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 Podcast00:40 - Understanding Acne Pathogenesis and Treatments01:52-  Energy-Based Devices for Acne Management05:22 - Selecting Patients for Laser Therapy06:40 - Acne Laser Series Protocol and Results11:35 - Comparative Effectiveness of Treatments15:05 - Innovations in Acne Treatment: The AvaClear Laser19:18 - Clinical Trials and Efficacy of AvaClear24:42 - 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 Podcast00:54 - Soroush Aboutalebi's Skin Journey05:06 - The Importance of Compounding in Dermatology08:08 - Camp Wonder: A Safe Haven for Kids with Skin Conditions10:49 - Building Confidence Through Camp Experiences13:46 - The Role of Dermatologists at Camp Wonder16:16 - Getting Involved with Camp Wonder20:14 - 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 Art01:23 - The Intersection of Dermatology and Historical Art05:05 - Cultural Perspectives on Skin Conditions09:30 - Villainy and Skin in Movies13:01 - Syphilis and Its Representation in Art16:31 - The Mona Lisa: A Skin Condition Revealed18:22 - Beauty Marks and Cultural Significance21:12 - 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 Hemangiomas02:28 - The Evolution of Treatment Approaches05:31 - Parental Perspectives and Emotional Impact08:11 - 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 Impact00:33 - 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 Crisis01:23 - Understanding Hormonal Changes and Hair Loss03:55 - Holistic Treatment Approaches for Hair Loss06:59 - Case Studies: Real-Life Impacts of Treatment09:00 - Conclusion and Key Takeaways

Summary In this episode of the Future of Dermatology podcast, guest speaker Dr. Donna Culton, delves into the intricate science of skin diseases, focusing on the pathophysiology of conditions like pemphigoid. The discussion covers the roles of B cells, autoantibodies, and various cellular players in inflammation, as well as the mediators that contribute to symptoms like itch. The episode emphasizes the complexity of these diseases and the potential for new therapeutic targets, while also highlighting the challenges in conducting clinical trials for affected populations. Takeaways - Dr. Culton emphasizes the importance of understanding B cells in skin diseases.- Pemphigus and pemphigoid have distinct clinical presentations and treatments.- Autoantibodies play a crucial role in the pathophysiology of pemphigoid.- Mast cells and eosinophils are key players in the inflammatory response.- Cytokines like IL-4 and IL-5 are critical for B cell activation and eosinophil recruitment.- The itch associated with pemphigoid is complex and not solely due to histamine.- Clinical trials for skin diseases face unique challenges due to patient comorbidities.- Understanding the mediators of degradation can inform treatment strategies.- The complexity of skin diseases allows for multiple therapeutic targets.- This podcast serves as an educational resource for understanding dermatological science. Chapters 00:00 - Introduction to Dermatology and B Cells02:51 - Understanding Pemphigus and Pemphigoid05:25 - The Role of Autoantibodies in Skin Diseases08:20 - Key Cellular Players in Inflammation10:53 - Mediators of Inflammation and Itch13:57 - Pathophysiology and Future Therapies

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar interviews Dr. Jonathan Carp, a board-certified dermatologist, about the intersection of dermatology and lifestyle medicine. They discuss the significant impact of diet on skin conditions, the integration of nutrition into dermatological practice, and the role of products like Miracle Noodle in promoting healthier eating habits. The conversation also touches on the future of dermatology, emphasizing the importance of lifestyle interventions in patient care. Takeaways - Diet and lifestyle changes can significantly impact skin health.- Insulin resistance is a key factor in many skin conditions.- Miracle Noodle serves as a transitional product for healthier eating.- Patients often need more than just verbal advice to change habits.- Integrating nutrition into dermatology can enhance patient outcomes.- Understanding the gut-skin axis is crucial for dermatologists.- Fasting insulin levels can provide insights into metabolic health.- Education on glycemic index can empower patients to make better choices.- The future of dermatology includes a greater focus on lifestyle interventions.- Collaboration with nutritionists can improve patient care. Chapters 00:00 - Introduction to Dermatology and Lifestyle Medicine01:23 - The Impact of Diet on Skin Conditions08:15 - Integrating Nutrition into Dermatology Practice15:35 - Miracle Noodle: A Transition Product for Healthier Eating19:29 - The Future of Dermatology and Lifestyle Interventions

