Magan Medical Clinic, Dermatology
We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:
If you have psoriasis or hair questions, Dr. Chiang possesses special expertise. He completed fellowships in both fields at University of California, San Francisco where he saw a wide spectrum of patients (including the most severe), performed clinical trials, and published research.
We take pleasure in serving our community including Covina, West Covina, San Dimas, Rancho Cucamonga, Baldwin Park, Azusa, Glendora, Upland, El Monte, Duarte, Monrovia, Arcadia, La Puente, and Diamond Bar.
Same day appointments often available. No referral is necessary if you have PPO insurance. We accept a wide range of insurance plans (unfortunately, we do not accept Medi-Cal as primary insurance, only as secondary insurance).
For appointments, please call (626) 331-6411. We look forward to serving you!
"What’s New in..."
A monthly column by Dr. Chiang
What's New in Eczema
Parents often ask me for recommendations on special diets for their babies with “sensitive skin,” i.e. atopic dermatitis/eczema. Specifically, I’ve been asked whether they should consider hydrolyzed formula. Hydrolyzed means that the milk proteins have been broken down into smaller pieces. These formulas are advertised as “might be a good choice” for “skin rashes.”
However, a recent review (meta-analysis) of 37 clinical trials “found no consistent evidence to support a protective role for partially or extensively hydrolysed formula [for reducing risk of allergic or autoimmune disease].” In addition, researchers “found evidence of publication bias, methodological biases, and conflict of interest in those studies reporting allergic outcomes.”
In addition, the FDA’s conclusion summarized in Pediatrics was “there is little to very little credible evidence for a qualified health claim about W-PHF [whey protein partially hydrolyzed infant formula] and a reduced risk of AD [atopic dermatitis]”
Overall, it seems the guidelines that do recommend the consideration of hydrolyzed formula base this on “little evidence.” While parents often hope that changing the baby’s diet will improve matters, from a skin standpoint, it seems that special formulas are not the solution. If you or your child has eczema, please make an appointment for dermatology consultation at (626) 331-6411 to discuss your options.
Charles Chiang, MD, FAAD
- Boyle RJ, et al. Hydrolysed formula and risk of allergic or autoimmune disease: systematic review and meta-analysis. BMJ 2016
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