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Topical tacrolimus topics
By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors
Toxicity of topical timolol for infantile hemangiomas in preterm infants: Size matters
By Warren R. Heymann, MD Aug. 13, 2016 I have been using topical timolol (0.5% gel) for the past few years for infants with infantile hemangiomas (IH) with reasonable success, but I am always nervous about prescribing it, as data on the degree of topical absorption remains to be defined.
Dyeing for a “new” topical agent for psoriasis? Think indigo
By Warren R. Heymann, MD April 9, 2018 Despite the magnificent revolution of biologics for psoriasis, topical agents remain the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments. Patients clamor for "natural" products and are increasingly steroid phobic (please see "Countering Corticophobia with Assistance from
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
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
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
An appealing step closer to targeted topical therapies
By Warren R. Heymann, MD, FAAD April 5, 2023 Vol. 5, No. 14 Although advances in molecular genetics have revolutionized our understanding of the pathogenesis of disease, the road to developing topical therapies based on these discoveries is in its infancy. ... Healthy maintenance of our stratum corneum is essential
Nanotechnology for topical cyclosporine: Not a small matter
By Warren R. Heymann, MD July 19, 2016 Taken at face value, the study by Kumar et al, demonstrating the efficacy of topical cyclosporine for psoriasis, utilizing liposomal nanocarriers (lipogel), might elicit a shrug, because in this randomized study, at 14 weeks, complete clearance of psoriasis was observed in 41%
DI&I encore: Better than a back scratcher?
By Warren R. Heymann, MD March 30, 2017 The potential toxicity of the combination of topical ketamine/amitriptyline/lidocaine (TKAL) was discussed in a recent entry detailing the encephalopathic findings in an octogenarian Parkinsonian man with atopic dermatitis who was treated with the compound. I concluded: "As our therapeutic options for recalcitrant
Changing a long-standing habit
By Warren R. Heymann, MD April 16, 2016 Topical corticosteroid has no influence has no influence on inflammation or efficacy after ingenol mebutate treatment of grade I to III actinic keratosis (AK): A randomized clinical trial. ... This is a randomized controlled clinical trial of patients with multiple AK and
Colorado Medicaid now covers vitiligo treatment
The Colorado Drug Utilization Review Board agreed with the AADA and classified vitiligo as a medical condition. ... Precedent exists for treating vitiligo as a medical condition. In 2022, the FDA approved topical ruxolitinib for regimentation of non-segmental vitiligo in patients ages 12 or older. ... As a result of
Thyroid hormone, mitochondria, photoaging and April 7, 2017
By Warren R. Heymann, MD Sept. 24, 2016 On April 7, 1997 I filed a patent entitled "Method for the treatment of dry skin," utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017. ... Some of you
American Academy of Dermatology issues updated guidelines for the management of atopic dermatitis in adults with topical therapies
Both well-established and newer topical treatments addressed ROSEMONT, Ill. (January 11, 2023) — Often called eczema or atopic eczema, atopic dermatitis is a common skin condition, affecting 1 in 10 Americans. Although atopic dermatitis occurs most frequently in children, it also affects adults and can have a significant impact on
January 25, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 25, 2023 ... Is topical spironolactone effective for acne? DermWorld Insights and Inquiries : The ironclad promise of ferroptosis Topical lidocaine-prilocaine vs. ice packs for laser hair removal Efficacy of
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
April 23, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness
Learning module: Dermatologic therapies
Goals and objectives ... The purpose of this module is to help medical students gain familiarity with common dermatologic treatments. ... After completing this module, the learner should be able to: ... Estimate the amount of topical medication needed for therapy based on frequency of application and body surface area
Increasing evidence for the use of topical timolol for pyogenic granulomas
By Warren R. Heymann, MD May 16, 2016 There are multiple approaches to treating pyogenic granulomas (PGs). If possible, I usually perform a shave biopsy and electrodesiccate the base of the lesion. Certainly there are times when that approach may not be optimal, such as a PG the face of
January 29, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 29, 2025 ... Female pattern hair loss: Topical 17α-ethinyl estradiol with minoxidil vs. topical minoxidil DermWorld Insights and Inquiries : Necrotizing infundibular crystalline folliculitis — Not yet crystal clear Treatment
October 9, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 9, 2019 ... Topical calcineurin inhibitors vs. topical corticosteroids for vitiligo DW Insights and Inquiries : Glucose monitors — Not as sweet as they seem American Board of Dermatology announces
January 8, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 8, 2025 ... Topical finasteride with minoxidil vs. topical minoxidil alone for male-pattern androgenic alopecia DermWorld Insights and Inquiries : The treatment of systemic juvenile xanthogranulomas matures Academy mourns the
Countering corticophobia
By Warren R. Heymann, MD Oct. 19, 2017 "I don’t want to use steroids on my baby! I’m really afraid of the side effects! I see what they’ve done to athletes. Can’t you prescribe something natural?" ... I am amazed people think that applying 2.5% hydrocortisone cream can pump up
August 20, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 20, 2025 ... Oral vs. topical finasteride: Sexual, neuropsychiatric AEs DermWorld Insights and Inquiries : Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma Are topical
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
Calcineurin inhibitors under occlusion – I could’ve had a V8!
By Warren R. Heymann, MD June 6, 2017 I have used topical steroids under occlusion for as long I have been in dermatology. What a fabulous maneuver this is for difficult to treat dermatoses such as lichen simplex chronicus, recalcitrant psoriasis, or hypertrophic lichen planus, etc. I recommend Saran wrap
We’ve got new AK guidelines with CME credit
The AAD recently released a course to help members implement new guidelines of care for the management of actinic keratosis (AK). The on-demand, online learning will help you: ... Identify the appropriate background assessments needed before starting topical, cryosurgery, photodynamic, or combination therapy for adult actinic keratosis. ... Recognize the
June 5, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 5, 2024 ... Oral minoxidil vs. topical minoxidil for male androgenetic alopecia DermWorld Insights and Inquiries : Nailing the diagnosis of the BAP1 tumor predisposition syndrome Clotrimazole-betamethasone dipropionate for nonfungal
August 11, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 11, 2021 ... Topical tofacitinib for alopecia areata affecting facial hair DermWorld Insights and Inquiries : Monitoring infantile hemangiomas — What’s the score? Is there an effective treatment for skin
July 27, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 27, 2022 ... Facial hyperhidrosis: Botulinum toxin A injection vs. topical glycopyrrolate DermWorld Insights and Inquiries : JAKne is on the horizon Dupilumab for chronic prurigo, chronic idiopathic pruritus Safety
August 19, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 19, 2020 ... Does topical tacrolimus for AD increase cancer incidence in children? Study says ‘no.’ DW Insights and Inquiries: Juvenile lichen sclerosus — A loss of innocence Derm Coding
I’ll have a necrobiotic xanthogranuloma to go – with mustard!
By Warren R. Heymann, MD May 11, 2016 Mechlorethamine has been used for decades to treat cutaneous T cell lymphoma. Rodriguez et al utilized 0.01% topical nitrogen mustard to treat a 60+ year-old man with biopsy-proven NXG with paraproteinemia (IgG-κ), without myeloma. He had 20% body surface area involvement, including
Aha! The iodide paradox now makes sense!
By Warren R. Heymann, MD Oct. 1, 2018 Dermatitis herpetiformis. Grouped papulovesicles with excoriations on the extensor surface of the shoulder. ... Credit: ... JAAD In the pre-direct immunofluorescence days of yore (before my time in dermatology), the exacerbation of dermatitis herpetiformis (DH) by oral or topical iodides could be
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.
May 28, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 28, 2025 ... Efficacy of combination topical finasteride and minoxidil in male androgenetic alopecia DermWorld Insights and Inquiries : Loss and legacy — A tribute to Robert F. Duffy, MD
February 26, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 26, 2025 ... 5-FU in patients with squamous cell carcinoma in situ DermWorld Insights and Inquiries : Living with trimethylaminuria — Research awaiting the smell of success Do topical corticosteroids
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
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
February 5, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 5, 2025 ... PRP, microneedling, and topical minoxidil for refractory severe androgenetic alopecia DermWorld Insights and Inquiries : Clinical and therapeutic judgment regarding confluent and reticulated papillomatosis of Gougerot and
Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon
By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive
March 6, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 6, 2024 ... Benzyl benzoate vs. permethrin in treating scabies DermWorld Insights and Inquiries : Hemochromatosis — Beyond 50 shades of gray Oral acitretin plus topical triamcinolone vs. topical triamcinolone
April 2, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 2, 2025 ... Oral vs. topical minoxidil in patients with androgenetic alopecia DermWorld Insights and Inquiries : Becoming ‘sensitized’ to the clinical utility of the term "urticarial dermatitis" (a subtype
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. ...
March 15, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 8, 2023 ... Topical cetirizine with minoxidil vs. minoxidil in androgenetic alopecia DermWorld Insights and Inquiries : A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus DermWorld Young Physician Focus
February 14, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 14, 2024 ... Topical tofacitinib for lichen planopilaris, frontal fibrosing alopecia DermWorld Insights and Inquiries : Caveat mTOR revisited — Neurofibromatosis Risk factors for development of tinea pedis, onychomycosis Mpox
February 7, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 7, 2024 ... Androgenetic alopecia: topical minoxidil vs. low-dose oral minoxidil DermWorld Insights and Inquiries : Short anagen syndrome — The long and short of it Skin cancer incidence in
January 4, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 4, 2023 ... Frontal fibrosing alopecia, sunscreen, and actinic damage DermWorld Insights and Inquiries: Sniffing out the meaning of perialar intertrigo Topical eye medications causing allergic contact dermatitis Achieving an
December 18, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 18, 2024 ... Combined topical 5-FU and calcipotriene for superficial keratinocyte carcinomas DermWorld Insights and Inquiries : Holiday greeting 2025 FDA approves tapinarof cream for atopic dermatitis Upadacitinib vs. dupilumab
February 1, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 1, 2023 ... Are topical AK treatments associated with increased risk of SCC? DermWorld Insights and Inquiries : A seasoned approach to treating the ‘salt and pepper’ dyspigmentation of systemic
Taking psoriasis by the throat
By Warren R. Heymann, MD Nov. 2, 2016 Once the transient satisfaction of explaining the association of streptococcal infections with psoriasis (guttate, vulgaris, or pustulosis palmaris et plantaris) passes, the reality of treatment must be addressed. Of course we’ll prescribe the usual regimens — topical steroids, phototherapy, retinoids, biologics, etc.,
CMS creates permanent drug code for treating molluscum contagiosum
CMS has created a permanent drug code, J7354, for cantharidin, a drug used to treat molluscum contagiosum in adult and pediatric patients 2 years and older. The new J-code became effective on April 1, 2024. ... Cantharidin is the first ... FDA-approved topical treatment for molluscum contagiosum. The manufacturer provides
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
June 27
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 27, 2018 ... FDA does not approve topical psoriasis treatment Medicare to limit reimbursement for aminolevulinic acid HCI, 10% Senators urge FDA to examine drug shortages Sen. Schumer works to
Is there evidence to suggest a true remittive effect of JAK inhibitors for atopic dermatitis?
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, April 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Jonathan Silverberg, MD, PhD, MPH, about
September 4
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 4, 2019 ... New Drug Application submitted for rosacea topical treatment DW Insights and Inquiries : Parabens — A common allergen with lots of hype and no real harm Feedback
What is the path forward for treating children with severe atopic dermatitis with dupilumab?
Clinical Applications ... Dr. Schwarzenberger is the physician editor of ... DermWorld . She interviews the author of a recent study each month. ... By Kathryn Schwarzenberger, MD, March 1, 2021 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, talks with Amy Paller, MD, about her recent
July 18
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JULY 18, 2018 ... FDA approves first topical hyperhidrosis treatment CMS proposes major E/M changes, modifier 25 payment reduction: What’s next? Survey indicates residents lack confidence in coding, billing skills ‘Gag
You’ll want these new, updated acne guidelines from JAAD
As part of its commitment to promote dermatologic research and ensure the highest-quality patient care, the Academy published updated guidelines of care for the management of acne vulgaris on Jan. 30. ... The new guidelines make 18 evidence-based recommendations for topical therapies, systemic therapies, and good clinical practices. ... Read
Patient advocate resources
Academy advocacy & patient education resources ... Advocacy priorities ... Online public education on diseases and conditions Prior authorization patient resources Drug pricing and availability Step therapy legislation Patient power ... Read the ... DermWorld feature ... Patient Power: Technology amplifies the patient voice in advocacy groups . ...
June 26, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 26, 2024 ... Finasteride vs. minoxidil for female pattern hair loss DermWorld Insights and Inquiries : Pathway to reducing medical errors Cutaneous drug reactions to psychedelics and hallucinogens Trichophyton indotineae
April 30, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 30, 2025 Efficacy of spironolactone in treating patients with acne DermWorld Insights and Inquiries : A tale of two disorders of hypopigmentation — The potential role of Cutibacterium acnes dysbiosis
December 4, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 4, 2024 ... What’s the best treatment for squamous cell carcinoma in situ? DermWorld Insights and Inquiries : Darier disease is rough clinically and therapeutically. MEK inhibition may offer a
Atopic dermatitis clinical guideline by American Academy of Dermatology
Atopic dermatitis (AD) is a chronic, pruritic inflammatory skin disease that occurs most frequently in children but also affects many adults. The Academy is publishing a series of updates to the AD guidelines, originally published in 2014. You can see these updates below, or continue past them for the original guidelines.
