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Author9 Posts
  #1

During the month of December, a middle-aged patient with chronically dry skin develops widespread coin-shaped lesions. The lesions begin as itchy patches of vesicles and papules. These later ooze serum and crust over. The lesions are most numerous on the extensor surfaces of the extremities and on the buttocks. The patient says that some of the lesions have appeared to heal and then reappear at the same sites. Which of the following is the most likely diagnosis?

A. Nummular dermatitis
B. Pompholyx
C. Psoriasis
D. Seborrheic dermatitis
E. Stasis dermatitis


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  #2

A. Nummular dermatitis

  #3

c.

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  #4

a--coin shaped is the clue

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  #5

A... Nummular dermatitis.

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  #6


Again from the mother-load of knolwdge:

Nummular
eczema is characterized by circular or oval "coinlike" lesions

The most common locations are on the trunk or the extensor surfaces of the extremities, particularly on the pretibial areas or dorsum of the hands.

The treatment of
nummular
eczema is similar to that for other forms of dermatitis


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  #7

nummular dermatitis

Attached Files:
03NummularEczema.jpg (21 KB, 6 downloads)
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  #8

thats wonderful. you guys have come to the right answer yourself.

it is numular dermatitis which is a chronic inflammation of the skin. its etiology is unknown. other than the typical clinical presentation, microscopically you see localised spongiosis of the epidermis which also contains several fluid filled holes that look like tiny vesicles.

this is just to add to the inputs from you all.


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  #9

sorry for the late answers. i could'nt login yesterday.

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