Eczema Treatment in Singapore

Trusted care for eczema management and relief in Singapore.

Dr Gerard Ee Profile Photo
Dr Gerard Ee

MBBS (UK), MRCS (Edinburgh), DP Dermatology (Cardiff)

What is Eczema?

what is eczema

Eczema, also known as dermatitis, is a common chronic inflammatory skin condition affecting millions worldwide. Characterised by a disrupted skin barrier, specifically a compromised the skin’s outermost protective layer (stratum corneum), it leads to excessive water loss and pronounced skin dryness. This fundamental weakness results in the condition’s key symptoms: intense itching and inflammation. Eczema can manifest differently in individuals, and its severity can range from mild to severe.

Types of Eczema and Its Symptoms

Atopic Dermatitis

Atopic Dermatitis

This is the most common type of eczema, often manifesting in childhood. It is characterised by dry, itchy skin that follows a relapsing-remitting pattern, which means symptoms flare up and subside over time.

Contact Dermatitis

Contact Dermatitis

This type is triggered when the skin directly touches an irritant such as strong chemicals, or an allergen like nickel. It results in localized redness, itching, and blistering exactly at the site of contact.

Nummular Eczema

Nummular Eczema

Also called discoid eczema, this form is easily identifiable by its distinct, coin-shaped patches of very itchy, dry, and often crusted skin. These lesions frequently appear on the limbs or the torso.

Seborrheic Dermatitis

Seborrheic Dermatitis

This type of eczema affects areas rich in oil glands, such as the scalp, face, and chest. It causes redness, scaling, and is a frequent cause of persistent dandruff.

Dyshidrotic Eczema

Dyshidrotic Eczema

This form specifically affects the hands and the feet. When triggered by stress, moisture or allergies, it can cause a sudden appearance of small, deep, very itchy blisters that can be quite uncomfortable and sometimes painful.

Stasis Dermatitis

Stasis Dermatitis

This type of eczema is linked to poor circulation, often occurring in the lower legs of individuals with varicose veins or chronic swelling. It causes the skin to become discoloured, itchy, and thickened due to fluid buildup.

Causes of Eczema

While a weakened skin barrier is the cause of the physical rash, eczema itself is a complex condition driven by multiple factors.

Understanding individual triggers is crucial as it allows healthcare specialists like Dr Gerard Ee to develop personalised care plans that specifically address the unique factors exacerbating a patient’s eczema.

A family history of eczema, asthma, or hay fever may increase the risk of developing eczema. Genetic factors may influence the skin’s barrier function and immune response, making individuals more susceptible to eczema triggers.

Various environmental factors can trigger or worsen eczema symptoms, including:

  • Irritants: Exposure to irritants such as soaps, detergents, fragrances, certain fabrics, and chemicals can damage the skin’s barrier and trigger eczema flares.
  • Allergens: Allergic reactions to substances like pollen, dust mites, pet dander, and certain foods can also trigger eczema flares. Identifying and avoiding these allergens is advisable for managing eczema.
  • Climate: Singapore’s tropical climate, with its high humidity and temperatures, can irritate eczema due to sweating. Sudden temperature changes, like moving between air-conditioned and outdoor environments, may also worsen symptoms. Managing skin hydration and being mindful of the climate is key for eczema care.

Certain lifestyle factors can influence eczema:

  • Stress: Stress may worsen eczema symptoms and trigger flares. Managing stress through relaxation methods, exercise, and adequate sleep can help improve eczema control.
  • Sweat: Singapore’s hot and humid climate can exacerbate eczema through excessive sweating, which can irritate the skin. Opting for breathable fabrics suited to the tropical heat and being mindful of activities that cause excessive sweating can be beneficial in managing eczema flare-ups.
  • Scratching: Scratching can damage the skin, worsen inflammation, and lead to a vicious cycle of itching and scratching. Keeping nails short and using cool compresses or anti-itch creams can help reduce scratching.

Eczema is often associated with an overactive immune system. When the immune system overreacts to certain triggers, it releases inflammatory chemicals that may cause the skin to become red, itchy, and inflamed.

Eczema Treatments in Singapore

There are several treatment options available in Singapore to help manage eczema and alleviate its symptoms. The doctor will recommend the most suitable treatment plan based on your individual needs and the severity of your eczema.

