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Eczema/ Dermatitis

— Eczema on foot and hand

Dermatitis affects about one in every five people at some time in their lives. The terms dermatitis and
eczema are often used interchangeably. In some cases the term eczematous dermatitis is used.
Dermatitis can be acute or chronic or both.

Acute eczema (or dermatitis) refers to a rapidly evolving red rash which may cause blisters and swelling.
Chronic eczema (or dermatitis) refers to a longstanding irritable area. It is often darker than the surrounding skin, thickened (lichenified) and much scratched.
An in-between state is known as subacute eczema.

Some types of eczema

Atopic eczema is particularly prevalent in children; inherited factors seem important, as there is nearly always a family history of dermatitis or asthma.
Irritant contact eczema is provoked by handling water, detergents, solvents or harsh chemicals, and by friction.
Allergic contact eczema is due to skin contact with substances that most people don't react to: most commonly nickel, perfume, rubber, hair dye or preservatives.
Dry skin: especially on the lower legs, may cause asteatotic eczema.
Nummular eczema (also called 'discoid eczema') presents as scattered coin-shaped excoriated patches which can persist for a few months.
Seborrhoeic dermatitis and dandruff presents as scaly rash on the scalp and face and may be due to Malassezia yeasts that live in these areas.

Treatment of dermatitis

An important aspect of treatment is to identify and tackle any contributing factors.


Do not take longer than 15 minutes to bathe. Use a gentle cleanser.


Protect your skin from dust, water, solvents,
detergents, injury.

Topical steroids

Apply a topical steroid cream or ointment to the
itchy areas. Steroids should usually be applied
once or twice daily only to affected areas.


Antihistamine tablets may help reduce the
itch, and are particularly useful at night.


Wear loose clothing made of soft and smooth material.


Ask your doctor to recommend a good moisturizer and avoid perfumed products when possible.

Topical calcineurin-inhibitors

Pimecrolimus and Tacrolimus are new anti-inflammatory cream shown to be very effective for atopic dermatitis, with fewer side effects than topical steroids.

Other treatments

Systemic steroids, azathioprine, cyclosporine, phototherapy, and other complicated treatments may also be used for severe cases.

Long term control

Eczema is often a long-term problem. Moisturize your skin regularly. See your dermatologist if your condition fails to improve.



Common Adult Conditions

Acne Vulgaris
Eczema/ Dermatitis
Skin Cancers
Adult Hair Loss
Common Acquired Facial Pigmentation
Viral Warts

Dr Lynn Chiam of Children and Adult Skin Clinic in Singapore is an expert in treating ECZEMA / DERMATITIS among adults. Eczema/ Deramtitis are curable so visit her clinic today for solution.


















Commom Adult Conditions

Acne Vulgaris
Eczema/ Dermatitis
Skin Cancers
Adult Hair Loss
Common Acquired Facial Pigmentation
Viral Warts

Mt Elizabeth Novena Specialist Medical Centre 38 Irrawaddy Road #07-22  Singapore 329563
Tel: (65) 6570 2303    Fax: (65) 6570 2302    Email:

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