DIAGNOSTIC AND TREATMENT OF

NUMMULAR ECZEMA

Amelia Rosiana
110 210 0032
Andi Rasnindah
110 210 0147
Aan Andrian Saputra
110 210 0115
ADVISOR :
dr. Hilmiah
SUPERVISOR :
dr. Fitriani Sennang, Sp. KK, M. Kes

PRESENTING AS A TASK ON CLERKSHIP

DEPARTMENT OF DERMATOVENEROLOGY
MOSLEM UNIVERSITY OF INDONESIA
MAKASSAR
2014

DEFINITION
Nummular eczema is an idiopathic inflammatory skin disease
that is characterised by multiple coin-shaped eczematous
lesions which is papules and papulovesicles coalesce to
form nummular palques with oozing, crust, and scale.

Epidemiology
Predominantly a disease of adulthood. Men
ar more frequently affected then woman
The peak insidence in both males and
females is around 50-65 years of age
Rare in infancy and chilhood, the peak age
of onset in chilhood is 5 years

Etiology
The cause of nummular eczema is unknown.
Many factors have been proposed as aetiological
factors.
The internal factors are dry skin, emotional stress,
stasis and the manifestation of atopic dermatitis in
children
The external factors may also play a role such as
auto-eczematisation from allergens or
Staphylococcus, seasonal variation, alcoholl

PATHOGENESIS

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DIAGNOSIS

Clinical finding
Itch
Coin-shaped plaque of closely
set, thin-walled vesicles on an
erythematous
Individual lesions on the trunk or
limbs

History taking
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Nummular eczema. Single plaque showing pimpoint

erosions and crusting

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Coin-shaped plaques with pinpoint

erosions

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HISTOPATHOLOGY

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Parakeratosis containing plasma and neutrophils (scale-crust) and

psoriasiform epidermal hyperplasia with spongiosis are present, with
a superficial dermal perivascular infiltrate of lymphocytes,
macrophage, and eosinophils

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TREATMENT

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