Monthly Archives

December 2025

HS Deroofing Done Right: ODAC Interview

By Medical Dermatology

HS deroofing

Our sister conference, the ODAC Dermatology Conference, shares this interview on hidradenitis suppurativa (HS) deroofing with Wayne State Dermatology Program Director Dr. Steven Daveluy. Watch as Dr. Daveluy encourages dermatologists to try deroofing. He says dermatologists know how to perform the procedure – they just don’t know that they know! Watch as Dr. Daveluy outlines steps for deroofing as well as which patients make the best candidates for this procedures and others to address HS.

Want to learn more about a multifaceted treatment strategy for HS? Attend Dr. Daveluy’s HS sessions at ODAC:

  • From Biologics to Oral Therapies: An Overview of Hidradenitis Suppurativa Medical Treatment
  • Getting Your Hand Around Hidradenitis Suppurativa: An Interactive Medical–Surgical Hands-On Workshop

ODAC is January 16-19 at the Omni Orlando at ChampionsGate in Orlando. Register today!

SOCU in the News: Chronic Spontaneous Urticaria

By Uncategorized

chronic spontaneous urticaria

Chronic spontaneous urticaria (CSU) belongs in the dermatology wheelhouse, according to dermatologist Mona Shahriari, MD, FAAD. In a Medscape article about her Skin of Color Update session on the topic, Dr. Shahriari explains that dermatologists are better trained than allergists in differentiating CSU from other skin disorders.

While CSU is debilitating in patients no matter their skin type, Dr. Shahriari says CSU is especially impactful in patients with skin of color who often have a longer time to diagnosis. In addition, dermatology clinicians are often slower to prescribe stronger, more effective treatments in patients with skin of color as the severity of CSU is more difficult to appreciate in patients with darker skin tones.

In the article, Dr. Shahriari outlines her practical strategies for recognizing CSU and its severity, and she outlines therapies, including the recently approved remibrutinib. Dr. Shahriari recommends dermatologists have a lower threshold in prescribing targeted therapies in patients with CSU when first-line therapies have not shown to be effective.

For more on chronic spontaneous urticaria and other medical dermatology conditions, attend one of our sister conferences, the ODAC Dermatology Conference, to be held in Orlando from January 16-19. ODAC Conference Co-Chair Dr. Adam Friedman will provide a disease state update on CSU. Other ODAC sessions will address hidradenitis suppurativa, lupus and dermatomyositis, and prurigo nodularis – all conditions that are more common in patients with skin of color.

Great Cases from the JDD: Pincer Nail Deformity

By Uncategorized

pincer nail deformity

Pincer nail deformity is a painful condition in which the toenail’s excessive curvature compresses surrounding tissue, most often affecting the great toe and occurring more frequently in older adults. Standard treatments like nail braces or surgical removal often fail to provide lasting or cosmetically satisfactory results.

Fractionated CO₂ (fCO₂) laser therapy offers a more advanced and precise option by targeting the nail matrix while sparing nearby tissue. However, treating patients with skin of color is more complex due to a higher risk of post-inflammatory hyperpigmentation and scarring—complications that can occur in up to 16% of individuals after laser procedures. Advances in laser technology, customized settings, and appropriate aftercare can help reduce these risks, making fCO₂ laser a viable option when tailored to the needs of patients with darker skin tones.

This “Great Cases from the JDD” tells the story of a 78-year-old African-American woman whose pincer nail deformity was corrected by fCO₂ laser.

For more “Great Cases from the JDD,” visit Next Steps in Derm.

JDD Buzz: Trichologic Evaluations at Head Spas

By Medical Dermatology

head spas

Hair loss patients are now bringing trichoscopic images to their dermatology office visits. The images are taken at head spas, a new type of spa that is opening across the country that provides spa treatments and potentially therapeutic treatments for hair and scalp conditions. A visit may also include a consultation with a trichology professional and trichoscopic imaging. Patients are appearing in dermatologists’ offices with these images, seeking confirmation of the trichologist’s diagnosis.

In this JDD Buzz commentary, the author of a recent study on trichologic evaluations at head spas, shares if the head spa trend is helpful in caring for patients with hair and scalp disorders or whether there are serious downsides. Learn about the quality of trichoscopic images taken at head spas and how to address patients who bring these images to their office visits. Plus read the author’s hopes for the future impact of the head spa trend.