{"id":7956,"date":"2020-04-26T13:41:50","date_gmt":"2020-04-26T16:41:50","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/eczema-discoide\/"},"modified":"2020-04-27T15:01:27","modified_gmt":"2020-04-27T18:01:27","slug":"eczema-discoid","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/","title":{"rendered":"Discoid eczema"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#Que-es-discoido-eczema\" >What is discoid eczema?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#%C2%BFCual-es-la-causa-del-eccema-discoide\" >What is the cause of discoid eczema?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#%C2%BFQuien-contrae-eczema-discoide\" >Who gets discoid eczema?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-eccema-discoide\" >What are the clinical features of discoid eczema?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#Eczema-discoide-exudativo\" >exudative discoid eczema<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#%C2%BFComo-se-diagnostica-el-eccema-discoide\" >How is discoid eczema diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/eczema-discoide\/#%C2%BFCual-es-el-tratamiento-del-eccema-discoide\" >What is the treatment for discoid eczema?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-discoido-eczema\"><\/span>What is it <span class=\"term\" data-term-id=\"65\">discoid<\/span> <span class=\"term\" data-term-id=\"491\">eczema<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Discoid eczema is a common type of eczema \/<span class=\"term\" data-term-id=\"53\">dermatitis<\/span>, in which there are scattered, rounded <span class=\"term\" data-term-id=\"368\">plates<\/span> of eczema Eczema can cause intense itching. Discoid eczema is also called nummular dermatitis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-del-eccema-discoide\"><\/span>What is the cause of discoid eczema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cause of discoid eczema is unknown. Some cases are associated with <em>Staphylococcus aureus<\/em> <span class=\"term\" data-term-id=\"145\">infection<\/span>.<\/p>\n<p>the <span class=\"term\" data-term-id=\"704\">eruption<\/span> can be <span class=\"term\" data-term-id=\"1497\">precipitate<\/span> by:<\/p>\n<ul>\n<li>A <span class=\"term\" data-term-id=\"324\">located<\/span> Injuries such as scratches, insect bites, or thermal burns.\n<\/li>\n<li>\n<p>Impetigo or wound infection\n<\/li>\n<li>Contact dermatitis<\/li>\n<li>Dry Skin<\/li>\n<li>\n<p>Varicose veins (varicose eczema)<\/li>\n<li>other skin problem<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-eczema-discoide\"><\/span>Who gets discoid eczema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Discoid eczema can affect children and adults. It is slightly more common in adult men than in women. In men older than 50 years, there is an association with <span class=\"term\" data-term-id=\"319\">chronic<\/span> alcoholism.<\/p>\n<p>Discoid eczema can occur in <span class=\"term\" data-term-id=\"922\">atopic<\/span> eczema, eczema craquel\u00e9 and secondary eczematization.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-eccema-discoide\"><\/span>What are the clinical features of discoid eczema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are two forms of discoid eczema:<\/p>\n<ul>\n<li>exudative <span class=\"term\" data-term-id=\"349\">acute<\/span> discoid eczema: oozy <span class=\"term\" data-term-id=\"366\">papules<\/span>, blisters and plaques<\/li>\n<li>Dry discoid eczema: subacute or chronic <span class=\"term\" data-term-id=\"967\">erythematous<\/span>dry plates<\/li>\n<\/ul>\n<p>Both forms of discoid eczema usually affect the extremities rather than the trunk, but the <span class=\"term\" data-term-id=\"255\">eruption<\/span> maybe <span class=\"term\" data-term-id=\"309\">extended<\/span>. Although often <span class=\"term\" data-term-id=\"23\">bilateral<\/span>, the <span class=\"term\" data-term-id=\"69\">distribution<\/span> It is often <span class=\"term\" data-term-id=\"16\">asymmetric<\/span>.<\/p>\n<p>Individual plates are ok <span class=\"term\" data-term-id=\"37\">circumscribed<\/span>, mostly 1\u20133 cm in diameter, and swollen. Most patches are round or oval, hence the name &quot;discoid&quot; or &quot;numular&quot; (coin-shaped). Plaques are usually very itchy, but sometimes they don&#039;t itch at all. The skin between the patches is usually normal, but may be dry and irritable.<\/p>\n<p>Severe discoid eczema can be generalized, with numerous small and large itchy lesions appearing all over the body due to an autoeczematization reaction.<\/p>\n<p>The patches can be lightened without leaving a <span class=\"term\" data-term-id=\"899\">sign<\/span>. However, on darker skin, the marks can persist for months. These can be dark brown (<span class=\"term\" data-term-id=\"1621\">post-inflammatory<\/span> <span class=\"term\" data-term-id=\"135\">hyperpigmentation<\/span>) or paler than the surrounding skin (post-inflammatory <span class=\"term\" data-term-id=\"139\">hypopigmentation<\/span>)<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eczema-discoide-exudativo\"><\/span>exudative discoid eczema<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nummular4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2538239-7879814' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nummular4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2538239.jpg'>\n<\/div>\n<p class=\"p-small\">Discoid eczema<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nummular6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3246346-5145166' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nummular6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3246346.jpg'>\n<\/div>\n<p