March 30, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 30, 2022 ... The rankings are in: Minoxidil, finasteride, and dutasteride for male androgenetic alopecia DermWorld Insights and Inquiries : Bowel-associated dermatosis-arthritis syndrome (BADAS) — The story behind the acronym
February 2, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 2, 2022 ... A high-fiber diet may affect immunotherapy response for melanoma patients DermWorld Insights and Inquiries : An old dog with a new trick — High dose intralesional steroids
Teatime for radiation dermatitis (and beyond)
By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a
June 9, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 9, 2021 ... Merkel cell carcinoma survival by anatomic site DermWorld Insights and Inquiries: Insult to injury — COVID-19-associated mucormycosis Microneedling with topical therapies for melasma Photosensitivity reaction from benzodiazepines
January 18, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 18, 2023 ... Have cutaneous manifestations of COVID-19 changed during Delta, Omicron waves? DermWorld Insights and Inquiries : Complications of silicone injections – persistence, stigma, and treatment AAD releases updated
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
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
February 28, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 28, 2024 ... Ciclosporin vs. methotrexate for young patients with atopic dermatitis DermWorld Insights and Inquiries : Taming toxic erythema of chemotherapy with high-dose vitamin D Moisturizing cream with 20%
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
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
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)
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
March 27, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 27, 2024 ... Spironolactone: Risk of breast, gynecologic malignancies? DermWorld Insights and Inquiries : Always another worry for patients with hidradenitis suppurativa — Amyloid A amyloidosis FDA approves spesolimab for
Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying
By Warren R. Heymann, MD April 12, 2017 In the entry "Atrophic Tinea Versicolor: More Than a Mirage" (April 22, 2016), I learned that the atrophic appearance of some cases of tinea versicolor is not just an optical illusion. The case of a 35-year-old man with depressed brown lesions on
May 18, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 18, 2022 ... Abrocitinib efficacy after switching from dupilumab DermWorld Insights and Inquiries : Coming to grips with lymphocytic thrombophilic arteritis DermWorld Young Physician Focus : Protecting dermatologic scope of
December 16, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 16, 2020 ... What are risk factors for frontal fibrosing alopecia? DermWorld Insights and Inquiries : We’re in hot water! Vibrio vulnificus infections are heading north. Vaccine distribution begins: When
April 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
March 11, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 11, 2020 ... A guide to managing coronavirus in dermatology clinics DW Insights and Inquiries : The 2020 vision for nemolizumab in atopic dermatitis Feedback requested: AAD/NPF draft guidelines for
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
September 29, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 29, 2021 ... Is HPV vaccination associated with clearance of common warts? DermWorld Insights and Inquiries : Positively perplexing — Determining the meaning of CD30 positivity FDA proposes new guidance
August 26, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 26, 2020 ... Navigating immunosuppression during a pandemic: A guide for the dermatologist DW Insights and Inquiries : Topical tacrolimus topics Derm Coding Consult : Proposed Medicare fee schedule includes
January 15, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 15, 2025 ... Tretinoin vs. other topical therapies for photoaging DermWorld Insights and Inquiries : Dupilumab treatment of bullous pemphigoid — Hoping for approval on the double DermWorld Coding Consult:
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 15, 2023 ... Platelet-rich plasma vs. minoxidil in androgenetic alopecia treatment DermWorld Insights and Inquiries : The woolly culprit — Lanolin revealed as an uncommon cause of dermatitis on normal
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
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
August 12, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 12, 2020 ... Treating trichotillomania: Beyond antidepressants DW Insights and Inquiries : Mogamulizumab for CTCL — Targeted therapy and immunotherapy crossing paths 2021 Medicare fee schedule rewards cognitive work, but
What's hot?
What's hot ... July 25, 2019 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... In a recent study published in the ... Journal of the American Medical Association , investigators at
March 3, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 3, 2021 ... The latest on the association between diet and acne DermWorld Insights and Inquiries : Time to reassess messing around with steroids and psoriasis Is intralesional 5-FU effective
Shedding light on treatments for female pattern hair loss
Dermatologist hair experts discuss the efficacy and safety considerations of off-label treatments for female pattern hair loss. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2025 A female patient presents with thinning hair and a reduction in hair density at the top of the scalp. Is it
Components of evaluation and management
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, May 1, 2018 Test your knowledge: Components of evaluation and management ... Take the quiz to see if you're
Warts and all
Remedies for warts abound, but high-quality studies are lacking. ... Feature ... By Jan Bowers, contributing writer, March 1, 2021 Warts, one of the most common skin disorders worldwide, can be easy to treat or maddeningly difficult. Although warts can resolve spontaneously, others readily respond to over-the-counter treatments such as
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
May 12, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 12, 2021 ... Telogen effluvium diagnosis during the COVID-19 pandemic DermWorld Insights and Inquiries : For patients with erythropoietic protoporphyria the tide has come in Derm Coding Consult : How
December 11, 2019
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 11, 2019 ... Physician depression increases medical errors…increasing depression DW Insights and Inquiries: Topical retinoid therapy for acanthosis nigricans — in the thick of it MIPS: What you need to
October 21, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 21, 2020 ... Can medical scribes boost physician profits? DermWorld Insights and Inquiries : Can topical ketoconazole tip the scales for acne vulgaris? Providing equitable dermatologic care for people with
Learning module: The red face
Goals and objectives for module ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients presenting with facial redness. ... After completing this module, the learner should be able to: ... Differentiate red rashes on the face
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
What's hot?
What's hot ... March 27, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... Alopecia areata is frustrating to patients, parents, and practitioners, all of whom may be left with unsatisfactory
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
Coming full circle (almost): Low dose oral minoxidil for alopecia
By Warren R. Heymann, MD, FAAD January 5, 2022 Vol. 4, No. 1 I presume that virtually every dermatologist reading this commentary has recommended topical minoxidil (TM) for their patients with androgenetic alopecia (AGA) and other alopecias (telogen effluvium, alopecia areata [AA], hair shaft abnormalities, and eyebrow hypotrichosis). I recall
Learning module: Acne and rosacea
Goals and objectives ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients who present with acne and/or rosacea. ... After completing this module, the learner should be able to: ... Identify and describe the morphology of
July 20, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 20, 2022 ... FDA approves first vitiligo treatment for skin repigmentation DermWorld Insights and Inquiries : A single case report has the potential to change the world — Could JAK
Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod
By Warren Heymann, MD June 2, 2021 Vol. 3, No. 22 Most astute medical dermatologists are aware of drug-induced pemphigus, but many (including myself) may not be as familiar with topical medications being the responsible culprits. This commentary will focus on imiquimod-induced pemphigus and pemphigus-like eruptions (PLE). ... My curiosity
Skin conditions by the numbers
Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A
July 22, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 22, 2020 ... AK draft guidelines released: Submit your comments DW Insights and Inquiries : Why you should hear about the red ear syndrome Proposed 2021 Medicare changes: What should
Learning module: Newborn skin disease: birthmarks
Goals and objectives ... The purpose of this module is to help medical students develop a clinical approach to the evaluation and initial management of patients who present with acne and/or rosacea. ... After completing this module, the learner should be able to: ... Identify and describe the morphology of
This month's news from across the specialty
What's hot ... November 1, 2020 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD A novel topical antiandrogen, clascoterone cream, has been shown to be effective for the treatment of acne, according to a
August 5, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 5, 2020 ... COVID-19 and employed physicians: Contracts, furloughs, and termination DW Insights and Inquiries: Unmasking the complications of personal protective equipment AAD-NPF release psoriasis guidelines on topical treatments Participate
July 24
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Wound care after dermatologic procedures lacks uniformity In a recently published study in ... Dermatologic Surgery , investigators performed an assessment of postoperative dermatology handouts that shows high variability in patient instructions for wound care.
September 11
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 11, 2019 ... How often do dermatologists prescribe off-label medications? DW Insights and Inquiries : Shingles and the battle of the bulge Feedback requested: AAD/NPF draft guidelines for the management
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
Doxycycline as prophylaxis for EGFR-induced folliculitis: Is a pound of cure worth an ounce of prevention?
By Warren R. Heymann, MD May 23, 2016 Epidermal Growth Factor Inhibitors (EGFRI) may cause acneiform eruptions that characteristically appear within a few weeks of their administration. These appear in > 50% of cases treated with EGFRI and in up to 100% of those cases treated with cetuximab. The appearance
Nails
Breaking the terbinafine laboratory habit for onychomycosis Biting my nails worrying about atypical presentations of nail unit melanomas Dyeing for a "new" topical agent for psoriasis? Think indigo Clawing to understand lichen nitidus Cutaneous green and E-A-G-L-E-S! Nailing the diagnosis of psoriatic arthritis ... All content found on Dermatology
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 (
July 8, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 8, 2020 ... Chilblains and COVID-19: Is there an association? DW Insights and Inquiries : Et tu, ibrutinib? How to treat nail lichen planus during the COVID-19 pandemic CMS publishes
May 6, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 6, 2020 ... What dermatologic hazards are COVID-19 health care workers facing? DW Insights and Inquiries: Working up pernio — How far should you dip your toe in the water?
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
Office-based surgery clinical guidelines
Office-based surgery guideline ... Access the full office-based surgery guideline from JAAD (free access). ... Go to the guideline Guideline highlights ... Addresses the clinical use and safety of local anesthetics (topical, infiltrative, and infiltrative tumescent) commonly used in office-based dermatologic surgery for adult and pediatric patients. ... While anxiolytics,
After 23 years, a syndrome converted me into an eflornithine believer
By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.
March 18, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 18, 2020 ... CMS offers physicians flexibility during COVID-19 emergency DW Insights and Inquiries : The profound dermatological manifestations of COVID-19 Feedback requested: AAD/NPF draft guidelines for the management and
Removing barriers to necessary treatment
A dermatologist overcomes prior authorization setbacks to ensure a patient with severe eczema has the medication she needs. ... Angela's story ... Angela Weeks, patient ... From a young age, my skin has limited my ability to live a normal life. ... I was diagnosed with eczema when I was
Psoriasis
Finding Joy in pediatric phototherapy The newest frontier for biologics and psoriasis may be adherence Coughing up a new warning for ustekinumab Tofacitinib: A JAK inhibitor of all trades Psoriasin: Its other meaning and implications Asking Psoriasis Patients to Open Their Mouths and Say "Ahhh" Dyeing for a "new" topical
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
Technology-based encounters in dermatology
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, August 1, 2019 Test your knowledge: Technology-based encounters in dermatology ... Take the quiz to see if you're up
Academy response to benzene petition on benzoyl peroxide products
ROSEMONT (March 8, 2024) — The American Academy of Dermatology Association is aware of a recent petition filed with the FDA describing formation of benzene in products containing benzoyl peroxide that are exposed to elevated temperatures. The American Academy of Dermatology Association and its members are committed to the health
Dupilumab and the dawn of the biologic era for atopic dermatitis
By Warren R. Heymann, MD Aug. 28, 2016 I have a list of patients with severe, recalcitrant atopic dermatitis (AD) eagerly awaiting the release of dupilumab. I first became aware of this biologic from the article by Beck et al, who noted that dupilumab, a fully humanized monoclonal antibody that
Journal of Investigative Dermatology
Cutting giant congenital nevi down to size molecularly I never wanted chaperones — until now An acne vaccine to make patients happy CAMPers? The rosy reality of coffee Aha! The iodide paradox now makes sense! A future therapeutic Harlequin Romance? A string of (clinical) pearls about drug-induced linear IgA disease
Is ivermectin an old drug with new tricks?
By Temitayo Ogunleye, MD, FAAD Sept. 15, 2021 Vol. 3, No. 37 Most of us are familiar with the use of oral ivermectin in the setting of treating extensive or resistant scabetic or lice infestations, or more rarely (in the United States but very commonly globally) for conditions such as
Chronic itching triggers a hepatitis C diagnosis
Louella's story ... Louella Shelton, Indiana ... For many months, I had terrible itching, but no rash. My whole body felt like it had poison ivy. It seemed to appear out of the blue and I would find myself constantly scratching at my skin all the time. I would rub
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)
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
Best of DermWorld Insights and Inquiries
Dec. 27, 2023 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2023 — starting with the most popular issue of the year. ... 1. After 23 years, a
December 23, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 23, 2020 ... The impact of COVID-19 on the practice of dermatology DermWorld Insights and Inquiries : Holiday greeting 2020 HHS announces additional Medicare relief funding FDA approves topical AK
A heartfelt thank you note to my psoriasis research colleagues
... By Warren R. Heymann, MD May 11, 2017 Dear psoriasis researcher: ... I first met Casey (not his real name) when he was a child, referred to me for awful psoriasis. He was always upbeat and resilient, but clearly the disease adversely affected his life and that of
Collaborating to treat pediatric cancer patients
A pediatric oncologist and dermatologist team up to diagnose and treat a transplant patient experiencing sclerotic graft-versus-host disease. ... Dr. Huang's story ... Jennifer Huang, MD, Boston Children's Hospital ... When I started working as a dermatology fellow at Boston Children’s Hospital in 2011, I began working closely with pediatric
Cross-specialty team treats rare cancer
A dermatologist and oncologist collaborate to treat Sézary syndrome, a rare form of lymphoma, after a patient endured years of intense pain. ... Mike’s story ... Mike Murphy, patient ... For a decade, I lived with a burning rash and intense itching that kept me up all night in pain.
