It is widely known that Beyonce likes Kim Kardashian as much as the Queen of England likes bungee jumping. So their chance encounter at an LA dermatologist last week was pretty awkward. From Radar:
An eyewitness to the ladies' awkward encounter at Dr. Howard Lancer's Beverly Hills office tells Radar that when Kardashian arrived, she "seemed so excited to see Beyoncé and was really eagerly going over to her."

"But Beyoncé looked like she wanted nothing to do with Kim and was really trying to stay away from her," the source says. "Kim was basically fawning all over her!"

The two women did have a brief chat, with Blue Ivy's mother asking about Kardashian's daughter North West.

"Beyoncé looked like she couldn't have cared less ...," the source continues. "It seemed so clear that she did not want to talk with Kim and was just being polite to her. They really didn't look at all like friends."
Beyonce will most likely be changing dermatologists from now on. That we're sure of.