Magan Medical Clinic, Inc.
patient-portal

Dermatology

Magan Medical Clinic, Dermatology
420 W Rowland St, 2nd Floor
Covina, CA 91723
(626) 331-6411 Phone (Appointment Desk open M-F, 7:30 am-5:30 pm)
(626) 251-1552 Fax

 

Dermatology Staff
Our wonderful dermatology staff. Board certified dermatologist
 Charles Chiang, M.D., F.A.A.D. is in the center

 

We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:

  • Acne (both teenage and adult onset; we are enrolled in iPledge if Accutane is needed)
  • Eczema / atopic dermatitis (in both children and adults)
  • Psoriasis
  • Skin cancer / skin exams
  • Moles
  • Warts / molluscum
  • Rosacea
  • Pigmentation disorders
  • Alopecia areata (autoimmune non-scarring hair loss)
  • Scarring hair loss (autoinflammatory scarring hair loss)
  • Phototherapy (we have a nbUVB booth and Dr. Chiang completed a phototherapy fellowship at UCSF)
  • Hives
  • Itching (pruritus)
  • Nail disorders
  • Topical therapy for photoaging and sun damage

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

 

August 2016

What's New in MRSA colonization

What's new in MRSA Colonization

I have been seeing an increasing number of infections, including MRSA bacteria, in my patients. This has been especially true among my teenage and college patients who play sports. Recently, a solid study corroborated what I see and showed that 8-13% of athletes are colonized with MRSA. The colonization is especially in the nostrils, but also groin (inguinal) and armpits (axillary) areas. The sports with the highest risk were wrestling (22%), football (8%), and basketball (8%). I also see high rates among patients who use mats (martial arts, gymnastics, yoga) and frequent public gym usage. The reason this is a concern is that MRSA colonization increases the risk of MRSA infection elsewhere on the body by at least 7-fold. This includes boils (furuncles), superficial skin infections (impetigo), and deep skin infections (cellulitis).

Practically speaking, if a patient has repeated infections, I oftentimes recommend treating the colonization as well. Nasal colonization is usually treated with a prescription antibiotic ointment. Studies sometimes use oral antibiotics to increase efficacy for the nose while treating the rest of the body. When possible, I prefer to avoid oral antibiotics especially when there is not an active MRSA infection and sometimes recommend whatís called a bleach bath that I explain during the appointment (please do NOT pour undiluted bleach onto the skin!). When patients perform the decolonization, I usually never see them with an active skin infection again.

If you have a skin infection or any other skin question, please make an appointment for dermatology consultation at (626) 331-6411 to discuss your options.

Charles Chiang, MD, FAAD
Board Certified Dermatologist

References:

- Karanika S, et al. Colonization With Methicillin-resistant Staphylococcus aureus and Risk for Infection Among Asymptomatic Athletes: A Systematic Review and Metaanalysis.. Clin Infect Dis 2016
- Willingham V. Asymptomatic MRSA colonization prevalent in athletes. Dermatology News 2016
- Bleach baths. http://www.eczemacenter.org/Bleach%20Baths.pdf Last accessed 8/21/16
- Stenehjem E, et al. MRSA nasal colonization burden and risk of MRSA infection. Am J Infect Control 2013

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