Nummular Eczema

  • In general males > females
  • < 30 years old: predominantly females
  • >50 years old: predominantly males

  • Pathogenesis unclear
  • No atopy
  • 32.5% with a positive patch test (nickel sulfate, potassium dichromate, cobalt chloride)

  • Chronic course
  • Well-demarcated
  • Round (discoid) eczematous patches on extremities
  • Intense pruritus + excoriation
  • Vesicles / oozing (acute inflammation)
  • Lichenification and hyperkeratotic

Oid-oid disease “Sulzberger-Garbe exudative discoid and lichenoid chronic dermatosis”:

  • Treatment-resistant disease
  • Exudative discoid and lichenoid

  • Findings of subacute / chronic dermatitis

  • Medium-high topical corticosteroids ointment
  • Topical calcineurin inhibitors
  • Emollients
  • Tar
  •  Phototherapy