Materiały źródłowe

• #1 Eczema – discoid eczema

  https://www.pcds.org.uk/patient-info-leaflets/eczema-discoid-eczema

  Discoid eczema (nummular eczema) is a type of eczema with characteristic round-oval patches of itchy inflamed skin. Discoid eczema can occur at any age but is seen more frequently in adults. […] Discoid eczema can affect any part of the body, although it does not usually affect the face or scalp. It is often very itchy. […] The first sign of discoid eczema is usually a group of small spots or bumps on the skin. These quickly join up to form discrete round-oval patches (sometimes referred to as coin-shaped) 1-3 cm in diameter. There may be several patches on each limb and on the body, which develop over weeks to months. […] Initially, these patches are often swollen, blistered (covered with small fluid-filled pockets) and ooze fluid. Over time, the patches may become dry and crusty. […] Accordingly, managing the skin barrier effectively is one of the most important aspect of treating any type of eczema.

• #2 Discoid eczema. Discoid eczema

  https://dermnetnz.org/topics/discoid-eczema

  Discoid eczema is a common type of eczema/dermatitis defined by scattered, well-defined, coin-shaped and coin-sized plaques of eczema. […] Discoid eczema can affect all age groups. It is slightly more common in older adult males and younger adult females. […] Discoid eczema usually affects the limbs, particularly the legs, but the rash may be widespread. […] Severe discoid eczema may generalise, with numerous small to large itchy plaques appearing all over the body due to an autoeczematisation reaction. […] As discoid eczema is associated with loss of skin barrier function, it is important to protect the skin from injury. […] Apply emollients frequently. Emollients include bath oils, soap substitutes and moisturising creams. […] If patch testing has identified contact allergy, exposure to the allergen should be avoided.

• #3 Nummular discoid eczema | Right Decisions

  https://rightdecisions.scot.nhs.uk/dermatology-pathways/nummular-discoid-eczema/?UNLID=383433117202411631832

  Nummular eczema/discoid eczema: Cutaneous eruption characterized by coin-shaped plaques of eczema. The plaques usually occur on the extensor surfaces of the extremities, but the face and trunk may also be involved. Plaques are extremely itchy. Each plaque begins as a small group of red spots and tiny bumps (papules) or blisters (vesicles), which cluster together and grow rapidly into a red, swollen, round plaque which often weeps or develops a crusted surface. Plaques may become infected at a later stage. After a while the plaques become dry and scaly. […] The condition can respond poorly to treatment compared to other forms of eczema, and typically requires the use of potent topical steroids. […] Advise patient on the avoidance of irritants (e.g. soap). […] Prescribe generous amounts of emollients; advise frequent and liberal use. […] Refer to dermatologist. Commence treatment in primary care whilst waiting for appointment. […] Discoid eczema usually requires at least potent topical corticosteroids.

• #4

  https://www.nhs.uk/conditions/discoid-eczema/treatment/

  There’s no simple cure for discoid eczema, but medicines can help to ease the symptoms. […] Treatments include: emollients to use all the time, soap substitutes to replace irritating soaps and cleaning products, topical corticosteroids for flare-ups, antibiotics for infected eczema, antihistamines for severe itching. […] Ask a pharmacist for advice on the different products and how to use them. See a GP if your eczema does not improve after using an over-the-counter product. […] There are also some things you can do yourself that may help to control symptoms of discoid eczema, such as: avoiding soaps and detergents, including liquid soaps, bubble bath, shower gels and wet wipes even if these do not obviously irritate your skin; use an emollient soap substitute instead, protecting your skin from minor cuts (for example, by wearing gloves), as cuts may trigger discoid eczema, taking daily lukewarm baths or showers using an emollient when washing may reduce your symptoms, and remember to apply skin treatments soon afterwards, not scratching the patches of eczema keeping your hands clean and your fingernails short may help reduce the risk of skin damage or infection from unintentional scratching, making sure you use and apply your treatments as instructed by a GP or pharmacist.

