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Nummular Dermatitis

Nummular Dermatitis. Reference:Andrew’s Diseases of the Skin: Clinical Dermatology. Nummular Dermatitis. Stasis Eczema. Eczematous eruption of the lower legs secondary to peripheral venous disease.

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Nummular Dermatitis

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  1. Nummular Dermatitis Reference:Andrew’s Diseases of the Skin: Clinical Dermatology

  2. Nummular Dermatitis

  3. Stasis Eczema Eczematous eruption of the lower legs secondary to peripheral venous disease • Venous incompetence  increased hydrostatic pressure and capillary damage with extravasation of red blood cells and serum • Incidence: a disease of adults,predominantly of middle and old age Reference: Lookingbill’s and Marks’ Principles of Dermatology, 4th ed.

  4. Stasis Eczema Eczematous eruption of the lower legs secondary to peripheral venous disease • History: • Subacute or chronic, pruriticeruption of lower legs preceded by edema and swelling • Have often had thrombophlebitis Reference: Lookingbill’s and Marks’ Principles of Dermatology, 4th ed.

  5. Stasis Eczema: Physical Examination • Prominent varicose veins and pitting edema • Peripheral pulses in tact • Involved skin has brownish hyperpigmentation, dull erythema, petechiae, thickened skin, scaling, or weeping, • Any portion of the lower leg; predominant site is above the middle malleolus Reference: Lookingbill’s and Marks’ Principles of Dermatology, 4th ed.

  6. Stasis Eczema: Treatment Reference: Lookingbill’s and Marks’ Principles of Dermatology, 4th ed.

  7. KEY POINTS • Eczematous patches or plaques overlying lower leg edema • Chronic and itchy • Treat venous hypertension with compression stockings

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