Hay Fever is also medically termed as rhinitis. It can be divided into Allergic Rhinitis and Non-Allergic Rhinitis.
Alopecia Areata is a patchy non-scarring hair loss condition that a person develops coin-sized round baldness over the scalp. It is postulated that the body’s immune system attacks the growing hair leading to hair loss.
There are increasing evidence to suggest Alopecia Areata is due to underlying immune system reacting onto hair follicles, resulting in inflammation and hair loss. Hair follicle immune response can also be triggered by environmental factors such as infections, drugs, vaccinations or even stress.
Alopecia Areata typically presents with a well-circumscribed discrete smooth bald patch over the scalp. Sometimes, this condition can affect other parts of the body such as the beard, eyebrows, eyelashes, body and limbs. You may notice roughening of the nails or developing of little pits over the nail surface.
No, Alopecia Areata does not cause pain. However, Alopecia Areata can be a devastating condition. The loss of hair has a negative psychological impact and can be associated with low self-esteem. Patients with Alopecia Areata can be vulnerable to exploitation and should be cautioned against spending unnecessary money on remedies that are unproven.
Both female and male are equally at risk of developing Alopecia Areata. The age demographics tends to occur between adolescence to mid adulthood. Uncommonly, it can also affect children less than 10 years old.
The following increase an individual’s risk of developing this condition:
Alopecia Areata is diagnosed based on history and clinical examination findings. However, depending on individual cases, your doctor may consider to run some blood tests to screen for other causes of hair loss.
Due to the association of autoimmune response, treatment of Alopecia Areata involves use of steroid. The most effective treatment for small areas of patchy Alopecia Areata is intralesional steroid (triamcinolone) injection. Depending on individual cases, your doctor may pair the injection treatment with topical/cream based steroid. You are advised to discuss with your doctor on the treatment alternatives for Alopecia Areata.
First line treatment for Alopecia Areata which is fast and effective is intralesional steroid injection.
Checking the skin or nail lesion with wood lamp involves shining a hand-held wood lamp device on the area of concern by your physician.
Cryotherapy or colloquially known as ‘cold therapy’ is a procedure that uses liquid nitrogen to deliver freezing cold temperature locally to destroy and remove abnormal skin lesion.
Electrocautery is a bedside procedure where your doctor will use an ‘electric pen’ to deliver high frequency electric current onto the skin to generate heat in order to stop bleeding or remove abnormal skin cells
A steroid injection is simple bedside procedure where your doctor will inject minute amount of steroid onto the skin.
Skin cancer screening is usually performed by your physician using a dermatoscope. Dermatoscope is a medical magnifying glass that allows your physician to visualize the size and shape of the mole that you are concerned of.
Fungal scrape and bacterial culture tests allow physician to confirm or debunk fungal/bacterial diagnosis of skin condition
Skin tags are benign. They are also known as acrochordons medically. They are small, soft overgrowth of the skin commonly located among the face, eyelids neck, armpit, groin, breasts and buttock folds.
An excision biopsy is a bedside procedure where your doctor uses a surgical blade to remove the entire skin lesion under the use of local anaesthesia.
A shave biopsy a bedside procedure where your doctor uses a surgical superficial shaving blade to remove the skin lesion under the use of local anaesthesia.
A skin biopsy, or punch biopsy, is a bedside surgical procedure where your physician will use a small knife ‘puncher’ to obtain a small skin sample under local anaesthesia.
Herpes zoster, commonly referred to as shingles, is a painful blistering rash caused by the varicella-zoster virus— the same virus that causes chickenpox.
Seborrheic Dermatitis is a common chronic inflammatory condition of the skin. It is categorized as a type of chronic eczema, affecting the body area that has more sebaceous glands. characterized by red, greasy scaly patches.
Living in a hot humid climate of Singapore, fungal infection of the skin is common. The fungus thrives and favors body areas that are moist and warm such as the armpit, breast folds, groin, buttocks, feet, toes or even nails.
Eczema is a common inflammation condition of the skin. Although eczema can occur any time in one’s life, it typically starts presenting when one is a child.
Psoriasis is a chronic inflammatory skin condition. It is a common skin disease that can affect 1 in 50 people.
Nearly 20% of people will get hives at some point in their lifetime. While they may not be life-threatening, hives can potentially cause both physical and emotional issues, particularly if they occur frequently.