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Eczema Treatment in Singapore

Dr Cheong Lai Leng
Dr Cheong Lai Leng

Consultant Dermatologist

MBBS (Singapore), M.Med (Internal Medicine),
MRCP (UK), FAMS (Dermatology),
Corr. Fellow, American Society for Dermatologic Surgery

Studies estimate that up to 20% of children and around 10% of adults in Singapore experience eczema, with our country's hot, humid climate often contributing to flare-ups in susceptible individuals.

At our eczema clinic, patients are able to receive treatment for this condition, focusing on reducing itches and preventing flare-ups, under the guidance of an experienced dermatologist in Singapore.

Eczema is one of the most common chronic skin conditions in Singapore, affecting both children and adults.

What Is Eczema?

Eczema, also known as dermatitis, is an umbrella term for a group of chronic inflammatory skin conditions that affect the skin barrier. It commonly causes dry, itchy, red and inflamed skin, with symptoms ranging from mild, occasional irritation to persistent flare-ups that can interfere with daily life.

Eczema develops when the skin barrier becomes weakened, making it less effective at retaining moisture and protecting against irritants, allergens and microbes. This increases skin sensitivity and triggers inflammation, leading to recurring symptoms. While eczema is not contagious, its severity and pattern of flare-ups can vary depending on the type of eczema, genetic factors, environmental triggers and individual immune responses.

What Are Common Signs & Symptoms of Eczema?

Eczema is typically characterised by:

  • Dry, itchy skin
  • Red, inflamed skin
  • Discoloured skin patches
  • Rough, scaly or leathery rashes
  • Crusting or oozing
  • Open wounds

These symptoms are long-term in nature and they may recur after a period of apparent recovery. It is recommended that you see your eczema doctor in Singapore to discuss possible treatment methods that suit you best.

What Are Some Possible Complications of Eczema?

Eczema may also trigger a set of complications, such as:

Skin Infections

Scratching can break the skin, allowing bacteria, viruses or fungi to enter and cause infection. Signs of an infected eczema flare may include increased redness, pain, swelling, oozing, crusting or pus, which may require medical treatment.

Chronic Thickened Skin (Lichenification)

Persistent scratching and rubbing can cause the skin to become thickened, leathery and discoloured. This change, known as lichenification, commonly develops in areas affected by long-term eczema and can be difficult to reverse without controlling the itch-scratch cycle.

Skin Colour Changes

Repeated inflammation may leave affected areas darker or lighter than the surrounding skin after a flare-up has resolved. These pigmentation changes may persist for months before gradually fading.

Sleep Disturbances

Intense itching, particularly at night, can make it difficult to fall asleep or stay asleep. Poor sleep quality may contribute to daytime fatigue, reduced concentration and a reduced quality of life.

Mental and Emotional Effects

Living with chronic eczema may contribute to stress, anxiety, reduced self-confidence or depression, particularly when symptoms are severe, visible or interfere with daily activities. Emotional stress may also worsen eczema, creating a cycle of recurring flare-ups.

Visit our dermatology clinic for a preliminary assessment if you are experiencing persistent itching, recurring rashes or other symptoms of eczema.

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What Are the Different Types of Eczema?

Eczema includes several different forms of dermatitis that share similar symptoms but differ in their underlying causes, affected areas, triggers and patterns of flare-ups. Some of these are:

  • Atopic Dermatitis

    The most common and chronic type, it is characterized by dry, itchy and scaly patches on the skin susceptible to infection, wounds, crusting and oozing when scratched. Atopic dermatitis usually goes hand in hand with asthma and hay fever (atopic triad).
  • Contact Dermatitis

    Contact dermatitis develops when the skin reacts to an irritant or allergen after direct contact. It typically causes redness, itching, swelling and, in some cases, blistering or a burning sensation. Symptoms usually improve once the triggering substance is identified and avoided.
  • Seborrheic Dermatitis

    This results in the formation of dandruff, yellow skin patches, and scaly rashes on oily parts of the body such as the scalp, face, chest and back.
  • Stasis Dermatitis

    Stasis dermatitis usually affects the lower legs and is most common in older adults with poor circulation. Reduced blood flow causes swelling and inflammation, resulting in itchy, discoloured skin that may become fragile or develop ulcers if left unmanaged.
  • Nummular Dermatitis

    Nummular dermatitis presents as well-defined, coin-shaped patches of dry, itchy skin that commonly appear on the arms, legs or torso. Flare-ups are often associated with dry skin and may become more noticeable during colder or drier months.
  • Dyshidrotic Eczema

    Dyshidrotic eczema mainly affects the hands and feet, causing small, intensely itchy, fluid-filled blisters. As the blisters heal, the skin may become dry, cracked and painful, with episodes often recurring over time.
  • Neurodermatitis

    Neurodermatitis develops when repeated scratching or rubbing causes an area of skin to become thickened and leathery. It commonly affects the scalp, neck, wrists, forearms, ankles and lower legs, with persistent itching often perpetuating the itch-scratch cycle.

