Nummular eczema - Nummularni Ekcem
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ReferencesNummular dermatitis je stanje kože obilježeno svrbežom u obliku novčića. Može se pojaviti uz druge kožne probleme, poput atopijskog dermatitisa ili ekcema suhe kože. Srećom, obično dobro reagira na liječenje. Korištenje krema koje sadrže kortikosteroide obično donosi olakšanje, a mnogim pacijentima na kraju bude bolje. Nummular dermatitis također se može nazvati 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 starija žena s ranom na desnoj nozi koja je svrbila, curila i mučila ju je oko mjesec dana. Počelo je nakon što je ogrebala to područje. Nije spomenula nikakve alergije. Liječnik je uočio suhu kožu s okruglom, crvenom mrljom iz koje je curila žućkasta tekućina te kruste, točno na prednjoj strani potkoljenice. Dijagnosticirali su je kao nummular (coin‑shaped) ili discoid eczema. Dobila je kortikosteroidnu kremu i antibiotiku u obliku tablete.
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 ne pomaže i može pogoršati stanje.
Za liječenje ekcema obično je potrebno najmanje tjedan dana ili više.
#Hydrocortisone ointment
OTC antihistaminik: cetirizin ili levocetirizin učinkovitiji su od feksofenadina, ali mogu izazvati pospanost.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]