Nummular Eczema Flashcards

1
Q

Nummular Eczema

A

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

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2
Q

pathogenesis

A

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

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3
Q

s/s

A

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

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4
Q

dermtopathology

A

spongiosis

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5
Q

ddx

A

tinea, psoriasis, LSC, MF, plaque of CTCL

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6
Q

Dx

A

clinical presentation

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7
Q

tx

A

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

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