According to the American Academy of Dermatology, nummular dermatitis (eczema) is a skin condition that often causes coin shaped rashes on the skin with symptoms of itching and burning sensation.
The academy thinks that these patches can be one or many and may last from a few days to a few months. The patches appear after skin injuries such as abrasion, wounds, burns or even insect bites.
According to Healthline, the condition is more common in elderly men and less common among women. It usually appears in men between 55 to 70 years while in women the age is much less. Health experts believe that nummular eczema is not contagious.
As mentioned above, Healthline believe that it is more common in men than women, however, according to dermatenz.org it affects both men and women equally.
- Discoid eczema
- Microbial eczema
- Nummular neurodermatitis
- Nummular dermatitis
- Nummular eczema
According to National Eczema Association, discoid eczema is called nummular because nummular in Latin means coin and the spots affecting the skin are coin shaped. According NEA, these could be wet or dry, scaly, itchy and non-itchy. It looks different from the usual atopic dermatitis and is more difficult to treat.
Causes of Discoid Eczema
Medical experts believe that the causes of discoid eczema are not known. The National Institute of Health states that it is usually because of history of allergy, asthma and atopic dermatitis in the family. The National Eczema Association on the other hand, believes that it is more isolated than atopic dermatitis and does not run in families. The Association maintains that it is mostly triggered by insect bites, reaction to inflammation or dry skin in winter.
Wikipedia also maintains that is not genetic and not related to food allergy and can occur at any age. It is recurring and chronic. The site further maintains that stress and excessive caffeine dehydrates the body and thus can worsen the condition.
- Coined shaped patches
- Dry skin
- Wet bruises
- Cracked Skin
- Inflammation and burning sensation
What are the treatment options?
Just like atopic dermatitis, discoid or nummular eczema can be treated by using moisturisers. Moisturisers calms and protects the damages skin barrier. If you see your doctor for the condition, they may prescribe you corticosteroid medication. The National Eczema Association states that milder potency corticosteroid medication may not be effective and therefore higher potency medication may be required.
As we stand for natural health, we do not advocate any form moisturisers that may damage the skin in the long run. We think that a natural and herbal moisturizer is a good alternative.
If your doctor finds that the patches have developed bacterial infection, you may be advised to use oral or topic antibiotic.
Again, we do not recommend the use of antibiotic except in extreme requirements. Alternatively, use manuka honey as an antibacterial for skin infection.
2. Protect Your Skin from Injuries
Bruises, wounds and injuries are some of the causes of developing discoid or nummular eczema. It is therefore very important to protect your skin from injuries. Wearing protective wear wherever possible is a great way to protect the skin from being injured.
Dermnet New Newzealand Trust says that discoid eczema also runs along the leg veins in which case it is called varicose eczema and may develop into gravitational eczema. The Trust further maintains that the condition has been observed to be more prevalent in relation to the abuse of alcohols.
- Replace your woollen wear with cotton clothes
- Avoid excessive bathing
- Do not use hot water as it dries the skin
- Use mild warm water for bath or shower
- Do not use soaps that contain harsh chemicals
- Reduce your levels of stress
- Avoid exposure to irritants such as cleaners, detergents and chemicals.
- Wear protective gloves
Over the Counter Treatment
OTCs can be an easy, cheap and safe option for curing nummular eczema. There are many types of OTCs available. It is always recommended to check the list of ingredients and make sure that the OTC does not contain any harsh chemicals.
A good OTC should the following:
Natural: All the ingredients should be obtained from natural sources. No chemicals or any ingredients which are harsh on the skin should form part of the active ingredients.
Herbal: Products from animal sources often contain harmful substances. Additionally, such products might not have been obtained against compliance to some ethical standards.
Organic. Natural, herbal and organic form the best combination.
No Imported Brands: There are many imported brands from places like China, India and other Eastern countries. Manufacturers in these countries do not adhere to good manufacturing practices (GMPs). Moreover, due to the lack of regulation the products may not have undergone strict monitoring. Products imported from these countries may contain ingredients which may be not 100 percent safe.
Products manufactured in countries like USA and UK are more reliable and safer to use.