class=\"p-small\">Discoid eczema<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nummular9__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-3971612-2694390' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nummular9__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-3971612.jpg'>\n<\/div>\n<p class=\"p-small\">Discoid eczema<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eanumm2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildnd-7245010-3023223' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eanumm2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDNd-7245010.jpg'>\n<\/div>\n<p class=\"p-small\">Infected nummular atopic dermatitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>See more images of discoid eczema.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-el-eccema-discoide\"><\/span>How is discoid eczema diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In most cases, the appearance of discoid eczema is quite characteristic.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"937\">Bacterial<\/span> swabs can reveal <em>Staphylococcus aureus<\/em> colonization or infection.<\/li>\n<li>Scrapings are commonly taken for mycology, as discoid eczema can be very similar to tinea corporis (ringworm infection).<\/li>\n<li>\n<span class=\"term\" data-term-id=\"224\">Patch<\/span> tests are sometimes done to see if there might be a contact <span class=\"term\" data-term-id=\"1136\">allergy<\/span> responsible for dermatitis. In most cases, a specific allergy cannot be found.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-del-eccema-discoide\"><\/span>What is the treatment for discoid eczema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As discoid eczema is associated with loss of skin barrier function, it is important to:<\/p>\n<p><strong>Protects the skin from injuries.<\/strong> <br \/>As this type of dermatitis often begins as minor skin lesions, protect all of your skin carefully. If hands are affected, use gloves and tools to ensure skin is not irritated by friction, detergents, solvents, other chemicals, or excessive water.<\/p>\n<p><strong>Apply <span class=\"term\" data-term-id=\"1888\">emollients<\/span> frequently<\/strong> <br \/>Emollients include bath oils, soap substitutes, and moisturizers. They can be applied to dermatitis as often as needed to relieve itching, <span class=\"term\" data-term-id=\"384\">climbing<\/span> and dryness. Emollients should also be used on unaffected skin to reduce dryness. It may be necessary to try several different products to find one that suits you. Many people find one or more of the following helpful: glycerin and cetomacrogol <span class=\"term\" data-term-id=\"1121\">cream<\/span>, white soft paraffin \/ mixed liquid paraffin, fat cream, wool fat lotions.<\/p>\n<p>Anti-<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> treatments include:<\/p>\n<p><strong><span class=\"term\" data-term-id=\"1330\">Current<\/span> steroids<\/strong> <br \/>Topical steroids are <span class=\"term\" data-term-id=\"1413\">anti-inflammatory<\/span> creams or ointments available by prescription that can clear dermatitis and reduce irritation. The strongest products are applied to the patches only once or twice a day for 2 to 4 weeks. They repeat from time to time. Mild ones like hydrocortisone are safe for daily use if needed.<\/p>\n<p><strong>Antibiotics<\/strong> <br \/>Antibiotics (most often flucloxacillin) are often prescribed if the dermatitis is blistering, sticky, or crusty. Sometimes discoid eczema clears up completely with oral antibiotics, only to recur when they are stopped.<\/p>\n<p>Other treatments sometimes prescribed for severe discoid eczema include:<\/p>\n<p><strong>Oral antihistamines<\/strong> <br \/>Antihistamine pills can reduce itching in some patients with discoid eczema. They do not lighten the rash.  <\/p>\n<p><strong><span class=\"term\" data-term-id=\"1908\">Ultraviolet radiation<\/span> (<span class=\"term\" data-term-id=\"1910\">UV<\/span>) treatment<\/strong> <br \/>Phototherapy several times a week for 6 to 12 weeks can reduce the extent and severity of discoid eczema.<\/p>\n<p><strong>steroid injections<\/strong><br \/>Intralesional steroids are sometimes injected into one or two particularly difficult areas of discoid eczema. This treatment is not suitable for multiple injuries.<\/p>\n<p><strong>oral steroids<\/strong> <br \/><span class=\"term\" data-term-id=\"380\">Systemic<\/span> Steroids are reserved for severe and extensive cases of discoid eczema. They are usually prescribed for a few weeks while continuing steroid creams and emollients in residual dermatitis.<\/p>\n<p><strong>Other oral treatments <\/strong><br \/>Persistent and troublesome discoid eczema is occasionally treated with methotrexate, azathioprine, or cyclosporine. These medications have significant risks and side effects and require careful monitoring by a specialist. <span class=\"term\" data-term-id=\"54\">dermatologist<\/span>. They may be more suitable in many cases than steroids in the long term.<\/p>\n<p>Discoid eczema can usually be controlled with the above measures, although it tends to recur when treatment is stopped. In most patients, discoid eczema eventually clears up completely.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es discoido eczema? El eccema discoide es un tipo com\u00fan de eccema \/dermatitis, en el que hay dispersos, redondeados placas de eccema El eccema puede causar picaz\u00f3n intensa. 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