Discoid (nummular) eczema is a common and distinctive eczema variant, which has not been studied in depth. Although the principles of management are similar to that of classic atopic dermatitis, distinctions are made due to its unique presentation and persistent clinical course in children. Australian and New Zealand dermatologists with an interest in paediatric eczema developed a consensus narrative to assist clinicians in diagnosing and treating this subtype of eczema. Identifying triggers, potent topical corticosteroids under occlusion, skin barrier support and management of pruritus are first-line therapies, however, many eventually require systemic immunomodulatory agents.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1111/ajd.13915 | DOI Listing |
J Allergy Clin Immunol
August 2023
Department of Medicine, Division of Dermatology and Venerology, Karolinska Institute, Stockholm, Sweden; Department of Dermatology and Venerology, Medical Center, University of Freiburg, Freiburg, Germany.
Background: Nummular eczema (NE) is a common chronic inflammatory skin disease characterized by multiple, pruritic, discoid-shaped lesions. Since the underlying immune mechanisms are not fully understood, it is unclear whether NE should be regarded as variant of atopic dermatitis (AD) or a distinct disease.
Objective: We compared the clinical, histopathologic, and molecular signatures of NE with that of type 2 and type 3 skin diseases.
Australas J Dermatol
November 2022
Royal Children's Hospital, Melbourne, Victoria, Australia.
Med Clin North Am
July 2021
Geisel School of Medicine at Dartmouth, Hanover, NH, USA; Department of Dermatology, Dartmouth-Hitchcock Medical Center, 18 Old Etna Road, Lebanon, NH 03766, USA.
Contact Dermatitis
July 2021
Department of Dermatology, Pennsylvania State University, State College, Pennsylvania, USA.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!