It usually involves itchy, dry skin or a rash on swollen, reddened skin. [http://dx.doi.org/10.1097/DER.0b013e318260d5a0] [PMID: 228282 53] ]. Leung AK, For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort. Indian J Dermatol Venereol Leprol 2005; 71(6): 406-8. Jairath V, ", "Open access journals have transformed the way scientific data is published and disseminated: particularly, whilst ensuring a high quality standard and transparency in the editorial process, they have increased the access to the scientific literature by those researchers that have limited library support or that are working on small budgets. 157, Philadelphia, PA 19107 (e-mail: kathryn.trayes@jefferson.edu). Sarasua J. 2013;98(10):756–763. Its natural history is different: cutaneous xerosis is missing and the disease generally does not continue after puberty. J Dtsch Dermatol Ges 2011; 9(1): 12-20. Between non-atopic and atopic nummular eczema there are several significant differences. Plaque psoriasis. ", "Open Access journals offer an innovative and efficient way of publication for academics and professionals in a wide range of disciplines. Christova P. "Open access will revolutionize 21st century knowledge work and accelerate the diffusion of ideas and evidence that support just in time learning and the evolution of thinking in a number of disciplines. 34.      Print. 2001;64(2):293. Usatine RP, Immunoglobulin A vasculitis. Whitaker-Worth D, Smith MD, Acta Derm Venereol 1960; 40: 114-26. Stonehouse A, Reprinted with permission from Hsu S, Le EH, Khoshevis MR. Or it may cause the skin to blister, ooze, crust or flake off. Price HN. 8. July 27, 2016. https://www.cdc.gov/std/tg2015/syphilis.htm. Red, annular lesions with some atrophy and minimal scaling. Wolter S, This article updates a previous article on this topic by Hsu, et al.2. Binyou W. [http://dx.doi.org/10.1097/DER.0b013e318260d5a0] [PMID: 228282 53] ]. This study was carried out in accordance with the principles laid in CARE guideline. Sarcoidosis. Rassai S, Arch Argent Pediatr 2016; 114(4): 241-4. Albertini JG, Lam NC, Dermatitis 2012; 23(4): 153-7. et al. Lindsay TJ. 29. An annular lesion on the elbow. Want to use this article elsewhere? Bonamonte D, Angelini G. Disordini pigmentari da contatto. in 1857, but clinically sketched as early as 1845 by Rayer [22Rayer P. Theoretical and Practical Treatise of Diseases of the skin 1845; 114. Jiamton S. I read Open Access journals to keep abreast of the recent development in my field of study. Krueger GG, Kahn G, Weston WL, Mandel MJ. 2012. http://www.searo.who.int/entity/global_leprosy_programme/publications/8th_expert_comm_2012.pdf. 17. Sun YJ, 39. A randomized, double-blind, placebo-controlled study of efficacy of oral acyclovir in the treatment of pityriasis rosea. 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. Philadelphia, Pa.: Wolters Kluwer; 2016. In patients with acute immunoglobulin A vasculitis, the administration of systemic corticosteroids reduces joint and abdominal pain but does not reduce the risk of nephritis. Am Fam Physician. Nummular eczema, also known as discoid eczema, is a clinical entity characterized by roundish, well-defined margins of the size of a coin [1Berth Jones J. Eczema, lichenification, prurigo and erythroderma.Rook’s Textbook of Dermatology 8th ed. 2014;60(11):1007–1010. Erythematous, annular, scaling patches on the skin. Chronic plaque psoriasis. In pediatric age, however, the disease occurs more often in females, prevailing in males with advancing age. Nummular eczema: Coin-shaped patches of irritated skin that most commonly appear on the arms, back, buttocks, and lower legs and may be crusted, scaling, and extremely itchy. Treatment is aimed at reducing skin dryness and minimizing exposure to irritants. Discoid eczema day 6. Low dose of acyclovir may be an effective treatment against pityriasis rosea: a random investigator-blind clinical trial on 64 patients. / afp DiCostanzo D. Sulfa drugs and nonsteroidal anti-inflammatory drugs are the most common causative agents. Interventions for preventing and treating kidney disease in Henoch-Schönlein purpura (HSP). The ovoid appearance of this lesion is caused by variable rates of extension of the … 47. et al. Hepatitis C virus and lichen planus: a reciprocal association determined by a meta-analysis. Khoshevis MR. Kim EJ, From our previous study, conducted on 29,323 patch-tested eczematous patients, an incidence of 3.5% emerges [17Bonamonte D, Foti C, Vestita M, Ranieri LD, Angelini G. Nummular eczema and contact allergy: A retrospective study. Traité Pratique des Maladies de la Peau 2nd ed. Bernstein M, Lesions consistent with pityriasis rosea that do not resolve spontaneously in three months should be considered for biopsy. Narrowband UVB phototherapy in pityriasis rosea. In children, it is often thought to be a type of atopic dermatitis, but in adults it doesn't appear to relate to atopy. Bayliss K, Trashlieva M, Henry CA. Tanaka T, Satoh T, Yokozeki H. Dental infection associated with nummular eczema as an overlooked focal infection. To see the full article, log in or purchase access. In pediatric age, however, the disease occurs more often in females, prevailing in males with advancing age. Simpson I. There is no cure for sarcoidosis; treatment is aimed at alleviating symptoms. Case report and review of the literature. Nummular eczema can look like psoriasis, ringworm, fungal infection and other types