Nummular eczema - Nummularni Ekcem
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ReferencesNummular dermatitis je stanje kože, ki ga zaznamujejo srbeče lise v obliki kovanca. Pojavi se lahko poleg drugih kožnih težav, kot sta atopijski dermatitis ali suh kožni ekcem. Na srečo se običajno dobro odziva na zdravljenje. Uporaba krem, ki vsebujejo kortikosteroide, običajno prinese olajšanje, pri čemer se stanje pri mnogih bolnikih sčasoma izboljša. Nummular dermatitis se lahko imenuje tudi nummularni ekcem, diskoidni ekcem ali 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.
23‑letna ženska je prišla s srbečo in izcedeno rano na desni nogi, ki jo je mučila približno mesec dni. Začela se je po tem, ko je opraskala predel. Alergije ni omenila. Zdravnik je opazil suho kožo z okroglo, rdečo liso, ki je izcedila rumenkasto tekočino in je imela na sebi nekaj skorje, tik na sprednji strani golenice. Diagnosticirali so jo kot nummular (coin‑shaped) or discoid eczema. Dobila je kortikosteroidno kremo in antibiotično tableto.
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.
○ Zdravljenje ― OTC zdravila
Umivanje območja lezije z milom ne pomaga prav nič in lahko poslabša stanje.
Za zdravljenje ekcema je običajno potreben en teden ali več.
#Hydrocortisone ointment
OTC antihistaminik. Cetirizin ali levocetirizin sta učinkovitejša od feksofenadina, vendar povzročita zaspanost.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]