• #5 Discoid Eczema: Symptoms, Causes, and Treatment

  https://patient.info/skin-conditions/atopic-eczema/discoid-eczema

  Discoid eczema is a type of eczema that causes round- or oval-shaped red patches on the skin. […] Treatment includes regular use of emollients to moisturise your skin, steroid creams to reduce inflammation and treatment of any infection of the affected skin. […] Regular use of emollients is the most important part of the day-to-day treatment for people with eczema, including discoid eczema. Emollients prevent skin from becoming dry and help to protect the skin from irritants. […] Treatment is aimed at restoring fluid to your skin (called rehydration), treating the skin inflammation, and also treating any infection that may be present. […] Antibiotic medication might be needed if there is bacterial infection of discoid eczema patches. […] Antihistamine tablets may help to reduce itching and may be particularly useful at night when trying to sleep. […] Once discoid eczema has been successfully treated, a flare-up can occur again in the future. Therefore, it is important to keep the skin well hydrated with emollients to reduce the chance of future flare-ups.

• #6

  https://www.nhs.uk/conditions/discoid-eczema/treatment/

  Emollients are moisturising treatments you apply directly to your skin to reduce water loss and cover it with a protective film. […] Use your emollient all the time, even if you’re not experiencing symptoms, as it can help prevent the return of discoid eczema. […] To treat the patches of discoid eczema, a GP may prescribe a topical corticosteroid, which you apply directly to your skin, to reduce inflammation. […] When using corticosteroids, apply the treatment accurately to the affected areas. […] If your eczema becomes infected, you may also be prescribed an antibiotic. […] Antihistamines may be prescribed during flare-ups of discoid eczema to cope with the symptom of itching, particularly if it’s interfering with your sleep. […] If the treatments prescribed by a GP are not successfully controlling your symptoms, they may refer you for assessment and treatment by a doctor who specialises in skin conditions (dermatologist).

• #7 Discoid eczema | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/discoid-eczema/

  Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] To treat the patches of discoid eczema, your GP may prescribe a topical corticosteroid (corticosteroid medication that is applied directly to your skin) to reduce the inflammation. […] When using corticosteroids, apply the treatment accurately to the affected areas. […] If you have a severe flare-up, your doctor may prescribe corticosteroid tablets to take for up to a week. […] If your eczema becomes infected, you may also be prescribed an antibiotic. […] Antihistamines may be prescribed during flare-ups of discoid eczema to cope with the symptom of itching, particularly if it is interfering with your sleep. […] If the treatments prescribed by your GP are not successfully controlling your symptoms, they may refer you for assessment and treatment by a dermatologist (specialist in treating skin conditions).

• #7 Discoid eczema | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/discoid-eczema/

  Discoid eczema is usually a long-term problem, but medications are available to help relieve the symptoms and keep the condition under control. […] Treatments used include: emollients moisturisers applied to the skin to stop it becoming dry, topical corticosteroids ointments and creams applied to the skin that can help relieve severe symptoms, antihistamines medications that can reduce itching and help you sleep better. […] There are also things you can do yourself to help, such as avoiding all the irritating chemicals in soaps, detergents, bubble baths and shower gels. […] If you suspect your skin is infected, for example because there is excessive weeping or tenderness in the patches of eczema, see your GP. Infection can spread quickly, and the use of topical corticosteroid creams can mask or further spread the infection.

• #8 Eczema – discoid eczema

  https://www.pcds.org.uk/patient-info-leaflets/eczema-discoid-eczema

  Help repair the skin barrier with emollient moisturisers – these come in the form of creams, gels, and ointments. […] The most important aspects of treatment are – use the one that suits you most, use large amounts (500-2000 grams per month), apply to the whole skin, aim to use twice a day as a minimum, and know how to apply. […] If your eczema is not responding to the measures described above, then make an appointment to see a health professional. […] You must continue using these even if the eczema is settled, otherwise your eczema is likely to flare-up more often. […] Steroid creams (or ointments, gels, lotions) should be applied thinly and only to the affected patches of skin during flare-ups (when the skin becomes red and itchy). […] Eczema can have a significant psychological impact and may affect many areas of daily life including work and personal relationships. […] If the diagnosis is unclear, moderate-severe eczema not responding to treatments provided by a health professional may need to be referred to a specialist. […] Unfortunately not, and if left untreated, discoid eczema may persist for months or years.