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
PDF of draft guideline on AD topical therapies
Topical corticosteroids 45-55 3.1 For adults with AD, we recommend topical corticosteroids.
Epidermolysis bullosa: The need for novel topical care
By Warren R. Heymann, MD May 7, 2018 ... Blue-black macules and papules on the back of the neck within the scars of a patient with recessive dystrophic epidermolysis bullosa. ... Photo: ... JAAD The advances in epidermolysis bullosa (EB) have been spellbinding. There are now four well-defined forms of
Pseudomolluscoid papules: A more accurate description than pseudoverrucous papules
By Warren R. Heymann, MD April 28, 2016 When patients ask me how I made their diagnosis so quickly, I politely tell them that if any particular lesion takes more than 25 milliseconds to diagnose, they really do have a problem. ... Today I saw a patient that made me
British Journal of Dermatology
The pachydermoperiostosis prostaglandin paradigm Tofacitinib: A JAK inhibitor of all trades Focusing attention on X-linked ichthyosis We’ve gotta recognize GATA2 deficiency Sirolumus’s merit for the Kasabach-Merritt phenomenon Aha! The iodide paradox now makes sense! Changing perceptions of pediatric mastocytosis A string of (clinical) pearls about drug-induced linear IgA disease Dupilumab’s
Dupilumab’s growing pains
By Warren R. Heymann, MD January 8, 2020 Vol. 2, No. 1 Dupilumab has been a valuable addition to dermatologists’ therapeutic palette in managing atopic dermatitis (AD). The biologic agent was released in 2017, indicated for moderate to severe AD, and is now approved for patients who are at least
Coming clean on chlorhexidine-induced dermatoses
By Warren R. Heymann, MD, FAAD March 13, 2024 Vol. 6, No. 11 Dermatologic surgeons use a variety of products that may cause an irritant or allergic contact dermatitis, including antiseptics, anesthetics, gloves, suture materials, tissue adhesives, topical antibiotics, and bandages. Antiseptic agents are the most frequent cause of contact
Treating acrodermatitis continua of hallopeau in 2018? Try guselkumab!
By Warren R. Heymann, MD April 21, 2017 Acrodermatitis continua of Hallopeau (ACH) is a disorder well known to dermatologists, but absolutely mysterious to everyone else. It is now considered a localized form of pustular psoriasis of the digits that may be accompanied by onychodystrophy and osteolysis. ... In my
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
Topical minocycline for acne: A good Idea?
By Warren R. Heymann, MD May 28, 2016 Concerns about the safety of minocycline have been increasing over the past two decades, with rare, serious adverse immunologic reactions including DRESS syndrome, pneumonitis, nephritis, autoimmune hepatitis, and a lupus-like syndrome (1). There have been several reports of ANCA-positive polyarteritis nodosa (PAN)
PDF of AD topical therapies comment supplemental appendices
Clobetasone, bid, for 2 weeks Other topical Betamethasone with neomycin, bid, for 2 weeks KQ2 Topical
Teprotumumab: An eye-opening advance for pretibial myxedema?
By Warren R. Heymann, MD May 8, 2017 Histologic images of PME. (A, Hematoxylin-eosin stain; original magnification, ×40. B, Colloidal iron stain; original magnification, ×100.) ... Credit: ... JAAD Having just completed the chapter on the treatment of pretibial myxedema (PTM, also known as thyroid dermopathy) for the upcoming
This month’s news from across the specialty
What’s hot ... July 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD, FAAD Is topical 5-fluorouracil toxic to our pets? The answer is yes, as explained by Young et al in their
Caveat mTOR revisited: Neurofibromatosis
By Warren R. Heymann, MD, FAAD Feb. 14, 2024 Vol. 6, No. 7 An abridged version of this commentary was published in "A Clinician's Perspective" in the April 2023 issue of the JAAD. ... It is understandable how dermatologists may forget about many details of rare genodermatoses after taking their
Topical amelioration of neuropathic pain and pruritus leading to painful consequences
By Warren R. Heymann, MD Dec. 26, 2016 Increasingly, compounded amitriptyline and ketamine have been utilized for the management of neuropathic pain and pruritus. A review of PubMed reveals its utility in erythomelalgia and diverse neuropathic disorders (peripheral neuropathy, radiation-induced neuropathy, chemotherapy-induced neuropathy, post-herpetic neuralgia, proctodynia, and pain associated with
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.
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
Topical crisaborole ointment for atopic dermatitis: Hoping for a painless introduction
By Warren R. Heymann, MD Aug. 13, 2016 Any dermatologist who treats atopic dermatitis (AD) must be eagerly awaiting the introduction of 2% Crisaborole ointment. This is equally true for patients (and their parents!) who are steroid-phobic and uncomfortable with the black box warning for calcineurin inhibitors (despite our reassurances).
Targeted anti-complement therapy may prove to be a complementary treatment for bullous pemphigoid
By Warren R. Heymann, MD Oct. 7, 2020 Vol. 2, No. 40 It is not my imagination — I have been seeing more cases of bullous pemphigoid (BP) than ever. This is likely a function of an aging population in concert with an increase of drug-induced cases, notably with dipeptidyl
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
Short anagen syndrome: The long and short of it
By Warren R. Heymann, MD, FAAD Feb. 7, 2024 Vol. 6, No. 6 Have you ever encountered a patient who says that their hair does not grow very much and that they rarely need to cut their hair? I have, and I suppose you have, too. Although considered uncommon, short
Can topical ketoconazole tip the scales for acne vulgaris?
By Warren R. Heymann, MD Oct. 28, 2020 Vol. 2, No. 43 How often do you perform an oral examination? If you’re like me, probably only under two circumstances — when the patient has specific complaints (soreness, a raised lesion, or a discoloration noted by their dentist), or when we
PDF of psoriasis clinical pathways
Yes No Consider prescribing a topical Is the patient taking biologic, systemic (See topical therapy
PDF of industry expert sessions for theater 2
Exhibit Hall 10:30 AM - 11:15 AM Title: Advancing to Systemics: Considerations for the Post-Topical
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
Perspectives on peristomal pyoderma gangrenosum
By Warren R. Heymann, MD Oct. 28, 2016 Peristomal pyoderma gangrenosum (PPG) is a challenging problem, both physically and emotionally. The diagnosis may be delayed, often being mistaken for an irritant dermatitis or an infection. Barbosa et al have performed an extensive review of their experience in 44 patients
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
PDF of Acquired keratodermas
older in young women Keratolytics (urea women after 25-40%) oophorectomy) Favors pressure points Topical
August 6, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 6, 2025 ... Minoxidil, finasteride, dutasteride monotherapy for male pattern hair loss DermWorld Insights and Inquiries : Further dermatologic observations in cystic fibrosis DermWorld Insights and Inquiries — Another Viewpoint:
Juvenile lichen sclerosus: A loss of innocence
By Warren R. Heymann, MD August 19, 2020 Vol. 2, No. 33 Juvenile lichen sclerosus (LS) is a difficult disorder — symptomatically, emotionally, diagnostically, and therapeutically. During my residency it was "common knowledge" that juvenile LS would abate by adolescence. I am always curious how such perceptions become dogma, only
Red genitals: New roads to recovery
By Warren R. Heymann, MD July 23, 2018 ... Red scrotum syndrome. Sharp border between the erythematous skin and the normal scrotum skin in a 65-year-old male patient. ... Credit: ... JAAD I searched PubMed for Quality of Life (QoL) studies on the Red Scrotum Syndrome (RSS) and Red Vulva
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
Raising a toast to advances in treating alcohol-induced flushing
By Warren R. Heymann, MD November 11, 2020 Vol. 2, No. 45 Whether with pride or embarrassment, we have all blushed. Also known as flushing, the process is defined as a visible reddening of the skin accompanied by a sensation of warmth, characteristically affecting the face, ears, neck, and upper
Tarrying for tapinarof
By Warren R. Heymann, MD, FAAD January 12, 2022 Vol. 4, No. 2 Today we held our first round of interviews for our dermatology residency program for 2023. Meeting dermatology resident applicants is a delight — they are brilliant, engaging, and a source of pride for our discipline. We started
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
Red alert: Avoid brimonidine and oxymetazoline as hemostatic agents
By Warren R. Heymann, MD June 19, 2017 Mohs micrographic surgery procedure including brimonidine treatment: skin before application (A), 5 minutes after application of brimonidine (B), and minimal intraoperative bleeding with pretreatment of brimonidine (C). ... Credit: ... JAAD As a youth, I recall that "rosy cheeks" were a sign
May 1, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 1, 2024 ... Consensus statements for the treatment of vitiligo in younger patients DermWorld Insights and Inquiries : Eyebrow-raising complications of microblading Role of low-dose oral minoxidil for treatment of
Avascular necrosis in psoriasis: Avoiding “snap” judgments
By Warren R. Heymann, MD May 8, 2017 Of all the adverse reactions of corticosteroids, there is none more terrifying than avascular necrosis (AVN, aka osteonecrosis); this usually involves the femoral head (AVN of the hip), although the shoulders and knees may be affected. It is estimated that 25,000 new
PDF of Infectious diseases of genitalia
romycin, topical clindamycin, lamp due to copro- crural creases.
Granular detail on granular parakeratosis
By Warren R. Heymann, MD, FAAD October 6, 2021 Vol. 3, No. 40 After attending a clinic at the University of Pennsylvania 30 years ago, I recall relaxing in the cafeteria, coffee in one hand and ... JAAD in the other, being impressed with an article by Northcutt et al
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
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
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
Of sirolimus, shagreen, and chagrin
By Warren R. Heymann, MD July 24, 2017 Shagreen patch is a connective tissue hamartoma composed of excess collagen and elastic tissue. ... Credit: ... JAAD By the time I left the superlative World Congress of Pediatric Dermatology in Chicago I wanted to add sirolimus to the water supply. The
PDF of Alopecia
; corticosteroids, Ophiasis: band-like hair loss become expressed by “swarm of bees” prednisone, topical
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
A new chapter in vitiligo management
Recent advances in vitiligo treatment and research open doors for physicians and patients. ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2024 Since the Bronze Age, humans have recorded cases of vitiligo — and attempted to cure it. ... "3,400 years ago, ancient Indian texts called the ...
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
PDF of Chemotherapy specific cutaneous reactions
, dermatology resident reaction (HFSR) at Loma Linda keratotic plaques on frictional inhibitors topical
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
PDF for Clinical Pathway for Management of AK
isolated vs multiple lesions and/or field cancerization ·Treatment adverse effects ·Patient preferences TOPICAL
PDF of Clinical Peals Alopecia areata
off-label use of ing a treatment, the clinic visit should include a president of the oral and topical
What's hot?
What's hot ... May 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... You may be surprised to learn that a ... new organ’ in the skin was recently identified.
