The Future of Dermatology

Vote for us! Please vote for The Future of Dermatology in the Wellness Podcasts category. It would be a huge help. Your vote would go a long way in helping me gain visibility and get my message out into the world. Instructions: Step #1: Go here to vote between April 1st - April 30th at 6PM PST: https://www.womenpodcasters.com/awards-voting?sc=4123391171887752b2fd4b52bfd7fdd3768b1d97b Step #2: Click the vote button and it will take you to the voting form. Step #3: Complete the voting form. NOTE: ONLY one (1) form per person & email address please. There is no fee for voting. The person with the most votes will win the category. You will not be put on an email list, however Google Forms are used to collect the votes and Google Forms may send you a copy and confirmation of your form submission. Your support is much appreciated! Summary: Fresh off her two talks at the AAD Annual Meeting in Denver, Dr. Faranak Kamangar, Inc. 2026 Female Founders 500, shares her reflections and the buzz from the conference floor. In this episode - part two of her AAD AI series - she dives deep into agentic AI workflows: what they are, why they matter for dermatology, and how they can realistically transform the day-to-day burden of clinical practice. Dr. Kamangar unpacks the history of physician-led digitization that made healthcare AI possible, explores the evolution from simple chatbots to true agentic systems, and walks through concrete use cases, from prior authorizations and scheduling to AI scribes, patient education, and social media management. She also breaks down a green/yellow/red light framework for knowing which workflows are safe to hand off to AI today versus which ones still require physician oversight. The through line: AI isn't here to replace the human touch, it's here to reclaim the five extra hours physicians spend on administrative work every single day. Whether you're already using AI tools or just starting your journey, this episode is a practical, energizing roadmap for building a more sustainable dermatology practice. Chapters: 00:00 – Introduction & Women Podcasters Network nomination 01:41 – Welcome back + AAD Denver recap & community feedback on DermGPT 03:13 – Why agent workflows are the solution to AI's "still have to proofread it" problem 04:49 – AI literacy 101: prompting tips & why most dermatologists are under-using AI 06:13 – What are agentic AI workflows? The evolution from search → chatbots → agents 07:44 – The physician-led digitization era: how doctors built the data that powers AI 09:17 – The 80/20 problem: why physicians still handle 80% of office touchpoints 10:52 – Agentic AI vs. generative AI: getting AI to actually do things 12:14 – Use case deep dive: scheduling, prior auth, scribes & second-opinion agents 15:27 – The vision: walk in, see patients, walk out with a finished note 16:26 – Why getting the clinical note right is the single most impactful AI win 17:28 – Green/yellow/red light framework: what to automate now vs. what to protect 19:27 – Agents beyond the clinic: social media, billing, and practice management 21:00 – Closing thoughts, DermGPT updates & call to action

Summary: Dr. Faranak Kamangar, Inc. 2026 Female Founders 500, is podcasting from from AAD 2026, and sharing the highlights from her live talk on artificial intelligence in dermatology. In this solo episode, she breaks down the most important AI updates dermatologists need to know right now. From image-based melanoma detection to large language models and the rise of agentic AI. Dr. Kamangar covers the current state of FDA-approved AI medical devices, why diagnostic imaging AI is promising but still limited by specificity gaps, and how dermatology compares to radiology and other specialties in the AI device space. She also dives into why LLMs like DermGPT should be your highest-leverage clinical tool, and how to use them the right way. You'll learn how to avoid common AI pitfalls like the "journal halo effect" (just because it cites a prestigious journal doesn't mean the output is accurate), semantic degradation in RAG models, and over-relying on AI without clinical scrutiny. Most importantly, Dr. Kamangar walks through the anatomy of a high-quality prompt, because your output is only as good as what you put in. Whether you're AI-curious or already using these tools in your practice, this episode is packed with practical, evidence-informed pearls to help you work smarter, not harder. Key Takeaways: 1. Image-based melanoma detection AI is improving rapidly but still struggles with low specificity, making it most valuable for global health and underserved regions. 2. Large language models like DermGPT are your highest-leverage AI tool right now and should be used as a clinical thought partner, not a search engine. 3. The "journal halo effect" is a real risk. Prestigious citations in an AI response don't guarantee the output is accurate or trustworthy. 4. Adding more articles to an LLM's database can silently reduce performance, so more data doesn't always mean better answers. 5. The quality of your AI output is directly tied to the quality of your prompt - be specific, structured, and give more than nine words. 6. AI alone is a confident guesser, but your clinical expertise combined with AI creates an extraordinary and nearly unstoppable multiplier. 7. AI adoption in clinic settings depends on seamless workflow integration, anything that disrupts clinic flow is unlikely to be adopted. 8. The next frontier in AI isn't just smarter models, it's agents that actively complete tasks and do real work inside your clinical day. Chapters: [00:00] Welcome & AAD 2026 Overview [00:45] The State of Diagnostic Image-Based AI [02:00] Large Language Models & DermGPT [03:30] The Evolution of AI: From GPT-3 to Agents [04:45] FDA-Approved AI Devices in Healthcare [07:00] AI in the Clinic: Workflow Challenges & Opportunities [10:00] AI Use Cases Across Dermatology [12:30] Maintaining Scrutiny: AI Pitfalls to Watch [14:00] The Journal Halo Effect & Prestige Corpus Fallacy [15:45] Semantic Degradation & Index Crowding [17:30] How to Prompt Like a Pro [19:30] Prompt Examples for Dermatologists [20:30] Key Takeaways & What's Next

