What is Atopic Eczema?

Eczema refers to a red, scaly, itchy, sometimes weeping skin condition. Atopy refers to an allergic condition that tends to run in families and includes problems such as asthma, hay fever, atopic eczema and skin sensitivities. However, anyone can become allergic.

Atopic eczema is common and effects about 5% of the population. It is not contagious. No particular cause have been found.

WHAT ARE THE SYMPTOMS OF ECZEMA?

In mild cases the skin is slightly red, scaly, and itchy and covers small areas. In infants, it usually starts on the face and scalp; in severe cases it can cover large areas, is very itchy and starts to weep and become crusted. The children may be very irritable, and uncomfortable.

WHAT AGES ARE AFFECTED?

Eczema usually starts in infants from any age. It tends to improve from 1- 2 years old, but the rash may persist in certain areas, such as the flexures of the elbows and knees, the face and neck, and the fingers and toes. It tends to be coarse, dry and itchy at this stage. Many children have outgrown it by late childhood, most by puberty, but a few have it all their lives.

WHAT ARE THE RISKS OF ECZEMA?

It is not a dangerous disease, but infection can occur from scratching, especially if the skin is raw. Contact with herpes simplex (cold sores) can produce nasty reactions. Patients have a tendency to develop asthma and other atopies later.

WHAT THINGS APPEAR TO AGGRAVATE OR CAUSE ECZEMA?

· Sand, especially sandpits

· Dust

· Soaps and detergents

· Rough and woollen clothes

· Scratching and rubbing

· Frequent washing with soap, especially in winter

· Drying preparations such as calamine lotion

· Extremes of temperature, especially cold weather with low humidity

· Stress and emotional upsets

· Teething

· Certain foods which parents may identify

Note: The relationship of diet to eczema is controversial and uncertain. It may be worthwhile avoiding certain suspect foods for a 3-4 week trial - these include cows' milk, fish, eggs, wheat, oranges and peanuts.

WHAT ABOUT SKIN TESTS AND INJECTIONS?

The value of allergy testing is doubtful, and desensitisation injections may make the eczema worse.

WHAT IS THE TREATMENT FOR ECZEMA?

SELF HELP

Avoid soap and perfumed products- use a bland bath oil in the bath and aqueous cream for the skin to keep it moisturised
Older children and adults should have short tepid showers
Avoid rubbing and scratching- use gauze bandages with hand splints for infants
Avoid sudden changes of temperatures, especially those that can cause sweating
Wear light, soft, loose clothes such as cotton clothing, which should always be worn next to the skin
Avoid dusty conditions and sand, especially sandpits

MEDICAL HELP (Eczema Creams)

Your doctor, who should be consulted if you are concerned, may prescribe antihistamine medicine for the allergy and sedation, special moisturising creams and lotions, antibiotics for infection (if present) and milder dilute corticosteroid creams, which can be very effective.

Eczema & Dermatitis non-steroid Treatment for Allergy with Excimer Laser

Excimer laser is a novel mode of phototherapy with verified efficacy in treating skin conditions such as vitiligo, psoriasis, atopic dermatitis, alopecia areata, allergic rhinitis, folliculitis, granuloma annulare, lichen planus, mycosis fungoides, palmoplantar pustulosis, pityriasis alba, CD30+ lympho proliferative disorder, leukoderma, prurigo nodularis, localized scleroderma and genital lichen sclerosus.

- Different applications of monochromatic excimer light in skin diseases - PubMed (nih.gov)

Allergy Types - Testing & Treatment @ MDIMC

A Comprehensive Allergy Test can be done at our medical clinic. Please make an appointment for a consultation with Dr Don Lau at Tel: 6694 1661.

Comprehensive Allergies Test for up to 101 allergens:
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* Dust/Mold Allergy
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Contact Dermatitis Common Allergens

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Acne Causes & Prevention - Treatment @ MDIMC

The Proven and Unexpected Way to Fix Allergies

In this video, Dr. Mike VanDerschelden explains the true cause of allergies and how to easily fix over 80% of the cases for allergies that the doctors are not telling you.

Skin Problems - Treatment for Allergies, Dermatitis, Eczema & Urticaria/Hives

Allergy in your Baby

Treatment for Contact Dermatitis

Treatment for Atopic Ezcema

What is Urticaria or Hives?

Allergy Symptoms & Testing - Treatment @ MDIMC

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Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

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a. Vaccination decreases the risk of co-infection with COVID-19.

b. Vaccination reduces the burden of respiratory illnesses in the healthcare system.

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

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The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

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