Nummular eczema
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: EA82
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: EA82
Devergie 1857.
Dysregulatory microbial eczema, nummular dermatitis, discoid eczema.
Chronic recurrent, often highly pruritic eczema with coin-like (nummular) foci
.
Predilection sites lower leg, back of the hand, forearms. It does not occur on the palms of the hands and soles of the feet. In children, the localisation tendency is less clear, so it can also occur on the trunk and face.
Acute or subacute eczema, oedema of the papillary dermis, perivascular lymphocytic infiltrate, acanthosis, orthokeratosis, focal epidermotropy, spongiosis, focal hyper- and parakeratosis, often reminiscent of a psoriasiform picture, no Munro's abscesses.
Mostly chronic recurrent course.
Systemic antibiosis in case of confirmed colonisation and therapy resistance
If acutely necessary: Prednisolone (Spiricort®) p.o. 60-80 mg 1x tgl. for 7 days, then taper off.
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