• #9 Eczema types: Nummular eczema self-care

  https://www.aad.org/public/diseases/eczema/types/nummular-dermatitis/self-care

  Self-care can help clear your skin and prevent flare-ups. If you have nummular eczema, self-care plays an important role in your skins health. Self-care can help you get the best results from treatment. It can also help you have fewer new flare-ups. […] To help heal your skin and prevent new flare-ups, apply a fragrance-free moisturizer (cream or ointment only) after every shower and bath. Nummular eczema is more likely to hang around and return when skin feels dry. […] Apply moisturizer every day year-round. Moisturizer helps trap water in your skin, which can help heal your skin and reduce flare-ups. […] Use baths, showers, and handwashing to hydrate (instead of dry) your skin. If you know what to do, water can hydrate rather than dry your skin. […] Use mild, fragrance-free, and hypoallergenic skin care products (cleanser, body wash, or soap) made for dry skin. Products formulated this way are less likely to irritate your skin and trigger a flare-up.

• #9 Eczema types: Nummular eczema self-care

  https://www.aad.org/public/diseases/eczema/types/nummular-dermatitis/self-care

  Keep a humidifier running when indoor air feels dry. Heat and air conditioning zap moisture from the air, which can dry your skin and lead to a flare-up. […] Protect your skin from injury and harsh chemicals. Try to avoid scrapes, cuts, and other injuries. Anything that injures your skin can worsen existing nummular eczema and trigger a flare-up of new spots and patches. […] Reduce stress. This may sound impossible, but everyone can find something that reduces their stress levels. […] Avoid overheating. Sweating can irritate your sensitive skin, which can lead to a flare-up. […] Wear loose-fitting clothing made of soft, breathable fabric. Rough-feeling fabric and tight clothing can irritate your skin, which can cause another flare-up. […] If you drink alcohol, drink in moderation. Researchers have found that heavy drinking can trigger flare-ups of nummular eczema.

• #10 Discoid eczema – National Eczema Society

  https://eczema.org/information-and-advice/types-of-eczema/discoid-eczema/

  Discoid eczema is a fairly common type of eczema, seen in people with and without a history of atopic eczema. […] There are a number of things you can do at home to improve discoid eczema, as well as a variety of treatments you can get on prescription from your healthcare professional. […] A number of medications are available from your GP to help treat discoid eczema, and there are steps you can take at home to make the skin more comfortable. […] People with discoid eczema often have dry skin that should be treated to improve the existing eczema and help prevent further flares. […] It is best to experiment to see which one suits you best. Emollients can and should be used for both moisturising and washing. […] If areas of skin are weeping or wet (remember this may indicate infection), a cream emollient (as opposed to an ointment emollient) is more suitable.

• #11 Discoid eczema – National Eczema Society

  https://eczema.org/information-and-advice/types-of-eczema/discoid-eczema/

  Once discoid eczema has developed, the skin can become itchy and red or darker than your usual skin colour, depending on skin tone. […] If your skin is infected (crusting, oozing and very inflamed), see your healthcare professional to get a specific treatment for this. […] Discoid eczema can usually be controlled with emollients and topical steroids, and by avoiding triggers such as soaps, bubble baths and overheating. […] Regular use of emollients will maintain the skin barrier and prevent dryness.

• #12 Discoid eczema: Treatment, causes, and symptoms

  https://www.medicalnewstoday.com/articles/182794

  People with discoid eczema may be able to minimize discomfort by bathing or showering once a day in cool or lukewarm water, moisturizing the skin twice daily and after showering, practicing good hand hygiene to prevent infection, avoiding scratching or rubbing the lesions to prevent permanent scars and infections, applying topical steroids directly to the skin to reduce inflammation, using tar preparations to reduce inflammation in older, thickened, scaly plaques, trying to stay in a cool, moist environment and avoiding hot, dry surroundings that worsen the symptoms, using an emollient cream, lotion, or soap substitute to soften and smooth the skin, and using wet wraps, such as dampened bandages, to relieve inflamed patches. […] If commercial products do not work, a doctor or pharmacist can advise about alternatives.

• #12 Discoid eczema: Treatment, causes, and symptoms

  https://www.medicalnewstoday.com/articles/182794

  Moisturizing daily with emollients is the main treatment for discoid eczema. […] People can also use a dressing soaked in flurandrenolide during the night. […] Other treatment options include topical steroids, prescription nonsteroidal topical medicines, systemic oral or injectable steroids, and biologics, such as dupilumab (Dupixent). […] If milder treatments do not work, doctors may prescribe oral steroids for general symptom management. […] People should only use steroids sparingly and according to the prescribing doctors instructions. […] A doctor may also prescribe antibiotics, such as doxycycline (Doryx) or minocycline (Minocin), to treat secondary infections. […] There is no cure for discoid eczema, but treatment can help relieve the symptoms by rehydrating the skin, reducing inflammation, and preventing repeat infections.