Summary In this truncated replay, Dr. Shyam Joshi explores the intersection between allergy and dermatology—focusing on how chronic spontaneous urticaria (CSU), atopic dermatitis, and food allergies often overlap. Learn how emerging biologics like omalizumab and dupilumab are reshaping treatment decisions, why comorbidities matter, and how collaboration between allergists and dermatologists creates better outcomes for patients with complex allergic and dermatologic conditions. This episode dives into real-world case studies, FDA updates on antihistamines, and the multidisciplinary approach to managing eczema and CSU in pediatric and adult populations. Takeaways - FDA Advisory on Antihistamines: Long-term use of cetirizine or levocetirizine can lead to rebound pruritus upon discontinuation—but gradual tapering minimizes symptoms.- Biologic Selection Depends on Comorbidities:- Omalizumab is effective for IgE-mediated food allergies and chronic urticaria.- Dupilumab is preferred for patients with eosinophilic esophagitis (EoE) or moderate-to-severe atopic dermatitis.- CSU Is Systemic: Symptoms may extend beyond hives—impacting joints, sleep, and energy levels.- Comorbid Conditions Are Common: Up to 20 % of CSU patients have asthma, allergic rhinitis, or food allergies; identifying these helps guide treatment and patient education.- Unified Messaging Builds Trust: Consistent communication from both dermatologists and allergists reduces unnecessary testing and supports adherence to treatment plans. Chapters 00:00 - Introduction: Bridging Allergy and Dermatology00:45 - Case Study: An 18-Year-Old with Chronic Urticaria02:00 - FDA Warning: Antihistamine Withdrawal Itch03:45 - Selecting the Right Biologic: Food Allergy Considerations04:45 - Eosinophilic Esophagitis and CSU        05:35 - The Systemic Nature of CSU06:40 - Comorbidities in CSU and Atopic Patients07:30 - Multidisciplinary Collaboration in Practice08:00 - Closing Thoughts & Educational Disclaimer

Summary In this truncated replay, Dr. Jason Hawkes discusses the complexities of urticaria, a skin condition often overlooked in dermatology. He highlights the importance of understanding urticaria's symptoms, diagnosis, and management, particularly in chronic cases. The conversation also touches on the relationship between urticaria and autoimmune diseases, the necessity of testing, and the overall approach to treatment. Takeaways - Dermatology has historically overlooked urticaria management.- Urticaria is characterized by transient lesions lasting hours.- Chronic urticaria can persist for years without clear triggers.- Women are more likely to experience chronic urticaria due to autoimmune factors.- Extensive testing for urticaria is often unnecessary and unhelpful.- Understanding the nature of angioedema is crucial in diagnosis.- Patients may experience both hives and angioedema simultaneously.- Management strategies should focus on improving patient quality of life.- Autoimmunity plays a significant role in urticaria cases.- Education and awareness are key in dermatology practices regarding urticaria. Chapters 00:00 - Introduction to Urticaria in Dermatology02:44 - Understanding Urticaria: Symptoms and Diagnosis06:03 - Chronic Urticaria: Nature and Management08:58 - Autoimmunity and Urticaria: Exploring Connections11:48 - Testing and Treatment Approaches for Urticaria

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar and Mitchell Hansen discuss the intersection of art and dermatology. They explore how art influences perceptions of skin conditions, the importance of cultural competency in patient care, and how art can be used as a tool for community engagement and fundraising. They also highlight the role of art in medical education and its potential to enhance the patient experience. The conversation emphasizes the need for mentorship and the involvement of medical students in innovative approaches to healthcare. Takeaways - Art is a significant aspect of dermatology, influencing perceptions and education.- Cultural perspectives on skin conditions can vary widely and impact patient care.- Community engagement through art can foster connections and understanding.- Fundraising initiatives can be enhanced through art exhibitions and sales.- Art in medical education can improve empathy and communication skills among students.- Art therapy has proven benefits for children with chronic skin conditions.- Medical students have valuable insights and should be more involved in healthcare innovation.- Art can help bridge cultural gaps in understanding skin conditions.- Creating inclusive environments in clinics can improve patient experiences.- The future of dermatology may increasingly integrate art and cultural competency into practice. Chapters 00:00 - Introduction to Art in Dermatology02:52 - Cultural Perspectives on Skin Conditions05:46 - Art as a Tool for Community Engagement08:53 - Fundraising Through Art11:43 - The Role of Art in Medical Education14:45 - Future Directions in Dermatology and Art

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar interviews Dr. Natalia Khosla, CEO and co-founder of Simbie AI. They discuss the intersection of dermatology and technology, emphasizing the importance of physician-led innovation in healthcare. Dr. Khosla shares her journey from medical school to entrepreneurship, highlighting the challenges and opportunities in the health tech space. The conversation also touches on the need for better patient care solutions, the role of AI in dermatology, and the importance of physician advocacy and leadership in shaping the future of medicine. Takeaways - Dr. Khosla emphasizes the importance of physician-led innovation in healthcare.- Identifying problems in healthcare is crucial for developing effective solutions.- Physicians need to be involved in technology development to ensure it meets their needs.- Y Combinator provides valuable resources for physicians looking to enter the tech space.- Interdisciplinary collaboration can lead to better healthcare solutions.- Scheduling is a complex process that significantly impacts patient care.- AI has the potential to transform dermatology and improve patient outcomes.- Physician advocacy is essential for addressing burnout and improving working conditions.- Medical students are well-positioned to identify healthcare problems and innovate solutions.- The future of dermatology will require a focus on patient-centered care and technology integration. Chapters 00:00 - Introduction to the Future of Dermatology Podcast02:52 - The Journey of Dr. Natalia Khosla05:29 - The Role of Physicians in Health Tech08:20 - Identifying Problems in Healthcare11:29 - The Importance of Physician Leadership14:03 - Y Combinator and Startup Incubation17:11 - Interdisciplinary Collaboration in Healthcare19:53 - Challenges in Patient Scheduling23:00 - The Future of Dermatology and AI25:55 - Advocacy and Leadership in Medicine

