NUMMULAR ECZEMA
Nummular Eczema (NE) is a variant of eczema also known as discoid eczema in which lesions are "coin-shaped". Dry skin is the most common triggering factor. Prolonged and repeated water contact (e.g. swimming, long baths) may also contribute.
- Round, red, scaly lesions.
- Commonly mistaken for impetigo or ringworm (tinea)
- Key difference from tinea is that nummular eczema tends not to clear in the center
- Treatment requires a potent topical steroid, e.g. clobetasol. Triamcinolone will not do.
- Prevent recurrences by topical cream or grease immediately after daily shower. No lotions please.
Round, inflamed, scaly lesions occur in crops. Lesions are usually very pruritic. The extremities are preferred. The surface may be relatively dry or quite moist and crusted.
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