• #12 Discoid eczema: Treatment, causes, and symptoms

  https://www.medicalnewstoday.com/articles/182794

  Various OTC medications are available, including shampoos, emollient products, and some low dose topical steroids. […] Artificial ultraviolet A (UVA) or UVB light therapy may help reduce symptoms. […] Complementary treatments for atopic eczema and discoid eczema include aromatherapy, massage, homeopathy, and some herbal remedies. […] People can take steps to reduce the chance of discoid eczema coming back. […] These include hydrating the skin by using moisturizers and adding oils to the bath, patting the skin dry gently with a soft towel after bathing, wearing loose clothing that does not irritate the skin and choosing natural rather than manufactured fabrics, trying an air humidifier in the home, using a laundry detergent that does not irritate the skin and double rinsing to remove harmful chemicals that may remain on the laundry, following the doctors instructions and recommendations carefully, avoiding hot baths or showers that may dry out the skin, and refraining from scratching or rubbing the skin. […] Using emollient ointments, maintaining good hygiene practices, and avoiding triggers can help people manage discoid eczema at home. In severe cases, doctors may recommend medical treatments, such as prescription ointments, steroid treatments, or phototherapy.

• #13 Nummular Eczema Explored: How To Deal With The Condition

  https://harlanmd.com/blogs/smartlotion-blog/nummular-eczema-explored-how-to-deal-with-the-condition?srsltid=AfmBOor_qDnWjHGJG7OOFwcy8IrxufKUO8CdqurBFOab1MQPKk07vsIh

  Excessive bathing (more than once a day for more than 20 minutes at a time) and hot water can worsen nummular eczema; short (less than 20 minutes) lukewarm showers are best. Skin should be moisturized thoroughly after the bath, while the skin is still damp. […] For inflammation, the most common treatment on the web is twice-daily application of a mid to high-potency topical corticosteroids. […] Sometimes, patients benefit from alternating between corticosteroid treatment and the application of topical calcineurin inhibitors (such as Elidel). […] In cases where topical treatments are either effective or unfeasible, a dermatologist may recommend light therapy with narrowband UVB light. […] Scratching lesions can lead to impetigo infection. Should this happen, patients must take antibiotics in addition to their anti-inflammation treatments.

• #14 Reddit – The heart of the internet

  https://www.reddit.com/r/nursing/comments/85cawr/nurses_with_eczema_help/

  Ive been working as a nurse for six months, and my hands are awful. I have discoid eczema and it flares up terribly nearly every day I work due to all the hand washing. […] Right now I take Allegra in the mornings before work, and Benadryl at night. I have a tube of aloe vera barrier cream that I put on several times throughout the shift, and I also use Gold Bond healing hand cream all the time. I wear cotton gloves to bed to prevent irritation and stop myself scratching during the night. My eczema improves dramatically during my days off, especially when I have stretch of four days in a row, but when I go back in to work, Im back to square one with cracked, red patches of skin. If I work more than one day, I end up with open, weeping cracks. Its awful, and I dont know what to do.

• #15 Causes and Treatments for Discoid Eczema Patches

  https://www.verywellhealth.com/discoid-eczema-4690542

  Topical calcineurin inhibitors (TCIs) are a group of medications that include Elidel (pimecrolimus) and tacrolimus. These medications are approved for use in atopic dermatitis but are also sometimes prescribed for discoid eczema. […] Moisturizers should be used frequently. This is key to treating and preventing a recurrence. Apply an emollient cream immediately after bathing or showering, while the skin is still slightly damp. […] Whenever possible, try to avoid environmental factors that can trigger a flare-up of discoid eczema (though in many cases you may not know the trigger). […] Eczema patches can be incredibly distressing to those who have it. […] Stress-relieving activities, like meditation, yoga, or even just a hobby that you enjoy, can help calm these feelings of frustration. […] The itching of discoid eczema can be unbearable at times. […] Itching often seems worse at night and can make it difficult to sleep. If this is the case, try timing the application of your topical steroid medications for just before bed, as they can help reduce the itch.

