Nummular eczema - Numulárny Ekzém
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Lézie viditeľné na vonkajšej strane stehna
References
Nummular dermatitis je ochorenie kože poznačené svrbivými škvrnami v tvare mince. Môže sa objaviť spolu s inými kožnými problémami, ako je atopická dermatitída alebo suchý kožný ekzém. Našťastie zvyčajne dobre reaguje na liečbu. Používanie krémov obsahujúcich kortikosteroidy zvyčajne prináša úľavu, pričom mnohým pacientom sa nakoniec zlepší. Nummular dermatitis sa môže nazývať aj numulárny ekzém, diskoidný ekzém alebo mikrobiálny ekzém.
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.
23-ročná žena prišla so svrbivou, stekajúcou ranou na pravej nohe, ktorá ju trápila asi mesiac. Začalo to po tom, čo poškriabala oblasť. O žiadnych alergiách sa nezmienila. Lekár našiel suchú kožu s okrúhlym červeným fľakom, z ktorého vytekala žltkastá tekutina a mala na nej nejaké chrasty, priamo na prednej časti holene. Diagnostikovali to ako nummular (coin-shaped) or discoid eczema. Dostala kortikosteroidný krém a tabletku s antibiotikami.
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.
○ Liečba - Voľne predajné lieky
Umývanie oblasti lézie mydlom vôbec nepomáha a môže to zhoršiť.
Na liečbu ekzému je zvyčajne potrebný jeden týždeň alebo viac liečby.
#Hydrocortisone ointment
OTC antihistaminikum. Cetirizín alebo levocetirizín sú účinnejšie ako fexofenadín, ale spôsobujú ospalosť.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]