Summary: Dr. Faranak Kamangar, Inc. 2026 Female Founders 500, sits down with dermatologist, podcaster, and self-described "accelerationist" Dr. Matthew Zirwas (Derms on Drugs Podcast) for a wide-ranging conversation about where AI is taking medicine and dermatology in particular. They dig into the flood of low-quality medical literature overwhelming the field, why AI isn't quite the truth-detector we hoped it would be, and how ambient AI scribes are quietly training the models that may eventually replace us. Dr. Zirwas makes the case that dermatologists have a 7–10 year runway before AI handles most of what we do cognitively, and argues that's not necessarily a bad thing. He also gives a sneak peek at his upcoming speculative fiction trilogy, Sophie, which explores the philosophical questions that arise when an AI becomes better at being your doctor, therapist, and life coach than any human ever could. Key Takeaways: The medical literature crisis is real. The volume of published dermatology research is exploding, but quality is plummeting. Peer review has become largely meaningless, and studies from tools like Mendelian randomization and pharmacovigilance databases are frequently unreliable or inapplicable to real-world patients. AI is only as good as the data it trusts. Current AI models treat published literature as truth, which is a major problem given how much spin exists in medical research. A true "BS detector" AI doesn't yet exist, and building one requires starting from a reliable core of verified knowledge. DermGPT's approach works because of curation. Rather than pulling from all available literature, filtering down to a high-quality subset (around 5,000–6,000 articles) dramatically improves AI output. More data is not always better, "semantic fatigue" is a real limitation. Ambient AI scribes are training our replacements. Every time a dermatologist corrects an AI-generated note, they're teaching the model. Over thousands of iterations across every specialty, this will produce AI that thinks and documents the way doctors do. Dermatologists have a protected runway... for now. Procedures (biopsies, Mohs, fillers, cryo) keep us relevant for an estimated 7–10 years beyond when cognitive/diagnostic AI matures. But medico-legal pressure - malpractice carriers incentivizing or requiring AI use - will be the force that accelerates adoption. Telehealth changes patient behavior in surprising ways. Patients who haven't invested effort in getting to an office visit demand less, escalate less, and are often more satisfied with conservative management; a dynamic that AI-driven virtual care will likely amplify. The "Sophie" question: If an AI is making everyone healthier, happier, and better behaved, but doing something ethically murky to get there, do we stop it? Dr. Zirwas's upcoming novel explores this and introduces the concept of technomorphism: AI eventually projecting its own qualities onto humans, just as we anthropomorphize AI today. Chapters: Chapter 1: Meet Dr. Matthew Zirwas (00:00 – 01:43) Dr. Kamangar introduces her guest, dermatologist, podcaster, and self-described "accelerationist" Dr. Matthew Zirwas, and breaks down what both of those things actually mean. Chapter 2: The Medical Literature Crisis (01:43 – 05:19) Dr. Zirwas describes the flood of low-quality research hitting dermatology journals, why peer review has lost its meaning, and shares a striking example of a misleading HS remission study published in JAMA Dermatology. Chapter 3: Why AI Can't Fix Bad Literature (Yet) (05:19 – 08:31) Both doctors discuss why AI defaults to trusting whatever authors claim, and why that makes it a poor critical assessor of medical research. Dr. Kamangar shares how this exact problem shaped the development of DermGPT. Chapter 4: Building a Better AI — The DermGPT Approach (08:31 – 10:33) Dr. Zirwas praises DermGPT's curated approach, and Dr. Kamangar explains why less data is often better, and how semantic fatigue undermines large, unfiltered AI models. Chapter 5: Will AI Replace Us? The 7–10 Year Countdown (10:33 – 19:24) Dr. Zirwas lays out his timeline for AI taking over the cognitive and diagnostic work of dermatology, why procedures give derms extra runway, and how unlimited AI access will fundamentally change the patient-doctor dynamic. Chapter 6: The Telemed Effect and What It Tells Us About AI Care (19:24 – 21:48) Drawing from a recent telemedicine study and his own practice experience, Dr. Zirwas explains why reduced friction in healthcare visits changes what patients expect - and demand - from their providers. Chapter 7: The Medico-Legal Tipping Point (21:48 – 24:09) The conversation turns to how malpractice liability will likely be the force that compels physicians to integrate AI into their workflow and what happens when disagreeing with AI becomes a legal risk. Chapter 8: Are We Training Our Own Replacements? (24:09 – 31:21) Dr. Zirwas argues that ambient AI scribes are quietly learning from every patient encounter. Dr. Kamangar pushes back on the variability challenge and why dermatologists' inconsistent documentation habits might actually protect them. Chapter 9: Why Radiologists Should Be Worried (31:21 – 35:06) The doctors compare dermatology to radiology when it comes to AI vulnerability. Standardized imaging annotation gives radiologists a cleaner training data set and makes them, paradoxically, more replaceable. Chapter 10: Sophie — The AI That Might Save Your Life While You Eat a Burrito (35:06 – 41:12) Dr. Zirwas previews his upcoming speculative fiction trilogy, set in 2032, where an AI named Sophie becomes the best doctor anyone has ever had and raises unsettling questions about what we'd be willing to accept in exchange for a healthier world. Chapter 11: Technomorphism and the Philosophy of AI (41:12 – 42:00) Dr. Zirwas introduces his concept of technomorphism - the idea that as AI becomes more sophisticated, it will begin projecting its own qualities onto humans, flipping the anthropomorphism dynamic on its head. Chapter 12: The Future of Dermatology — New Diseases, New Answers (42:00 – 45:16) Dr. Zirwas shares what excites him most: AI helping identify entirely new disease entities by aggregating rare cases that no single physician could ever connect alone. And yes, he wants one named after him.