PDT for erosive pustular dermatitis of the scalp: Seeing the light (but reaching a different conclusion)
By Warren R. Heymann, MD June 9, 2016 Erosive Pustular Dermatitis of the Scalp (EPDS) is a relative common condition, typically seen on the actinically damaged scalps of the elderly men. Lesions characteristically present as hyperkeratotic, crusted erosions with varying degrees of pustulation. Lesions may become secondarily infected. The etiology
You like tomato, I like tomahto, you soak with steroids, I use them dry…
By Warren R. Heymann, MD July 28, 2016 I have been a firm believer in the “Soak and Smear” approach to treating recalcitrant dermatoses, including atopic dermatitis, as detailed by Gutman et al, more than a decade ago. The authors defined soaking and smearing as soaking an affected body part
Men in the Twilight Zoon
By Warren R. Heymann, MD February 19, 2020 Vol. 2, No. 7 It is a dimension as vast as space and as timeless as infinity. It is the middle ground between light and shadow, between science and superstition, and it lies between the pit of man's fears and the summit
PS-Pharmaceutical Compounding
Dermatologists rely heavily on compounded pharmaceutical products and especially topical compounded pharmaceutical
PDF of AK guideline for comment
: Actinic keratosis, actinic keratosis guidelines, clinical guidelines for actinic keratosis, 35 topical
PDF of pearls on eczema
Broaden your color palette when assess- prescribing a “leave on” topical corticosteroid in a professor
Old stains leaving new marks in dermatology
... By Warren R. Heymann, MD Oct. 15, 2018 A new blue-gray papule was noted on the left side of the neck and was excised as outlined by gentian violet surgical marker. ... Credit: ... JAAD Periodically I will pull an ancient tie from my rack. I’m delighted if
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
July 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2024 ... Efficacy of probiotics in the treatment of patients with acne DermWorld Insights and Inquiries : Vasculitis on the run Cosmetic tattoos, permanent makeup may cause allergic contact
PDF of Neonatal dermatoses
Usually no treatment with Malassezia species, treat w/ on the face, NO COMEDONES necessary, soap and topical
Changing perceptions of pediatric mastocytosis
By Warren R. Heymann, MD Sept. 3, 2018 I have always been disquieted by mastocytosis. Its constellation of clinical presentations from childhood to adulthood, spectrum of systemic involvement, variable prognoses, and therapeutic challenges, never allow for complacency or certainty. ... Even when the diagnosis is straightforward with an excellent prognosis,
July 2, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 2, 2025 ... Isotretinoin for seborrheic dermatitis DermWorld Insights and Inquiries : Turning our attention to melanoma risk in Turner syndrome CMS updates MUE limit for Ameluz — Effective July
PDF of Clinical pearls on infantile hemangioma
cular birthmarks present on physical exam such I recommend adding treatment with topical metro- as a
June 28, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE/ June 28, 2023 ... A beneficial botanical extract for actinic keratosis? DermWorld Insights and Inquiries : Dermatologic ergonomics — Straighten up and fly right FDA approves alopecia areata treatment in adults and
PDF of psoriasis phototheraphy guideline treatment pathway
approach such as topical and or systemic (non-biologic and/or biologic) therapy Generalized Localized
Fighting fungi
With increasing resistance to antifungal therapies, here’s what dermatologists need to know about managing dermatophytosis. ... Feature ... By Allison Evans, Assistant Managing Editor, June 1, 2024 A patient presents with widespread, pruritic, scaly, and erythematous plaques of what appears to be tinea corporis. It may be routine to prescribe
January 24, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 24, 2024 ... Micrographic vs. conventional excision: Reducing rates of BCC, SCC DermWorld Insights and Inquiries : Senile gluteal dermatosis — The term ‘senile’ is getting old and should be
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
April 12, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 12, 2023 ... Perioperative imaging for high-stage cutaneous SCC may guide management DermWorld Insights and Inquiries : Triskaidekaphobia legitimized: Fatal Factor XIII deficiency Contact allergens in nail products DataDerm™: 2022
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,
Necrotizing infundibular crystalline folliculitis: Not yet crystal clear
By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have
No longer flailing with Flegel disease
By Warren R. Heymann, MD, FAAD April 19, 2023 Vol. 5, No. 16 I was a toddler in 1958 when Heinz Flegel described ... hyperkeratosis lenticularis perstans (HLP) a 50-year-old man with persistent lesions on his dorsal feet and lower extremities. (1) In the ensuing decades, other than the clinical
Standard postoperative wound care practice may be all wet
By Warren R. Heymann, MD, FAAD July 9, 2025 Vol. 7, No. 27 Dermatologists perform procedures throughout the day, including straightforward skin biopsies, electrodesiccation, curettage, cryosurgery, laser treatments, etc. Postoperatively, many of these wounds are dressed, and patients are given instructions for caring for them. ... The following, entitled "After
Cutaneous complications of immune checkpoint inhibitors
DermWorld highlights some of the common (and not-so-common) skin complications associated with ICIs and shares expert tips for management. ... Feature ... By Heidi Splete, Contributing Writer, March 1, 2024 Immune checkpoint inhibitors (ICIs) are a mainstay of immunotherapy for many cancer types — including breast, colon, liver, lung, skin,
PDF of Modifier 25 Educational Tool
............................................... 7 Actinic Keratoses treated with cryosurgery and topical
Sniffing out the meaning of perialar intertrigo
By Warren R. Heymann, MD, FAAD Jan. 4, 2023 Vol. 5, No. 1 The first sentence in the abstract by Sanchez et al intrigued me: "We observed isolated cases of perialar intertrigo in children and teenagers that did not appear to correspond to any known clinical entity." They further state:
Applying the 2021 E/M coding concepts in everyday practice – Part 8
Part eight of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes continue those of part 7 in this series, demonstrating how a common dermatologic condition, actinic keratosis, can be classified under different categories of problem addressed during the encounter depending
May 15, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 15, 2024 ... Sexual dysfunction with 5-alpha reductase inhibitors for androgenetic alopecia DermWorld Insights and Inquiries : Acne necrotica — A real head-scratcher Benzoyl peroxide in acne: Risk of acute
April 9, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 9, 2025 ... Finasteride: Risk of depression and suicide? DermWorld Insights and Inquiries : Till death do us part — Love, marriage, and cutaneous oncology Adding oral minoxidil to standard
Support system
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... Dermatologists step in to treat cutaneous side effects of cancer treatments so patients can complete their therapy ... By Ruth
April 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 3, 2024 ... Safety of DEET insect repellent in children: Do the natural alternatives work? DermWorld Insights and Inquiries : Hair straightening and acute renal injury — The latest data
A novel sebum inhibitor for acne vulgaris: A slick maneuver
By Warren R. Heymann, MD Jan. 11, 2017 Illustrative photos of severe inflammatory acne vulgaris, largely without nodules (A). B, Very severe acne with cysts. ... Credit: ... JAAD What a pleasure it is to think about a novel treatment for acne! Honestly, have you gotten excited learning that the
Sirolimus for microcystic lymphatic malformations: Caviar for frog spawn
By Warren R. Heymann, MD Jan. 23, 2017 Recently, our understanding of lymphatic malformations (LMs) has vastly expanded. Genetic advances have focused on the PI3K/AKT/mTOR pathway allowing the use of mTOR inhibitors for those lesions involved in this pathway. As noted in a previous post (Rapalogs for vascular lesions: Caveat
August 27, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 27, 2025 ... A tool to assess patients at high-risk for cutaneous squamous cell carcinoma DermWorld Insights and Inquiries : Chanarin-Dorfman syndrome — Shifting out of neutral Carbon dioxide laser
PDF of Lymphomas
which is rarely used May recur in the skin peripheral neoplastic Rituximab but almost never cells Topical
When we say we are listening, we mean it
"Member-centric" means that you are the center of AAD’s attention. By listening to your needs, we can provide educational materials on the topics that you’ve told us you need to improve the care you are giving your patients. The AAD Education team asked you which topics you need to improve
PDF of Granulomas
Bimodal: ages 25-35 Th1 CD4+ pattern 25% with skin involvement; Superficial and deep Corticosteroids (topical
Applying the 2021 E/M coding concepts in everyday practice – Part 7
Part seven of the AADA’s clinical vignettes focuses on the application of coding concepts related to E/M encounters. These clinical vignettes demonstrate how, a common dermatologic condition, actinic keratosis in these examples, can be categorized under different categories of problem addressed during the encounter depending on disease severity and patient
CBD: Potential or placebo?
Go to AAD Home ... Go to AAD Home ... Menu ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... Potential applications and concerns regarding the use of cannabinoids in dermatology ... By Emily Margosian, assistant editor This recent Mother’s Day holiday, shoppers may have observed
Not what the doctor ordered?
Go to AAD Home ... Go to AAD Home ... Menu ... Pharmacists assume greater role in dermatology patient care ... Pharmacists assume greater role in dermatology patient care ... By Jan Bowers, contributing writer A critical member of the health care team, the pharmacist not only dispenses medication, but
November 29, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 29, 2023 ... Effects of probiotic supplementation in adults with atopic dermatitis DermWorld Insights and Inquiries : Sweet sounds of the "SKINphony" — Incorporating music into daily dermatologic practice Is
See the light in reporting phototherapy services
Derm Coding Consult ... By Cynthia Stewart, CPC, CPMA, COC, CPC-I, Manager, Coding and Reimbursement Resources, May 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . AAD/A Coding and Reimbursement staff have received several questions from
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
Saving face: The importance of recognizing facial discoid dermatosis
By Warren R. Heymann, MD, FAAD Feb. 22, 2023 Vol. 5, No. 8 I get excited when astute dermatologists describe and label dermatoses that I have seen but could not adequately diagnose. Two recent examples include acute inflammatory edema and alpha-gal syndrome. I (and presumably you too) have encountered patients
Fire ant stings: From pain to gain — The therapeutic potential of solenopsin
By Warren R. Heymann, MD, FAAD July 3, 2024 Vol. 6, No. 27 Fire ant stings are nasty. Lesions usually occur on the lower extremities after the disruption of a nest, causing a large number of ants to swarm and attack. The most common presentation is a wheal and flare
Applying the 2021 E/M coding concepts in everyday practice – Part 1
The introduction of the revised 2021 evaluation and management (E/M) coding guidelines has generated a plethora of questions from dermatologists in the application of the concepts used in the ... medical-decision making table (MDM). ... To help members navigate the E/M changes in a simplified and relatable manner in everyday
Tinea gone wild: The emergence of Trichophyton indotineae as a global phenomenon
By Warren R. Heymann, MD, FAAD May 24, 2023 Vol. 5, No. 21 "Well, Jane, it just goes to show you, it’s always something — if it’s not one thing, it’s another." – Gilda Radner (as Roseanne Roseannadanna) to Jane Curtin, ... Saturday Night Live Just as I quietly celebrated
Necrobiosis lipoidica in a Wink
By Warren R. Heymann, MD, FAAD May 3, 2023 Vol. 5, No. 18 Ninety years have transpired since Urbach coined the term ... necrobiosis lipoidica diabeticorum (NLD) for the granulomatous disorder first described by Oppenheim in 1929 as ... dermatitis atrophicans lipoidica diabetica . (1) Early authors observed sclerotic plaques
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 Board Fodder on primary cutaneous T-cell lymphomas
Large CD30+ CD30+ blast cells asymptomatic: lymphocytes with Regress/recur CD30+ No therapy/topical
June 7, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 7, 2023 ... Treatments for pseudofolliculitis barbae DermWorld Insights and Inquiries : Taking it on the shin – part two Efficacy of abrocitinib for the treatment of lichen sclerosus? Scientists
PDF of Pregnancy dermatoses
Self-limited; Subepidermal ↑ risk of gestationis vesiculobullous late pregnancy, umbilicus, HLA-DR4 topical
Calcipotriene and 5-fluorouracil: Dermatology’s new dynamic duo?
By Warren R. Heymann, MD Sept. 18, 2019 Vol. 1, No. 28 Chatting with my chief resident, Tia Pyle, I was lamenting the recent comparative report that ingenol mebutate (and other treatments) did not fare as well as 5-fluorouracil (5-FU) for treating actinic keratoses (AKs). (1) (See previous ... Dermatology
Twenty years of imiquimod taking its toll on lentigo maligna — Where are we?
By Warren R. Heymann, MD February 12, 2020 Vol. 2, No. 6 Although Y2K never amounted to much, a solitary case report that year changed the dynamic in treating a vexing problem — melanoma in situ of the lentigo maligna (LM) subtype. Ahmed and Berth Jones reported treating an 88-year
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
My fair-weather therapeutic friends for alopecia areata
By Warren R. Heymann, MD April 25, 2017 Type C clinical pattern of alopecia. A, Patchy hair loss on a background of a diffuse hair loss with (B) occipital involvement in an ophiasis-like pattern. C, Biopsy specimen obtained from the vertex of the scalp. Histopathology of vertical sections shows an
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)
Playing the field: Introducing tirbanibulin for actinic keratosis therapy
By Warren R. Heymann, MD January 27, 2021 Vol. 3, No. 4 Field therapy is a cornerstone of actinic keratosis (AK) management. Two years ago, a ... New England Journal of Medicine article demonstrated that 5-fluorouracil (5-FU) was the best among inadequate therapies (compared to imiquimod, MAL-PDT, and ingenol mebutate).
Actinic keratosis guideline
Actinic keratosis (AK), rough scaly patches that arise on chronically ultraviolet-exposed skin, is one of the most common conditions diagnosed and treated by dermatologists in the United States. This guideline addresses the management of actinic keratosis, providing evidence-based recommendations for treatment. ... Actinic keratosis guideline ... Access the full actinic
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
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
Choosing wisely: Recommendations about treatments, tests, and procedures
The ABIM Foundation’s Choosing Wisely ... ® ... campaign is focused on encouraging physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm. To join, a medical society must provide expert guidance on five medical tests or treatments commonly used in its field.
Eradicating ectoparasites
Experts discuss treatment options and tips for successfully diagnosing and treating lice and scabies ... Feature ... By Allison Evans, Assistant Managing Editor, October 1, 2022 Pediculosis (head, body, or pubic lice infestation) and scabies are caused by ectoparasites that are found to some degree in all human populations, with
PDF of Drug eruptions
and Epstein-Barr Virus resolves within lesions may become slightly palpable phocytic infiltrate, topical
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
June 14, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 14, 2023 ... Truncal acne in young adults DermWorld Insights and Inquiries : Teatime for radiation dermatitis (and beyond) Comorbidities of keloid and hypertrophic scars Misconceptions about biosimilars in dermatology
NSA (neutrophilic sebaceous adenitis) secrets revealed
By Warren R. Heymann, MD, FAAD Nov. 8, 2023 Vol. 5, No. 45 If asked what the acronym NSA means, most of us — dermatologists included — would respond, "National Security Agency." News of security leaks (think Edward Snowden or Jack Teixeira) are in the headlines, but neutrophilic sebaceous adenitis
July 26, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 26, 2023 ... Intralesional HPV vaccine may clear recalcitrant warts DermWorld Insights and Inquiries : Cycling back to doxycycline’s roots as therapy for bullous pemphigoid FDA approves first molluscum contagiosum
This month’s news from across the specialty
What’s hot ... March 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD New, but not new, but maybe new, but not good = ... Candida auris is looking worse with
This month’s news from across the specialty
What’s hot ... February 1, 2023 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Is the customer always right? Rude behavior by consumers toward frontline workers in all industries is on
This month's news from across the specialty
What's hot ... August 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Journalists at ... Kaiser Health News and The Guardian have collaborated on a program called " ...
