新加坡湿疹 (特应性皮炎)治疗

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郑亮劼医生

MOH-Accredited Dermatologist | Oxford Fellowship Trained in Mohs Micrographic Surgery & Advanced Dermatologic Surgery

Consult Dr Tay Liang Kiat, a fully accredited dermatologist in Singapore with more than 25 years of clinical experience. He manages medical, surgical, and aesthetic dermatology conditions, including psoriasis, eczema, acne, urticaria, hair loss, children’s skin conditions, skin cancers, and other complex dermatological concerns.

Table Of Content

湿疹是最常见的皮肤病之一,可影响所有年龄段的人

eczema

什么是湿疹?

湿疹,通常称为特应性皮炎,会导致皮肤斑块发痒和发炎。
 
湿疹是一种持久的(慢性)疾病,往往会定期发作。
 
患有哮喘、过敏性鼻炎或有湿疹亲属的人患皮肤病的风险更高。湿疹不会传染。

How Common is Eczema in Singapore?

According to HealthHub Singapore, about 20% of school children in Singapore have eczema, while the National Skin Centre states that eczema affects about 1 in 10 people at some time in their life. If you have persistent dry, itchy, red, or inflamed skin, consult our dermatologist for proper assessment and treatment advice.

Which Eczema Treatment Option Is Suitable For You?

Treatment Option When It May Be Considered Treatment Details
Topical Steroid Creams For eczema skin inflammation, depending on the extent and area of rashes. Different potency steroid creams can be used to treat eczema skin inflammation. Your dermatologist can explain the proper use of creams and monitor for side effects. There are also non-steroid creams to treat skin inflammation, generally used for sensitive areas on the face and eyelids.
Treatment for Flare-Ups If you have a bad eczema flare. You may require intensive topical treatment such as wet wraps or a course of oral steroids. Oral medications may be required to treat any skin infections or infected eczema.
Treatment for Difficult-to-Control Eczema If flare-ups are recurrent or eczema is difficult to control. You may need to escalate treatment. Your dermatologist may prescribe medication to control the immune system, such as ciclosporin or azathioprine, or the biologic injection dupilumab. This will require close monitoring and regular blood tests may be required. Phototherapy may be another option.
Topical Steroid Creams
When It May Be Considered

For eczema skin inflammation, depending on the extent and area of rashes.

Treatment Details

Different potency steroid creams can be used to treat eczema skin inflammation. Your dermatologist can explain the proper use of creams and monitor for side effects. There are also non-steroid creams to treat skin inflammation, generally used for sensitive areas on the face and eyelids.

Treatment for Flare-Ups
When It May Be Considered

If you have a bad eczema flare.

Treatment Details

You may require intensive topical treatment such as wet wraps or a course of oral steroids. Oral medications may be required to treat any skin infections or infected eczema.

Treatment for Difficult-to-Control Eczema
When It May Be Considered

If flare-ups are recurrent or eczema is difficult to control.

Treatment Details

You may need to escalate treatment. Your dermatologist may prescribe medication to control the immune system, such as ciclosporin or azathioprine, or the biologic injection dupilumab. This will require close monitoring and regular blood tests may be required. Phototherapy may be another option.

湿疹的症状

eczema

湿疹的症状可能因人而异。湿疹最常见的一些症状包括:

湿疹症状可以从婴儿期开始并持续到成年期。

然而,近一半被诊断患有湿疹的儿童会在青春期长大或症状大大改善。

在其他人中,它可以在青少年时期开始,并在成年后消失。

对于许多其他人来说,湿疹可能是一种终身疾病。有时症状会消失(称为缓解期),有时症状会恶化(称为突然发作)。

湿疹的类型

当大多数人提到湿疹时,他们通常指的是特应性皮炎,因为它是最常见和慢性的湿疹类型。以下是可能与您的特定症状相匹配的其他常见湿疹类型:

湿疹的原因

eczema2
湿疹的原因尚不完全清楚,但被认为是皮肤屏障功能失调和免疫系统过度活跃的结合,当暴露于刺激物时可能会产生积极的反应。
 
湿疹诱因包括:

管理湿疹

尽管湿疹患者有时可能具有挑战性,但您可以采取一些步骤来帮助更好地控制湿疹:
Dermatologist Dr Tay Liang Kiat

Our Eczema Dermatologist

郑亮劼医生

Dr Tay Liang Kiat is a fully accredited Dermatologist who specialises in skin cancers, Mohs micrographic surgery, dermatologic and nail surgery, aesthetic dermatology and laser procedures. With more than 25 years of clinical experience, he also manages other aspects of general ambulatory and inpatient dermatology, including eczema, psoriasis, acne, urticaria, hair loss, children skin issues and other complex medical dermatology. In addition, he has expertise in the use of the latest immunotherapy (biologics) treatment for severe eczema, psoriasis and urticaria.

背景

奖学金和认证

Frequently Asked Questions About Eczema Treatment in Singapore

How is eczema diagnosed in Singapore?

Our dermatologist diagnoses eczema through a clinical consultation by assessing the patient’s skin symptoms, itch pattern, affected areas, and medical and family history of eczema, asthma, or allergic rhinitis. In certain cases, our doctor may also check for other possible causes of the rash and conduct tests if the diagnosis is unclear.

How do I know if I have eczema or a fungal infection?

Eczema and fungal infections may look similar, as both can cause redness, itchiness, and skin irritation. However, eczema often comes and goes due to triggers such as heat, sweat, soaps, or allergens, and is commonly linked to dry, sensitive, and itchy skin. Meanwhile, a fungal infection may appear as a ring-shaped rash with a scaly border and may spread in moist areas, such as the feet or skin folds. Patients are advised to consult a doctor if they are unsure, as incorrect treatment may worsen the condition.

Can eczema be cured permanently?

There is no guaranteed permanent cure for eczema. However, many patients can manage the condition well with regular moisturising, suitable medication, trigger management, and follow-up care. Eczema may improve for periods of time and flare up again when triggered.

When should I see a doctor for eczema?

You should consult a dermatologist if you experience a persistent, spreading, or itchy rash that does not improve with moisturisers and basic care. You should also consult our doctor if you are unsure whether your rash is eczema or another skin condition.

How to treat eczema in babies in Singapore?

Baby eczema should be managed gently and under medical guidance. Common care steps may include using fragrance-free moisturisers regularly, avoiding harsh soaps and bubble baths, bathing with lukewarm water, and keeping the baby cool.

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