NUMMULAR ECZEMA

Description

  • 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

Symptoms

  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

Causes

  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

Treatments

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

Medication

  • 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