PDF of resident & fellows abstract
Topical urea in skincare: A review. Dermatologic therapy 2018;31:e12690. 8. Puri N.
The real jigsaw puzzle of the Brooke-Spiegler Syndrome: Translating the molecular biology to therapy
By Warren R. Heymann, MD Oct. 22, 2018 Residents jump for joy when they see the characteristic "jigsaw puzzle" appearance of cylindromas under the microscope. Histopathology, however, takes us only so far. The future lies in elucidating the molecular pathways of these tumors that lead to therapy. Who could have
Of strife and SDRIFE
By Warren R. Heymann, MD May 17, 2017 Patient 3. SDRIFE. Frontal view (A) and right lateral view (B) with erythema and blanching papules coalescing into plaques with vesicles on back, abdomen, and bilateral inframammary and inguinal folds. ... Credit: ... JAAD A conceivable Yelp review: I was so uncomfortable
Vitamin C as treatment of basal cell carcinoma: Is it fruitful?
By Warren R. Heymann, MD ... July 3, 2016 ... For those of us who learned that taking mega dose vitamin C for the common cold, as advocated by the late Nobel Laureate Linus Pauling, was truly something to sneeze at, I always approach studies lauding the effects of nutrient-based
PDF of candidate letter
insurer approval has increased even further as some insurers require prior authorizations for generic topical
What's coming down the psoriasis pipeline?
Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer
August 16, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 16, 2023 ... Off-label use of calcineurin inhibitors for dermatologic conditions DermWorld Insights and Inquiries : Diagnosing nail unit melanomas at a faster clip What are risk factors for developing
January 15, 2020
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 15, 2020 ... Which cosmeceuticals have proven clinical efficacy? DW Insights and Inquiries: Thoughts on hyaluronidase and The House of God Cancer death rate falls by largest one-year drop on
PDF of BF GVHD
Medium-high potency topical corti- 1. Medium-high potency topical corti- costeroids costeroids 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
The ever-changing world of nevus sebaceus
By Warren R. Heymann, MD, FAAD Sept. 14, 2022 Vol. 4, No. 37 The aphorism in medical education that half of what you learn in medical school will prove to be wrong could use the nevus sebaceus (sebaceous) of Jadassohn as its poster child. ... First described by Jadassohn in
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
March 10, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy
Platelet rich plasma: Good for whatever ails you?
By Warren R. Heymann, MD Jan. 13, 2017 Hair regrowth in ophiasis-type alopecia areata after platelet-rich plasma (PRP) injection. Occipital hair loss before treatment (A) and occipital hair regrowth 3 months after administration of PRP at a concentration 3.5 times above baseline (B). ... Credit: ... JAAD Okay, okay, I
What are the implications of clotrimazole-betamethasone dipropionate for nonfungal skin conditions?
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, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Avrom S.
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
Finding the right treatments for genetic hair loss
Early diagnosis and treatment can prevent hereditary hair loss from worsening and regrow hair, says board-certified dermatologist. VANCOUVER, BC. (July 21, 2022) — Hereditary hair loss, also known as androgenetic alopecia or pattern hair loss, is the most common form of hair loss in both men and women, affecting millions
Move over Lues: Graft-versus-host disease is the new mimicker king
By Warren R. Heymann, MD May 9, 2016 I have always been intrigued by graft-versus-host disease (GVH). I first learned of the disorder in my college immunology course when it was referred to as a cause of "runting syndrome" in mice. ... In the context of transplant recipients, classical features
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
New data to recall when considering radiation recall dermatitis
By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For
Knuckling down on knuckle pads
By Warren R. Heymann, MD April 1, 2020 Vol. 2, No. 13 Today is April Fools’ Day. Thus far, 2020 has felt like April Fools’ Year. All of us are dealing with COVID-19, 24/7. During World War II, morale was lifted by the song "There’ll be bluebirds over the White
PDF of Infestations: scabies and pediculosis
Clinical Diagnosis Treatment Scabies - Worldwide Infestation with Classic scabies Beside tests - Topical
Psoriasis
Key messages ... Psoriasis is a chronic inflammatory disease of the immune system that develops when the body makes skin cells too quickly, causing skin cells to pile up and form visible patches or spots on the skin. (1-6) ... Psoriasis and psoriatic arthritis can be associated with other diseases
PDF of BF transplant dermatology
cancerization in SOTR Treatment Mechanism of action Considerations Photodynamic therapy + Topical
Benzene in consumer products
What dermatologists and patients should know. ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2025 From dry shampoo to acne medication — benzene, a known human carcinogen, has been detected in multiple cosmetic and cutaneous products over the past several years. ... The International Agency for Research on
6 skin biopsy wound care tips from dermatologists
ROSEMONT, Ill. (May 31, 2022) — Skin cancer is the most common form of cancer. It is estimated that one in five Americans will develop skin cancer in their lifetime. As Skin Cancer Awareness Month continues, it’s important to check your skin regularly, and if you notice a spot on
February 13
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 13, 2019 ... Do biologics have more adverse events than conventional therapies? Researchers say 'No.' ... AAD Strategic Plan driven by member feedback Feedback requested: AAD/ASPS joint guideline for reconstruction
January 5, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 5, 2022 ... Cicatricial alopecia following ACD from hair dye DermWorld Insights and Inquiries : Coming full circle (almost) — Low dose oral minoxidil for alopecia FDA approves atopic dermatitis
September 15, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 15, 2021 ... Worsening psoriasis after COVID-19 vaccination DermWorld Insights and Inquiries : Is ivermectin an old drug with new tricks? Frontal fibrosing alopecia and facial care products Biden administration
What are treatment recommendations for managing CCCA?
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, August 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Susan C.
February 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant
How to tell the difference between dry hands and hand eczema
Unlike dry skin, patients need more than moisturizers to treat hand eczema ROSEMONT, Ill. (September 27, 2022) — Hand eczema is one of the most common forms of eczema, causing dry, itchy, and irritated skin affecting the whole hand, including the fingers. This skin condition can negatively impact a person’s
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
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
Another door opens?
The potential FDA approval of multiple JAK inhibitors could offer new treatment options for dermatology patients ... Feature ... By Allison Evans, assistant managing editor, May 1, 2021 "It was only six and a half years ago when the first case report was published showing successful treatment of a patient
Coding and documentation for hyperhidrosis
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, November 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Clear and concise documentation is essential
Modifier 25 and E/M coding in 2021
Derm Coding Consult ... By Cynthia Stewart, CPC, COC, CPMA, CPC-I, manager, coding & reimbursement resources, March 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . The recently released 2021 CPT ... ® ... office or
PDF of Teratogenic medications and dermatology
Minocycline topical should only be given during pregnancy when benefit outweighs risk.
January 3, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 3, 2024 ... Efficacy of minoxidil for cancer treatment–induced hair loss DermWorld Insights and Inquiries : Malignant syphilis — History in the making Most effective medications for plaque psoriasis Cardiovascular,
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.,
DermWorld Weekly comparing efficacy of JAK inhibitors used in alopecia areata
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 22, 2023 ... Comparing efficacy of JAK inhibitors used in alopecia areata DermWorld Insights and Inquiries : Resorcinol’s resourcefulness in hidradenitis suppurativa Derm Coding Consult : CMS Targeted Probe and
October 5, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 5, 2022 ... Is there an association between low-dose methotrexate and melanoma? DermWorld Insights and Inquiries : Optimizing the dermatologist-patient encounter FDA approves first treatment for prurigo nodularis Perioperative practices
PDF of Medical mycology
PO therapy Tinea nigra Hortaea werneckii (formerly Brown-black non-scaly Branching septate hyphae Topical
PDF of Retinoid biology part 2
peroxidation Inhibits melanogenesis and has activity against tyrosinase Inhibits thymidine dimer formation Topical
Is there a best approach to widespread actinic keratoses?
By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but
Linear and whorled nevoid hypermelanosis: Past reflections and future directions
By Warren R. Heymann, MD July 4, 2017 Linear or circular arrangement of pigmented macules along the lines of Blaschko. ... Credit: ... JAAD I recall meeting Debra Chester Kalter as a young, remarkable dermatologist, chatting annually with her at the AAD meeting. She was my wife’s classmate at the
More than fibrofolliculomas: A novel angiomatous lesion enters the Birt-Hogg-Dubé realm
By Warren R. Heymann, MD Dec. 9, 2016 I distinctly remember the first time I saw a case of the Birt-Hogg-Dubé (BHD) syndrome. I was attending the dermatology clinic at the University of Pennsylvania, when Julia Haimowitz and Allan Halpern asked for my opinion about a patient with dome-shaped
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
Pediatric drug testing obstacles
Go to AAD Home ... Go to AAD Home ... Menu ... Is the drug trial landscape about to change? ... Is the drug trial landscape about to change? ... By Allison Evans, assistant managing editor Choosing the best therapeutic options for pediatric patient populations can be an administratively complex
A guide to preventing and treating occupationally induced dermatologic conditions during COVID-19
Almost all topical moisturizing products available on the market contain a combination of emollients,
A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus
By Warren R. Heymann, MD, FAAD March 15, 2023 Vol. 5, No. 11 Keeping up with the expanding indications and adverse reactions to immune checkpoint inhibitors (ICIs) can be a full-time job. These drugs are anti-neoplastic because of cytotoxic T-cell activation. ICIs include the anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) agent ipilimumab,
PDF of Clinical Pearls on Hidradenitis suppurativa for Winter 2024
of tor such as a biologic, as well as spironolactone and/or associate clinical HS. metformin, a topical
Thinking about seborrheic keratoses: A rare event
By Warren R. Heymann, MD June 9, 2017 Clinical images of squamous cell carcinoma arising in seborrheic keratosis (SCC-SK). A, Invasive SCC-SK on forehead of a man aged 69 years. B, In situ SCC-SK from a pigmented keratosis on the back of a man aged 73 years. C, In situ
Time for a Churchillian approach to idiopathic guttate hypomelanosis?
By Warren R. Heymann, MD Jan. 22, 2018 Limbs of patient with idiopathic guttate hypomelanosis lesions. ... Credit: ... JAAD I was only 10 years old when Winston Churchill died, but even as a child I was aware of his inspirational abilities. I was reminded his gift watching Gary
April 17, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 17, 2024 ... Does low-dose oral minoxidil improve short anagen syndrome? DermWorld Insights and Inquiries : Weighing in on glucagon-like peptide-1 receptor agonists in dermatology CDC investigates counterfeit botox: AAD
2020 DW Insights and Inquiries archive
Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... December 23 - 2020 holiday greeting December 16 - We’re in hot water! Vibrio vulnificus infections are heading north December 9 - Much ado about nothing in dermatopathology December 2 - Pigmented onychomatricoma: Avoid getting nailed by
August 22
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 22, 2018 ... 6 new biopsy codes for 2019 August Access Hero: Jessica Burgy, MD Submit your comments on psoriasis draft guidelines 2018 QPP exception applications now available Ortho Dermatologics
PDF of AD guidelines on phototherapy supplement
Eligibility Criteria for Topical Management of Adults with AD Category Criteria Population Adults (
PDF of Oral disease, part 1
If symptoms, potent topical Tongue dorsal tongue with a serpiginous white steroids. border.
Incident to, revisited
Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, October 1, 2018 Test your knowledge: Incident to, revisited ... Take the quiz to see if you're up to
Preventing and treating Trichophyton indotineae
Prevention ... Specific recommendations to prevent ... T. indotineae infection do not exist, but physicians can educate patients about strategies for ... preventing dermatophyte infections in general. ... Health care professionals should use ... Standard Precautions when caring for patients with possible tinea. ... Empiric treatment ... Because confirmatory testing
Seeing red with dupilumab
By Warren R. Heymann, MD, FAAD March 1, 2023 Vol. 5, No. 9 Since its release in 2017, dupilumab (a fully humanized monoclonal antibody that blocks IL-4 and IL-13) has transformed the therapeutic landscape for managing atopic dermatitis (AD) and other eczematous disorders, bullous pemphigoid, Kimura disease, etc. when used
Becoming “sensitized” to the clinical utility of the term “urticarial dermatitis” (a subtype of the dermal hypersensitivity reaction pattern)
By David A. Wetter, MD, FAAD April 2, 2025 Vol. 7, No. 13 I suspect many of us have been confounded when confronted with a patient presenting with cutaneous findings suggestive of a "dermal hypersensitivity reaction." What is the cause? How should it be evaluated and treated? What do we
Managing hair loss
What has research revealed about the pathogenesis of androgenetic alopecia, alopecia areata, and central centrifugal cicatricial alopecia as well as new potential therapeutics? ... Feature ... By Allison Evans, assistant managing editor, September 1, 2021 To those outside the world of dermatology, hair is sometimes perceived to be a cosmetic
I don’t know JAK — but I will! Ruxolitinib improving chilblain lupus erythematosus
By Warren R. Heymann, MD May 31, 2016 The JAK inhibitors are among the current darlings of treating autoimmune diseases. Recent articles about tofacitinib for vitiligo (1) and alopecia areata (2) have been reported in the lay press with considerable fanfare. ... Ruxolitinib (Jakafi) is indicated for treating intermediate to
June 25, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 25, 2025 ... Safety of low-dose oral minoxidil in older patients DermWorld Insights and Inquiries : Metastatic uveal melanoma — Tebentafusp unobfuscated New focused atopic dermatitis guidelines update available FDA
Advocacy Update May 14, 2024
IN THIS ISSUE / May ... 14, 2024 AADA demands that House Small Business Committee act on Medicare physician payment reform Advocacy win: Colorado Medicaid to cover vitiligo treatment AADA scrutinizes Blue Shield of California Modifier 25 policy payment change Editor’s Note SkinPAC update Medicare Physician Payment Reform AADA demands
The newest frontier for biologics and psoriasis may be adherence
By Warren R. Heymann, MD June 19, 2019 Vol. 1, No. 15 My first job as an attending dermatologist was heading the psoriasis day care center at the Albert Einstein College of Medicine in 1983. The challenges of treating severe psoriasis with the Goeckerman regimen, PUVA, methotrexate, etc. made
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
What’s the latest on treating cutaneous dermatophyte infections in the era of Trichophyton indotineae?