Topical treatments are the mainstay of eczema management. They are applied directly to the skin to help reduce inflammation, itching, and dryness. For instance, corticosteroid creams and ointments may help address inflammation and itching. Similarly, calcineurin inhibitors are non-steroidal creams that help reduce inflammation and are recommended for long-term use. To further hydrate the skin and improve its barrier function, consider using moisturisers recommended by professionals.

  • Benefits: Designed to reduce inflammation, alleviate itching, soothe dryness and improve skin barrier.
  • Suitable For: All severities of eczema, from mild to severe.

Phototherapy, a treatment approach used by specialists like Dr Gerard Ee, involves exposing the skin to controlled narrowband ultraviolet (UV) light doses emitted by laser devices like V Beam laser. Narrowband UVB light is specifically used as this has been shown to help manage eczema inflammation and itching. UVB light treatment at our clinic starts from S$200.

  • Benefits: Works to reduce inflammation, alleviate itching, target widespread eczema and may reduce reliance on topical medications.
  • Suitable For: Moderate to severe eczema that is not adequately controlled with topical treatments or oral medications.

Ultrasound therapy uses sound waves to deliver therapeutic energy deep into the skin, promoting repair and reducing inflammatory responses.

At our clinic, Dr Gerard Ee utilises Bellasonic Ultrasound Therapy, a non-invasive treatment that uses micro-pulsations and thermal energy to stimulate skin repair and reduce inflammation. Bellasonic helps to address skin hydration, manage redness, and calm irritated skin associated with eczema. Dr Ee may choose this treatment for patients with persistent dryness and irritation that haven’t responded adequately to topical creams alone. Bellasonic Treatment at Dr Ee’s practice starts from S$200.

  • Benefits: Designed to enhance skin hydration, reduce redness and irritation, promote skin repair, and is non-invasive.
  • Suitable For: Dry, irritated skin that does not respond well to creams alone.

Pulsed Dye Laser (PDL) treatment, often using devices like the V Beam Laser, is a vascular-specific laser that targets blood vessels in the skin. Dr Gerard Ee uses the V Beam Laser to address the redness and inflammation associated with eczema. A typical treatment course involves several sessions, and it is important to note that some temporary bruising may occur after the procedure.

  • Benefits: Aim to reduce visible redness, target inflammation at a vascular level and may improve chronic eczema symptoms.
  • Suitable For: Visible redness, chronic inflammation associated with eczema.

In some cases, oral medications may be recommended to help manage eczema, especially for moderate to severe cases or when topical treatments seem insufficient. Oral medications may help reduce inflammation and suppress the immune response.

The doctor may recommend several oral medications like antihistamines to help relieve itching and improve sleep. Likewise, oral steroids may be used for short-term control of severe eczema flares. Meanwhile, immunosuppressants may be considered for severe, recalcitrant eczema.

  • Benefits: Works to manage inflammation, severe flares, and can provide relief when topical treatments are inadequate.
  • Suitable For: Moderate to severe eczema, widespread eczema, or eczema unresponsive to topical treatments.

When to See an Eczema Skin Specialist

If you experience any of the following or your eczema symptoms are not well-controlled with over-the-counter treatments, it is advisable to consult a skin specialist in Singapore like Dr Gerard Ee. He can help diagnose, identify potential triggers, and recommend a treatment plan to help you manage your eczema effectively.

  • Your eczema is severe or widespread.
  • Your eczema is affecting your quality of life or sleep.
  • You have signs of infection, such as increased redness, swelling, or pus.
  • You are unsure about your diagnosis or treatment options.

Our Approach to Eczema Treatment

Eczema can be a frustrating and persistent condition. That is why Dr Gerard Ee takes a comprehensive approach to eczema treatment, beginning with an assessment to understand your needs and suggest a treatment plan.

Detailed Medical History

The process starts by collecting a thorough medical and family history, along with detailing your lifestyle factors and any previous eczema triggers. This essential information guides the development of your truly personalised care plan.

Comprehensive Skin Examination

Dr Ee will carefully examine all affected areas, paying close attention to high-impact zones like the scalp, hands, feet, and face. This careful assessment is crucial for accurately identifying the specific eczema type you are dealing with.

Targeted Allergy Assessment

To identify potential culprits that may be worsening your symptoms, targeted assessments are conducted. This may include patch tests or blood tests, as needed, to definitively pinpoint specific allergens or triggers.