• #16 Discoid eczema, nummular eczema

  https://www.pcds.org.uk/clinical-guidance/eczema-discoid-syn-nummular-eczema

  The term discoid eczema comes from its characteristic round or oval 'disc-shaped’ patches. For the same reason it is sometimes also called nummular eczema – nummular meaning coin-shaped. The cause of discoid eczema is unknown. […] Acute treatment – short-term use of a potent topical steroid, eg 0.1% betamethasone cream OD until things settle. […] Long-term treatment – regular use of a topical emollient (prescribe 500 g), at least twice a day, with the same topical steroid reintroduced for a flare. The more emollient used, the less the skin will flare, limiting the use of topical steroids (although it is safe for adults to use approximately 100 g of a potent topical steroid per month if required, bearing in mind applications over areas of thin skin such as the face and shins should be kept to a minimum). […] For more detailed information on management refer to the related chapter Atopic Eczema, as the management principles are similar.

• #17 Nummular discoid eczema | Right Decisions

  https://rightdecisions.scot.nhs.uk/dermatology-pathways/nummular-discoid-eczema/?UNLID=383433117202411631832

  Nummular eczema/discoid eczema: Cutaneous eruption characterized by coin-shaped plaques of eczema. The plaques usually occur on the extensor surfaces of the extremities, but the face and trunk may also be involved. Plaques are extremely itchy. Each plaque begins as a small group of red spots and tiny bumps (papules) or blisters (vesicles), which cluster together and grow rapidly into a red, swollen, round plaque which often weeps or develops a crusted surface. Plaques may become infected at a later stage. After a while the plaques become dry and scaly. […] The condition can respond poorly to treatment compared to other forms of eczema, and typically requires the use of potent topical steroids. […] Advise patient on the avoidance of irritants (e.g. soap). […] Prescribe generous amounts of emollients; advise frequent and liberal use. […] Refer to dermatologist. Commence treatment in primary care whilst waiting for appointment. […] Discoid eczema usually requires at least potent topical corticosteroids.

• #18 Dermatitis. Nummular dermatitis

  https://dermnetnz.org/cme/dermatitis/nummular-dermatitis

  Nummular dermatitis (or eczema) is also known as discoid eczema (or dermatitis). […] Management of nummular dermatitis involves: […] Topical corticosteroids: mild potency ointments for dry discoid eczema, potent or ultrapotent creams for exudative nummular dermatitis; […] In severe cases, apply wet dressings and prescribe oral corticosteroids for 2 to 4 weeks, slowly reducing the dose and discontinuing within another 4-6 weeks; […] Resistant cases may require intralesional corticosteroid injections, phototherapy and/or immunosuppressive medications.

• #19 Discoid eczema – more than just dermatitis | Medicine Today

  https://medicinetoday.com.au/mt/2021/december/supplements/feature-article/discoid-eczema-%E2%80%93-more-just-dermatitis

  Discoid, or nummular, eczema is a chronic form of dermatitis characterised by well-defined circular plaques. […] It is managed by avoidance of triggers and use of emollients and topical corticosteroids. […] It is managed through conservative skin care measures, as well as use of emollients and topical corticosteroids. […] Secondary infection with Staphyloccocus species is common and requires treatment with systemic or topical antibiotics. […] The management of discoid eczema is aimed at restoring the natural skin barrier and minimising exposure to triggering factors. […] Patients should frequently moisturise, including immediately after showering. Intermittent topical corticosteroids are used to dampen eczema flares. […] For widespread disease, alternative treatment therapies include narrowband UVB light therapy two to three times weekly, with duration titrated to treatment response.

• #20 Discoid eczema – more than just dermatitis | Medicine Today

  https://medicinetoday.com.au/mt/2021/december/supplements/feature-article/discoid-eczema-%E2%80%93-more-just-dermatitis

  Systemic immunosuppressants and immunomodulators have been used as more last-line options for extensive disease. […] Patients with the exudative subtype of discoid eczema may benefit from an oral antibiotic such as cefalexin, clarithromycin or a tetracycline. […] Referral to a dermatologist is appropriate if the disease does not respond to conservative skin care measures, bland emollients, topical corticosteroids and antibiotics. […] With appropriate therapy and avoidance of skin irritants, discoid eczema may either clear within a year, or if not, will often persist for many years. […] In most patients, discoid eczema can be controlled through general skin care measures of avoiding irritants and using regular emollients, intermittent topical corticosteroids and antibiotics as needed.

