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Eczema” 5 Hon VOL.15 NO.11 NOVEMBER 2010 Dermatology OFFICIAL PUBLICATION FOR THE FEDERATION OF MEDICAL SOCIETIES OF HONG KONG ISSN 1812 - 1691 VOL.15 NO.11 NOVEMBER 2010 Contents The Federation of Medical Societies of Hong Kong 4/F Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, HK Tel: 2527 8898 Fax: 2865 0345 Contents Patron The Honourable Editorial Donald TSANG, GBM 曾蔭權先生 President n Skin Diseases – More than Skin Deep 2 Dr. LO See-kit, Raymond 勞思傑醫生 Dr. Kingsley HN CHAN 1st Vice-President Prof. CHAN Chi-fung, Godfrey 陳志峰醫生 Medical Bulletin 2nd Vice-President Dr. LO Sze-ching, Susanna 盧時楨醫生 n Practical Approach for “Eczema” 5 Hon. Treasurer Dr. KK LO CME Mr. LEE Cheung-mei, Benjamin 李祥美先生 Hon. Secretary Dr. CHAN Sai-kwing 陳世炯醫生 n MCHK CME Programme Self-assessment Questions 7 Executive Committee Members Dr. CHAN Chi-wing, Timmy 陳智榮醫生 9 Dr. CHAN Chun-kwong, Jane 陳真光醫生 n Is Psoriasis a Cutaneous Disease or Systemic Disease? Dr. CHAN Hau-ngai, Kingsley 陳厚毅醫生 Dr. CHIM Chor-sang, James 詹楚生醫生 Dr. LY CHONG Dr. CHOI Kin 蔡堅醫生 Dr. HUNG Che-wai, Terry 洪致偉醫生 Ms. KU Wai-yin, Ellen 顧慧賢女士 n Nail and Nail Disorders 13 Dr. LEUNG Ka-kit, Gilberto 梁嘉傑醫生 Dr. William TANG Dr. MAN Chi-wai 文志衛醫生 Dr. MOK Chun-on 莫鎮安醫生 Dr. NG Yin-kwok 吳賢國醫生 Dr. WONG Mo-lin, Maureen 黃慕蓮醫生 n Approach to Acne Management – A Review 18 Ms. YAP Woan-tyng, Tina 葉婉婷女士 of the Different Medical Treatments 余秋良醫生 Dr. YU Chau-leung, Edwin Dr. Kingsley HN CHAN Founder Members British Medical Association (Hong Kong Branch) 英 國 醫 學 會 ( 香 港 分 會 ) n Common Superficial Fungal Infections – 23 President a Short Review Dr. LO See-kit, Raymond 勞思傑醫生 Dr. King-man HO Vice-President Dr. Tin-sik CHENG Dr. WU, Adrian 鄔揚源醫生 Hon. Secretary n Recent Advances in Cosmetic Dermatology in Asians 29 Dr. HUNG Che-wai, Terry 洪致偉醫生 Dr. Henry HL CHAN Hon. Treasurer Dr. LEUNG, Clarence 梁顯信醫生 Council Representatives Life Style Dr. LO See-kit, Raymond 勞思傑醫生 n What Do They Look Like? 34 Dr. CHEUNG Tse-ming 張子明醫生 Tel: 2527 8898 Fax: 2865 0345 Dr. Chi-keung KWAN The Hong Kong Medical Association 香 港 醫 學 會 Federation News 36 President Dr. CHOI Kin 蔡堅醫生 Medical Diary of November 39 Vice- Presidents Dr. CHAN Yee-shing, Alvin 陳以誠醫生 Calendar of Events 周伯展醫生 Dr. CHOW Pak-chin n Courses / Meeting 41 Hon. Secretary Dr. LEE Fook-kay 李福基醫生 Hon. Treasurer Dr. LEUNG Chi-chiu 梁子超醫生 Council Representatives Dr. CHAN Yee-shing 陳以誠醫生 Dr. CHOI Kin 蔡堅醫生 Disclaimer Chief Executive All materials published in the Hong Kong Medical Diary Mrs. LEUNG, Yvonne 梁周月美女士 Tel: 2527 8285 (General Office) represent the opinions of the authors responsible for the articles 2527 8324 / 2536 9388 (Club House in Wanchai / Central) Fax: 2865 0943 (Wanchai), 2536 9398 (Central) and do not reflect the official views or policy of the Federation Email: [email protected] Website: http://www.hkma.org of Medical Societies of Hong Kong, member societies or the The HKFMS Foundation Limited 香港醫學組織聯會基金 publisher. Board of Directors President Publication of an advertisement in the Hong Kong Medical Dr. LO See-kit, Raymond 勞思傑醫生 Diary does not constitute endorsement or approval of the 1st Vice-President product or service promoted or of any claims made by the Dr. CHAN Chi-fung, Godfrey 陳志峰醫生 advertisers with respect to such products or services. 