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Nummular Eczema: What's the Best Rx?
Intense pruritus centered around a sparse “rash” sent a 32-year-old Chinese man for medical evaluation. The patient’s medical and social histories were unremarkable.
Intense pruritus centered around a sparse “rash” sent a 32-year-old Chinese man for medical evaluation. The patient’s medical and social histories were unremarkable. Dr Ted Rosen, of Houston, noted a dozen, widely scattered, erythematous,3- to 4-cm, crusted plaques on the patient. Also present were several coin-shaped, erythematous lesions made up of vesicles and papules that oozed serous fluid. Based on the clinical presentation, nummular eczema was diagnosed. If necessary, a biopsy can confirm the diagnosis. Because of the small number of lesions, Dr Rosen prescribed the topical therapy pimecrolimus 1% cream to be applied twice daily. This preparation is indicated for the treatment of atopic dermatitis, a related subtype of eczema. The rash cleared and the pruritus resolved after 4 weeks. The patient was advised to keep the cream on hand and use it if new lesions develop in the future.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.
