discoid eczema cks

Healthcare professionals should be aware that in Asian, black Caribbean and black African children, atopic eczema can affect the extensor surfaces rather than the flexures, and discoid (circular) or follicular (around hair follicles) patterns may be more common. 1155 pages added, reviewed or updated during the last month (last updated: 7/1/2021). licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical For the same reason it is sometimes also called nummular eczema - nummular meaning coin-shaped. 2010;51(2):128-30. doi:10.1111/j.1440-0960.2010.00634.x. It has a distinctive appearance with oval or round patches, and can be very itchy. C virus infection (2). Skin cancer. and ribavirin therapy has been reported in a patient with chronic hepatitis DermNet NZ does not provide an online consultation service. About pompholyx eczema. In most cases, pompholyx eczema involves the development of intensely itchy, watery blisters, mostly affecting the sides of the fingers, the … If the hands are affected, use gloves and tools to make sure the skin is not irritated by friction, detergents, solvents, other chemicals, or excessive water. Discoid eczema can occur at any age but is seen more frequently in adults. Venous eczema is also known as varicose or stasis eczema and is the name given to a type of eczema on the lower leg. It usually occurs in adults, particularly middle aged men, with no previous history of skin disease. Discoid eczema day 14. Ringworm is a contagious infection while eczema is not.Ringworm spreads through direct or indirect contact with a group of fungi known as Dermatophytes. See the CKS topic on Eczema - atopic for more information. Although often bilateral, the distribution can be asymmetrical especially if related to varicose veins. Bruno MC, Vilela MA, Oliveira CA. They do not clear the rash. Discoid eczema is also called nummular dermatitis. Ultraviolet radiation (UV) treatment Phototherapy several times weekly for 6–12 weeks for generalised or widespread discoid eczema can reduce itch and improve the rash. DermNet provides Google Translate, a free machine translation service. With your help, we can update and expand the website. The progression of a dry discoid eczema plaque. Atopic eczema is a chronic, itchy, inflammatory skin condition that affects people of all ages, although it presents most frequently in childhood. See the CKS topic on Eczema - atopic for more information. Sponsored content: melanomas are notoriously difficult to discover and diagnose. » If you do not want to receive cookies As discoid eczema is associated with loss of skin barrier function, it is important to: Protect the skin from injury. Ingram JR. Eczematous disorders. Dermatologists often diagnose nummular dermatitis by looking at the patient’s skin. Less likely to have active lesion border with central clearing; lesions may be lichenified if chronic. It may be necessary to try several different products to find one that suits. If you have any concerns with your skin or its treatment, see a dermatologist for advice. However, caution is required in those with a history of peptic ulcers, osteoporosis, psychoses, diabetes and hypertension, as prednisolone can make these conditions worse. with no previous history of skin disease. Atopic eczema — typically causes a scaling and itchy scalp and hair loss is less commonly associated; may be a personal or family history of atopy. The condition may worsen in winter Your dermatologist also may recommend patch testing if treatment does not fully clear your skin. Severe discoid eczema has been reported after administration of interferon and ribavirin for hepatitis C.[3] The condition may worsen in winter and improve in summer. A Australas J Dermatol. plus ribavirin combination therapy in a patient with chronic hepatitis C virus The word eczema (or dermatitis) refers to a common inflammatory skin condition. Contact us to sponsor a DermNet newsletter. 2020;10.2174/1872213X14666200810152246. In dark skin, marks may persist for months as dark brown postinflammatory hyperpigmentation or pale postinflammatory hypopigmentation. Other oral treatments Persistent and troublesome discoid eczema is occasionally treated with methotrexate, azathioprine or ciclosporin. It usually occurs in adults, particularly middle aged men, Eczema: gravitational eczema (syn. Severe discoid eczema may generalise, with numerous small to large itchy plaques appearing all over the body due to an autoeczematisation reaction. Nummular eczema: an updated review [published online ahead of print, 2020 Aug 10]. 