Skin, Hair, Nails
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 a long duration.
How can eczema be controlled?
Dr Wong’s treatment approach involves educating the patient how to deal with the itch, sharing his knowledge in good skin care, identifying and avoidance of triggers and dispensing medical treatments using prescriptive creams, lotions or moisturizers and oral medications most suited for you. Using his experience, Dr Wong combines old and tested methods as well as the new and current approaches and medications to help eczema sufferers. Many patients have benefited from his experience and treatment!
Excessive hair loss is defined as daily hair loss of more than 100 strands of hair and the most common hair loss disorder in adult men and women is male and female pattern hair loss respectively. They are gradually progressive and follow a recognizable diffuse pattern. In a male, there is usually receding hairline with baldness on the top of the scalp. In a female, the hair becomes thin and fine over the crown and with reduction of hair volume.
What is Alopecia Areata (balding patches)?
In this disorder, your own immune system, while protecting your body against foreign germs such as viruses and bacteria, mistakenly attacks your own hair follicles and leads to patchy hair loss on the scalp. This can sometimes occur even on eye brow, beard and other areas with hair.
What is Telogen Effluvium (Stress induced Hair loss)?
In Telogen Effluvium, there are acute shedding of telogen (resting) hairs typically occurring three months after a stressful trigger. Physical or mental stress like child birth, high fever, severe illness, depression or divorce can trigger this type of hair loss. Patients typically complain of excess shedding of hairs duing washing, on brushes, and even on pillows and clothes.
Fungal Infection of the Nail
This occurs when fungi infect one or more of the nails. It usually begins as a white or yellow spot under the tip of your fingernail or toenail. As the infection spreads deeper into the nail, it may cause the nail to discolour, thicken and develop crumbling edges.
Common fungal nail infection is treatable by taking oral anti-fungal antibiotics. For finger nails, it is usually 3 months’ long of treatment and it may take 6-10 months for toe nails. Alternatively, an anti-fungal nail varnish can be used for milder and more superficial fungal nail infection. Nail surgery is sometimes performed when oral medication is inappropriate or fails.
An ingrown toenail is a common disorder that most often affects the big toe. Initially, the side of the big toe becomes red and slightly painful with mild swelling. When an infection develops, the area can be swollen with pus formation and the patient may have difficulty in walking because of pain.
Treatment usually involves the use of topical and oral antibiotic and pain relief medications. Very often, Dr Wong needs to surgically remove part of the ingrown nail so that the skin or infection can heal. Performing matricectomy to cause a destruction of the location where the nail is produced will also decrease the recurrence rate of the ingrown toenail.