What Are the Common Causes and Risk Factors of Eczema in Singapore?

Eczema does not have a single cause. Instead, it usually develops through a combination of genetic, immune and environmental factors that increase a person's susceptibility to the condition. Once eczema is present, various triggers can cause symptoms to flare up or worsen.

  • Environmental Factors

    Environmental triggers can contribute to eczema flare-ups, although these vary between individuals. In Singapore, the hot and humid climate may increase sweating, which can irritate sensitive skin and worsen itching in some people. Other common triggers include stress, dust mites, pollen, pet dander and, in some cases, certain foods.
  • Genetics

    A family history of eczema increases your likelihood of developing the condition. This risk is also higher in individuals with relatives who have other atopic conditions, such as asthma or allergic rhinitis.
  • Overactive Immune System

    People with eczema often have an overactive immune response that reacts excessively to substances that would not normally cause irritation. This abnormal inflammatory response contributes to redness, itching and persistent skin inflammation.
  • Skin Barrier Dysfunction

    A weakened skin barrier allows moisture to escape more easily while permitting irritants, allergens and microbes to penetrate the skin. This makes the skin drier, more sensitive and more prone to inflammation and recurring flare-ups.
  • Exposure to Irritants

    Everyday substances can trigger or aggravate eczema symptoms, particularly in individuals with sensitive skin. Common irritants include soaps, detergents, fragrances, cosmetics, chlorine, solvents, wool and certain synthetic fabrics. Repeated or prolonged exposure may worsen inflammation.

How Does a Dermatologist Diagnose Eczema?

Diagnosing eczema involves identifying the type of dermatitis present while ruling out other skin conditions that may cause similar symptoms. During a consultation session, your dermatologist will often proceed in a structured manner.

Medical History Assessment

Your dermatologist will ask about your symptoms, when they first appeared, how often flare-ups occur, and whether you have a personal or family history of eczema, asthma, allergic rhinitis or other allergic conditions. Information about your occupation, lifestyle and previous treatments may also help guide the diagnosis.

Skin Examination

A thorough examination of the affected skin can help a specialist assess the appearance, location and severity of the rash. Certain patterns can provide important clues to the specific type of eczema you may have.

Trigger Review

Your dermatologist may review potential factors that trigger or worsen your eczema, such as skincare products, soaps, detergents, fabrics, environmental allergens, sweating, stress or occupational exposures. Identifying these triggers can help support long-term symptom management.

Patch Testing

If allergic contact dermatitis is suspected, patch testing may be recommended to determine whether your skin reacts to specific allergens. Small amounts of common allergens are applied to the skin under adhesive patches and assessed after several days for delayed allergic reactions.

Skin Biopsy

A skin biopsy is not routinely required but may be performed if the diagnosis is uncertain or another skin condition is suspected. A small sample of skin is removed under local anaesthetic and examined under a microscope to help confirm the diagnosis.

Through these testing methods, your dermatologist is able to obtain a diagnosis and potentially proceed with planning treatment.

Ready to Manage Your Eczema?

Persistent itching, recurring flare-ups and inflamed skin can affect your comfort and quality of life if left unmanaged. Schedule a consultation with our dermatologist to receive a personalised eczema treatment plan tailored to your condition.

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What Eczema Treatment Options Are Available at Our Clinic?

Eczema treatment focuses on relieving symptoms, preventing flare-ups and reducing their severity. Although eczema is a long-term condition with no permanent cure, the right treatment can help keep symptoms under control, stop them from getting worse, and reduce the frequency of flare-ups. Common treatments include:

Medications

If home eczema treatments prove to be insufficient to provide relief, our eczema specialist in Singapore may prescribe medications, which include:

  • Topical Corticosteroid Creams

    - Typically available over the counter, these work to control itching by reducing skin inflammation.
  • Antibiotics

    - These are used to prevent or treat bacterial infections contracted through open wounds, sores and cracks on the affected skin.
  • Antihistamines

    - These can also help relieve uncontrollable itching and reduce rashes.
  • Skin Non-Steroidal Anti-Inflammatory Drugs

    - These help to relieve pain and reduce inflammation, allowing the skin to heal. In more severe cases, corticosteroids are prescribed.

