Nummular eczema - 钱币状湿疹
References
Nummular dermatitis 是一种以发痒、硬币状斑块为特征的皮肤状况。它可能与其他皮肤问题一起出现，例如特应性皮炎或干性皮肤湿疹。值得庆幸的是，它通常对治疗反应良好。使用含有皮质类固醇的乳膏通常可以缓解症状，许多患者最终会好转。 Nummular dermatitis 也可能称为钱币状湿疹、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、渗血而前来就诊，这种疼痛已经困扰她大约一个月了。这是从她抓伤该区域后开始的。她没有提到任何过敏。医生发现她的胫骨前部皮肤干燥，有一个圆形的红色斑块，渗出黄色液体，上面有一些结痂。他们诊断为 nummular (coin-shaped) or discoid eczema 。她接受了皮质类固醇霜和抗生素药丸的治疗。
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根本没有帮助，反而会使情况变得更糟。
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比非索非那定更有效，但会使您昏昏欲睡。
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]