2nd Vice-President Dr. LO Sze-ching, Susanna 盧時楨醫生 The Federation of Medical Societies of Hong Kong and the Hon. Treasurer Hong Kong Medical Diary assume no responsibility for any Mr. LEE Cheung-mei, Benjamin 李祥美先生 injury and/or damage to persons or property arising from Hon. Secretary any use of execution of any methods, treatments, therapy, Dr. CHAN Sai-kwing 陳世炯醫生 operations, instructions, ideas contained in the printed Directors articles. Because of rapid advances in medicine, independent Mr. CHAN Yan-chi, Samuel 陳恩賜先生 verification of diagnoses, treatment method and drug dosage Dr. CHIM Chor-sang, James 詹楚生醫生 Ms. KU Wai-yin, Ellen 顧慧賢女士 should be made. Dr. WONG Mo-lin, Maureen 黃慕蓮醫生 Dr. YU Chak-man, Aaron 余則文醫生 1 VOL.15 NO.11 NOVEMBER 2010 Editorial Published by The Federation of Medical Societies of Hong Kong Skin Diseases – EDITOR-IN-CHIEF More than Skin Deep Dr. MOK Chun-on 莫鎮安醫生 Dr. Kingsley HN CHAN EDITORS MBBS (HK), MRCP (UK), Dip Derm (Glas), Prof. CHAN Chi-fung, Godfrey FHKCP, FHKAM (Medicine) 陳志峰醫生 (Paediatrics) Speciatist in Dermatology & Venereology Dr. CHAN Chun-hon, Edmond 陳振漢醫生 (General Practice) Editor Dr. KING Wing-keung, Walter 金永強醫生 (Plastic Surgery) Dr. Kingsley HN CHAN EDITORIAL BOARD Although the skin is our body’s largest organ, skin diseases rarely Dr. CHAN Chi-kuen receive a proportional degree of attention from the general public, 陳志權醫生 (Gastroenterology & Hepatology) and sometimes even by doctors. Skin diseases are often dismissed as Dr. CHAN Chi-wai, Angus superficial afflictions or something that will go away on its own in 陳志偉醫生 (General Surgery) time. However, skin diseases are far from being just skin-deep and Dr. CHAN Chun-kwong, Jane can have widespread and sometimes devastating impact on one’s 陳真光醫生 (Respiratory Medicine) Dr. CHAN Hau-ngai, Kingsley well-being. 陳厚毅醫生 (Dermatology & Venereology) Dr. CHAN, Norman While it is true that skin diseases are rarely life threatening, they 陳諾醫生 (Diabetes, Endocrinology & Metabolism) can nevertheless have a pronounced impact on one’s psychological Dr. CHIANG Chung-seung and social well-being. Simply think back to your teenage years when 蔣忠想醫生 (Cardiology) acne on your face can make you extremely self-conscious or even shy Dr. CHIM Chor-sang, James away from having social contacts. The link between skin diseases and 詹楚生醫生 (Haematology) Dr. CHONG Lai-yin mental health has been well established: Studies have shown that 莊禮賢醫生 (Dermatology & Venereology) psychiatric disorders including depression, social phobia and anxiety 1-5 Dr. FAN Yiu-wah disorders can develop secondary to acne vulgaris . Acne patients 范耀華醫生 (Neurosurgery) also report greater levels of anxiety and depression than patients with Dr. FONG To-sang, Dawson serious medical illnesses, such as cancer5. By providing acne patients 方道生醫生 (Neurosurgery) with effective treatment, not only are they physically treated, patients Prof. HO Pak-leung also report significant improvements in self-esteem, affection, 何栢良醫生 (Microbiology) obsessive-compulsiveness, shame, embarrassment, body image, social Dr. KWOK Po-yin, Samuel 6 郭寶賢醫生 (General Surgery) assertiveness and self-confidence . Dr. LAI Sik-to, Thomas 黎錫滔醫生 (Gastroenterology & Hepatology) Another reason why dermatological problems