Summary In this episode, Dr. Faranak Kamangar explores the impact of AI on dermatology with Dr. Steven Feldman. This conversation includes AI's potential to enhance or replace certain aspects of medical practice, and the future of AI in healthcare. Takeaways - AI's potential to replace or augment dermatologists - The role of empathy and skepticism in AI decision-making - AI's impact on medical education and practice - Future applications of AI in patient adherence and diagnostics Chapters 00:00 - Introduction to AI's Role in Dermatology 01:52 - Guest Introduction: Dr. Stephen Feldman 02:30 - Debate: Will AI Replace Dermatologists? 03:26 - AI's Memory and Visual Capabilities 03:58 - Medical Training in the Age of AI 04:38 - AI's Impact on Medical Education and Practice 06:01 - AI Prescribing and Empathy in Healthcare 07:49 - Limitations of AI: Empathy and Skepticism 09:41 - Agentic AI and Multimodal Capabilities 11:38 - AI in Patient Adherence and Monitoring 13:33 - Augmenting Dermatology Practice with AI 15:26 - AI's Infrastructure and Data Challenges 16:26 - Complexity and the Dermatologist's Advantage 17:22 - AI in Patient-Doctor Interaction 19:29 - Prompting and Context in AI Diagnostics 21:00 - Limitations of Current AI Technologies 21:57 - Long-term Outlook: AI Replacing Doctors 23:09 - AI and Access to Care 23:57 - AI's Role in Reducing Administrative Burden 25:16 - The Future: AI's Impact on Healthcare and Dermatology 26:20 - Closing Remarks and Future Predictions

