Nummular Eczema - Facts And Information

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Nummular Eczema - Facts And Information

Nummular eczema is a puzzling disease with at least three names:

(1) nummular eczema, the most commonly used name,

(2) nummular eczematous dermatitis, a longer and more medically descriptive name, and

(3) discoid eczema, a name derived from the disease’s typical coin-shaped lesions.

The cause or causes of nummular eczema are not known with certainty, but many different causes have been suggested. A number of factors, acting alone or in combination, may be suspected - for example, dry skin in indoor and outdoor environments with low humidity; isotretinoin (a prescription medication used to treat severe acne that proves resistant to other treatments); and bacterial infections that induce a hypersensitivity reaction in skin.

Factors that may cause worsening of nummular eczema include wool clothing worn next to the skin, topical medications, soaps and detergents, and frequent bathing.

Nummular eczema characteristically appears first as a group of tiny red spots (papules) and blister-like lesions (vesicles) that enlarge and merge into a reddened, itchy, sometimes burning coin-shaped lesion two to 10 centimeters in diameter. The lesion may be uniformly red at first, then clear in the center to form a "ring" that resembles the fungal infection called ringworm.

New, acute lesions are likely to "weep" edematous fluid that dries into crusts. Chronic, persisting lesions are scaly.

An outbreak of nummular eczema may begin with one or several lesions. Some patients experience spontaneous clearing of lesions within a year. In other patients the lesions persist or recur for many years; lesions that recur after clearing tend to do so at the sites of the original outbreak.

The most common sites for nummular eczema are the legs (most common), arms and hands, and the torso. The disease is more frequent in men than in women, with a peak age of onset at 55 to 65 years. A smaller peak has been observed in women 15 to 25 years old.

Since the cause of nummular eczema is unknown, treatment is largely directed at relief of the major symptoms of itching and burning. Treatment should be prescribed by a dermatologist after a diagnosis of nummular eczema is confirmed. Baths with oil additives, and regular application of emollients can keep the skin from becoming excessively dry. Tar preparations and topical anti-inflammatory steroid agents may be prescribed to reduce inflammation and itching. Skin infection may be treated with prescribed antibiotics. Anti-histamines or ultraviolet phototherapy may be prescribed. Oral steroids may also be prescribed in severe cases that are resistant to other forms of treatment.

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Diprolene AF : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

Dovonex : This medication is a form of vitamin D. It is used on the skin to treat psoriasis.

Elidel : Pimecrolimus is used to treat certain skin conditions such as eczema (atopic dermatitis), in people who have not responded well to, or who should not use other eczema medications (e.g., topical steroids). Atopic dermatitis is an allergic-type condition that causes red, irritated, and itchy skin.

Kenalog : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

Lamisil : This medication is an antifungal used on the skin to treat skin infections such as athlete's foot, jock itch or ringworm.

Protopic : This medicine is an immunosuppressant used topically to treat itching and swelling associated with a certain skin condition (atopic dermatitis).

Selsun : This medication is used to treat dandruff; a certain scalp infection (seborrheic dermatitis); and for a condition that discolors the skin (tinea versicolor).

Synalar : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

Ultravate : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

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