• long term skin condition with itchy reddened circular/oval patches
  • patches are often swollen, blistered (covered with small fluid-filled pockets)
  • ooze fluid at first, but become dry, crusty, cracked and flaky over time


  1. patch of coin-shaped lesions on the body 
  2. lesions frequently develop on the arms or legs
  3. the patches oozing a lot of fluid
  4. they may eventually spread to the torso and hands
  5. a yellow crust developing over the patches
  6. the skin around the patches becoming red, hot, swollen, and tender or painful
  7. feeling sick
  8. chills
  9. a general sense of feeling unwell


  1. dry skin, contact allergies, 
  2. weather (particularly winter), nutritional issues, and emotional stress.
  3. temperature changes
  4. stress
  5. medications like interferon and ribavirin,TNF-alpha blockers,statins

Risk factors

  • living in a cold, dry climate
  • having dry skin
  • having poor blood flow or swelling in the legs
  • having another type of eczema
  • having a skin injury, such as an insect bite or abrasion
  • having a bacterial infection that affects the skin

Diagnostic Tests

  • visual examination of skin
  • a skin biopsy
  • allergy test
  • blood test


  • topical corticosteroids
  • oral corticosteroids
  • antibiotics
  • antihistamines
  • phototherapy
  • bandaging
  • immunosuppressant therapy
  • emollients
  • hydrating skin with a non-scented moisturizer after showering


  • dicloxacillin, cephalexin, or erythromycin 
  • Broadband or narrow band UVB 
  • PUVA (Psoralen + UVA) 
  • Topical immune modulators (tacrolimus and pimecrolimus) 

Lifestyle Management

  • avoiding soaps and detergents, including liquid soaps
  • protecting your skin from minor cuts 
  • daily lukewarm baths or showers
  • not scratching the patches
  • making sure you use and apply your treatments
  • avoid triggers that make your symptoms worse