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Eczema

Facial dermatitis

Facial dermatitis

What is Eczema?

Eczema (Dermatitis) is a skin rash that is often dry, itchy and red. Sometimes, it is weepy and presents with blisters. There are 2 broad groups of eczemas: endogenous and exogenous eczema. Endogenous means arising from within the body and the cause is not obvious. Exogenous means trigger factors are from external sources.

A consultation with Dr Wong would help you to determine the cause of your eczema and an accurate diagnosis is important for optimal clinical management.

 

What is Atopic Eczema?

Atopic Eczema is one type of endogenous eczema and is a very common skin disease that afflicts about 20% of children nowadays. However, it can also affect adults. Children and adults afflicted with this disease often suffer from itch and rashes for long duration.

What are the main features of Atopic Eczema?

Major Features of atopic eczema include:

  • Intense itching
  • Typical red rash in typical locations of the body
  • Chronic or recurring symptoms
  • Personal or family history of atopic disorders (eczema, rhinitis, asthma)

What are the triggers?

Environmental allergens have been shown to trigger eczema and common triggers are as follow:

  • Contact irritants (soaps, wool clothing, mechanical irritants, detergents, preservatives, perfumes)
  • Climate (heat, humidity and sweating)  Dry environment with low humidity can make the disease worse.           Showering without proper moisturizing afterward is also a common trigger
  • Air-borne allergens (house dust mite, molds)
  • Bacterias and fungus  directly invade the skin, causes infection and inflammation and aggravates eczema
  • Stress: Relationaship problems or major life changes, such as divorce, job changes or examination.
  • Food allergy is implicated in one third of children with atopic eczema. The most common food allergens are egg, soy, milk, wheat, fish, shellfish, birdnest and peanut.
House dust mites

House dust mites

How can Eczema be controlled?

Dr Wong’s approach involves educating the patient how to deal with itch, sharing his knowledge in good skin care. Identifying and avoidance of triggers is also important. Using his experience , Dr Wong often combine old and tested method as well as the newest medications and latest approach to help eczema sufferers. This approach often includes bath, emollient, cream medication, oral medication and light treatment. Many patients have benefited from his experience and treatment!

 

 

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