Nummular eczema - Nummularni Ekcem
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ReferencesNummular dermatitis je stanje kože koje se manifestuje mrljama u obliku novčića i koje svrbe. Može se pojaviti zajedno s drugim kožnim problemima, poput atopijskog dermatitisa ili ekcema suhe kože. Srećom, obično dobro reaguje na liječenje. Korištenje krema koje sadrže kortikosteroide obično donosi olakšanje, a mnogim pacijentima se na kraju stanje poboljša. Nummular dermatitis se može nazvati i numularni ekcem, diskoidni ekcem ili mikrobni ekcem.
Nummular dermatitis is a pruritic eczematous dermatosis characterized by multiple coin-shaped lesions. It may occur as a feature of atopic dermatitis, asteatotic eczema, or stasis dermatitis. The prognosis of this condition is excellent. Most cases can be treated successfully with conservative measures and topical corticosteroids, and a majority of patients will eventually achieve remission. Nummular dermatitis may also be referred to as nummular eczema, discoid eczema, and microbial eczema.
Nummular dermatitis is a pruritic eczematous dermatosis characterized by multiple coin-shaped lesions. It may occur as a feature of atopic dermatitis, asteatotic eczema, or stasis dermatitis. The prognosis of this condition is excellent. Most cases can be treated successfully with conservative measures and topical corticosteroids, and a majority of patients will eventually achieve remission. Nummular dermatitis may also be referred to as nummular eczema, discoid eczema, and microbial eczema.
Došla je 23‑godine stara žena sa ranom na desnoj nozi koja je svrbila i mučila je oko mjesec dana. Počelo je nakon što je izgrebala to područje. Nije spomenula nikakve alergije. Liječnik je pronašao suvu kožu s okruglom, crvenom mrljom koja je ispuštala žućkastu tečnost i imala je nekoliko ljuski, točno na prednjoj strani potkoljenice. Dijagnosticirali su je kao nummular (coin‑shaped) ili discoid eczema. Propisana joj je kortikosteroidna krema i antibiotik.
A 23-year-old female presented with a 1-month history of a pruritic weeping lesion on her right leg, which started after scratching over this pruritic area. She did not mention any specific allergy. Examination revealed dry skin with round erythematous plaque with yellowish oozing and crusting over the right anterior tibial region. A clinical diagnosis of nummular (coin shaped) or discoid eczema was made. Treatment with a topical corticosteroid and an oral antibiotic was initiated which improved her symptoms.
A 23-year-old female presented with a 1-month history of a pruritic weeping lesion on her right leg, which started after scratching over this pruritic area. She did not mention any specific allergy. Examination revealed dry skin with round erythematous plaque with yellowish oozing and crusting over the right anterior tibial region. A clinical diagnosis of nummular (coin shaped) or discoid eczema was made. Treatment with a topical corticosteroid and an oral antibiotic was initiated which improved her symptoms.
○ Liječenje ― OTC lijekovi
Pranje zahvaćenog područja sapunom nimalo ne pomaže i može pogoršati stanje.
Za liječenje ekcema obično je potrebna jedna sedmica ili više tretmana.
#Hydrocortisone ointment
OTC antihistaminik: cetirizin ili levocetirizin su efikasniji od feksofenadina, ali izazivaju pospanost.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]