deserve more Dr. LAI Yuk-yau, Timothy attention than they currently receive is their prevalence - Skin 賴旭佑醫生 (Ophthalmology) diseases are frequent encounters by family physicians and general Dr. LAM Tat-chung, Paul 7-9 林達聰醫生 practitioners . According to a study published in the 2008 Annuals (Psychiatry) of Family Physician, skin diseases account for more than one eighth of Dr. LAM Wai-man, Wendy 10 林慧文醫生 (Radiology) all diseases seen by family physicians in the Netherlands . Another Dr. LEE Kin-man, Philip study which analysed statistics from 2002-2005 in the US, found skin 李健民醫生 (Oral & Maxillofacial Surgery) conditions to account for 8% of all visits to family physicians and the Dr. LEE Man-piu, Albert common skin disorders they diagnosed were dermatitis, pyoderma, 李文彪醫生 (Dentistry) tinea, benign neoplasms and candida11. Dr. LEUNG Kwok-yin 梁國賢醫生 (Obstetrics & Gynaecology) Dr. LO See-kit, Raymond In view of the deep psychological impact skin diseases can have and 勞思傑醫生 (Geriatric Medicine) their widespread prevalence in the general population, I trust that Dr. MAN Chi-wai the present issue of the Hong Kong Medical Diary will be of great 文志衛醫生 (Urology) interest to you all. In this issue, we are privileged to have received Dr. MOK, Mo-yin inputs on the treatment of some of the most commonly encountered 莫慕賢醫生 (Rheumatology) skin diseases from a number of very experienced and well-respected Dr. SIU Wing-tai dermatologists in town, to whom I would like to express my 蕭永泰醫生 (General Surgery) utmost gratitude: Dr. KK Lo, a highly-skilled dermatologist and the Dr. TSANG Wai-kay 曾偉基醫生 (Nephrology) former consultant-in-charge of the Social Hygiene Service shares Prof. WEI I, William his experience in managing and treating eczema, a very common 韋霖醫生 (Otorhinolaryngology) skin condition amongst the local population; Dr. LY Chong, former Dr. WONG Bun-lap, Bernard consultant at the Social Hygiene Service currently in private practice, 黃品立醫生 (Cardiology) discusses the complex systemic involvement of psoriasis; Dr. Dr. YU Chau-leung, Edwin William Tang, another eminent dermatologist in private practice 余秋良醫生 (Paediatrics) shares his experience in managing nail disorders; Dr. KM Ho, the Design and Production consultant-in-charge at the Social Hygiene Service and Dr. TS Cheng, an experienced dermatologist provide us with a review of superficial fungal infections. I also provide a review of the medical treatments 2 VOL.15 NO.11 NOVEMBER 2010 Editorial for acne in this issue. In addition to the aforementioned References medical dermatological diseases, we are also privileged 1. Kellett SC, Gawkrodger DJ. The psychological and emotional impact to have Dr. Henry Chan, a renowned dermatologist of acne and the effect of treatment with isotretinoin. Br J Dermatol 1999;140:273-82. with keen research interests in the field, gives us 2. Gupta MA, Gupta AK. Depression and suicidal ideation in an update in the recent advancements in cosmetic dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol 1998;139:846-50. dermatology. I would also like to thank Dr. Simon Ku, 3. Cotterill JA, Cunliffe WJ. Suicide in dermatological patients. Br J a very artistic dermatologist, for providing the cover Dermatol 1997;137:246-50. 4.
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