Nummular eczema: Report of three cases
DOI:
https://doi.org/10.29176/2590843X.429Keywords:
Eczema, atopic dermatitis, contact dermatitisAbstract
Nummular eczema is a chronic and relapsing dermatosis that presents with a pruritic, well-demarcated plaques that are coin-shaped and vary in size; these plaques often evolve into lichenified patches. Even though this is often referred to an adult issue, there have been reported cases in children. Nummular eczema affects both sexes, and lesions often present in the lower extremities; however, it can also affect the torso and face.
Etiology is unknown: there are several triggering agents that affect pathology which include but are not limited to medications, allergens, environmental irritants, and/or emotional stress. Nummular eczema is diagnosed clinically due to its uncertain pathophysiology.
The more commonly used treatment involves topical corticosteroids of medium and long range, along with emollients and antihistamines. Nonetheless, there have been reports in which immunosuppressants and immunomodulators have been used in severe and hard to manage cases.
Author Biographies
María Alejandra Casas-Barrera
Médica general, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
José William Ricardo-Soto
Médico interno institucional, Hospital Universitario Fundación Santa Fe de Bogotá, Universidad de los Andes, Bogotá, Colombia
Mariam Carolina Rolón- Cadena
Médica dermatopatóloga, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
Juan Guillermo Chalela-Mantilla
Médico internista, dermatólogo, Asociación Médica de los Andes, Bogotá, Colombia
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