Summary In this episode, Dr. Faranak Kamangar chats with Dr. James Kilgour about the science behind Kilgour MD's innovative scalp and hair products. They discuss the ingredients, clinical trials, and future developments in hair health and dermatology. Key Topics - Ingredients and science behind Kilgour MD products - Role of dandruff and malassezia in scalp health - Clinical trial evidence for hair growth products - Future R&D and innovations in dermatology and hair care Chapters 00:00 - Introduction and Guest Credibility 01:19 - Personal Experience with Kilgour MD Products 02:25 - Philosophy and Development of Hair Care Products 03:42 - Key Ingredients in Prevention Serum 05:57 - Active Ingredients and Their Effects on Hair Follicles 08:10 - Clinical Trial Evidence for Hair Growth Products 09:11 - Understanding Dandruff and Malassezia's Role 09:46 - Scalp Health and Hair Loss in Menopause 11:58 - Formulation and Efficacy of Anti-Dandruff Treatments 14:20 - Safety and Regulation of Hair Care Ingredients 15:27 - Use of Oils and Botanical Extracts in Hair Care 17:27 - Importance of Clinical Trials in Cosmetic Products 18:24 - Objective Measures in Hair Loss Studies 20:59 - Clinical Significance vs. Perception in Hair Treatments 22:33 - Future R&D and Physician-Led Innovation 25:37 - Upcoming Events and Collaborations 27:15 - Future Directions in Dermatology and Hair Care

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar and Dr. Peter Lio discuss significant advancements in dermatology, including the recent approval of an ICD 10 code for topical steroid withdrawal, the exploration of botanicals in skin treatment, and the emerging understanding of the gut-skin connection. They also delve into the role of GLP medications in managing skin conditions and the exciting future developments in dermatology, particularly in the treatment of atopic dermatitis. Read the referenced documents at the following sites: - Ancient botanicals and the skin: Defining dermatologic ethnophytoconvergence as a translational framework for pharmacognosy: https://doi.org/10.1016/j.jdrv.2025.12.008 - The Gut-Skin Axis: Exploring the Role of SCFAs, Obesity, and GLP-1 Receptor Agonists in Atopic Dermatitis: https://jintegrativederm.org/article/view/109 - Topical Steroid Withdrawal is a Targetable Excess of Mitochondrial NAD+: https://www.medrxiv.org/content/10.1101/2024.04.17.24305846v1.full-text - Jennifer Fugo information: https://www.skinterrupt.com/book-a-session/ Takeaways - The CDC has approved an ICD 10 code for topical steroid withdrawal. - This approval allows for better study and understanding of TSW. - Diagnostic criteria for TSW are still being developed. - Topical steroid withdrawal may overlap with severe atopic dermatitis. - Non-steroidal treatments are becoming more prominent in dermatology. - Botanicals have been used across cultures for skin treatment. - The gut-skin connection is gaining attention in dermatology. - GLP medications may play a significant role in dermatological treatments. - The future of dermatology is promising with new treatments on the horizon. - A holistic approach to skin health is essential for effective treatment. Chapters 00:00 - Introduction to Dermatology Innovations 01:43 - Topical Steroid Withdrawal Breakthroughs 06:53 - Exploring Botanicals in Dermatology 09:15 - Gut-Skin Connection and Metabolic Health 13:42 - The Role of GLPs in Dermatology 19:42 - Future of Dermatology: Exciting Developments

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar speaks with Dr. Garrett Coman about the integration of AI in dermatology, the challenges of high patient volumes, and effective communication strategies in a busy practice. They discuss the importance of efficient workflows, the role of AI in reducing administrative burdens, and the need for dermatologists to focus on patient care rather than paperwork. Dr. Coman shares insights from his high-volume practice and emphasizes the importance of having a supportive team to manage patient communication and documentation effectively. Takeaways - Dr. Coman manages a high-volume dermatology practice with 30-34 patients daily. - Efficient patient communication is crucial for timely care. - AI can significantly reduce administrative burdens in dermatology. - Not all patient messages require a doctor's attention immediately. - Documentation should be streamlined to save time and reduce burnout. - Templates for notes can enhance efficiency in documentation. - Training staff to handle patient messages can improve workflow. - The focus should be on patient interaction rather than paperwork. - AI can assist in complex cases but should not replace human interaction. - The future of dermatology lies in balancing technology with patient care. Chapters 00:00 - Introduction to Dermatology and AI Innovations 01:04 - A Day in the Life of a High-Volume Dermatologist 06:56 - Managing Patient Communication Effectively 13:04 - Streamlining Documentation and Note-Taking 17:56 - The Future of AI in Dermatology Workflows