Clinical Applications ... By Sylvia Hsu, MD, FAAD, March 1, 2025 In this month’s Clinical Applications column, DermWorld ... Editorial Advisory Workgroup member Sylvia Hsu, MD, FAAD, talks to Ananta Khurana, MD, Kabir Sardana, MD, and Anuradha Chowdhary, MD, about their JAAD ... paper, ‘ Clinico-mycological and therapeutic updates on
This month's news from across the specialty
What's hot ... January 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Sylvia Hsu, MD, FAAD Diagnostic conundrums are often presented at dermatology teaching conferences in which the presenter asks the audience for a differential
Key messages for social media about hair loss
Key messages ... 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 and 30
2025 AAD Annual Meeting Global Education Day | Global Asthma and Allergy Excellence Network Agenda
of itch Manuel Pereira 14:00 unravelled 14:00 – JAK- inhibitors – the new steroid or the new topical
Creating pathways to navigate patient care
In June, the AAD released an update to its Guidelines of Care for the Management of Actinic Keratosis (AK) to reflect tirbanibulin research. ... The guideline update, published in ... JAAD , focuses on the strongly recommended use of tirbanibulin, a first-in-class microtubule inhibitor recently approved by the FDA to
Expanding indications of the excimer laser for disorders of hypopigmentation: Equivocally seeing the light
By Warren R. Heymann, MD Aug. 31, 2016 The excimer laser is a reasonably effective modality for treating vitiligo. Other disorders of hypopigmentation, such as a nevus depigmentosus (ND), or post-inflammatory hypopigmentation (PIH) secondary to lichen striatus (LS) may be distressing to patients (or their parents). Is the excimer laser
Hot coding topics from the field
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, July 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . Navigating the complexities of dermatology coding can
AM22 International Psoriasis Council Agenda
for your patient given a palette of at Craig Leonardi least 13 options 1:50 PM Innovations in topical
What do you need to know about emerging, antifungal medication-resistant dermatophyte infections?
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, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Avrom S. Caplan, MD,
Moving target
Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...
Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome
By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was
Probing pediatric pigmented purpuras
By Warren R. Heymann, MD, FAAD October 20, 2021 Vol. 3, No. 42 Pigmented purpuric (PP) eruptions are often referred to as "benign" pigmented purpuras. Although that may be true in the medical sense, these dermatoses may be very distressing for patients (or their parents). Angst may be due to
August 8, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 9, 2023 ... Emerging treatments for itch in atopic dermatitis DermWorld Insights and Inquiries : Prior authorization audits and innovations — Are we finally reducing the (PA)in? Adverse events in
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
This month’s news from across the specialty
What’s hot ... December 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Harry Dao Jr., MD, FAAD One advantage of working in the same practice as your surgeons is the ability to quickly confirm biopsy
What's hot?
What's hot ... April 26, 2018 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... Simon Ritchie, MD ... Over the past several years we have seen the introduction of several groundbreaking drugs for the treatment of metastatic
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
Dermatitis
Parabens — A common allergen with lots of hype and no real harm Finding Joy in pediatric phototherapy Should dermatologists be anti-antihistamine for atopic dermatitis? Aha! The iodide paradox now makes sense! Dupilumab’s conjunctivitis conundrum Dupilumab: The first year The medical word to watch in 2018: Dysbiosis Hairdressers’ dermatologic odyssey:
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
February 9, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 9, 2022 ... Tinted sunscreens: A practical guide to counseling patients DermWorld Insights and Inquiries : Lightening the cutaneous and emotional burden of melasma — cysteamine’s role Nemolizumab plus topicals
Desquamative gingivitis: Sinking your teeth in miagnosis and management
By Warren R. Heymann, MD Jan. 7, 2017 Cycle of oral hygiene in desquamative gingivitis. ... Credit: ... JAAD Patients presenting with desquamative gingivitis (DG) are typically some of the most frustrated, aggravated patients I encounter. Frequently, they have not been adequately evaluated, are in pain, and are desperate for
Bringing pigmented lupus to light
By Warren R. Heymann, MD Dec. 7, 2017 ... Cutaneous lupus. Biopsy of the left distal thigh shows interface dermatitis, dyskeratosis, superficial perivascular lymphocytic infiltrate, focal red blood cell extravasation, and pigment incontinence. ... Credit: ... JAAD Lettie (not her real name) was an elderly, charming, courtly, soft-spoken African-American woman
2023 Allergen of the year: Lanolin
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, June 1, 2023 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Blair A. Jenkins, MD,
March 12, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 12, 2025 ... GLP-1RA medications and hair loss DermWorld Insights and Inquiries : Antihypertensive agents and eczema — New data for older patients Combined oral contraceptives may be beneficial for
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
The many uses of microneedling
Go to AAD Home ... Go to AAD Home ... Menu ... How it works, potential applications, and what patients should know ... How it works, potential applications, and what patients should know ... By Emily Margosian, assistant editor Once an experimental treatment pioneered through the use of tattoo pistols
Netherton syndrome: From apex to nether
By Warren R. Heymann, MD March 31, 2021 Vol. 3, No. 13 If you are a dermatologist preparing for your board exam, I’ll wager that you can rattle off the classical features of Netherton syndrome (NS, aka Comel-Netherton syndrome) in a heartbeat. The more important question — would you recognize
The 2020 vision for nemolizumab in atopic dermatitis
By Warren R. Heymann, MD March 11, 2020 Vol. 2, No. 10 Over the past decade, I have noticed an inversion of the ratio of patients with severe psoriasis versus atopic dermatitis (AD) in my practice. The biologic revolution has clearly favored those afflicted with psoriasis; although dupilumab has improved
June 2, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 2, 2021 ... Acne and enthesitis: Is there an association? DermWorld Insights and Inquiries : Touching on contact pemphigus and pemphigus-like eruptions due to imiquimod Derm Coding Consult : Applying
What's hot?
What's hot ... November 29, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... On Oct. 5, the ... U.S. FDA approved the Gardasil 9 human papillomavirus (HPV) vaccine for men
Left in the dark
Go to AAD Home ... Go to AAD Home ... Menu ... An explanation to patients on the factors that can keep physicians out of the loop on current drug prices and costs to patients ... An explanation to patients on the factors that can keep physicians out of the
PDF of Photosensitivity disorders
HLA- (Hutchinson’s in Native nodules, sometimes with the provocative giosis, acantho- Mild disease: topical
A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus
By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the
Beyond dermoscopy
Emergent technologies enhance imaging, target rare diseases. ... Feature ... By Jan Bowers, Contributing Writer, August 1, 2023 Dermoscopy has arrived. "While there are established practicing dermatologists who are not using it, it’s integrated across the residency programs," said Ashfaq A. Marghoob, MD, FAAD, attending physician at Memorial Sloan Kettering
PDF of Clinical Pearls on Patch testing
the dermatitis 5) fails to the ability to update or modify selected allergens based improve with topical
PDF of Clinical guideline flowchart for treating psoriasis patients using systemic non-biologics
(topical, phototherapy, See supplementary table (8) for a list of possible or biologic agents). combination
January 17, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 17, 2024 ... Risk of skin cancers in patients with actinic keratoses DermWorld Insights and Inquiries : A cold abscess remains a cold case — Multiple neonatal staphylococcal cold abscesses
July 12, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 12, 2023 ... Association between hydrochlorothiazide use and nonmelanoma skin cancer DermWorld Insights and Inquiries : After 23 years, a syndrome converted me into an eflornithine believer Potential applications of
August 29
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 29, 2018 ... CMS questions global payment codes Non-physician clinicians bill more dermatologic procedures Can machine learning exacerbate health care disparities in dermatology? Mediterranean diet may help ease psoriasis severity
Checking in on the adverse reactions to checkpoint inhibitors
By Warren R. Heymann, MD Oct. 17, 2016 Earlier this year there have been two posts devoted to adverse reactions of checkpoint inhibitors ("Thinking of Discontinuing the PD-1 Inhibitor Because of a Lichenoid Eruption? Don’t do it!" published on May 21st and "Joining the Bullae Pulpit: PD-1 inhibitors" posted on
A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?
By Warren R. Heymann, MD, FAAD Aug. 3, 2022 Vol. 4, No. 31 In 1965, Reye described 18 small, fibrous tumors from 12 children submitted to his laboratory for histological examination, that he had accumulated over two decades. Initially, these lesions were tentatively classified as well-differentiated fibrosarcomas. His seminal observation
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,
Vascular abnormalities in FFA, artificial intelligence, and Winston Churchill
By Warren R. Heymann, MD, FAAD Aug. 23, 2023 Vol. 5, No. 34 If Winston Churchill were a dermatologist, he would say that frontal fibrosing alopecia (FFA) is "a riddle wrapped in a mystery inside an enigma" (which is how he viewed Russia). Almost 30 years have passed since Kossard
What's hot?
What's hot ... October 30, 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 familiar with "fish pedicures" and their risks? Fish pedicures are pedicures in which the feet are immersed
Weighing the options
As biologic therapies expand indications to children and adolescents, what do dermatologists need to know about balancing the risks and benefits? ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2023 Over the past five years, younger patients have steadily gained access to a range of FDA-approved targeted
2023 Global Education Day - MEIDAM Association agenda
cases Amal Said, Morocco 14:34 - 14:46 WhatsApp” dermatology Shaden Abdelhadi, UAE 14:46 - 14:58 Topical
Atrophic tinea versicolor: More than a mirage?
By Warren R. Heymann, MD April 22, 2016 On occasion I would examine a patient with tinea versicolor and wonder if the finely scaly patches were atrophic. Somehow, I figured (possibly mistakenly) that it was more of an optical illusion than genuine atrophy. That was a settled issue in
Taming toxic erythema of chemotherapy with high-dose vitamin D
By Warren R. Heymann, MD, FAAD Feb. 28, 2024 Vol. 6, No. 9 The administration of chemotherapy can lead to a host of cutaneous findings, ranging from adverse reactions to specific drugs to infectious complications caused by immunosuppression and neutropenia. While some of the drug reactions are allergic in nature,
PDF of proposed guidelines on AD and phototherapy
88 3 89 Abstract 90 91 Background: For people with atopic dermatitis (AD) refractory to topical
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
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
January 6, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 6, 2021 ... Managing pain in hidradenitis suppurativa patients: A proposed algorithm DermWorld Insights and Inquiries : Itching to see if polymerase chain reaction mite be the future of diagnosing
PDF of Hair shaft disorders
Any mal hair shaft inhibitor) FTT, recurrent skin topical medica- (“bamboo infections, dehy- tion should
Psoriatic alopecia and sebaceous glands: An unfinished symphony
By Warren R. Heymann, MD June 15, 2017 Psoriasis and alopecia after initiation of TNFi. A, Diffuse erythematous pustules on the upper back of patient 1. B, Severe alopecia with mild papules on scalp of patient 4. ... Credit: ... JAAD Every so often, patients with psoriasis would ask me
ALDY and the redemptive power of “I don’t know”
... By Warren R. Heymann, MD Jan. 28, 2017 When I started my residency 37 years ago, I never would have imagined that nearly four decades later, I would be baffled by patients and their rashes every day. When I’m stumped diagnostically, I admit it (to myself and the
Attending the masquerade ball with CTCL and alopecia areata
By Warren R. Heymann, MD Feb. 1, 2017 It comes as no surprise to dermatologists that cutaneous T cell lymphoma (CTCL) is associated with alopecia, especially in patients with follicular mucinosis (alopecia mucinosa), but how often does CTCL masquerade as alopecia areata? ... Amin et al reported a 33-year-old female
2024 Allergen of the year: Sulfites
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, April 1, 2024 In this month’s Clinical Applications column, DermWorld ... Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Erin Warshaw,
This month’s news from across the specialty
What’s hot ... December 1, 2024 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MS, MPH, FAAD More than 80% of prior authorization appeals are overturned. Insurance plans’ most common interventions to manage utilization
March 5, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 5, 2025 ... Is there a link between oral minoxidil and pericardial effusion? DermWorld Insights and Inquiries : Giving a NOD2 to Yao syndrome Higher cumulative dose of isotretinoin tied
Talk of the town: JAK inhibitors in dermatology
Dermatologists discuss the influx of new JAK inhibitors in dermatology and how they are breaking new ground for the specialty. ... Feature ... By Allison Evans, Assistant Managing Editor, April 1, 2024 Over the last decade, research and development of Janus kinase (JAK) inhibitors have exploded. Three years ago, JAK
Alleviate the ouch
Experts share best practices and review the latest on safety concerns for anesthesia use in children. ... Feature ... By Heidi Splete, Contributing Writer, May 1, 2024 Use of anesthesia can be tricky in adults, but even trickier in children. The use of local or general anesthesia in pediatric dermatology
PDF of psoriasis phototherapy guideline supplemental tables
Less effective than topical PUVA for palmoplantar psoriasis 3.
Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa
By Warren R. Heymann, MD, FAAD December 15, 2021 Vol. 3, No. 49 For inexplicable reasons, there are certain differential diagnoses that I find particularly satisfying, one being disorders responsible for facial follicular spicules: follicular mucinosis (1), pityriasis folliculorum ... (Demodex folliculorum) (2), follicular hyperkeratotic spicules (myeloma immunoglobulin or cryoglobulin)
Taking woolly hair to heart
By Warren R. Heymann, MD, FAAD October 27, 2021 Vol. 3, No. 43 Woolly hair (WH) appears as strongly coiled hair — it may be localized or diffuse, with the latter often associated with syndromes affecting the heart, gastrointestinal tract, or central nervous system. ... This commentary will briefly touch
Coming clean on bleach baths for atopic dermatitis
By Warren R. Heymann, MD Oct. 23, 2019 Vol. 1, No. 33 ... Bleach baths have become popularized over the past decade in managing atopic dermatitis (AD). I have been a strong proponent, often telling patients (and their parents) that the procedure would help decolonize the skin and prevent
Atopic dermatitis hide and seek: The impending role of OX40 inhibition
By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside
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
PDF of AADA letter-hatch waxman 9.15
Rising prices of topical drugs are highlighted in the recent Government Accountability Report titled,
Using teledermatology for those with limited access
AAD member Paul S. Yamauchi, MD, PhD, FAAD, finds teledermatology to be a helpful tool. Dr. Yamauchi's story ... Paul S. Yamauchi, MD, PhD, FAAD, finds teledermatology to be an effective tool. ... I started to do teledermatology many years ago to provide more convenience and faster access for our
1984: Dermatologically revisited
By Warren R. Heymann, MD Aug. 22, 2018 George Orwell published ... Nineteen Eighty-Four in 1949. I started my dermatopathology fellowship at the University of Pennsylvania in 1984. I decided to review ... Archives of Dermatology (now ... JAMA Dermatology ), looking back 34 years to see how the dermatologic
Mpox: Treating severe lesions
Wound care ... Accurate diagnosis of lesions is crucial and should start with an assessment of the patient and potential risk factors for mpox (monkeypox), disease severity, and complications. Risk factors for mpox include history of known or possible exposure, relevant travel and sexual behaviors (e.g., sex associated with commercial
October 25, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 25, 2023 ... Efficacy of berdazimer gel for molluscum contagiosum clearance DermWorld Insights and Inquiries : A permanent addition to the list of transient neonatal dermatoses — Transient abdominal telangiectasia
February 22, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 22, 2023 ... How effective are field treatments for actinic keratosis? DermWorld Insights and Inquiries : Saving face — The importance of recognizing facial discoid dermatosis A systematic review of
September 7, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / S ept. 7, 2022 ... Are concentrations higher than 5% minoxidil of benefit for androgenic alopecia patients? DermWorld Insights and Inquiries : BASCULE syndrome: Is something brewing with Bier spots? Emollient
June 15, 2022
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 15, 2022 ... FDA approves first systemic treatment for alopecia areata DermWorld Insights and Inquiries : Aluminum can cause allergic contact dermatitis — Allergen of the Year 2022 DermWorld Young
July, 28 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 28, 2021 ... OTC hair growth therapies for skin of color patients DermWorld Insights and Inquiries : Putting a finger on the diagnosis of Achenbach syndrome Celiac disease: Which skin
PDF of Cosmoceuticals
Miscellaneous topical agents. In: Wolverton, SE (Ed).
PDF of boards fodder mastocytosis review
be moni- tored for 24 hours as delayed anaphylaxis may occur o Local therapy for symptom control topical
Granulomatous pigmented purpuric dermatosis revisited: Lessons learned from a rejected manuscript
By Warren R. Heymann, MD May 14, 2018 ... Nonpalpable pigmented purpuric eruption seen on lower aspect of right leg. ... Credit: ... JAAD In 1982, I was a second-year dermatology resident fascinated by a woman with a history of hyperlipidemia who developed a pigmented purpuric dermatosis (PPD) on her
Cosmetic concerns and considerations
First Person ... By Mordechai M. Tarlow, MD, January 1, 2018 Q: Why didn’t the patient trust her dermatologist? ... A: He kept making rash decisions. Though this oft-repeated joke is somewhat corny, it strikes a chord in many, as some see in it a semblance of the truth. In
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
How to treat minor burns and cuts
Dermatologist shares tips on caring for minor kitchen and holiday accidents ROSEMONT, Ill. (December 6, 2022) — With the holidays upon us, kitchen accidents can become more common as we cook meals for large gatherings of friends and family. In preparation for the holiday season, a board-certified dermatologist from the
Talking points: Benzene found in acne care products
Primary key messages ... The Academy has developed key messages for dermatologists regarding reports that have found the chemical benzene in acne products containing benzoyl peroxide. ... Benzoyl peroxide, a common acne-fighting ingredient available by prescription and over the counter, has the potential to break down into benzene. ... In
Key messages about rosacea for social media
Key messages ... Rosacea is a common skin condition that mainly affects the face. You may see flushing, lasting color (red, violet, or brown), acne-like breakouts, or visible blood vessels. Some people develop irritated eyes or thickening skin. (1,2) ... Although there is no cure for rosacea, proper treatment can
More than just poison ivy...
Go to AAD Home ... Go to AAD Home ... Menu ... Identification and treatment of hazardous plant exposures ... Identification and treatment of hazardous plant exposures ... By Emily Margosian, content specialist For most, knowledge of hazardous plants is limited to the phrase, “leaves of three, leave them be.”
PDF of DIR Spring 2022
last six months of residency for retaking a core progression of his skin lesions despite trying topical
The blister beetle and beyond
Pediatric dermatologists discuss what’s new — and unchanged — in treating molluscum contagiosum. ... Feature ... By Allison Evans, Assistant Managing Editor, July 1, 2024 Molluscum contagiosum (MC), a virus of the ... Poxviridae family, is a common viral cutaneous infection that primarily affects children, immunocompromised patients, and sexually active
When cancer treatment leads to vitiligo
A dermatology-oncology collaboration helped a patient avoid choosing between skin disease and cancer treatment. ... Shawn's story ... Shawn Bruton, patient ... I didn’t expect my cancer treatment to damage my skin. ... Three years after my lung cancer diagnosis, discolored patches appeared on my stomach, arms, and legs. My
NIAID guidelines for food allergy
2017 NIAID Addendum Guidelines for the Prevention of Peanut Allergy in the United States ... View key messages from the 2017 guidelines and 2010 addendum guidelines for peanut allergy below. ... Key messages ... This update to the 2010 NIAID food allergy guidelines addresses the prevention of peanut allergy and
Propranolol and neutrophilic dermatoses: Can beta-blockade be better blockade?
By Warren R. Heymann, MD, FAAD December 8, 2021 Vol. 3, No. 48 Ask any dermatology resident what the first-line treatment is for infantile hemangiomas (IH) and you will get a matter-of-fact response — "propranolol" — as if this has been an entrenched fact for decades. Barely more than a
PRIDE without prejudice
By Warren R. Heymann, MD, FAAD July 30, 2025 Vol. 7, No. 30 As the years march on, I am bemused by having witnessed once-novel findings become mainstream affairs. I recall my excitement describing the development of paronychia in a 76-year-old woman with metastatic colon carcinoma who was participating in
Taking it on the shin: Part one
By Warren R. Heymann, MD, FAAD May 31, 2023 Vol. 5, No. 22 I am intentionally skeptical of medical literature that purports "new" entities. Are they novel and distinct or just minor variations of long-recognized dermatoses? This two-part commentary will focus on two disorders that involve the pretibial region —
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Ashley Decker, MD, FAAD, and Naomi Lawrence, MD, FAAD Feb. 8, 2023 Vol. 5, No. 6 Ashley Decker, MD, FAAD ... Naomi Lawrence, MD, FAAD ... A commonly held belief in dermatologic surgery is that second intention wounds have a lower risk of surgical site infection (SSI) than primary
Going green: The complexities of the green nail syndrome
By Warren R. Heymann, MD February 3, 2021 Vol. 3, No. 5 I find a unique satisfaction in diagnosing the green nail syndrome (GNS, aka chloronychia, Goldman-Fox syndrome) — it is easy to recognize and very reassuring to patients who were convinced they had a subungual melanoma. Based on new
Monitoring infantile hemangiomas: What’s the score?
By Howard B. Pride, MD, FAAD Geisinger Medical Center, Department of Dermatology Aug. 11, 2021 Vol. 3, No. 32 Infantile hemangiomas (IH) are common vascular tumors that generally run a self-limited course of rapid growth in the first 2-3 months of life, slow growth for another 4-6 months, and then
June 21, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 21, 2023 ... Methotrexate vs. methotrexate plus prednisone in patients with alopecia areata totalis, universalis DermWorld Insights and Inquiries : Turning a blind eye on second opinions Nail clipping histopathology
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
April 28, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 28, 2021 ... Acne: Clindamycin-tretinoin vs. benzoyl peroxide-adapalene DermWorld Insights and Inquiries: Do not get burned by missing Staphylococcal scalded skin syndrome Is daylight photodynamic therapy effective for actinic keratosis?
June 19
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 19, 2019 ... Do hidradenitis suppurativa patients have a greater comorbidity burden than psoriasis patients? DW Insights and Inquiries : The newest frontier for biologics and psoriasis may be adherence
PDF of Boards Fodder Local anesthesia
Krach, MD, FAAD Topical anesthetics Primary use Benzocaine Tympanic/mucous membrane Cocaine Nasal mucosa
A metabolic pathway that may allow dermatologists to run rings around porokeratoses
By Warren R. Heymann, MD July 31, 2019 Vol. 1, No. 21 "I know the variants of porokeratoses and can recite them as though I am the very model of a modern major general — Mibelli, linear, punctate, palmoplantar, DSAP [disseminated superficial actinic porokeratosis], superficial disseminated, immunosuppression-related, and porokeratosis ptychotropica.
Rejecting preconceived notions of squamous cell carcinomas in patients experiencing transplant rejections
By Warren R. Heymann, MD Aug. 21, 2019 Vol. 1, No. 24 Dermatologists are keenly aware of immunosuppression’s profound biologic effects. Whether by disease or iatrogenic means, clinical vigilance is mandated because of an elevated risk of malignancy, infection, or inflammatory dermatoses. ... In a study of 177 organ transplant
Softening the blow of calcinosis cutis: The promise of intralesional sodium thiosulfate
By Warren R. Heymann, MD Oct. 12, 2017 ... Calcinosis cutis and pseudoxanthoma elasticum of central abdomen. Firm, erythematous nodules with focal areas of yellow chalky material centrally. ... Credit: ... JAAD I’m not sure what’s harder about calcinosis cutis (CC), the lesion itself or treating it. ... Calcinosis cutis
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,
This month’s news from across the specialty
What’s hot ... March 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD "Greatest Greetings of Todays Dr. Carroll! Taking this opportunity, we would like to cordially invite you to contribute
This month’s news from across the specialty
What’s hot ... September 1, 2022 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD What’s Hot? Capsaicin! The popular spice has been shown to decrease inflammation through a mechanism that is independent
Reporting Mohs micrographic surgery with a simple repair
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, February 1, 2022 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The Integumentary System, Repair (Closure) guidelines were recently
August 28
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 28, 2019 ... Dupilumab shows positive results for younger atopic dermatitis patients DW Insights and Inquiries : Finding joy in pediatric phototherapy FDA, UMD seek feedback on compounded drug use
July 16, 2025
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 16, 2025 ... Female pattern hair loss: Is systemic minoxidil effective over the long term? DermWorld Insights and Inquiries : Pathway to clarity — The new and improved Melanocytic Pathology
This month's news from across the specialty
What's hot ... July 1, 2020 In this monthly column, members of ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty. ... MALLORY ABATE, MD What are COVID toes? Lindy Fox, MD, professor of dermatology at UCSF, weighed in with her expert opinion 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)
Specialties collaborate to create an effective treatment plan
A dermatologist and hematologist/oncologist keep a patient’s rare lymphoma in remission. ... Victoria’s story ... Victoria Perez – Phoenix, AZ ... For six years I had discolored spots that looked like bruises across my body—on my arms, legs, abdomen and buttocks. I knew something was off, but didn’t get a
International Psoriasis Council agenda
Precision medicine, including early active intervention Christopher Griffiths 2:30 PM Cutting edge topical
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?
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 ... Tacrolimus ointment (Protopic®) ... 5-fluorouracil (Efudex®) ... Clobetasaol ... Isotretinoin with enhanced absorption (Absorica®) ... Tapinarof cream (Vtama®) ... Abrocitinib (Cibinqo®) ...