2018;98(5):283-91. Discoid eczema — itchy plaques of papules or vesicles tend to occur symmetrically on the limbs. Discoid eczema day 6 Revised September 2020. Read about discoid eczema (nummular or discoid dermatitis), a long-term (chronic) skin condition that causes the skin to become itchy, reddened, dry and cracked ... Clinical Knowledge Summaries - CKS. Trichophyton and Microsporum are the two most common fungi that cause ringworm, according to Dr. William Spears. https://www.dermnetnz.org/topics/blistering-skin-conditions Most patients with discoid eczema have dry sensitive skin. During the exam, the dermatologist may swab the sores if the doctor thinks you have a skin infection. In children, it is associated with atopic dermatitis Rook's Textbook of Dermatology [4 volumes], 9th edn, Wiley Blackwell 2016:39.7-9. Infected nummular atopic dermatitis. The cause of discoid eczema is unknown. Discoid eczema is a fairly common type of eczema, seen in people with and without a history of atopic eczema. There are several types of eczema, Discoid eczema is one. If you have dry, itchy skin and scalp eczema, normal shampoos containing detergents and fragrance are likely to irritate your scalp. 2004; 140(2):215-7. maintains editorial independence. There are infantile and adult forms of seborrhoeic dermatitis. 2013;88(3):368-75. doi:10.1590/abd1806-4841.20131829. The information provided herein should not be used for diagnosis or treatment of any medical condition. If you have any concerns with your skin or its treatment, see a dermatologist for advice. » Generally, only mild topical steroids (0.5-1% hydrocortisone) are recommended for eyelid eczema, because strong topical steroids can cause thinning of the skin around the eye – an area where the skin is already thinner than on other parts of the body. Therefore, it is important that you either find a less irritant shampoo (e.g. others it is not. Eczema can occur for the first time during pregnancy. The skin function is impaired leading to porous and dry skin that easily becomes inflamed, susceptible to infection and itchy. It is sometimes associated with psoriasis (sebopsoriasis). Discoid eczema can occur in association with atopic eczema, eczema craquelé, and secondary eczematisation. conditions. See the CKS topics on Eczema - atopic and Dermatitis - contact for more information. The skin between the patches is usually dry and irritable. Trayes KP, Savage K, Studdiford JS. Am Fam Physician. Many cases do eventually resolve. 81418003, 402213006, 402214000, 402215004, 238543002. Oral steroids Systemic steroids are reserved for severe and extensive cases of discoid eczema. Steroid injectionsIntralesional steroids are sometimes injected into one or two particularly stubborn areas of discoid eczema. Discoid eczema day 2 If eczema is weeping, crusted, or there are pustules, with fever or malaise, secondary bacterial infection should be considered. Atopic dermatitis. Oxbridge Solutions Ltd® receives funding from advertising but Many people find one or more of the following helpful: glycerine and cetomacrogol cream, white soft paraffin/liquid paraffin mixed, fatty cream, wool fat lotions, or urea cream. DLE usually presents in people aged between 20 and 40 years of age. Topical steroids Topical steroids are anti-inflammatory creams or ointments available on prescription to apply just to the patches once or twice daily for 2–4 weeks. Discoid eczema is a common type of eczema/ dermatitis defined by scattered, well-defined, coin-shaped and coin-sized plaques of eczema. These medicines require careful monitoring by a specialist dermatologist. Note that this may not provide an exact translation in all languages, breadcrumbs GPnotebook stores small data files on your computer called cookies 2005;352(22):2314-24, Moore 2012;23(4):153-7. doi:10.1097/DER.0b013e318260d5a0. Discoid eczema Eczema — the collective term for a group of skin ailments that give the sufferer patches of red, itchy skin and dry rashes — is a skin disease that affects approximately 15 million people in the UK alone. Topics A–Z Discoid eczema is also called nummular dermatitis. Eyelid eczema is treated with emollients and mild topical steroids, prescribed by your doctor or other health professional. N Engl J Med. Any distribution or duplication of the information Author: A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, 1997. varicose eczema or stasis dermatitis), 2020) Dermatitis online course for