Skin Biopsy for Diagnostic Clarity

In complex or atypical cases where the diagnosis is unclear, a skin biopsy may be performed. This procedure provides definitive information on the underlying pathology, which is vital for guiding complex treatment decisions.

Tailored Treatment Planning

The findings from the diagnostic steps are used to develop an evidence-based and customised treatment plan. This plan is specifically focused on achieving effective symptom control, restoring the damaged skin barrier, and ensuring long-term management of your eczema.

dr

Trusted Care by Dr Gerard Ee

MBBS (UK), MRCS (Edinburgh), DP Dermatology (Cardiff)

Dr Gerard Ee is a medical aesthetic doctor specialising in treating acne and acne scar removal in Singapore. He also has extensive experience in managing other inflammatory skin conditions such as eczema and psoriasis. He earned his medical degree (MBBS) from St George’s University of London. He pursued further training and became a member of the Royal College of Surgeons (MRCS) in Edinburgh.

Dr Ee has accreditations in applications of Botox, fillers, lasers, and light therapy for medical aesthetic purposes. His areas of expertise include:

Believing in a foundation of trust and open communication, Dr Ee dedicates time to thoroughly understand individual concerns, enabling him to create truly personalised treatment plans in a supportive environment.

Frequently Asked Questions About Eczema Treatment

Yes, eczema often has a strong genetic link. If there is a family history of atopic dermatitis or other allergic conditions like asthma or hay fever, an individual has a significantly increased risk of developing eczema.

Eczema symptoms can vary greatly from person to person and even within the same individual over time. However, common symptoms include:

  • Dry, itchy skin: This is often the first and most persistent symptom of eczema. The itch can be mild to intensely severe, sometimes disrupting sleep and daily activities.
  • Redness and inflammation: Affected skin may appear red, inflamed, and swollen.
  • Scaly or crusty skin: The skin may appear dry, flaky, or develop crusts, especially in areas of intense scratching.
  • Blisters or oozing: In more severe cases, small blisters may form, which can ooze and crust over.
  • Thickened or leathery skin: With chronic scratching and rubbing, the skin can become thickened and leathery in texture. This is known as lichenification.

It’s important to note that eczema symptoms can fluctuate with periods of flares and remissions. Identifying and avoiding triggers can help reduce the frequency and severity of flares.

Currently, there is no cure for eczema. It is a chronic condition that tends to have a relapsing-remitting course. However, with appropriate management and treatment, eczema symptoms can be addressed, and individuals may experience periods of remission where their skin is clear and comfortable.

The goal of treatment prescribed by Dr Gerard Ee is to manage the symptoms, prevent flares, and improve your quality of life. The doctor will work with you to develop a management plan to help you achieve optimal control of your eczema.

Yes, lifestyle changes and home remedies can play a role in managing eczema and reducing the frequency and severity of flares. These include:

  • Moisturising Regularly: Applying a thick, fragrance-free moisturiser several times a day helps hydrate the skin and repair the skin barrier.
  • Avoiding Triggers: Identifying and avoiding your eczema triggers, whether they are irritants, allergens, or stress, is advisable for managing the condition.
  • Managing Stress: Stress can worsen eczema symptoms, so practising stress management techniques like exercise, yoga, or meditation can be helpful.
  • Taking Lukewarm Baths: Avoid hot showers or baths, as hot water can dry out the skin and worsen eczema. Use lukewarm water and gentle, fragrance-free cleansers.
  • Using Gentle, Fragrance-Free Skincare Products: Avoid harsh soaps, detergents, and skincare products that contain fragrances or irritants. Opt for gentle, fragrance-free products specifically formulated for sensitive skin.
  • Wearing Soft, Breathable Fabrics: Choose clothing made from soft, natural fabrics like cotton to avoid irritating the skin.

Potential side effects vary depending on the treatment. Topical corticosteroids may cause skin thinning with prolonged use. Oral medications may have systemic side effects. If you are concerned about potential side effects, rest assured that Dr Gerard Ee will discuss the potential side effects and precautions with you before starting any treatment.

The time it takes to see results varies based on the severity of the eczema and the chosen personalised care plan. While relief from intense itching may begin quickly with certain treatments, achieving significant skin barrier restoration and long-term control often requires consistent therapy over several weeks to months.