Magan Medical Clinic, Dermatology
We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:
If you have hair thinning or psoriasis, 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 urgent appointments often available. No referral is necessary for PPO insurance plans. 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 Rashes in Pregnancy (PUPPP, acne, rosacea)
Pregnancy is a time of joy, hope, and bliss. Well, maybe not all the time…and definitely not when a rash develops. Historically, many physician and patients have decided to forego medication that could help the numerous itchy rashes that can develop (including PUPPP, pruritic urticarial papules and plaques of pregnancy, pictured above). Recently, a study was completed comparing thousands of pregnant women who decided to utilize corticosteroid medication to those who did not. There was no association found between topical corticosteroid usage and the birth outcomes analyzed (orofacial cleft, low birth weight, preterm delivery, fetal death, low Apgar score, or mode of delivery) as long as the amount of potent/superpotent topical corticosteroid usage was less than 300 grams (~5 large tubes) during the entire pregnancy.
Thus, I wanted to let our pregnant patients know that they do not have to suffer for the sake of their baby. This also applies to acne and rosacea as there are multiple medications that have not demonstrated a risk to the fetus in studies performed either in pregnant women or laboratory animals.
If you or your significant other is pregnant and has itching, acne, or rosacea, I look forward to seeing you. Please make an appointment for a consultation at (626) 331-6411.
Charles Chiang, MD, FAAD
- Chi CC, et al. Pregnancy outcomes after maternal exposure to topical corticosteroids: a UK population-based cohort study. JAMA Dermatol 2013
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