Nummular dermatitis

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Nummular dermatitis
Classification and external resources
Specialty dermatology
ICD-10 L30.0
ICD-9-CM 692.9
DiseasesDB 33703
MedlinePlus 000870
eMedicine derm/298

Nummular dermatitis (also known as "discoid dermatitis," "discoid eczema," "microbial eczema," "nummular eczema," and "nummular neurodermatitis") is one of the many forms of dermatitis.[1] it is characterized by round or oval-shaped itchy lesions.[2] The name comes from the Latin word "nummus," which means "coin."

Signs and Symptoms[edit]

Nummular dermatitis is characterized by chronic or relapsing itchy coin-sized ovoid-shaped red plaques.[3][4] They can occur on the trunk, limbs, face, and hands.[2][5][1]

Causes[edit]

Many contact sensitizers or irritants are known to cause contact dermatitis superimposed on nummular dermatitis. Studies have implicated nickel, cobalt, chromate, and fragrance as likely culprits.[6][7] Xerosis, or dehydration of skin is also a likely cause.[8] Infection with Staphylococcus aureus bacteria or Candida may also play a role.[8]

Diagnosis[edit]

Diagnosis of nummular dermatitis largely clinical. Biopsies are typically not necessary, and cannot be used to rule out other atopic dermatitis or other eczemas.[9][10] However, patch testing may be employed to rule out irritants (contact dermatitis) as a cause.[6][11] In children, nummular dermatitis is commonly confused with tinea corporis.[8]

Epidemiology[edit]

The prevalence of nummular dermatitis in the United States is approximately 2 per 1,000.[12] It is considered a disease of adulthood, for it is rare in children.[13]

Treatment[edit]

One of the keys to treatment and prevention involves keeping the skin moisturized. Lotions, creams, and bath oils may help prevent an outbreak. If the condition flares up, a common treatment involves the application of topical corticosteroids. Oral antihistamines may help lessen itching. Avoidance of irritants is a common strategy. More severe cases sometimes respond to ultraviolet light treatment.

See also[edit]

References[edit]

  1. ^ a b Cowan, M. A. (1961-01-01). "Nummular eczema. A review, follow-up and analysis of a series of 325 cases". Acta Dermato-Venereologica. 41: 453–460. ISSN 0001-5555. PMID 13881857. 
  2. ^ a b WEIDMAN, ABRAHAM I. (1956-01-01). "Nummular Eczema". A.M.A. Archives of Dermatology. 73 (1): 58–65. ISSN 0096-5359. PMID 13275125. doi:10.1001/archderm.1956.01550010060006. 
  3. ^ ADACHIA, A (2000). "Mercury-induced nummular dermatitis". Journal of the American Academy of Dermatology. 43 (2): 383–385. doi:10.1067/mjd.2000.102457. 
  4. ^ Rollins, Troy G. (1968-10-14). "From Xerosis to Nummular Dermatitis: The Dehydration Dermatosis". JAMA. 206 (3): 637–637. ISSN 0098-7484. doi:10.1001/jama.1968.03150030093022. 
  5. ^ Perry, Adam D.; Trafeli, John P. (2009-05-01). "Hand Dermatitis: Review of Etiology, Diagnosis, and Treatment". The Journal of the American Board of Family Medicine. 22 (3): 325–330. ISSN 1557-2625. PMID 19429739. doi:10.3122/jabfm.2009.03.080118. 
  6. ^ a b Khurana, Sandeep; Jain, V. K.; Aggarwal, Kamal; Gupta, Sanjeev (2002-12-01). "Patch testing in discoid eczema". The Journal of Dermatology. 29 (12): 763–767. ISSN 0385-2407. PMID 12532040. 
  7. ^ Bonamonte, Domenico; Foti, Caterina; Vestita, Michelangelo; Ranieri, Luigi Davide; Angelini, Gianni (2012). "Nummular Eczema and Contact Allergy". Dermatitis. 23 (4): 153–157. doi:10.1097/der.0b013e318260d5a0. 
  8. ^ a b c Williams, Hywel C. (2005-06-02). "Atopic Dermatitis". New England Journal of Medicine. 352 (22): 2314–2324. ISSN 0028-4793. PMID 15930422. doi:10.1056/NEJMcp042803. 
  9. ^ Kulthanan, Kanokvalai; Samutrapong, Pailin; Jiamton, Sukhum; Tuchinda, Papapit (2007-12-01). "Adult-onset atopic dermatitis: a cross-sectional study of natural history and clinical manifestation". Asian Pacific Journal of Allergy and Immunology. 25 (4): 207–214. ISSN 0125-877X. PMID 18402293. 
  10. ^ Julián-Gónzalez, Rolando Elias; Orozco-Covarrubias, Luz; Durán-McKinster, Carola; Palacios-Lopez, Carolina; Ruiz-Maldonado, Ramon; Sáez-de-Ocariz, Marimar (2012-09-01). "Less common clinical manifestations of atopic dermatitis: prevalence by age". Pediatric Dermatology. 29 (5): 580–583. ISSN 1525-1470. PMID 22469300. doi:10.1111/j.1525-1470.2012.01739.x. 
  11. ^ Krupa Shankar, D. S.; Shrestha, Shristi (2005-11-01). "Relevance of patch testing in patients with nummular dermatitis". Indian Journal of Dermatology, Venereology and Leprology. 71 (6): 406–408. ISSN 0378-6323. PMID 16394482. 
  12. ^ T., Johnson, Marie Louise (1977-01-01). "Prevalence of dermatological disease among persons 1-74 years of age: United States". ADV Data Natl Ctr Health Statistics. 
  13. ^ Krol, Alfons; Krafchik, Bernice (2006-03-01). "The differential diagnosis of atopic dermatitis in childhood". Dermatologic Therapy. 19 (2): 73–82. ISSN 1529-8019. doi:10.1111/j.1529-8019.2006.00058.x. 

External links[edit]