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Pigmented dermatitis

 
, medical expert
Last reviewed: 23.04.2024
 
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Coin-like dermatitis (numular) - inflammation of the skin, characterized by a coin or disk-like form of lesion.

Coin-like dermatitis is most common in middle-aged patients and is accompanied by dry skin, especially in the winter. The reason is unknown.

trusted-source[1], [2], [3], [4], [5], [6], [7]

Symptoms and Diagnosis of Coiniform Dermatitis

Diskovidnye lesions often arise in the form of spots due to the fusion of bubbles and papules, which are later covered with crusts. Defeats quickly spread and cause itching, most often they are formed at the sites of limb folds, buttocks, but sometimes arise throughout the body.

The diagnosis of coin-like dermatitis is made clinically and is based on the appearance and localization of lesions.

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How is coin-like dermatitis treated?

The only effective method of treatment does not exist. In the presence of purulent foci, together with the use of moist compresses, systemic antibiotics (dicloxacillin or cephalexin 250 mg 4 times a day) can be prescribed. With less inflamed lesions, tetracycline 250 mg can be used orally 4 times a day, which has a favorable, although not necessarily antibacterial, effect. Ointments and creams should be rubbed 3 times a day. At night, you can impose occlusive dressings. With a small number of foci that do not respond to treatment, intraocular administration of glucocorticoids is possible. With a wide spread, persistent disease progression and frequent relapses, phototherapy with psoralen and ultraviolet radiation of spectrum A and B can help. General use of glucocorticoids for a long time should be avoided, the initial dose is prednisone 40 mg every other day.

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