Acne 

Actinic Keratosis 

Aesthetics

Alopecia

Biologic Treatments for Moderate to Severe Atopic Dermatitis 

Atopic Dermatitis 

COVID-19

Drug Watch

Eczema

General Dermatology 

Hidradenitis Suppurativa

Melasma

NP and PA

Pediatric Dermatology

Pigmentary Disorders 

Practice Management 

Precision Medicine and Biologics

Emerging Therapies Plaque Psoriasis

Treatments for Plaque Psoriasis 

Psoriasis 

Psoriatic Arthritis 

Rare Disease

Rosacea 

Skin Cancer (Nonmelanoma)

Skin Cancer

Vitiligo

Wound Care

News

Media

Around the Practice

Between The Lines

Case-Based Peer Perspective

Clinical Case Collective

DermView

Expert Perspectives

Fellows Face Off

Frontline Forum

Medical World News

Patient Perspectives

Podcasts

Readout360

Recognize and Refer

Conferences

Conference Coverage

Conference Listing

Events

Case-Based Roundtable

Publication

Dermatology Times

CME/CE

Resources

DermIQ

Interactive Tools

Job Board

Partner Perspectives

Polls

Editorial Advisory Board

Partners

Subscribe

 and joined the MJH Life Sciences team in June 2022. She attended Otterbein University in Westerville, Ohio, and earned a Bachelor of Arts degree in literary studies with minors in creative writing and film studies. Prior to health care news, Kaitlyn worked in industrial marketing. She enjoys cooking, reading, and tending to her house plants. 

Articles

In case you missed it, this week we had news about the FDA approval of denileukin diftitox for relapsed or refractory cutaneous T-cell lymphoma, the initiated phase 3 trial of ESK-001 for plaque psoriasis, secukinumab for HS clusters, and more.

The Weekly Roundup: August 5-9

Maddi Hebebrand is an associate editor of 

and joined the MJH Life Sciences team in May 2024. She attended Baldwin Wallace University, studying Media Production and Film, and is now finishing her Masters in Digital Media through Ohio University. When she's not writing, Maddi loves to read, attend concerts and spend time with her family.

Researchers linked higher exposure to natural environments and green spaces with an increased risk of developing psoriasis.

Study Solidifies Link Between Environment and Psoriasis Risk

Explore how surveyed providers perceive current and emerging therapies in the atopic dermatitis.

Delving Into NP/PA Perspectives on Emerging Atopic Dermatitis Treatment Options

Researchers emphasized the need for improved reliability and regulatory frameworks for AI tools before they are integrated into dermatological practice.

Comparing AI Models for Dermatological Diagnoses

About

Advertise

Contact Us

Do Not Sell My Information

Terms and Conditions

Privacy Policy

Dermatology Times and Multimedia Medical, LLC

Twitter

Facebook

Linkedin

Topics

Acne

Pigmentary Disorders

Practice Management

Psoriasis

Psoriatic Arthritis

Rosacea

1rem

Authors

Naiem Issa, MD, PhD, shared highlights from his sessions on the 1726 nm laser for acne, atopic dermatitis disease modification, advances in hidradenitis suppurativa, and microneedling techniques for vitiligo.

Insights From the 16th 5CC World Congress

Naiem Issa, MD, PhD, emphasized the importance of increased awareness regarding antibiotic stewardship among dermatologists, as well as the recently updated acne guidelines. 

Addressing Antibiotic Stewardship and Acne Guidelines at AAD

When to Discontinue Treatment: Interpreting Safety Signals and Adverse Event Patterns

Key opinion leaders examine safety concerns and adverse event trends in psoriasis treatments, discussing how these factors influence decisions to discontinue therapy and transition patients to alternative interventions.

clinical

Video Series

Updating Treatment Guidelines: Incorporating Novel Therapies to Address Unmet Needs

Psoriasis specialists evaluate strategies for integrating emerging therapies into existing treatment protocols and conclude by addressing persistent gaps in current psoriasis management approaches.

Last week, our Hyperhidrosis Awareness Month poll

 challenged your knowledge of the prevalence of excessive sweating. We asked: What percent of the global population is estimated to have hyperhidrosis? 

, according to the International Hyperhidrosis Society. Despite how common hyperhidrosis is, it is estimated that 27% of those with the condition never receive a diagnosis.

Even more so, not everyone who experiences excessive sweating has shared their symptoms and experiences with a health care professional.

 wants to hear from you. What percent of those with hyperhidrosis have discussed their excessive sweating with a health care professional?

 to share your hyperhidrosis insights or research.