Therapies

Along with medications, eczema treatments in Singapore involve therapies, which are also effective in reducing symptoms and frequency of flare-ups.

  • Wet Dressings

    - The affected area is applied with topical corticosteroids before being wrapped in wet bandages. This is usually used to address chronic atopic dermatitis.
  • Light Therapy

    - The skin is exposed to controlled amounts of UVA and UVB to reduce itchiness and inflammation. It is suitable for those whose eczema is widespread and unresponsive to topical and oral treatments.

In some cases, bio-feedback and relaxation training are used to help the patient manage eczema symptoms more effectively. These are especially beneficial to reduce stress and the urge to scratch the skin.

Tips for Better Control of Eczema

While medical treatment plays an important role in managing eczema, daily skincare and avoiding known triggers can also help reduce flare-ups and support long-term skin health. The following measures may help improve eczema control:

  • Bathe or shower in lukewarm water.
  • After bathing, pat skin dry rather than rubbing the towel against the skin.
  • Keep your skin moisturised by applying moisturiser suitable for sensitive skin.
  • Stay hydrated by drinking plenty of fluids.
  • Avoid types of food most likely to trigger allergic reactions and worsen eczema symptoms.
  • Use mild soaps.
  • Keep your fingernails short in order to prevent wounds when skin is scratched.
  • Wear loose-fitting and 100% cotton clothing.
  • Reduce stress.
  • For very young children, it may be useful to wear mittens during sleep to prevent skin injuries due to unconscious scratching.

Why Choose Our Eczema Clinic in Singapore?

At LL Cheong Skin & Laser Clinic, we provide comprehensive eczema care that goes beyond managing flare-ups. Our approach focuses on accurate diagnosis, personalised treatment and long-term skin health, with management plans tailored to each patient's type of eczema, symptom severity, triggers and lifestyle. We treat both adults and children and offer a range of advanced eczema treatments and therapies to help improve symptom control and reduce the risk of future flare-ups.

Your care is led by Dr Cheong Lai Leng, our consultant dermatologist, who performs a comprehensive skin assessment on each patient to identify the underlying cause of your symptoms and recommend the most appropriate treatment plan for your condition.

If you are experiencing persistent itching, recurring rashes or other symptoms of eczema, seek professional assessment early. Contact us today for long-term eczema management to help you achieve healthier, more comfortable skin.

Frequently Asked Questions About Eczema Treatment

No. Eczema is not contagious and cannot be spread through physical contact. It develops due to a combination of genetic, immune and environmental factors rather than an infection.

Food allergies do not directly cause eczema, but they may trigger flare-ups in some individuals, particularly young children with atopic dermatitis. If a food allergy is suspected, your dermatologist may recommend further evaluation rather than eliminating foods without medical advice.

There is currently no permanent cure for eczema. However, appropriate treatment and long-term management can help control symptoms, reduce flare-ups and improve skin health.

Moisturisers are an important part of eczema care because they help repair the skin barrier and reduce dryness. However, moderate or severe eczema often requires additional treatments, such as medicated creams or other therapies prescribed by a dermatologist.

Keeping the skin well moisturised, avoiding overheating, wearing soft breathable clothing and following your prescribed treatment plan may help reduce itching at night. If night-time itching persists or affects your sleep, consult a dermatologist for further assessment and treatment.

Yes. Many eczema treatments are suitable for babies and children when prescribed and used appropriately. A dermatologist will recommend age-appropriate treatments based on your child's symptoms, age and severity of eczema.

Specialised Dermatology Services

Medical Dermatology

Medical dermatology focuses on the diagnosis and treatment of conditions affecting the skin, hair and nails

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Aesthetic Dermatology

Aesthetic dermatology focuses on helping patients address individual concerns

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Surgical Dermatology

Surgical dermatology involves procedures to diagnose, remove or treat various skin conditions and growths

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Meet Our Eczema Specialist in Singapore

Dr Cheong La

Dr Cheong Lai Leng

Consultant Dermatologist

MBBS (Singapore), M.Med (Internal Medicine),
MRCP (UK), FAMS (Dermatology),
Corr. Fellow, American Society for Dermatologic Surgery

Dr Cheong Lai Leng is a Consultant Dermatologist with over 20 years of clinical experience in diagnosing and managing a wide range of skin conditions, including eczema. She provides personalised eczema care for both adults and children, taking the time to identify the specific type of eczema, contributing triggers and individual treatment needs. Her approach focuses on relieving symptoms, reducing flare-ups and supporting long-term skin health through tailored management plans that evolve with each patient's condition.

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