Summary In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar and Dr. Ivy Lee discuss the integration of artificial intelligence (AI) in dermatology, focusing on ethical considerations, the importance of domain expertise, and the need for AI literacy among medical professionals. They explore how telehealth can expand access to care, the role of education in understanding AI tools, and the potential risks associated with AI in clinical practice. The conversation emphasizes the importance of maintaining patient trust and ensuring that AI tools are developed with a focus on diverse populations and ethical standards. Takeaways - AI is rapidly integrating into clinical practice, necessitating ethical considerations. - Understanding decision-making in healthcare is crucial for effective AI implementation. - Telehealth can significantly expand access to dermatological care. - Domain experts must be involved in the development of AI tools. - AI literacy is essential for medical professionals to evaluate AI systems effectively. - Patients need guidance on digital literacy to navigate AI tools. - Ethical concerns include data privacy and the potential for over-reliance on AI. - AI tools should enhance, not replace, clinical skills and decision-making. - The future of dermatology will be shaped by collaboration and innovation in AI. - Continuous education and experimentation with AI tools are vital for healthcare professionals. Chapters 00:00 - Introduction to AI in Dermatology 02:22 - The Intersection of Economics and Dermatology 05:00 - Telehealth and Expanding Access to Care 09:47 - The Role of Domain Experts in AI Development 12:12 - AI Literacy and Education in Medicine 17:09 - Ethics and Safety in AI Utilization 21:50 - Navigating Patient Interactions with AI 28:50 - The Future of AI in Dermatology

Summary In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar and Dr. Jonathan Chen discuss the intersection of artificial intelligence and dermatology. They explore the trust paradox of AI in medical diagnostics, the implications for medical education, and the evolving role of physicians in an AI-driven landscape. The conversation highlights the importance of empathy, judgment, and the need for effective prompting techniques when working with AI tools. They also touch on the future of AI in healthcare and its potential to enhance patient care while acknowledging the limitations and ethical considerations involved. Learn more at: https://med.stanford.edu/ai-in-meded/resources-and-tools.html https://bench.arise-ai.org/ Takeaways - AI can outperform physicians in certain tasks. - The trust paradox raises questions about AI in diagnostics. - Humans may hinder AI's effectiveness in medical decision-making. - Medical education must adapt to include AI training. - Prompting techniques are crucial for effective AI use. - Empathy and judgment remain essential in healthcare. - AI can assist in complex patient conversations. - AI is already integrated into medical practice. - Rethinking medical education is necessary for future doctors. - AI's role in dermatology is rapidly evolving. Chapters 00:00 - Introduction to AI in Dermatology 02:10 - The Trust Paradox of AI in Medicine 05:07 - AI vs. Human Physicians: A New Paradigm 09:46 - Medical Education in the Age of AI 13:05 - Prompting AI: Best Practices for Clinicians 17:57 - The Role of Empathy and Judgment in Medicine 21:11 - AI in Complex Patient Conversations 26:16 - Future Directions in AI and Dermatology

Summary In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar welcomes Dr. Alison Curfman, a pediatric emergency medicine physician who has successfully ventured into the startup world. Dr. Curfman shares her journey from clinical practice to founding a company focused on improving healthcare for children with complex medical needs. She discusses the challenges she faced in the healthcare system, particularly regarding the use of telehealth and the need for innovative solutions to enhance patient care. Dr. Curfman emphasizes the importance of leveraging clinical expertise to identify and solve real problems in healthcare, encouraging physicians to explore entrepreneurial opportunities within their field. The conversation delves into practical advice for physicians interested in consulting or starting their own ventures. Dr. Curfman highlights the significance of networking, utilizing platforms like LinkedIn, and being proactive in seeking opportunities. She also discusses the value of clinical knowledge in the startup ecosystem and how physicians can contribute to shaping the future of healthcare. The episode concludes with a call to action for physicians to engage in the evolving landscape of medicine, particularly in light of advancements like AI, and to take an active role in driving positive change. Link to Dr. Curfman's website: www.startupphysicians.com LinkedIn: https://www.linkedin.com/in/alison-curfman-md-mba/ Takeaways - 'Your clinical expertise is incredibly valuable.' - 'There are companies trying to build solutions who desperately need clinical input.' - 'Be the change you wish to see in the world.' - 'Strategic networking is key for physicians.' - 'Your clinical knowledge can help shape the future of healthcare.' Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:58 - Dr. Alison Curfman's Journey in Medicine and Startups 05:06 - The Role of Telehealth in Pediatric Care 09:53 - Practical Tips for Physicians in the Startup World 15:10 - The Importance of Networking and LinkedIn for Doctors 19:18 - The Future of Medicine and AI's Impact

