Nummular eczema - 钱币状湿疹
relevance score : -100.0%
ReferencesNummular dermatitis 是一种以瘙痒、硬币形斑块为特征的皮肤疾病。它常与特应性皮炎或干性皮肤湿疹等其他皮肤问题共存。值得庆幸的是，该病对治疗通常反应良好。使用含有皮质类固醇的外用乳膏可有效缓解症状，许多患者最终会好转。Nummular dermatitis 亦称为钱币状湿疹、盘状湿疹或微生物性湿疹。
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.
一名23岁的女性因右腿发痒、渗血前来就诊，症状已困扰她约一个月。症状始于她抓伤该部位后。她未提及任何过敏史。医生检查发现其胫骨前部皮肤干燥，呈圆形红斑，渗出黄色液体并伴有结痂。诊断为 nummular (coin-shaped) or discoid eczema。她接受了局部皮质类固醇霜和口服抗生素治疗。
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.
○ 治疗 - 非处方药
用肥皂清洗病变部位并无帮助，反而可能使情况恶化。
治疗湿疹通常需要一周或更长时间。
#Hydrocortisone ointment
非处方抗组胺药：西替利嗪或左西替利嗪的效果优于非索非那定，但可能导致嗜睡。
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]