Updates: They Keep Coming


My MacBook is asking me to update to the latest Apple computer software, Mojave. The various MacBook operating software programs used to be named after animals, but after going through so many of those, they have moved on to geographical features to name newer versions. My iPhone and iPad are asking to have their software updated, too. And then there’s the hardware. My current cellphone still seems quite new to me, but it is 3 generations old. New products keep coming out. 

The pace of change in the world of dermatology is very similar. Over the past 20 years, my patients and I have been blessed with multiple quantum leaps forward in the medications available to treat psoriasis and other miserable skin diseases.  

As we look over the past year, we have seen advances in our understandings of the comorbidities of atopic dermatitis and psoriasis, another biologic or two approved for psoriasis, and a new treatment for hyperhidrosis. Our treatment options for atopic dermatitis, hidradenitis suppurativa, and alopecia are suddenly expanding, too. In this issue of The Dermatologist, we highlight some of those developments in our annual Year in Review, beginning on page 51. 

Sometimes technology has fewer positive effects. In our cover story, Selfie Reflection, beginning on page 18, Neelam A. Vashi, MD, examines how the rise of selfies have been contributing to body dysmorphic disorder in aesthetics. We also report on the new complications biotin supplements can cause with certain laboratory tests beginning on page 39. Ultimately, those discoveries will help us learn better ways to serve and treat patients.

Change can be turbulent, but also exciting. The present is in many ways much, much better than the past. Let’s keep that in mind when the next big change occurs. 

Steven R. Feldman, MD, PhD
Chief Medical Editor

Dr Feldman is with the Center for Dermatology Research and the Departments of Dermatology, Pathology, and Public Health Sciences at Wake Forest University School of Medicine in Winston-Salem, NC.