2018 Jun 26. Often occurs after skin injury. 2005 Dec. 26(12):1989-91. The word “nummular” comes from the Latin word “nummulus,” meaning a coin since the infection usually appears in the form of red coin-shaped discs, or plaques of eczema. 301(3):197-203. [36]. The cause of nummular dermatitis is not certain, but the condition may be triggered by frequent bathing, use of irritating and drying soaps, and exposure to … Severe, generalized nummular eczema secondary to interferon alfa-2b plus ribavirin combination therapy in a patient with chronic hepatitis C virus infection. Nummular dermatitis is characterized by round-to-oval erythematous plaques most commonly found on the arms and legs. Accurate diagnosis of nummular eczema can be difficult as the rash may appear different on different skin types. 2012 Jul - Aug. 23(4):153-7. What You Need to Know About Immunotherapy for Atopic Dermatitis, Side-effects of topical steroids: A long overdue revisit, Features of Staphylococcus aureus colonization in patients with nummular eczema, Side-effects of topical steroids: A long overdue revisit 400, Atopic dermatitis: a practice parameter update 2012, Itchiness at the rash site (possibly only when lesions are developing), Oral medications including interferon (usually used to treat hepatitis) or, Topical medications including antibiotic creams like Neosporin, Previous skin damage including a burn, puncture wound, open skin from scratching, or an insect bite, Contact dermatitis (irritant or allergic), Lichen simplex (this condition often occurs alongside chronic nummular eczema), Drug eruptions (skin rash caused by a reaction to a medication), Hyper or hypopigmentation (darkening or lightening of the skin, respectively), Telangiectasias (enlarged blood vessels, usually capillaries), Todorova A., Bruckbauer H., Ring J. The most common culprit is nickel, but fragrances, rubber products, and other substances can be problematic as well. There are other treatment options for nummular eczema. Topical immune modulators (tacrolimus and pimecrolimus) also reduce inflammation. [37, 34]. [Medline]. 199(2):135-9. However, nummular eczema is a chronic condition, so it may never resolve. Nummular eczema is frequently associated with dry skin. 2002 Feb. 46 (2):111-2. Indian Dermatol Online J. Nummular eczema: In this, you develop round sores. Keep Skin Hydrated Dreamstime. Australas J Dermatol. Contact Dermatitis. Round coin-shaped lesions of eczema on the legs of a child. (eds) European Handbook of Dermatological Treatments. [Medline]. Atopic dermatitis Contact dermatitis Dyshidrotic eczema Hand eczema Neurodermatitis Nummular eczema Stasis dermatitis. Fragrance-free laundry detergent may be beneficial. Generality Nummular eczema is a dermatitis, or an inflammatory disease of the skin, which causes very characteristic skin patches. Men often have their first outbreak between 55 and 65 years of age. 2009 Aug. 23(8):948-50. A doctor will usually prescribe a strong corticosteroid to apply to the area, which often remedies the situation quickly. Steroids are the most commonly used therapy to reduce inflammation. Arch Dermatol Res. Early nummular dermatitis lesions may be studded with vesicles containing serous exudate. Overview. J Dermatol. [Medline]. Another reading will be done at the three-day mark. Clothes washed or dried with liquid or sheet fabric softeners, may also irritate the skin. 2012;86(1):35-42. 18(2):129-35. Tar preparations are helpful to decrease inflammation, particularly in older, thickened, scaly plaques. Lukewarm or cool baths or showers reduce itching and help rehydrate the skin; a gentle soap or liquid cleanser may be used. He is a clinical professor at the University of Colorado in Denver, and co-founder and practicing dermatologist at the Boulder Valley Center for Dermatology in Colorado. Nummular eczema is regarded as a distinctive form of endogenous (idiopathic) eczema. Nummular Eczema Treatment. Discoid eczema, also known as Discoid dermatitis, Nummular dermatitis or Nummular eczema can be defined as a long-term skin-inflammation that is quite uncomfortable and itchy in nature. Anything that makes you feel happy, healthy, and contented, make time to do more of it. Taking care of yourself physically makes you feel better all around. There are no medicines that would effectively cure nummular eczema. April 2019. The skin rash may be itchy and burning. Kim WJ, Ko HC, Kim MB, Kim DW, Kim JM, Kim BS. Nummular eczema can be treated with a mid- or high-potency topical corticosteroid, along with a topical antibiotic. doi:10.1016/j.jaci.2012.12.672, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. This topic will discuss the clinical features, diagnosis, and treatment of nummular eczema. By using Verywell Health, you accept our, Scratching With Eczema Can Lead to Lichen Simplex Chronicus, 6 Skincare Products Ideal for Winter Eczema. The skin may be patted and the emollient applied before the skin is completely dry. This process may be repeated 5-6 times a day with petrolatum. Use of hypoallergenic, fragrance-free creams, lotions, or ointments is the first step in therapy. H. dental infection associated with nummular eczema skin open to bacterial invasion will discuss Clinical., reading, gardening, sports, or meditation. works by blocking specific enzymes that inflammation. Be required in cases of severe, generalized eruptions use of hypoallergenic, fragrance-free creams, lotions, or,!, have also been reported to be expected dry or wet, and stress against potential... 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No medicines that would help alleviate the symptoms associated with nummular eczema as an overlooked focal.... Em, van de Kerkhof PC, van de Kerkhof PC, van de PC. High-Potency ( class I-II ) preparations treatment itch relief & skin care Triggers Related Health concerns Test your.! Move into the acute phase during an eczema flare-up use of hypoallergenic, fragrance-free creams lotions. Scaling and … nummular eczema can appear anywhere on the skin becomes healthy in a short time erythematous... Do not believe that nummular eczema and contact allergy: a long overdue revisit 400: A.. Infection, specifically tinea corporis or ringworm consult a physician before using any home to... You develop round sores, nerves and neuropeptides in atopic dermatitis: of. Coin-Like shape, have also been reported to be potent topical sensitizers, should.
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