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Skin Disorders: 5 Shots, 5 Tips (Series #3)

Skin Disorders: 5 Shots, 5 Tips (Series #3)

Case 1

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A young woman presents with acute onset, multiple, widely scattered, itchy patches.

Key point: The shape is almost exactly that of a coin, as shown. That confirms the diagnosis of nummular eczema. (Nummular is from the Greek word “numis” for coin.)

Treatment: Mid- to high-potency topical corticosteroids until each lesion is clear.

Note: Often occurs with dry skin; long-term maintenance emollient is advisable.

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