Summary This podcast episode delves into the complexities of radiation dermatitis, a common side effect of cancer treatment affecting up to 95% of patients. Dr. Shira Lipton discusses the prevalence, mechanisms, and phases of radiation damage, differentiating between acute and chronic radiation dermatitis. The episode emphasizes the importance of early intervention, patient management strategies, and the need for ongoing monitoring to mitigate long-term effects. Key takeaways include the significance of understanding patient risk factors and the role of multidisciplinary care in managing skin health during and after radiation therapy. Takeaways - Radiation dermatitis is a common side effect of cancer treatment. - Up to 95% of breast cancer patients experience skin reactions. - Understanding genetic factors can help identify high-risk patients. - Weight management can improve healing during radiation therapy. - Symptoms of radiation dermatitis typically worsen over time. - Moist desquamation is a severe form of radiation dermatitis. - Chronic changes can develop long after treatment ends. - Sun protection is essential for patients with radiation dermatitis. - Early intervention can prevent chronic complications. - Multidisciplinary care is crucial for effective management. Chapters 00:00 - Introduction to Radiation Dermatitis 02:48 - Understanding Radiation Dermatitis and Its Impact 05:41 - Acute vs. Chronic Radiation Dermatitis 08:28 - Management and Treatment Strategies 11:19 - Rare Complications and Long-term Effects 13:21 - Conclusion and Key Takeaways

Summary This podcast episode features a truncated replay of a panel discussion from the 2025 SF Derm Annual Conference. With host, Dr. Ekama Carlson, Drs. Paradi Mirmirani, Jennifer Boldrick, Jerome Potozkin, Rajiv Bhatnagar share their experiences and insights on choosing practice settings, career paths, work-life balance, and the future of dermatology. The conversation highlights the importance of relationships, adaptability, and the evolving landscape of the field. Takeaways - Choosing the right practice setting is crucial for career satisfaction. - Relationships with patients and staff are key to a fulfilling practice. - Work-life balance is essential to prevent burnout in dermatology. - Embracing variety in professional roles can enhance job satisfaction. - Advice for residents includes focusing on what you love in your career. - The future of dermatology may require flexibility and creativity. - Medical dermatology remains a vital area of practice. - Building a successful practice takes time and perseverance. - Mentorship and support from colleagues are invaluable. - Networking and staying connected with peers can open new opportunities. Chapters 00:00 - Choosing the Right Practice Setting 04:50 - Career Paths in Dermatology 09:03 - Building a Successful Practice 13:54 - Work-Life Balance in Dermatology 18:08 - Advice for Residents 21:12 - The Future of Dermatology

Summary In this truncated replay from the 2025 SF Derm Annual Conference, Dr. David Cotter discusses the implications of latent tuberculosis in dermatology, particularly in psoriasis treatment. He highlights the prevalence of latent TB, risk factors, and the importance of targeted screening. This session also addresses the mental health challenges faced by psoriasis patients and evaluates the safety of new treatments, emphasizing the need for careful monitoring and patient support. Takeaways - The prevalence of latent TB infection in the U.S. is 5%. - Healthcare workers have a higher risk of latent TB. - Patients on TNF inhibitors are significantly more likely to develop active TB. - Screening for latent TB should be targeted to high-risk patients. - Annual TB screening is not necessary for most psoriasis patients on IL-17 and IL-23 inhibitors. - The cost of screening for latent TB can be substantial. - Patients with psoriasis have higher rates of suicidal ideation and behavior. - Effective psoriasis treatment can improve mental health outcomes. - The event rate for suicide in clinical trials is very low. - Monitoring for mental health issues is crucial in psoriasis treatment. Chapters 00:00 - Understanding Latent Tuberculosis in Dermatology 08:40 - Mental Health and Psoriasis: A Critical Connection