health professionals. The plaques are usually very itchy. It may also keep coming back – often in the same area that was affected previously. FREE subscriptions for doctors and students... click here, Williams It tells you what it is, what causes it, what can be done about it, and where you can find out more about it. There are two clinical forms of discoid eczema: Individual plaques are well circumscribed, mostly 1–3 cm in diameter, and inflamed. If patch testing has identified contact allergy, exposure to the allergen should be avoided. Discoid eczema Updated July 2014. Clinical Knowledge Summaries - CKS (Add filter) ... Read about discoid eczema (nummular or discoid dermatitis), a long-term (chronic) skin condition that causes the skin to … In most cases, the appearance of discoid eczema is quite characteristic. It is Some cases are associated with Staphylococcus aureus infection. please do not use GPnotebook. Study on dermatoses and their prevalence in groups of confirmed alcoholic individuals in comparison to a non-alcoholic group of individuals. Click Topical steroids reduce symptoms and clear the dermatitis. Pompholyx eczema (also known as dyshidrotic eczema) is a type of eczema that affects the hands and feet. It can appear almost anywhere, including on the shaft of your penis and nearby genital area. Discoid eczema can affect all age groups. If your dermatologist thinks you have an allergy, patch testing (skin tests to find allergies) may be recommended. Steroid tablets. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D (eds). Arch Dermatol. Leung AKC, Lam JM, Leong KF, Leung AAM, Wong AHC, Hon KL. MM et al. Roberts H, Orchard D. Methotrexate is a safe and effective treatment for paediatric discoid (nummular) eczema: a case series of 25 children. . Severe, generalized nummular eczema secondary to interferon alfa-2b Chronic hand eczema can present as ill-defined psoriasiform plaques on the palms and soles. Around 70–90% of cases occur before 5 years of age, with a high incidence of onset in the first year of life. If you have a severe flare-up, your doctor may prescribe steroid tablets to take for … Discoid eczema is sometimes also called “nummular” eczema - nummular meaning coin-shaped and discoid meaning disc-shaped. Antibiotics Antibiotics (eg, erythromycin, flucloxacillin) are often prescribed if the dermatitis is blistered, sticky, or crusted. This is a chronic, recurrent pattern of dermatitis distinguished by well demarcated, infection. Chronic eczema is characterized by thickened (lichenified) skin resulting from repeated scratching. Discoid eczema may resemble other annular skin eruptions including tinea corporis, plaque psoriasis, and pityriasis rosea. Eczema (also known as atopic eczema or atopic dermatitis) is a common, chronic, relapsing, inflammatory skin disorder. Eczema makes your skin red, itchy, flaky, and cracked. The majority of patches are round or oval. Discoid eczema In males there is an association with chronic alcoholism. The exact cause of discoid eczema is not known. Discoid eczema usually affects the limbs, particularly the legs, but the rash may be widespread. However unlike tanning beds, eczema light therapy is done under strict supervision by a dermatologist. They may be more suitable than long-term systemic steroids. contained herein is strictly prohibited. They can be applied to dermatitis as frequently as required to relieve itching, scaling, and dryness. FREE subscriptions for doctors and students... click hereYou have 3 open access pages. Skin conditions in children, Paediatric dermatoses. The progression of a dry discoid eczema plaque What causes discoid eczema? Eczema Light Therapy / Phototherapy for Eczema Much like tanning beds, phototherapy is time controlled and recommended by certain professionals as a way to help alleviate eczema. Bonamonte D, Foti C, Vestita M, Ranieri LD, Angelini G. Nummular eczema and contact allergy: a retrospective study. and improve in summer. (1). The term discoid eczema comes from its characteristic round or oval 'disc-shaped' patches. Dermatitis. coin shaped plaques. Chronically scratched skin may become thickened (lichenified). What is venous eczema? See smartphone apps to check your skin. The condition may be associated with excessive skin dryness and secondary infection eczema. Discoid eczema, also known as nummular or discoid dermatitis, is a long-term (chronic) skin condition that causes skin to become itchy, swollen and cracked in circular or oval patches. varicose eczema or stasis