Adjunct Associate Professor Chong Wei Sheng, Head of the Psoriasis Unit at the National Skin Centre, Singapore, speaks to Roshini Claire Anthony on the vital role played by primary care physicians (GPs) in tackling psoriasis.
Dr. Priscilla Wong, Dr. Lydia Tam, Prof. LS Tam, 20171110000000
This case report highlights that psoriatic arthritis is a heterogenous disease affecting multiple disease domains, and effective treatment requires thorough assessment of each of these different domains.
Melasma is a benign pigmentary skin disorder. However, it features prominently on sun-exposed areas, typically the face and arms, and as such affects the quality of life of those with the disorder. Radha Chitale spoke with Dr. Gavin Ong Chun Wei, a dermatologist at The Skin Specialist clinic in Singapore, about how GPs can best diagnose and treat patients with melasma.
Atopic dermatitis (AD), also known as atopic eczema, is defined as a chronic or recurrent, itchy inflammatory skin disease. Patients with AD usually have elevated serum immunoglobulin E (IgE) levels and positive family history of asthma, allergic rhinitis and type I allergies. [J Am Acad Dermatol 2014;71(1):116-32]
An 8-year-old girl presents with a six-week history of an erythematous linear lesion on her left thigh (Figure 2). It is slightly raised and scaly but not itchy. The girl has been previously well and the lesion developed quite suddenly, over a few days, and has persisted despite treatment with mometasone furoate 0.1% cream and miconazole cream.
Scar tissue and stretch marks formation are some of the common skin disorders encountered clinically. Scarring occurs when the skin is subjected to trauma (accidents, burns or surgeries) or as a result of certain skin conditions like acne.
Taking the oral extract product of the fern Polypodium leucotomos (PLE) on top of the standard topical hydroquinone cream and sunscreen reduces the severity of melasma to a greater extent compared with the standard treatment alone in Asian patients, a pilot study has shown.
Sexually transmitted infections (STIs) are common, with rates of many infections increasing over the last two decades.1 Community screening studies in the UK have shown a prevalence of about 10% for chlamydial infection2 and (among women screened in an urban setting) 3% for gonorrhoea.3 In women (Figure 1), these potentially serious infections are often asymptomatic, whereas the presence of symptoms such as vaginal discharge generally indicates a less pathogenic (but still potentially debilitating) infection, with an organism such as Candida. STIs are often multiple, and the finding of one infection should prompt consideration of testing for others. Many sexual health services now initially provide screening tests for asymptomatic women, but a more comprehensive assessment—comprising detailed history4 and genital examination5—is usually necessary when symptoms are present.
High use of hydrochlorothiazide (HCTZ) appears to significantly increase the risk of nonmelanoma skin cancer (NMSC), particularly squamous cell carcinoma (SCC), suggests a recent study. Use of other diuretic and antihypertensive medications does not appear to be linked to NMSC.