Nummular Eczema

Question 1

Nummular Eczema

Answer 1

coin shaped, common, a/w atopic derm, asetotic eczema and stasis dermatitis

Question 2

pathogenesis

Answer 2

a/w contact or chronic irritant factors, venous stasis will also contribute

Question 3

s/s

Answer 3

erythematous annular plaque 1cm-3cm, may be weeping, lichenification, well demarcated, prurituc, males in lower legs and females common on forearms and hands. chronic course

Question 4

dermtopathology

Answer 4

spongiosis

Question 5

ddx

Answer 5

tinea, psoriasis, LSC, MF, plaque of CTCL

Question 6

Dx

Answer 6

clinical presentation

Question 7

tx

Answer 7

high potent topical steroids bid x 10 days, if severe may need oral steroids. once controlled, high potent steroid 2x weekly with a daily cacineurin inhibitor and phototherapy to control