Reporting excimer laser therapy: When to use 96999 vs 9692x
As a result of a code descriptor change for CPT codes 96920-96922 effective Jan. 1, 2024, these codes are now to be used only for excimer laser treatment of psoriasis. This change was made by the AMA CPT to better align with the intended use of these services exclusively for
Dermatologists pioneer cutting-edge treatments
Dermatologists are at the forefront of innovative therapies that help patients like Matthew address health problems, transforming their lives. ... Tony and Jamie Riccardi's story ... Matthew Riccardi, patient ... Our son, Matthew, was always a carefree, confident child until one summer we noticed a small patch of hair missing.
Early diagnosis catches scarring condition
A dermatologist’s quick action helps a patient with alopecia regain her confidence. ... Julie's story ... Julie Wright, patient ... Like a lot of parents, my two kids keep me very busy, so I put taking care of myself on the back burner. However, I knew I needed to take
High-dose vitamin D may be a ray of sunshine for treating sunburn
By Warren R. Heymann, MD, FAAD June 4, 2025 Vol. 7, No. 22 Rightly or wrongly, I attribute my melanoma to a blistering sunburn at the Sahara Hotel in Miami Beach in 1958. I recall my mother shmearing Noxzema on my back — the distinctive smell of Noxzema (from eucalyptus,
PDF of DIR Winter 2020
She was started on topical ste- to be on a committee or a workgroup where you can connect with roids
Aluminum can cause allergic contact dermatitis: Allergen of the Year 2022
By Christen Mowad, MD, FAAD June 15, 2022 Vol. 4, No. 24 Allergen of the year is an eagerly awaited award for those of us excited by allergic contact dermatitis. It has been given each year for over 20 years to highlight allergens of new and emerging significance and sometimes
January 10, 2024
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 10, 2024 ... Intralesional MMR vaccine after failure of intralesional Candida antigen in patients with recalcitrant warts DermWorld Insights and Inquiries : Beyond disfigurement — The potential for keratinocyte carcinoma
December 1, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 1, 2021 ... Risk of COVID-19 infection in atopic dermatitis patients DermWorld Insights and Inquiries : The nexus of VEXAS syndrome Skin and gut microbiome in hidradenitis suppurativa Is imiquimod
July 11
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... JULY 11, 2018 ... Amazon upends drug market with purchase of online pharmacy Amazon recently announced it will ... purchase online pharmacy PillPack for about $1 billion. PillPack claims to simplify treatment plans for patients
This month’s news from across the specialty
What’s hot ... September 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 The HPV vaccine is a safe and effective method of preventing cancer, but parental hesitancy toward vaccine
Beef tallow for eczema: Grade A prime or just another bum steer?
By Andrew C. Krakowski, MD, FAAD June 18, 2025 Vol. 7, No. 24 As a pediatric dermatologist, I have seen skin care trends come and go faster than a cow fleeing a branding iron. Lately, social media — especially herd-mentality platforms like TikTok — has been bullish on beef tallow
Recognizing Trichophyton indotineae
Reporting to health departments ... Physicians who suspect antimicrobial-resistant dermatophytosis can also contact ... their state or local health departments for assistance . Public health officials who are concerned about potential cases or clusters of drug-resistant tinea infections can email ... fungaloutbreaks@cdc.gov for assistance with recommendations and testing. ... Overview
The vexing verruciform xanthoma
By Warren R. Heymann, MD, FAAD February 23, 2022 Vol. 4, No. 8 Verruciform xanthomas (VX) were first described 50 years ago, and they are still a source of debate. Only the most astute dermatologists will make the diagnosis clinically, with the possible exception of recognizing such lesions in patients
PDF of AADA Letter to the FTC December 2017
Similar price increases have also affected clobetasol, a topical steroid.
Navigating "natural" medicine
Go to AAD Home ... Go to AAD Home ... Menu ... How to meet patients' desire for alternative medicine with evidence-based care ... How to meet patients' desire for alternative medicine with evidence-based care ... By Emily Margosian, assistant editor "We are clearly past the ‘golden age’ where, by
2024 AAD Annual Meeting Global Education Day - Indian Association of Dermatologists, Venerologists and Leprologists agenda
Efficacy Of Fractionalco2 Laser Verses Mnrf In Acne Lakshmi Scar Management In Combination With Topical
PDF of skin care for dermatologists
Moisturizer and topical corticosteroids can help relieve mild symptoms.
Thinking of discontinuing the PD-1 inhibitor because of a lichenoid eruption? Don’t do it!
By Warren R. Heymann, MD May 21, 2016 Immune checkpoint inhibitors have been the proverbial "game changers" in oncology, and offer hope (and a chance of survival) where none existed just a few years ago. ... Cutaneous manifestations are the most common adverse reactions to these drugs. Indeed, more than
American Academy of Dermatology statement on Benzoyl Peroxide in OTC Personal Care Products
American Academy of Dermatology President Susan C. Taylor, MD, FAAD ROSEMONT, Ill. (March 24, 2025) — Recent reports have noted that benzoyl peroxide, a common acne-fighting ingredient available by prescription and over the counter, has the potential to break down into benzene. The American Academy of Dermatology is committed to
Special lights keep a veteran safe during surgery
An interdisciplinary team makes organ transplant surgery safe for a patient with erythropoietic protoporphyria, a rare photosensitivity condition. ... Stacey Creed's story ... Stacey Creed, Cadillac, MI ... My whole life I have had sensitivity to the sun. As a child, my parents would bring me to different doctors, who
A menagerie of zoonoses
Common and emerging zoonotic disease in dermatology ... Feature ... By Emily Margosian, Assistant Editor, December 1, 2022 From the Black Death to Avian Flu, throughout history, humans have been plagued by epidemics of infectious disease that originated from animals. Zoonoses represent a major public health problem around the world
What’s new in treating actinic keratosis?
Dermatologists discuss how to balance the latest evidence, patient preferences, and clinical experience when treating AKs ... Feature ... By Allison Evans, Assistant Managing Editor, November 1, 2022 Actinic keratoses (AKs) are commonly diagnosed and treated by dermatologists. In fact, the National Ambulatory Medical Care Survey on outpatient medical care
Filling the medicine cabinet
Go to AAD Home ... Go to AAD Home ... Menu ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... Dupilumab and crisaborole have changed atopic dermatitis treatment — and now more drugs are on the way ... By Victoria
Community care
Considerations for dermatologists when treating patients experiencing homelessness ... Feature ... By Emily Margosian, assistant editor, July 1, 2021 Every January, the Department of Housing and Urban Development (HUD) conducts a point-in-time count across the country to gauge the rate of homelessness in the United States. In 2019, HUD identified
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
Paradoxical biological reactions and Grandma Dora’s waterbed
By Warren R. Heymann, MD January 22, 2020 Vol. 2, No. 3 My late maternal grandmother Dora — a real ... balabusta (Yiddish for "mistress of the house") — was the first person I knew to get a waterbed. That raised eyebrows, until I explained that it comforted her octogenarian
Prurigo pigmentosa as the “keto rash”: I’m a believer
By Warren R. Heymann, MD February 5, 2020 Vol. 2, No. 5 Patients are attuned to their diets — healthy, unhealthy, or trendy. Unquestionably, certain foods exacerbate specific dermatoses — just ask any dermatitis herpetiformis patient how they fare with a slice of Sicilian pizza. More often the situation is
On the cusp of extraordinary advances in extramammary Paget disease
By Warren R. Heymann, MD May 27, 2020 Vol. 2, No. 21 I always include extramammary Paget disease (EMPD) and Bowen disease in my differential diagnosis of anogenital rashes for fear of missing them. It is good form to biopsy such lesions should they not respond to standard therapies for
July 5, 2023
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 5, 2023 ... Petroleum jelly: Safety, myths, and misconceptions DermWorld Insights and Inquiries : Reflections on reflectance confocal microscopy for diagnosing benign lichenoid keratoses Managing CLE with JAK inhibitors Homelessness
January 30
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / January 30, 2019 ... Dermatologists prescribe fewer antibiotics overall, but use increased with surgery CMS updates Open Payments data What causes allergic responses in patients with atopic dermatitis? YouTube videos about
This month’s news from across the specialty
What’s hot ... August 1, 2025 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the Clear Clinical Communications group at the University of Minnesota ... studied children’s understanding of
Demodectic eruptions: More than you mite have imagined
By Warren R. Heymann, MD, FAAD April 26, 2023 Vol. 5, No. 17 Despite the ongoing debate about the precise role of Demodex in the pathogenesis of multiple dermatoses (pityriasis folliculorum, papulopustular and granulomatous rosacea, perioral dermatitis, seborrheic dermatitis, blepharitis, and others), few would argue about the association of the
A seasoned approach to treating the “salt and pepper” dyspigmentation of systemic sclerosis
By Warren R. Heymann, MD, FAAD Feb. 1, 2023 Vol. 5, No. 5 It only takes a nanosecond for a dermatologist to recognize the "salt and pepper" dyspigmentation (SPD) of systemic sclerosis (SSc), but a lifetime to understand and manage it. Of all the cutaneous signs of SSc (sclerodactyly, telangiectasias,
The profound dermatological manifestations of COVID-19 Part VI: Going to the dogs
By Warren R. Heymann, MD July 29, 2020 Vol. 2, No. 30 Disclaimers: This commentary was written on July 12, 2020 for a publication date of July 29, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual
Checking in on immune checkpoint inhibitors
Immune checkpoint inhibitors offer hope for non-melanoma skin cancer patients ... Feature ... By Heidi Splete, Contributing Writer, July 1, 2022 Patients with advanced non-melanoma skin cancer see new hope on the horizon, thanks to recent developments in the number and effectiveness of new drugs to improve survival. ... "Patients
Eyebrow-raising complications of microblading
By Warren R. Heymann, MD, FAAD May 1, 2024 Vol. 6, No. 18 One of the most significant challenges of being a medical dermatologist is that patients assume you are well-versed in all aspects of dermatology, including cosmetic procedures. It is a reasonable expectation that dermatologists have at least a
“Black dot” alopecia areata
By Warren R. Heymann, MD April 16, 2016 This week I had a 35 year old man present with a one month history of a round patch of alopecia. He was told by his PMD that he had tinea and was started on oral terbinafine (which he had been on
A revelation: Drug-induced pseudoglucagonoma syndrome
By Warren R. Heymann, MD Aug. 21, 2016 Although only having diagnosed the glucagonoma syndrome (GS) once, I have always been fascinated by necrolytic migratory erythema (NME), and conditions that mimic NME, the so-called pseudoglucagonoma syndrome (PGS). ... PGS has been reported with the following conditions: liver disease, inflammatory bowel
Skin care for health care workers during COVID-19 infographic
Moisturizer and topical corticosteroids can help relieve mild symptoms.
PDF of infographic on skin care and health workers
Moisturizer and topical corticosteroids can help relieve mild symptoms.
Finding relief for a perplexing skin condition
A young woman faced years of pain caused by swimming or showering, until two dermatologists diagnose her with aquagenic keratoderma and develop a treatment plan. ... Josie's story ... Josie Lopez – Sarasota, Florida ... When I was 11 years old, I started having pain in my hands after swimming.
October 27, 2021
Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 27, 2021 ... COVID-19 and nails: A review of clinical findings DermWorld Insights and Inquiries : Taking woolly hair to heart Derm Coding Consult : CMS revises Advance Beneficiary Notice
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
PDF of Disorders of hyperpgimentation
resident at Washington sure, topical use of Silver granules in the basement membrane eccrine glands
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
This month's news from across the specialty
What's hot ... December 1, 2021 In this monthly column, members of the ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty. ... Bryan Carroll, MD, PhD, FAAD Being a fan of the Cleveland Browns football team, I am very familiar with organizational dysfunction. It’s not
2022 CPT coding updates
Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Coding & Reimbursement, November 1, 2021 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . The American Medical Association (AMA) has released the
2019 World Congress Fund Poster Abstract eBook
in Nepal Adebola Ogunbiyi Navjot Brar, Institute of Medicine, Tribhuvan University, Nepal Combined Topical
PDF of Boards Fodder Systemic antiviral agents
synthesis CMV Penciclovir Phosphorylated by HSV, VZV Low bioavailability viral thymidine kinase Used in topical
PDF of Drug interactions in dermatology, part 2
combination in severe psoriasis and pityriasis rubra Jesse Hirner, pilaris MD, is dermatology Topical
An incisive approach to chronic paronychia: The square flap technique
By Warren R. Heymann, MD Aug. 2, 2016 I cannot begin to guess how many patients I have seen with chronic paronychia (CP) since I started my residency 36 years ago. I know precisely how many patients I have referred for surgical correction of CP — zero! The reason for
Pennsylvania dermatologist goes beyond exam room to help patients access treatment
Dr. Scott Lim Honored for Efforts to Improve Prior Authorization Process ROSEMONT, Ill. (April 14, 2022) - Pennsylvania board-certified dermatologist Scott Lim, DO, FAOCD, FAAD, was named an American Academy of Dermatology ... Patient Care Hero for his extraordinary efforts to get patients access to the medications they need. ...
Cosmetic conundrums
Contact dermatitis experts discuss key cosmetic allergens and how to investigate which product may be causing a patient’s allergic reaction. ... Feature ... By Emily Margosian, Assistant Editor, September 1, 2023 Thousands of substances can cause an allergic skin reaction, offering a broad lineup of potential "suspects" for contact dermatitis
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