Summary In this truncated replay from the 2025 SF Derm Annual Conference, Dr. Bob Geng discusses the concept of 'inflammaging' in dermatology, emphasizing the interconnectedness of skin health and the immune system. He highlights the importance of multidisciplinary approaches in treating patients with dermatological and allergic conditions, focusing on patient education and shared decision-making to improve clinical outcomes. The conversation concludes with a call for future collaboration and innovation in dermatology. Takeaways - The skin reflects the overall health of the body.- Collaboration between specialties enhances patient care.- A cohesive treatment message is crucial for patient adherence.- Patient education is key to effective management.- Multidisciplinary teams can improve clinical outcomes.- Shared decision-making fosters better patient engagement.- Real-world evidence is essential for quality improvement.- Understanding conditions leads to better patient compliance.- Referrals should be streamlined for efficiency.- Future directions in dermatology require innovative approaches. Chapters 00:00 - Introduction to Inflammaging and Dermatology03:01 - The Interconnectedness of Skin and Immune Health05:37 - Multidisciplinary Approaches in Dermatology and Allergy08:12 - Patient-Centric Care and Shared Decision Making11:19 - Conclusion and Future Directions in Dermatology

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar interviews Dr. Jerome Potozkin, dermatologist and private practice owner. They discuss the journey of establishing a private practice, the challenges faced, and the importance of networking and advocacy in the field of dermatology. Dr. Potozkin shares valuable insights for aspiring dermatologists, emphasizing the significance of patient experience and the evolving landscape of insurance and cash pay practices. Takeaways - Dr. Potozkin's journey to establishing a successful practice was not straightforward.- Private practice can offer more control and flexibility compared to larger groups.- The importance of patient experience cannot be overstated in practice management.- Insurance reimbursement rates are declining, making cash pay models more appealing.- Networking and involvement in professional societies are crucial for career growth.- Starting a practice from scratch can be stressful but rewarding.- Finding a mentor or established dermatologist to guide you can be beneficial.- Consultants and good financial advisors are essential for practice success.- The landscape of dermatology is changing, with a shift towards cosmetic procedures.- Staying informed about legislative changes is important for practice sustainability. Chapters 00:00 - Introduction to Dermatology and Private Practice Success05:17 - Navigating the Challenges of Starting a Practice09:17 - Advice for Aspiring Dermatologists in Private Practice14:41 - The Importance of Professional Networking and Advocacy

Summary In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar interviews Dr. Tina Bhutani, who shares her journey from academia to private practice. They discuss the challenges and rewards of transitioning to a new career path, the importance of mentorship, and the evolving landscape of dermatology, including the role of technology in patient care. Dr. Bhutani emphasizes the need for flexibility in career choices and encourages residents to listen to their intuition when making decisions about their future in dermatology. Takeaways - It's been a year since I went into private practice.- You can give yourself permission to do that.- You might get into it three years and say, Hey, that was great, but now I want to try something else.- We make the process harder than it needs to be.- Sometimes decisions are never perfect.- You have to experience all these different categories.- It's okay to change. You're not rejecting the previous setting.- Dermatologists usually succeed. Chapters 00:00 - Introduction to Dr. Tina Bhutani's Journey02:47 - Transitioning from Academia to Private Practice05:50 - Navigating Clinical Trials in Private Practice08:39 - The Importance of Mentorship and Career Growth11:22 - Challenges and Rewards of Running a Private Practice14:23 - The Future of Dermatology: Technology and Patient Care17:30 - Advice for Dermatology Residents: Choosing Your Path

