Magan Medical Clinic, Dermatology
We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:
Note: Cosmetic treatments are not performed in Dermatology but instead by Maganís Medical Aesthetics Laser Center.
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!
"Whatís New in..."
A monthly column by Dr. Chiang
What's New in Eczema (atopic dermatitis)
Eczema (atopic dermatitis) is quite common, affecting about 15% of the pediatric population and 10% of adults. Many pediatric patients are told that they will outgrow their sensitive skin. However, given that the prevalence for adults is only 1/3 less than that for the pediatric population, it likely often remains or recurs in the future. The drawback of the data is that the studies didnít follow the same patients so some patients may have developed adult eczema without having had a diagnosis as a child. However, even in those cases, oftentimes the adult had some sensitive skin as a child that wasnít severe enough to cause his parents to seek medical attention.
Awareness of having eczema / atopic dermatitis / sensitive skin is important as there is increasing data that it increases the risk of many autoimmune and autoinflammatory conditions. It has been linked toward inflammatory bowel disease, rheumatoid arthritis, alopecia areata, vitiligo, chronic urticaria, celiac disease, systemic lupus erythematosus, rheumatoid arthritis, among other conditions. In my practice, the most common link I see if between eczema and chronic hives (urticaria), of which the hives treatment is oftentimes long-term, without easy solutions, and frustrating for both the patient and the doctor. Theories for the many disease associations vary between autoreactive cells immune cells (ie, their immune system becomes inflamed by their own tissue, cells, and proteins) in patients with sensitive skin and possible predisposition toward environmental triggers due to the compromised skin barrier. In theory, improving control of the sensitive skin with gentle skin care and potential prescription medication (usually topical steorids) may decrease the risk of developing the associated conditions by decreasing the susceptibility to environmental triggers and avoiding inflaming the immune system.
If you have sensitive skin or other skin issues, please make an appointment for dermatology consultation at (626) 251-1500 to discuss your options.
Charles Chiang, MD, FAAD
- Andersen YM, et al. Autoimmune diseases in adults with atopic dermatitis. J Am Acad Dermatol 2017
For archives, click here.