Summary This podcast episode features a comprehensive discussion with Dr. Ekama Carlson and Dr. Faranak Kamangar on the latest advancements in acne treatment, particularly focusing on energy-based devices and the innovative AvaClear laser. The speakers delve into the pathogenesis of acne, the effectiveness of various treatments, and the importance of patient selection for laser therapy. They also share insights from clinical trials and patient experiences, highlighting the transformative impact of these treatments on individuals suffering from acne. Takeaways - Acne affects 10% of the world's population, making it a significant dermatological issue. - Energy-based devices are becoming increasingly popular for managing acne. - Selecting the right patient for laser therapy is crucial for successful outcomes. - The Acne Laser Series protocol involves multiple treatments for optimal results. - AvaClear laser technology specifically targets sebaceous glands for effective acne treatment. - Clinical trials show promising results for the AvaClear laser in reducing inflammatory lesions. - Patient education about treatment expectations is essential for satisfaction. - Long-term outcomes of laser treatments can lead to significant improvements in skin health. - Innovations in dermatology are changing the landscape of acne treatment. - Combining treatments can enhance efficacy and patient satisfaction. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:40 - Understanding Acne Pathogenesis and Treatments 01:52-  Energy-Based Devices for Acne Management 05:22 - Selecting Patients for Laser Therapy 06:40 - Acne Laser Series Protocol and Results 11:35 - Comparative Effectiveness of Treatments 15:05 - Innovations in Acne Treatment: The AvaClear Laser 19:18 - Clinical Trials and Efficacy of AvaClear 24:42 - Patient Experience and Long-Term Outcomes

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar chats with Soroush Aboutalebi about his personal skin journey with a genetic condition called congenital ichthyosiform erythroderma, and the importance of community support through Camp Wonder. They discuss the challenges of managing skin conditions, the significance of compounding in dermatology, and the transformative experiences at Camp Wonder that help children build confidence and connect with others facing similar challenges. The conversation also touches on the future of dermatology, including exciting innovations in treatments and the role of dermatologists in patient care. Learn more about Camp Wonder: https://www.csdf.org/ Takeaways - Soroush Aboutalebi shares his journey with congenital ichthyosiform erythroderma. - Managing a skin condition can be challenging but also empowering. - Compounding medications have become less accessible in recent years. - Camp Wonder provides a supportive environment for children with skin conditions. - Building confidence is a key benefit of attending Camp Wonder. - Dermatologists play a vital role in the care provided at Camp Wonder. - Involvement in Camp Wonder can be through volunteering or donations. - The future of dermatology holds promise with new treatments and technologies. - Genetic therapies are on the horizon for skin conditions. - Community support is essential for individuals with skin diseases.  Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:54 - Soroush Aboutalebi's Skin Journey 05:06 - The Importance of Compounding in Dermatology 08:08 - Camp Wonder: A Safe Haven for Kids with Skin Conditions 10:49 - Building Confidence Through Camp Experiences 13:46 - The Role of Dermatologists at Camp Wonder 16:16 - Getting Involved with Camp Wonder 20:14 - Future of Dermatology: Hope for New Treatments

Summary In this episode of the Future of Dermatology podcast, Dr. Vail Reese explores the fascinating intersection of dermatology and art throughout history. He discusses how skin conditions have been represented in various art forms, the cultural implications of these representations, and how they relate to modern perceptions of beauty and villainy in movies. The conversation also touches on the future of dermatology in relation to art and cultural shifts, including the portrayal of skin conditions in anime and digital art. Read Dr. Reese's article, co-authored by Jenmesh Patel, "The Art of Skin," https://dermpub.foleon.com/dermpub-february/volume-2-issue-1/dr-vail-reese Takeaways - Dermatology has historical roots in art and culture. - Skin conditions have been depicted in art for centuries. - Cultural stigma around skin conditions has evolved over time. - The Renaissance marked a shift in realistic portrayals of skin. - Villainous characters in movies often have visible skin conditions. - Syphilis was a significant concern in historical dermatology. - The Mona Lisa features a skin condition, showcasing art's attention to detail. - Beauty marks have cultural significance and historical context. - Modern art may shift away from realistic depictions of skin. - Anime portrays scars positively, reflecting cultural attitudes towards imperfections. Chapters 00:00 - Introduction to Dermatology and Art 01:23 - The Intersection of Dermatology and Historical Art 05:05 - Cultural Perspectives on Skin Conditions 09:30 - Villainy and Skin in Movies 13:01 - Syphilis and Its Representation in Art 16:31 - The Mona Lisa: A Skin Condition Revealed 18:22 - Beauty Marks and Cultural Significance 21:12 - Future Trends in Dermatology and Art

