What is Rosacea?


Understanding the condition and its management by Dr Lynn Chiam Rosacea is a chronic cutaneous disorder that primarily affects the central region of the face and is characterised by chronic inflammation and fibrosis. The standard classification system for rosacea describes four distinct clinical subtypes.1 Erythematotelangiectatic rosacea (ETR) is characterised by flushing and persistent central facial […]

Birthmarks in Children

sleeping child in blue blanket having sweet dreams

Birthmarks are common and most pose no serious health risk. Birthmarks are not necessarily seen at birth and some manifest only within the first few weeks to months of life. Though most birthmarks are isolated skin conditions, they can uncommonly serve as an important diagnostic aid for other more significant disorders. Congenital Melanocytic Nevi (CMN) […]



Tackling an old problem with new ideas Eczema is the most common skin condition in Singapore and it affects one in five school-going children locally.1 Most children present with symptoms of recurrent rash and itch before the age of seven years. Atopic eczema has been increasing in Asia due to rapid urbanisation and industrialisation. Genetics […]

Cellular Grafting


Vitiligo is an acquired disease of uncertain aetiology, characterised by destruction of melanocytes, resulting in the loss of melanin pigment. It affects approximately 0.1% to 2% of the world population. The National Skin Centre (NSC) sees around 300 new cases every year. Current modalities of treatment are directed towards stopping the progression and achieving repigmentation by means of medical […]

Blistering Skin Conditions


Blisters are accumulations of fluid between two layers of the skin. It is a vesicle if smaller than 0.5cm and a bulla if greater than 0.5cm. Blistering conditions, with many possible diagnoses and differentials, can prove to be confusing and challenging to the managing physician. Briefly, blistering conditions can be subtyped into age of onset […]

Cutaneous Lupus Erythematosus

Figure 1: Subacute cutaneous lupus erythematosus. Arcuate plaque with scaly inflamed advancing border.

Lupus Erythematosus (LE) is an autoimmune disease afflicting multiple organ systems. The skin is not spared. LE was, in fact, initially described as a skin disease in the 19th century, before physicians understood that LE could be a systemic disease without skin manifestations. About 20% of all Systemic Lupus Erythematosus (SLE) cases present with skin […]

The Science of Skin

Prof Lane pic 1

She is cheerful and warm, but a little shy to pose in front of the camera, meet Professor Birgitte Lane, the first Executive Director at the Institute of Medical Biology (IMB), Singapore. Professor Lane began her interests in epithelial biology with her BSc and PhD degrees in Zoology at University College London (UCL). She worked […]

Alopecia Areata

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Alopecia Areata (AA) is a common dermatological disorder that usually presents as a localised patch (or patches) of hair loss on the scalp and at other hair-bearing areas. The etiology is unknown, but it is perceived to be due to an autoimmune defect. There are several factors that may be associated with AA, such as […]

Management of Psoriasis

Young woman allergy scratching her arm

Psoriasis is a chronic inflammatory skin condition which affects about 1% of the population in Singapore. Our knowledge of this condition has improved tremendously in recent years, providing us the basis for new treatment strategies to manage this chronic condition. Management of a patient with psoriasis requires a holistic view as psoriasis is now recognised […]

Skin Ageing

Woman with her face divided to show aging

Ageing is an inevitable consequence of life and also a major risk factor for the development of chronic medical conditions. This century will confront us with unprecedented demographic change: it is estimated that by 2050, one fifth of the world population will be over 60 years of age. Although more pronounced in developed countries such […]

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