Nummular eczema is characterized by chronic or relapsing itchy coin-sized red plaques. They can occur on the trunk, limbs, face, and hands. Nickel, cobalt, chromate, and fragrance are common cause of nummular eczema.
○ Treatment ― OTC Drugs Washing the lesion area with soap does not help at all and can make it worse.
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.
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.
○ Treatment ― OTC Drugs
Washing the lesion area with soap does not help at all and can make it worse.
One week or more treatment is usually required to treat the eczema.
#Hydrocortisone ointment
OTC antihistamine. Cetirizine or levocetirizine are more effective than fexofenadine but make you drowsy.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]