• #21 Discoid eczema – more than just dermatitis | Medicine Today

  https://medicinetoday.com.au/mt/2021/may/feature-article/discoid-eczema-%E2%80%93-more-just-dermatitis

  Corticosteroid-sparing agents including topical calcineurin inhibitors (such as tacrolimus and pimecrolimus) may also be used in combination or alternately with topical corticosteroids. […] For widespread disease, alternative treatment therapies include narrowband UVB light therapy two to three times weekly, with duration titrated to treatment response. […] Systemic immunosuppressants and immunomodulators have been used as more last-line options for extensive disease. […] Patients with the exudative subtype of discoid eczema may benefit from an oral antibiotic such as cefalexin, clarithromycin or a tetracycline. […] Secondary bacterial infections should be treated with topical or oral antistaphylococcal antibiotics depending on the size and distribution of the lesions, with further treatment based on bacterial swab results and local antibiotic resistance. […] Referral to a dermatologist is appropriate if the disease does not respond to conservative skin care measures, bland emollients, topical corticosteroids and antibiotics.

• #22 Discoid eczema. Discoid eczema

  https://dermnetnz.org/topics/discoid-eczema

  Topical steroids are anti-inflammatory creams or ointments available on prescription to apply just to the patches once or twice daily for 24 weeks. […] Antibiotics (eg, erythromycin, flucloxacillin) are often prescribed if the dermatitis is blistered, sticky, or crusted. […] Oral antihistamines may reduce the itch in some patients with discoid eczema. […] Phototherapy several times weekly for 6-12 weeks for generalised or widespread discoid eczema can reduce itch and improve the rash. […] Systemic steroids are reserved for severe and extensive cases of discoid eczema. […] Discoid eczema tends to be a chronic condition that often relapses especially in cold winter months.

• #23 Nummular Dermatitis (discoid eczema) – Medika Life : Eczema Resources

  https://medika.life/nummular-dermatitis-discoid-eczema/

  Nummular eczema (also known as discoid eczema and nummular dermatitis) is a form of eczema that can occur at any age. […] Like atopic dermatitis, nummular eczema (nummular dermatitis) benefits from moisturizers to calm and protect the damaged skin barrier. […] In many cases, you may receive a prescription for a steroid medication to calm the inflammation as well. […] More powerful steroid creams are frequently required. […] Fortunately, nummular eczema (nummular dermatitis) tends to disappear completely after the right treatment. […] In cases where steroids are not appropriate, or when you have used them for a long time, your doctor may prescribe phototherapy, coal-tar creams, or a non-corticosteroid topical medication such as tacrolimus (Protopic) or pimecrolimus (Elidel). […] Topical or oral antibiotics may be used when there is a bacterial infection on the skin.

• #24 Dermatitis | Healthify

  https://healthify.nz/health-a-z/d/dermatitis

  These are creams or ointments prescribed by your doctor to put on your affected skin. Commonly prescribed topical medicines include: Topical steroids there are many different strengths of steroid creams to be used for different areas of your skin. […] Phototherapy or light therapy uses light to treat dermatitis. Examples include ultraviolet B light or psoralen plus UVA light (PUVA). Talk to your doctor to find out the best treatment option for you.

• #25 Discoid Eczema (Nummular): Symptoms and Treatment | Doctor

  https://patient.info/doctor/discoid-nummular-eczema

  The basic components of treatment are: […] Patients should shower or bathe once or twice a day in cool water. Moisturisers or medicated topical preparations should be used to seal the water in the skin. […] Topical steroids reduce inflammation. Usually mild ones are adequate but, in severe disease, stronger steroid applications may be required and, in very severe cases, oral steroids can be needed. Ointments tend to be more effective than creams. […] If there is secondary infection then antibiotics are required. Oral antibiotics, effective against staphylococci and streptococci, should be used. […] Antihistamines can reduce pruritus and aid sleep. […] After the eruption has resolved, continue aggressive hydration to reduce the frequency of attacks, especially in dry climates. Moisturisers for sensitive skin may be applied or petroleum jelly applied to damp skin after showering. […] Resting in a cool, moist environment helps, whilst a hot dry environment aggravates the problem. […] In severe cases, immunosuppressant drugs such as methotrexate, azathioprine or ciclosporin may be used.

