails and nail health

Nails ... Our nails often reflect our general state of health. Changes in the nail, such as discoloration or thickening, can signal health problems, including liver and kidney disease, heart and lung conditions, anemia, and diabetes. ... Symptoms that could signal nail problems include changes in color, shape and/or thickness,

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

March 24, 2021

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

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?

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

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

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,

Time to reassess messing around with steroids and psoriasis

By Warren R. Heymann, MD March 3, 2021 Vol. 3, No. 9 You don't tug on Superman ’ ... s cape You don't spit into the wind You don't pull the mask off that old Lone Ranger And you don't mess around with Jim If the late Jim Croce was

Life is just a bowl of cherry angiomas

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

PDF of Panniculitis

seminated with Characteristic final stages of evo- condition results in EN involvement of Estrogen (Pregnancy

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,

2019 World Congress Fund Poster Abstract eBook

, Manila Central University-FDT Argentina Medical Foundation, Philippines Lucio´s Phenomenon in Pregnancy

PDF of Update in melanoma theories

expertise Immune Checkpoint Inhibitors CTLA-4 IV Human monoclonal Metastatic Autoimmune toxicities/ Pregnancy

Biotin supplementation for hair and nail health: Does it pass the test?

By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,

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

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

PDF of Hypertrichosis

Fetal alcohol syndorme: during any point in pregnancy.

Conduct at AAD/A Meetings and other AAD/A Activities

conduct, displayed in person or virtually, that is based on race, color, religion, sex (including pregnancy

AAD Code of Conduct at AAD/A Meetings and other AAD/A Activities

conduct, displayed in person or virtually, that is based on race, color, religion, sex (including pregnancy

Board Governance Policy: Conduct at AAD/A meetings and other AAD/A activities (Revised 3/20/21)

conduct, displayed in person or virtually, that is based on race, color, religion, sex (including pregnancy

AAD Innovation Academy meeting policies code of conduct

DEFINITIONS: Harassment – Unwelcome conduct that is based on race, color, religion, sex (including pregnancy

Directions in Residency archive

Download PDF versions of each issue ... 2024 Fall (PDF) ... Feature: Tackling special site biopsies – what residents need to know by Paloma Madrigal, MD, Amylee Martin, MD, and Ashley Elsensohn, MD, MPH, FAAD ... Race for the Case: Fall 2024 by Chiara Rosenbaum, DO, MS ... Boards Fodder:

Psoriasis clinical guideline

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

Telangiectasias: When is it TEMPI time?

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

GP - Conduct at AAD-A Meetings and other AAD-A Activities

conduct, displayed in person or virtually, that is based on race, color, religion, sex \(including pregnancy

PDF of DIR spring 2021

burrows delta-wing jet months of age Transmission - Higher involving web spaces, sign • Safe in pregnancy

Periocular hypopigmentation of the elderly: A new POTUS dermatosis?

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

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

Key messaging in social media about acne

Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. ... 1 ... Acne often causes significant physical and psychological problems, such as permanent scarring, poor self-image, depression and anxiety. ... 1-2 ... See a board-certified dermatologist for the successful

PDF of Vascular malformations

violaceous vascular network with focal neurologic and ophthalmologic complications worsen with puberty, pregnancy

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 ICD-10 quick coder

Dermatology ICD-10 Quick Coder April 12, 2024 Page 3 of 3 L29.2 vulvae O87# (all pregnancy

Managing melasma

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

The changing face of care

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

Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease

By Warren R. Heymann, MD, FAAD Nov. 1, 2023 Vol. 5, No. 44 Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are potentially life-threatening disorders demanding aggressive therapy with all the finesse and skill that dermatologists can muster. PV is characterized by IgG autoantibodies targeting desmoglein (Dsg)‐3, which is associated with

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 claims specs for MIPS 317

Hypertension is the most common reason for adult office visits other than pregnancy.

PDF of MDM terminology guidance

platelet; CMP; Chest X-ray; LDH level when ordered as a single test; CT scan; MRI, Lipid panel; Pregnancy

Derm Rotation Handbook - Resident International Grant

Premarital sex and teen pregnancy are fairly normal.

PDF of DIR Summer 2022

plaques or nodules that feel firmly attached to subcuta- neous tissue ● May also grow rapidly during pregnancy

PDF of proposed guidelines on AD and phototherapy

342 for abrocitinib, 12 weeks for upadacitinib); testing for viral hepatitis, tuberculosis, and pregnancy

World Congress Fund Poster Abstract eBook

Initially was a product of a full-term pregnancy with no pathological skin reported.

PDF of draft guideline on AD topical therapies

life data, as well as 544 long term follow up, and use in special and diverse populations (e.g. pregnancy

PDF of gross and micro abstract programs

whorl-like pigmentary lesions, nail dystrophy, ocular and dental involvement, hair changes, risk of pregnancy