Summary In this truncated replay from a session at the 2025 SF Derm Annual Conference, Dr. Lawrence Eichenfield discusses the latest advancements in the treatment of atopic dermatitis, focusing on new topical and systemic therapies, the role of corticosteroids, and the evolving perspectives on patient care. He highlights the importance of understanding both the benefits and concerns associated with various treatments, including the impact of media on patient perceptions. Takeaways - We have new topical agents for atopic dermatitis.- Topical corticosteroids are like hammers for eczema.- Topical steroid addiction is a real concern.- We have lots of options for atopic dermatitis.- New non-steroidals are being approved for younger patients.- Dupilomab shows promise in remission data.- Topical care remains a cornerstone of treatment.- We need to defend topical corticosteroids.- Long-term safety data is crucial for new therapies.- Patients often fear topical steroid withdrawal. Chapters 00:00 - Introduction to Atopic Dermatitis Innovations02:46 - Emerging Therapies for Atopic Dermatitis04:33 - Topical Corticosteroids: Benefits and Concerns08:30 - Understanding Topical Steroid Withdrawal08:46 - New Non-Steroidal Treatments for Atopic Dermatitis

Summary In this 100th episode of The Future of Dermatology, host Dr. Faranak Kamangar sits down - in person! - with Dr. Chandler Johnson and Producer Steph Cullen to spill the tea. They chat about the intersection of dermatology and pop culture, and the challenges of maintaining relationships in the medical field. They explore the importance of marriage satisfaction among medical professionals, share tips for effective skincare on a budget, and emphasize the need for ingredient awareness in skincare products. They close out the episode with a discussion on community engagement through art and the team's future endeavors. Takeaways - The podcast aims to blend science with a conversational tone.- Listeners are increasingly interested in the science behind skincare.- Pop culture influences patient choices in skincare and treatments.- Relationships in medicine can be challenging due to time constraints.- Marriage satisfaction rates vary significantly across medical specialties.- Dermatology ranks low in marriage satisfaction compared to other specialties.- Budget-friendly skincare options can be effective and accessible.- Ingredient awareness is crucial for effective skincare.- Community engagement through art can enhance the dermatology field.- The team is excited about future projects and community involvement. Chapters 00:00 - Introduction to the Future of Dermatology Podcast02:45 - The Evolution of Dermatology Podcasts05:39 - Hot Topics in Dermatology and Pop Culture08:29 - Relationships and Challenges in Medical Careers11:27 - Marriage Satisfaction Among Medical Professionals14:02 - Skincare on a Budget: Effective Products16:55 - The Importance of Ingredient Awareness in Skincare19:45 - Art and Community Engagement in Dermatology22:39 - Conclusion and Future Endeavors

Summary In this truncated replay from a session at the 2025 SF Derm Annual Conference, Dr. Daniel Butler discusses the relationship between allergic diseases, particularly chronic itch, and aging. He highlights the increasing prevalence of itch in older adults, the complexities of diagnosing and treating it, and the role of the immune system in this process. The conversation emphasizes the need for dermatologists to understand the unique challenges faced by geriatric patients and to improve the approach to treating chronic itch. Takeaways - Itching is a significant indicator of the aging process.- The population of older adults is rapidly increasing.- Chronic itch is often misdiagnosed or oversimplified.- Understanding the immune system's role is crucial in treating older patients.- Aging skin presents unique challenges for dermatologists.- The connection between itch and aging is well-documented.- Geriatric dermatology is relevant for all dermatologists.- Senescent cells contribute to chronic inflammation in aging.- Education on chronic itch needs to be improved in dermatology.- Historical perspectives on itch can inform current practices. Chapters 00:00 - Introduction to Allergic Diseases in Dermatology02:57 - The Connection Between Itch and Aging05:38 - Historical Perspectives on Itch in Older Adults08:47 - Understanding the Aging Immune System and Inflammation

Summary In this truncated replay from a session at the 2025 SF Derm Annual Conference, Dr. Daniel Butler, Dr. Lawrence Eichenfield, Dr. Jason Hawkes, Dr. Shyam Joshi, and Dr. Bob Geng discuss the workup for chronic urticaria, focusing on testing approaches, the role of biomarkers, and insights into immune deficiencies. These panelists share their experiences and guidelines, emphasizing the importance of symptomatic management and the variability of lab results in clinical practice. Takeaways - Initial workup for chronic urticaria often does not require specific testing.- Testing may be justified if standard treatments fail.- International guidelines differ from US guidelines regarding testing.- Biomarkers currently available are not reliable for treatment decisions.- Symptomatic management should be prioritized over extensive testing.- Clinical trials show variability in lab results over time.- Excessive lab testing can lead to confusion and unnecessary anxiety for patients.- Understanding patient history is crucial in diagnosing immune deficiencies.- The role of family history is significant in identifying X-linked conditions.- Collaboration among dermatologists is essential for advancing treatment approaches. Chapters 00:00 - Introduction to Chronic Urticaria Workup02:47 - Testing Approaches and Guidelines for Chronic Urticaria05:41 - The Role of Biomarkers in Treatment Decisions08:16 - Clinical Insights on Immune Deficiencies11:14 - Variability in Lab Results and Clinical Trials14:07 - Conclusion and Future Directions in Dermatology