Nummular Eczema Flashcards
1
Q
Nummular Eczema
A
coin shaped, common, a/w atopic derm, asetotic eczema and stasis dermatitis
2
Q
pathogenesis
A
a/w contact or chronic irritant factors, venous stasis will also contribute
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
4
Q
dermtopathology
A
spongiosis
5
Q
ddx
A
tinea, psoriasis, LSC, MF, plaque of CTCL
6
Q
Dx
A
clinical presentation
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