Doolittle J, Walker P, Mills T, Thurston J. Hyperhidrosis: an update on prevalence and severity in the United States. 

. 2016;308(10):743-749. doi:10.1007/s00403-016-1697-9

Click here to answer this week's poll for Hyperhidrosis Awareness Month.

News 

Polls 

POLL: What Percent of Those With Hyperhidrosis Have Discussed Their Sweating With a Health Care Professional?

In the rapidly evolving field of aesthetic dermatology, maintaining transparency and ethical standards is paramount. Kavita Mariwalla, MD, a double board-certified Mohs surgeon and dermatologist practicing at Mariwalla Dermatology in West Islip, New York, was an author contributing to 

, a book published earlier this year by Allergan Aesthetics in collaboration with other medical aesthetics experts to bring more awareness to ethics in aesthetics. The variety of expert articles and interviews emphasize the need for “industry-wide transparency and integrity to meet the expected increase in global demand for aesthetics treatments.” 

 Mariwalla discussed the importance of credentialing, patient education, and ethical considerations in both clinical practice and social media engagement.

Navigating Aesthetic Dermatology With Integrity

Credentialing and Transparency in Practice

One of the foundational elements of ensuring transparency in dermatology, according to Mariwalla, is proper credentialing. “It’s really important to credential yourself at all times,” she emphasized. This includes clearly displaying one’s degrees and board certifications on their website. She advocates for explicit transparency about who is treating patients, ensuring that titles such as esthetician, nurse practitioner, or physician assistant are clearly indicated on business cards and attire. “Credentialing is key to maintain transparency, so patients know who is treating them, who is behind that laser, who’s behind that needle, and what their training and degree is in.”

In addition to credentialing, Mariwalla stressed the necessity of educating patients about the risks and benefits of any procedure. “Just because we can do it doesn’t mean that we always should,” she asserted. Comprehensive discussions about potential risks allow patients to make informed decisions, a cornerstone of ethical medical practice.

Ethical Considerations in Patient Consultations

During patient consultations, Mariwalla identified three key ethical considerations: necessity of the intervention, qualifications of the practitioner, and alignment with personal ethical standards. She noted the importance of evaluating whether a patient truly needs a procedure, especially in cases where unrealistic expectations or body dysmorphic disorders might be present. “We do have times where patients have body dysmorphic disorder, or they are chasing an ideal that’s not really possible,” she explained. In such scenarios, educating patients and being comfortable with saying no is crucial.

Moreover, transparency about the qualifications of practitioners performing procedures is essential. Ensuring that all providers have the necessary training to prioritize patient safety is a non-negotiable aspect of ethical practice. Mariwalla also advised treating patients with the same level of care and consideration one would offer to family members. “If you would tell your own family no, then treat your patient with that same level of respect, and then you’ll always be able to walk that ethical line,” she said.

Navigating Social Media’s Ethical Challenges

The rise of social media presents unique ethical challenges for dermatology clinicians. Mariwalla offered several guidelines to navigate this landscape effectively in the book’s chapter, “Demonstrating Integrity on Social Media.” She encourages the use of before-and-after photos to showcase expertise and destigmatize aesthetic procedures while reminding patients that results are not guaranteed. Mariwalla explained, “It’s really important that you always say that these results are not guaranteed and that not everyone is going to have the exact same outcome because different people have different needs.” The book emphasize how consults are important to the process to help ensure better patient outcomes.

Mariwalla also advises against following trends blindly and stresses the importance of showcasing one’s expertise authentically. “Make sure that your social media posts and your accounts reflect who you are as a doctor,” she said. This includes upholding the persona of a physician with unique expertise and not succumbing to the lure of popular yet inappropriate trends.

Patient safety is at the forefront of ethical dermatology practice, and the main reason to reinforce why patients should go to trained physicians who understand the anatomy of the face, which help mitigate risks. Mariwalla underscored the importance of full disclosure regarding the risks associated with procedures. For instance, she highlighted the necessity of discussing potential complications, such as blindness from fillers, even if it might dissuade some patients. “Patients deserve to know. Hopefully, that will never happen to you. But nonetheless, I think patients need to be aware of these risks,” she mentioned.

In addition to educating patients, maintaining a safe clinical environment is crucial. This includes proper handling of syringes, regular servicing of machines, and adherence to safety protocols. “You really need to have codes of conduct, codes of care, and a certain standard that you uphold in all aspects of your office,” she asserted.