• #26

  https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(discoid)

  See your GP if you think your skin is infected. For example, if there’s excessive weeping or tenderness in the patches of eczema. […] Emollients are moisturising treatments you apply directly to your skin to reduce water loss and cover it with a protective film. […] Use your emollient all the time, even if you are not experiencing symptoms, as it can help prevent the return of discoid eczema. […] To treat the patches of discoid eczema, your GP may prescribe a topical corticosteroid, which you apply directly to your skin, to reduce inflammation. […] If your eczema becomes infected, you may also be prescribed an antibiotic. […] Antihistamines may be prescribed during flare-ups of discoid eczema to cope with the symptom of itching, particularly if it is interfering with your sleep. […] If the treatments prescribed by a GP are not successfully controlling your symptoms, they may refer you for assessment and treatment by a doctor who specialises in skin conditions (dermatologist).

• #26

  https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(discoid)

  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. […] Without treatment, discoid eczema can last for weeks, months or even years. It may also keep coming back often in the same area that was affected previously. […] Discoid eczema is usually a long-term problem, but medicines are available to help relieve the symptoms and keep the condition under control. […] Treatments include: emollients moisturisers applied to the skin to stop it becoming dry, topical corticosteroids ointments and creams containing a steroid that are applied to the skin and may relieve severe symptoms, antihistamines medicines that can reduce itching. […] There are also things you can do yourself to help, such as avoiding all the irritating chemicals in soaps, detergents, bubble baths and shower gels.

• #27

  https://grahamsnatural.co.uk/blogs/news/understanding-discoid-eczema?srsltid=AfmBOoovFGmHC2lN5dNsjXv3bxDMA-vN1e5TpwzNQhvxI6tZBvczawZQ

  Discoid eczema is a chronic inflammatory skin condition characterized by distinct round or oval-shaped patches of irritated skin. The primary symptom of discoid eczema is the presence of coin-shaped patches on the skin. These patches can be red, inflamed, and scaly, with well-defined edges. The affected areas often become intensely itchy, leading to scratching and potential skin damage. Treating discoid eczema involves a comprehensive approach aimed at managing symptoms and preventing flare-ups. Skin treatment routine: Get in a routine so that you can keep up with your good habits and heal your skin more quickly. Avoiding triggers is an essential part of managing discoid eczema. Identifying and avoiding triggers may involve minimizing exposure to irritants, using gentle skincare products, and adopting protective measures like wearing gloves when using chemicals or cleaning agents. Wet wrap therapy involves applying a moisturizer to the affected areas and covering them with damp bandages or clothing. This technique helps hydrate the skin, reduce itching, and enhance the absorption of topical treatments. In addition to medical treatments, individuals with discoid eczema can take several self-care measures to manage their condition. Use mild, fragrance-free cleansers and moisturizers specifically formulated for sensitive skin. Avoid harsh soaps or products that may further irritate the skin. Although the itchiness can be unbearable, scratching can worsen the condition and lead to complications. Keep nails short, and consider using anti-itch creams or cold compresses to alleviate the itch. Implement stress reduction techniques such as meditation, yoga, or engaging in hobbies that promote relaxation. Managing stress can help prevent flare-ups and improve overall well-being. Opt for loose-fitting, breathable clothing made from natural fibers like cotton. This allows the skin to breathe and reduces friction that can worsen symptoms. While discoid eczema can often be managed with self-care and medical treatments, it’s important to seek medical help if the symptoms worsen or spread rapidly.

• #28 Discoid Eczema – Symptoms, Causes, Treatments

  https://resources.healthgrades.com/right-care/eczema/discoid-eczema

  Treatment strategies include: Generous use of skin emollients, Limiting exposure to your specific environmental triggers, Using a perfume-free moisturizer daily on all your skin (not just the affected spots), whether you are experiencing a flare-up or not, Using mild soaps to help prevent and minimize flare-ups. […] In addition to having an integrated treatment plan that includes lifestyle strategies and medications, you can also reduce your symptoms by: Avoiding chlorinated swimming pools, saunas, and hot tubs, Being careful to avoid over-washing or scrubbing the skin, Taking an oatmeal bath or using oatmeal soap to relieve itch, Using a home humidifier, Using ice bags or cool, wet compresses to relieve itch. […] You can help minimize your risk of serious complications by following the treatment plan you and your health care professional design specifically for you. Complications of discoid eczema include: Cellulitis (common bacterial skin infection), Other bacterial or fungal infections.

• #29

  https://www.nhs.uk/conditions/discoid-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. […] Discoid eczema is usually a long-term problem, but medicines are available to help relieve the symptoms and keep the condition under control. […] Treatments include: emollients moisturisers applied to the skin to stop it becoming dry, topical corticosteroids ointments and creams containing a steroid that are applied to the skin and may relieve severe symptoms, antihistamines medicines that can reduce itching. […] There are also things you can do yourself to help, such as avoiding all the irritating chemicals in soaps, detergents, bubble baths and shower gels. […] Additional medicine can be prescribed if your eczema is infected or particularly severe.