of eczema, including atopic dermatitis, stasis dermatitis and contact dermatitis. The lesions are typically multiple and most commonly found on the dorsa of the hands, arms, and legs. [PMID: 21054785] ]. Ronkainen J, 12. The articles are high standard and cover a wide area. ", "Open access journals are probably one of the most important contributions to promote and diffuse science worldwide. The etiopathogenesis of the nummular eczema is not fully known. Knowledge of the physical appearance and history of presentation of these skin findings can help in the diagnosis. Horn R. The pattern of skin disease in general practice. Ulcerative sarcoidosis. Philadelphia, Pa.: Elsevier Saunders; 2012:705–708. J Emerg Med. Patients present with days to months, or even years, of a pruritic eruption, which usually starts on the legs. Nummular eczema: Nummular eczema produces scaly, coin-shaped patches that are very itchy. Arch Dermatol 2005; 141(1): 102-3. The diagnosis is based on clinical appearance.2 Urticaria is classified as acute if it lasts less than six weeks, or chronic if present for more than six weeks. Signs and symptoms of untreated Lyme disease. 2007;45(7): 941]. Contact Dermat 1997; 36(5): 261-4. Fite-Faraco staining in combination with multiplex polymerase chain reaction: a new approach to leprosy diagnosis. The search included meta-analyses, systematic reviews, clinical trials, and reviews. 48. Am Fam Physician. ", "Open access journals represent a major break-through in publishing. Diagnosis and management of sarcoidosis. Contact Dermatitis. Early prednisone therapy in Henoch-Schönlein purpura: a randomized, double-blind, placebo-controlled trial. The relationship of nummular eczema with atopy is rather controversial. 2011;84(1):53–60. Even in adult atopic dermatitis, nummular lesions represent about 50% of atypical morphological variants of atopic dermatitis [28Kulthanan K, Samutrapong P, Jiamton S, Tuchinda P. Adult-onset atopic dermatitis: A cross-sectional study of natural history and clinical manifestation. Wanat KA, Songpo Y, Nummular eczema is a persistent condition; patients may suffer from regular flare-ups interspersed with periods of remission. The recommended workup for sarcoidosis includes skin biopsy, chest radiography or high-resolution computed tomography, tuberculosis skin testing, pulmonary function testing, and ophthalmologic examination to assess for uveitis.42,43. Am Fam Physician. Cyr PR. Wen W, Contact Dermat 1997; 36(5): 261-4. McCleskey PE, Early prednisone therapy in Henoch-Schönlein purpura: a randomized, double-blind, placebo-controlled trial. Accessed July 10, 2018. Eur J Pediat Dermatol 2006; 16: 21-4.]. J Dermatol 2009; 36(8): 462-5. [PMID: 13881857] ]. [http://dx.doi.org/10.1001/jama.1968.03150030093022] [PMID: 569 5586] , 9Aoyama H, Tanaka M, Hara M, Tabata N, Tagami H. Nummular eczema: An addition of senile xerosis and unique cutaneous reactivities to environmental aeroallergens. Plaque psoriasis generally presents with sharply demarcated, erythematous silver plaques. ], nummular eczema is not a separate affliction, but a morphological entity in whose onset several factors contribute [17Bonamonte D, Foti C, Vestita M, Ranieri LD, Angelini G. Nummular eczema and contact allergy: A retrospective study. [http://dx.doi.org/10.1001/archderm.1953.01540070072010] [PMID: 13057371] , 3Krogh HK. Pediatr Infect Dis J. [http://dx.doi.org/10.1001/archderm.141.1.102-b] [PMID: 15655158] ]. In this perspective, open access journals are instrumental in fostering researches and achievements. Other forms of eczema include nummular eczema and contact dermatitis. Pityriasis rosea. 30. Address correspondence to Kathryn P. Trayes, MD, Thomas Jefferson University, 1020 Locust St., Ste. ", "In principle, all scientific journals should have open access, as should be science itself. Nummular eczema with staphylococcal sensitivity. Detection of herpes simplex virus genomic DNA in various subsets of erythema multiforme by polymerase chain reaction. [PMID: 5804349] -17Bonamonte D, Foti C, Vestita M, Ranieri LD, Angelini G. Nummular eczema and contact allergy: A retrospective study. Hassink RI, 19. Hodson EM, 31. Topical corticosteroids and oral antihistamines can be used to alleviate pruritus. Eur J Pediatr. Sign up for the free AFP email table of contents. Abtahian S. It usually occurs on the legs and is thought to be triggered by insect bites and dry skin during the winter. Tinea presents as a pruritic, annular, erythematous patch or plaque that grows centrifugally (Figure 1). The rash of sarcoidosis is characterized by erythematous, indurated plaques (Figure 13).2 The multisystem disease involves formation of noncaseating granulomas in almost every organ system, including the skin, lungs, spleen, eyes, salivary glands, and lymph nodes. Violaceous, annular patches with areas of hyperpigmentation. Its natural history is different: cutaneous xerosis is missing and the face are usually spared eczema occurs in defined... It may arise at any age nummular eczema pediatric however, contact sensitization to occupational and or... Precipitants in 42 cases of secondary syphilis must be reported to the shape of series! And cutaneous sarcoidosis provide temporary symptomatic relief and usually resolves within six to eight hours ingestion... This lesion is caused by a Fixed drug eruption is characterized by sharply coin-sized. 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