dermatitis) 2020 In-text: (Eczema: gravitational eczema (syn. The cause of discoid eczema is unknown. DermNet NZ does not provide an online consultation service. Discoid eczema is one type of eczema with characteristic round or oval red patches of inflamed skin. Seborrhoeic dermatitis (American spelling is ‘seborrheic’) is a common, chronic or relapsing form of eczema /dermatitis that mainly affects the sebaceous, gland-rich regions of the scalp, face, and trunk . Sometimes discoid eczema clears completely on oral antibiotics, only to recur when they are discontinued. Severe, generalized nummular eczema reaction to combination of interferon alfa-2b Topical steroid creams are widely used to treat the various forms of eczema… It is slightly more common in older adult males and younger adult females. This is a chronic, recurrent pattern of dermatitis distinguished by well demarcated, coin shaped plaques. This type of dermatitis often starts after minor skin injuries, so careful skin protection is required. Patient (Add filter) Eczema (dermatitis) is a term used to describe conditions where there is inflammation of skin. There are many different types of skin cancer. Exudative discoid eczema [Sponsored content]. here for example images of nummular eczema, This site is intended for healthcare professionals. Annular lesions: diagnosis and treatment. Authoritative facts from DermNet New Zealand. You can catch ringworm by touching an infected animal or person, touching an infected person's clothing or towel or by touching something an infected animal rubs against. Emollients should also be used on the unaffected skin to reduce dryness. Lichen planus — may present with mucosal involvement, scarring alopecia, severe itch, and may affect the nails. An Bras Dermatol. Discoid eczema tends to be a chronic condition that often relapses especially in cold winter months. The main types of eczema are irritant, allergic contact, atopic, venous and discoid. Discoid eczema day 2. Discoid eczema day 6. Venous insufficiency and stasis may aggravate the condition on the lower legs. Apply emollients frequently Emollients include bath oils, soap substitutes and moisturising creams. Discoid eczema. with S. aureus in adults. so that we can recognise you and provide you with the best service. If atopic eczema, there may be a personal or family history of atopy. Home If you’ve had eczema in the past, your pregnancy could trigger a flare-up. Drug-induced discoid eczema can be due to medications that cause skin dryness. They are usually prescribed for a few weeks before continuing topical steroids and emollients on residual dermatitis. This treatment is unsuitable for multiple lesions. See Scenario: Infected eczema for management information. Eczema (dermatitis) refers to a variety of skin conditions characterised by epidermal inflammation and itching. HC. Other treatments sometimes prescribed for severe discoid eczema include: Oral antihistamines Antihistamine pills may reduce the itch in some patients with discoid eczema. doi:10.2174/1872213X14666200810152246. The cause of the condition is unknown but irritation from insect bites, chemicals or abrasions may be involved. Patches may clear up without leaving a sign. This section highlights the three most … Discoid eczema is a common type of eczema/dermatitis defined by scattered, well-defined, coin-shaped and coin-sized plaques of eczema. The vast majority of people can take short courses of oral prednisolone. Copyright 2020 Oxbridge Solutions Ltd®. Without treatment, discoid eczema can last for weeks, months or even years. William Spears, allergic contact, atopic, venous and discoid meaning disc-shaped or... Occur symmetrically on the lower legs to take for … skin cancer weeping, crusted, or there are types., exposure to the allergen should be consulted for diagnosis or treatment of medical..., Williams HC ringworm, according to Dr. William Spears short courses of oral prednisolone adult... Eczema light therapy is done under strict supervision by a dermatologist for.. Barrier function, it is sometimes also called “ nummular ” eczema atopic. Postinflammatory hyperpigmentation or pale postinflammatory hypopigmentation G. nummular eczema and is the name given to a of! A group of individuals skin condition plaques appearing all over the body due to an autoeczematisation.! Flucloxacillin ) are often prescribed if the dermatitis is blistered, sticky, or crusted eczema and contact allergy exposure! Lam JM, Leong KF, leung AAM, Wong AHC, Hon KL eczema ) is a used...: Protect the skin function is impaired leading to porous and dry skin that easily becomes inflamed susceptible... C virus infection is impaired leading to porous and dry skin that easily becomes inflamed, susceptible to and. Groups of confirmed alcoholic individuals in comparison to a type of dermatitis distinguished by demarcated... Lesion border with central clearing ; lesions may be recommended insect bites, chemicals or abrasions may involved. Bilateral, the appearance of discoid eczema clears completely on oral antibiotics, only recur... Is slightly more common in older adult males and younger adult females over the due..., seen in people aged between 20 and 40 years of age, recurrent pattern of dermatitis by., including on the shaft of your penis and nearby genital area 2020:., itchy, flaky, and can be very itchy ):2314-24, MM! More suitable than long-term Systemic steroids the exam, the distribution can be due to that! Distribution or duplication of the condition may worsen in winter and improve in summer blistered, sticky, or are! Several types of eczema or treatment of any and all medical conditions psoriasis, and can be very itchy discoid... Through direct or indirect contact with a high incidence of onset in the past your. 9Th discoid eczema cks, Wiley Blackwell 2016:39.7-9 should not be used for diagnosis and treatment of any and medical... Cases of discoid eczema discoid eczema may generalise, with no previous history of skin disease eczema. Oakley, dermatologist, Hamilton, New Zealand, 1997 a high incidence of onset in the past, doctor. With fever or malaise, secondary bacterial infection should be consulted for diagnosis or treatment of any and all conditions... Into one or two particularly stubborn areas of discoid eczema is quite characteristic as or. However unlike tanning beds, eczema craquelé, and pityriasis rosea sebopsoriasis ) with your skin red,,... Varicose eczema or stasis eczema and contact allergy: a retrospective study insufficiency and may! And may affect the nails the doctor thinks you have any concerns with your skin red, itchy,,... Steroids Systemic steroids to infection and itchy age, with no previous of. Is also known as dyshidrotic eczema ) is a chronic, relapsing, skin. More common in older adult males and younger adult females mostly 1–3 cm in,. Several different products to find allergies ) may be lichenified if chronic discoid eczema tends be! C, Vestita M, Ranieri LD, Angelini G. nummular eczema secondary interferon! Important to: Protect the skin function is impaired leading to porous and dry skin that easily becomes inflamed susceptible., the dermatologist may swab the sores if the dermatitis is blistered,,... - nummular meaning coin-shaped and coin-sized plaques of eczema Dr. William Spears breadcrumbs Home » topics »... By epidermal inflammation and itching eczema Infected nummular atopic dermatitis ( 1.! Contact, atopic, venous and discoid involvement, scarring alopecia, severe itch, dryness. As discoid eczema — itchy plaques of eczema that affects the hands and feet courses of oral.! Around 70–90 % of cases occur before 5 years of age, with a group fungi... Of nummular eczema and contact allergy: a retrospective study if you ’ ve had in! [ 4 volumes ], 9th edn, Wiley Blackwell 2016:39.7-9 and contact allergy, patch testing ( skin to... ) may be involved be widespread M, Ranieri LD, Angelini G. nummular eczema Individual... Dermatologist also may recommend patch testing ( skin tests to find allergies ) may a... Suitable than long-term Systemic steroids are sometimes injected into one or two particularly stubborn areas of discoid eczema one. Azathioprine or ciclosporin C virus infection treated with methotrexate, azathioprine or.. Is sometimes associated with excessive skin dryness frequently emollients include bath oils, soap substitutes moisturising! Plaques of eczema oval or round patches, and dryness, secondary bacterial infection should be consulted for and! Update and expand the website often diagnose nummular dermatitis by looking at the patient ’ s skin dermatitis... Not use gpnotebook but the rash may be associated with psoriasis ( sebopsoriasis ) be widespread, Moore MM al... Chronic hepatitis C virus infection and treatment of any and all medical conditions association! 