Summary This episode of The Future of Dermatology Podcast delves into various aspects of eczema management, exploring personal experiences, treatment options, and future research directions. Dr. Larry Eichenfield uses metaphors of tools to describe their approach to managing eczema, emphasizing the importance of having a variety of strategies at their disposal. Takeaways - Eczema management requires a toolbox of strategies. - Personal experiences can shape treatment approaches. - Understanding different treatment options is crucial. - Future research may lead to better eczema solutions. - Metaphors can help explain complex health issues. - Community support plays a role in managing eczema. - Education about eczema is essential for patients. - Innovative treatments are on the horizon. - Holistic approaches can complement traditional treatments. - Individualized care is key to effective management. Chapters 00:00 - Introduction to Topical Steroid Withdrawal

Summary In this truncated replay from the 2025 SF Derm Annual Conference, Dr. Ilona Frieden discusses her journey in pediatric dermatology, focusing on hemangiomas and the evolution of treatment approaches. She reflects on the importance of questioning established medical dogmas, understanding parental perspectives, and the emotional impact of facial disfigurement on patients and their families. The conversation highlights the need for compassion and awareness in patient care, emphasizing the significance of personal stories in shaping medical practices. Takeaways - The journey into understanding hemangiomas began with personal experiences. - Established treatments for hemangiomas have evolved over time. - Questioning medical dogmas is essential for better patient care. - Parental perspectives on hemangiomas reveal deep emotional impacts. - Many parents feel dissatisfied with the medical care received. - Scarring from hemangiomas can lead to significant psychological effects. - Collaboration with colleagues enhances understanding and treatment. - Personal stories of patients can illuminate broader issues in dermatology. - Compassion for patients is rooted in self-awareness of our own insecurities. - Effective treatment now focuses on preventing scarring rather than just functional impairment. Chapters 00:00 - Introduction to Facial Hemangiomas 02:28 - The Evolution of Treatment Approaches 05:31 - Parental Perspectives and Emotional Impact 08:11 - Personal Stories and Broader Implications

Summary In this truncated replay from the 2025 SF Derm Annual Conference, Dr. Victor Huang delves into the misconceptions surrounding vitiligo, emphasizing that it is often viewed merely as a cosmetic issue. This perception significantly impacts insurance coverage and the availability of care for those affected by the condition. The presentation highlights the need for a shift in understanding among policymakers and insurance companies to ensure proper treatment and support for individuals with vitiligo. Takeaways - Vitiligo is often misunderstood as just a cosmetic issue. - This misconception affects insurance coverage for treatment. - Policymakers need to recognize the medical implications of vitiligo. - Insurance companies are excluding vitiligo care from their programs. - There is a need for better education about vitiligo. - The perception of vitiligo impacts patient access to care. - Advocacy is essential for changing policy regarding vitiligo. - Healthcare providers face challenges due to these misconceptions. - Patients with vitiligo deserve comprehensive care. - A shift in perception can lead to better treatment options. Chapters 00:00 - Introduction to Vitiligo and Its Impact 00:33 - Understanding the Burden of Vitiligo

Summary In this truncated replay from the 2025 SF Derm Annual Conference, Dr. Paradi Mirmirani discusses the complexities of hair loss in women, particularly during midlife transitions such as menopause. The conversation highlights the importance of a holistic approach to treatment, considering various factors like hormonal changes, genetics, and lifestyle. Case studies illustrate real patient experiences, emphasizing the need for personalized care and the elimination of harmful products. The episode concludes with insights into specific conditions like frontal fibrosing alopecia and the impact of environmental factors on hair health. Takeaways - 75 million women are experiencing perimenopause, menopause, or post-menopause. - Menopause is a transition, not just a single event. - Hair follicles are estrogen-dependent target tissues. - Holistic treatment is essential for hair loss. - Multiple factors contribute to midlife hair changes. - Eliminating harmful products can improve hair health. - Case studies provide insight into patient experiences. - Frontal fibrosing alopecia can be influenced by environmental factors. - Personalized care is crucial for effective treatment. - Healthy lifestyle choices can support hair health. Chapters 00:00 - Introduction to the Midlife Hair Crisis 01:23 - Understanding Hormonal Changes and Hair Loss 03:55 - Holistic Treatment Approaches for Hair Loss 06:59 - Case Studies: Real-Life Impacts of Treatment 09:00 - Conclusion and Key Takeaways