The Future of Dermatology
Join Dr. Faranak Kamangar, MD, every week as she chats with various guests about the future of dermatology. Each week, Dr. Kamangar and her guests cover topics from psoriasis, to eczema, to skin care, to AI, and more. Whether you’re a doctor or a patient, these episodes provide valuable information about your skin and how to navigate the world of dermatology.
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Episodes
Tuesday Nov 18, 2025
Tuesday Nov 18, 2025
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
Tuesday Nov 11, 2025
Tuesday Nov 11, 2025
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
Tuesday Nov 04, 2025
Tuesday Nov 04, 2025
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
Tuesday Oct 28, 2025
Tuesday Oct 28, 2025
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
Tuesday Oct 21, 2025
Tuesday Oct 21, 2025
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
Tuesday Oct 14, 2025
Tuesday Oct 14, 2025
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
Tuesday Oct 07, 2025
Tuesday Oct 07, 2025
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
Tuesday Sep 30, 2025
Tuesday Sep 30, 2025
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