Eczema Specialist in Singapore

Eczema is a chronic skin condition that can impact your quality of life. Characterised by dry, itchy, and inflamed skin, eczema can cause discomfort, disrupt sleep, and affect self-esteem. While there’s no cure for eczema, proper management and treatment recommended by a professional skin specialist in Singapore can provide relief and help you achieve optimal control of your symptoms.

Dr Gerard Ee
MBBS (UK), MRCS (Edinburgh), DP Dermatology (Cardiff)

About Eczema

Eczema, also known as dermatitis, is a common inflammatory skin condition affecting millions worldwide. It is characterised by a disrupted skin barrier, leading to dryness, itching, and inflammation. Eczema can manifest differently in individuals, and its severity can range from mild to severe.

There are several types of eczema, each with its own distinct characteristics:

  • Atopic Dermatitis: This is the most common type of eczema, often manifesting in childhood. It is characterised by dry, itchy skin and a relapsing-remitting course.
  • Contact Dermatitis: This type of eczema is triggered by contact with irritants or allergens. It causes localised redness, itching, and blistering.
  • Dyshidrotic Eczema: This type of eczema affects the hands and feet, causing small, itchy blisters.
  • Nummular Eczema: This type of eczema causes coin-shaped patches of itchy, dry skin.
  • Seborrheic Dermatitis: This type of eczema affects areas with oil glands, such as the scalp, face, and chest, causing redness, scaling, and dandruff.

Triggers & Causes of Eczema

Eczema is a complex condition with a variety of contributing factors. While the exact cause is unknown, it is believed to be a combination of genetic and environmental factors.

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: Dry weather, hot and humid conditions, and sudden temperature changes can all exacerbate eczema symptoms. Maintaining optimal humidity levels and protecting the skin from extreme weather conditions can help manage eczema.

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: Excessive sweating can irritate the skin and worsen eczema. Wearing breathable fabrics and avoiding activities that cause excessive sweating can help.
  • 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.

Our Approach to Eczema

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

This assessment may include:

  • Clinical Examination: The doctor will examine your skin, noting the type, severity, and distribution of your eczema. He will also check for any signs of infection or other skin conditions that may contribute to your symptoms.
  • Medical History Review: To understand the full picture, the doctor will review your medical history, including any family history of eczema, allergies, or other relevant conditions. He may also inquire about your current skincare routine, lifestyle habits, and any previous treatments you have tried. This helps identify potential triggers and contributing factors to your eczema.
  • Diagnostic Tests: In some cases, the doctor may recommend diagnostic tests to confirm the diagnosis or pinpoint specific triggers. These may include:
    • Patch testing: This involves applying small patches containing potential allergens to your skin to identify specific substances that trigger your eczema.
    • Skin biopsy: This involves taking a small skin sample for examination under a microscope to confirm the diagnosis and rule out other skin conditions.
    • Blood tests: These may be done to rule out other medical conditions that can mimic eczema or to assess your overall health.

Eczema Treatment Options 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. This treatment approach is potentially suitable for all severities of eczema, from mild to severe.

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.

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.

Phototherapy involves exposing the skin to controlled ultraviolet (UV) light doses emitted by laser devices like V Beam laser. It works by addressing inflammation and suppressing the immune response in the skin.

This treatment approach is generally recommended for those with moderate to severe eczema that is not adequately controlled with topical treatments or oral medications. Phototherapy uses narrowband UVB light, which has been shown to help manage eczema inflammation and itching.

Learn More About 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 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.

  • Acne and Acne Scar Treatment
  • Medical Aesthetics
  • Skin Rejuvenation

Dr Gerard Ee believes in building strong relationships with individuals based on trust and open communication. He takes the time to understand their concerns and goals, creating personalised treatment plans tailored to their specific needs. He is committed to providing a comfortable and supportive environment where patients feel empowered to make informed decisions about their skin health.

When to See a Skin Specialist

If you experience any of the following or your eczema symptoms are not well-controlled with over-the-counter treatments, it’s advisable to consult a skin specialist 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.

Frequently Asked Questions About Eczema Treatment

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.

Potential side effects vary depending on the treatment. Topical corticosteroids may cause skin thinning with prolonged use. Oral medications may have systemic side effects. The doctor will discuss the potential side effects and precautions with you before starting any treatment.

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 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.