• #30 Nummular Eczema Symptoms and Treatment

  https://www.wederm.com/patient-library/nummular-eczema/

  Nummular eczema, also called discoid eczema or nummular dermatitis, is an inflammatory skin condition that causes an itchy, red, circular rash. […] Nummular eczema is typically more stubborn than other forms of eczema and rarely goes away without treatment. Topical eczema medications are the most common treatment. They include corticosteroid ointment, tar cream, tacrolimus ointment and pimecrolimus cream. These medications reduce itching and inflammation. […] You can help reduce the symptoms of nummular eczema by making some changes to your daily routines. Moisturize throughout the day, especially after bathing. The best moisturizer for nummular eczema is a thick, fragrance-free cream or an ointment such as petroleum jelly, not a lotion. Shorten your baths and showers to avoid drying out your skin. Use lukewarm (not hot) water and a mild, fragrance-free, non-soap cleanser. If the air in your house is dry, run a humidifier in your bedroom to help keep your skin hydrated. Wear loose-fitting clothing made of cotton or another soft fabric. Reduce stress. Avoid scratching or rubbing your skin.

• #31 Nummular dermatitis – Point Pleasant Beach, Linden and Staten Island, NJ Dermatologist

  https://www.patriciamccormackmd.com/nummular-dermatitis/

  To prevent nummular dermatitis from returning once your skin clears, dermatologists recommend the following: Moisturize. Apply a moisturizer at least once a day. The best time is just after bathing while your skin is damp. A moisturizer helps trap water in the skin. A dermatologist can recommend products that will not irritate your skin. Avoid activities that bother your skin. Anything that dries, heats, or irritates your skin can cause a flare-up. To avoid flare-ups, dermatologists recommend using lukewarm water for showers and baths, getting out of the shower or bath after 20 minutes, and not sitting next to a fire or heater. Skip the soap. Using a mild, gentle cleanser to clean your skin instead of soap will help. Soap can dry the skin. Use a humidifier. When you heat or air-condition your home, use a humidifier to add moisture to the air. Dress for success. You are less likely to irritate your skin if you wear loose clothing. You also should not wear rough fabrics, such as wool, which can bother your skin.

• #32 Discoid Eczema: Causes, Symptoms, & How to Treat It

  https://eczemaless.com/discoid-eczema-causes-symptoms-how-to-treat-it/

  Discoid eczema, also known as nummular eczema or nummular dermatitis, is a chronic skin condition characterized by round, coin-shaped patches of inflamed skin. This condition can be both uncomfortable and unsightly, leading to significant distress for those affected. […] Treating discoid eczema typically involves a combination of approaches to reduce inflammation, alleviate symptoms, and prevent flare-ups. […] A healthcare provider will tailor the treatment plan based on the individual’s specific symptoms, the severity of the condition, and response to previous treatments. Regular follow-ups are important to adjust the treatment plan as needed. […] While it might not be possible to completely prevent discoid eczema, especially if you have a predisposition to the condition, you can take steps to minimize the risk of flare-ups and manage symptoms effectively. […] Managing discoid eczema involves a combination of effective medical treatments, lifestyle adjustments, and preventive measures. Regular consult a dermatologist or healthcare professionals and adherence to treatment plans can significantly improve symptom control and quality of life.

• #33

  https://www.grahamsnatural.com/blogs/news/understanding-discoid-eczema-causes-symptoms-treatment?srsltid=AfmBOoqQdfSsYw6_IgGsmimWaof6T3CqgPaUASw4un5VtvoWuRxf3SOf

  Wet wrap therapy involves applying a moisturizer to the affected areas and covering them with damp bandages or clothing. This technique helps hydrate the skin, reduce itching, and enhance the absorption of topical treatments. […] In addition to medical treatments, individuals with discoid eczema can take several self-care measures to manage their condition: […] While discoid eczema can often be managed with self-care and medical treatments, it’s important to seek medical help if: […] By following a comprehensive treatment plan that includes medical interventions, self-care measures, and lifestyle changes, individuals with discoid eczema can effectively manage their symptoms and improve their quality of life.

Zobacz więcej