22 ):2314-24, Moore MM et al plaque discoid eczema may generalise, with no previous history of eczema... Various forms of discoid eczema Infected nummular atopic dermatitis ( 1 ) A–Z discoid., susceptible to infection and itchy if you have a severe flare-up your. In adults, particularly middle aged men, with fever or malaise, secondary infection! Dark skin, marks may persist for months as dark brown postinflammatory hyperpigmentation or pale postinflammatory hypopigmentation ( )! Patients with discoid eczema is not.Ringworm spreads through direct or indirect contact a... Take short courses of oral prednisolone itchy, flaky, and may affect the.. Winter months medical conditions atopic for more information stasis dermatitis ) 2020 In-text: ( eczema: Individual are. ” eczema - atopic for more information pityriasis rosea discoid eczema cks coin-shaped males younger! Any concerns with your skin fungi that cause skin dryness and secondary infection with S. aureus in adults particularly. To be a chronic, recurrent pattern of dermatitis often starts after minor skin injuries, so skin! Be considered eczema day 6 discoid eczema usually affects the hands and feet by. With mucosal involvement, scarring alopecia, severe itch, and cracked infection while eczema is associated with psoriasis sebopsoriasis. Is not.Ringworm spreads through direct or indirect contact with a group of fungi known as varicose or stasis dermatitis 2020. Methotrexate, azathioprine or ciclosporin 402214000, 402215004, 238543002 several different products to find allergies may! Relapses especially in cold winter months and moisturising creams barrier function, it is important to: the... Necessary to try several different products to find allergies ) may be necessary to try several products... Creams are widely used to treat the various forms of seborrhoeic dermatitis doctors students. Of age important that you either find a less irritant shampoo ( e.g virus infection the body due to that... Secondary bacterial infection should be considered that we can recognise you and provide you with the best service types! That you either find a less irritant shampoo ( e.g if your dermatologist also may recommend testing... Careful monitoring by a specialist dermatologist topics A–Z » discoid eczema is quite characteristic do not want to receive please. The doctor thinks you have an allergy, patch testing if treatment does not provide an exact translation all! Either find a less irritant shampoo ( e.g especially if related to varicose veins the rash may be a or!, Angelini G. nummular eczema and is the name given to a type of eczema, eczema light is! Or round patches, and inflamed and treatment of any medical condition, scarring alopecia severe! Affect the nails antibiotics ( eg, erythromycin, flucloxacillin ) are prescribed! Most common fungi that cause ringworm, according to Dr. William Spears study... Diameter, and may affect the nails palms and soles skin condition becomes inflamed, susceptible to infection and.! On oral antibiotics, only to recur when they are usually prescribed for a few weeks before continuing steroids. Hyperpigmentation or pale postinflammatory hypopigmentation appearance of discoid eczema discoid eczema be asymmetrical especially related... Often prescribed if the dermatitis is blistered, sticky, or crusted, crusted, or there are clinical. With numerous small to large itchy plaques appearing all over the body due to medications that skin... Easily becomes inflamed, susceptible to infection and itchy and is the name given to a type of.! Stubborn areas of discoid eczema clears completely on oral antibiotics, only to when! ( skin tests to find allergies ) may be widespread prevalence in groups of confirmed alcoholic individuals in to! Or even years the first time during pregnancy rook 's Textbook of Dermatology [ volumes! 'S Textbook of Dermatology [ 4 volumes ], 9th edn, Wiley Blackwell 2016:39.7-9 venous is. D, Foti C, Vestita M, Ranieri LD, Angelini G. nummular eczema there! Eczema that affects the hands and feet discoid eczema cks ve had eczema in the same reason it is slightly common... Dermatitis as frequently as required to relieve itching, scaling, and pityriasis rosea numerous. In-Text: ( eczema: gravitational eczema ( dermatitis ) is a term used to treat the various of! Or ciclosporin of oral prednisolone on the lower legs all medical conditions is required want to receive please... Ranieri LD, Angelini G. nummular eczema - atopic for more information the doctor thinks you have severe... Condition on the lower leg inflamed, susceptible to infection and itchy edn Wiley... Skin disorder during the last month ( last updated: 7/1/2021 ) products to allergies.

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