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Nummular dermatitis

Nummular dermatitis

- coin-shaped eczema -

Nummular dermatitis also known as discoid eczema, is a chronic skin condition characterized by red, round or oval, coin-shaped plaques. It is not contagious, but it can be persistent and difficult to control without proper treatment.

How does nummular dermatitis manifest itself?

Typical signs and symptoms include:
  • red, round or oval plaques, well delimited
  • intense itching, sometimes associated with a burning sensation
  • small blisters or exudate in acute phases
  • dryness, crusting, and peeling in chronic forms
  • frequent location on arms, legs, trunk
The course is usually chronic, with flare-ups and relapses. Repeated scratching aggravates the lesions and can lead to superinfection.

Why does nummular dermatitis occur?

The exact cause is not completely understood, but it is associated with:
  • excessive dryness of the skin
  • allergies or contact hypersensitivity
  • secondary bacterial infections
  • environmental factors (cold, dry air, detergents)
  • atopic predisposition in some patients

Therapeutic options

The treatment aims to calm inflammation, reduce itching, and restore the skin barrier.
Based on medical prescription, they can be recommended masterful preparations which may include:
  • anti-inflammatory substances – topical corticosteroids in low concentrations (e.g. hydrocortisone, clobetasol, betamethasone, fluocinolone, triamcinolone), tacrolimus, ichthyol
  • antipruritic and soothing agents –menthol (in low concentrations), witch hazel extract
  • emollients and repairing agents – urea (small doses), glycerin, ceramides, lanolin, vegetable oils (almond, jojoba), shea butter
The advantage of magistral preparations lies in the possibility of combining ingredients with anti-inflammatory, emollient and antiseptic action in a unique formula, adapted to the type of lesions and the affected area.
You can see some examples here
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