Upholding Ethical Standards in Training and Education

To maintain high ethical standards, Mariwalla believes dermatology clinicians should focus on their areas of expertise and avoid pontificating on topics they are not well-versed in. She also cautions against engaging in reaction videos or content that speculates on celebrity procedures. Mariwalla said, “Rise above sort of the gossip or the salacious magazine style, reporting and demonstrate your true expertise in all things, hair, skin, and nails.”

She encourages dermatologists to separate their professional and personal social media pages, ensuring that their professional presence reflects their commitment to patient safety and ethical practice. Transparency about sponsored content is also essential to maintain trust with patients.

Reflecting on her contribution to the recently launched book 

, Mariwalla highlighted the need for open discussions about ethics in aesthetic dermatology. She noted the importance of amplifying the voices of qualified professionals to guide patients accurately and ethically. “We can make sure that the people who are giving advice in a proactive community-based way, that those voices are amplified,” she concluded.

Allergan Aesthetics launches "Moving the Needle on Ethics" to elevate the conversation around ethics in aesthetics. News release. Allergan Aesthetics. March 25, 2024. Accessed June 7, 2024. 

https://news.abbvie.com/2024-03-25-Allergan-Aesthetics-Launches-Moving-the-Needle-on-Ethics-to-Elevate-the-Conversation-Around-Ethics-in-Aesthetics

Hyperhidrosis is not rare. According to the 

, approximately 385 million people worldwide live with hyperhidrosis.

In fact, they note that the amount of people living with chronic, excessive sweating is even higher than the amount of people living with other dermatologic conditions like psoriasis.

Just how common is hyperhidrosis in real-world comparisons?

The prevalence of hyperhidrosis is much higher in younger populations than in the general population, with 8.8% of individuals between the ages of 18 to 39 years old living with the condition. 

When comparing these statistics to everyday, common occurrences like hair color, the number of people with hyperhidrosis is greater than the 1% of individuals with natural red hair and 2% of individuals with natural blond hair. 

Despite how common hyperhidrosis is, it is estimated that 27% of those with the condition never receive a diagnosis.

 wants to hear from you. What percentage of the global population is estimated to have hyperhidrosis?

Albert. Fact check: Hyperhidrosis - International Hyperhidrosis Society: Official site. Home - International Hyperhidrosis Society. October 24, 1970. Accessed November 16, 2023. 

https://www.sweathelp.org/home/news-blog/542-fact-check-hyperhidrosis.html

POLL: What Percent of the Global Population is Estimated to Have Hyperhidrosis?

A recent study study aimed to assess the efficacy and safety of Botulinum toxin type A (BTX-A; Botox) in treating this condition. The research, following PRISMA guidelines, reviewed 6 studies encompassing open-label, controlled trial, double-blind placebo-controlled, and observational designs. The results consistently indicated that BTX-A effectively reduced symptoms of hyperhidrosis with no significant side effects. The treatment significantly improved QoL, decreased sweat rate and production, and did not adversely affect grip strength. Additionally, the prolonged antisudorific effect suggested the potential for long-term management of palmar hyperhidrosis with BTX-A.

However, this treatment may not be effective in many cases.

Other treatment options, including topical agents, medical devices, systemic therapies, and surgical interventions, are available for palmar hyperhidrosis, given its significant impact on quality of life. Nonsurgical approaches, such as topical antiperspirants, iontophoresis, and systemic agents, are supported by current literature, with topical therapies often beneficial for mild to moderate cases. 

As the disease severity increases, systemic oral medication, like anticholinergic drugs, may become necessary, and surgical approaches are considered last-line for severe refractory cases. Recent therapeutic advancements are emerging as promising alternatives in clinical trials. However, the selection of treatment modalities should consider disease severity, benefit-to-risk profile, cost, patient preference, and clinician expertise, with the review providing insights to help clinicians optimize decision-making in managing excessive hand sweating.

Do you use all or any of these in combination? We want to know. Email us at 

1. Rashaan R, Arkoumanis PT. The efficacy of Botulinum Toxin A in treating palmar hyperhidrosis - a literature review. 

. 2023;18(4):712-717. doi:10.26574/maedica.2023.18.4.712

2. Gregoriou S, Sidiropoulou P, Kontochristopoulos G, Rigopoulos D. Management strategies of palmar hyperhidrosis: challenges and solutions. 

. 2019;12:733-744. Published 2019 Oct 4. doi:10.2147/CCID.S210973

Botox? Iontophoresis? Let us know what you most often recommend to your patients with severe palmar hyperhidrosis.

Naiem Issa, MD, PhD, FAAD

Articles

Latest Updated Articles