Discoid Eczema

Consulting Doctor

If you believe you may have discoid eczema, consult a doctor or pharmacist. They can suggest a reasonable course of action.
If you believe your skin might be infected, you should also get medical care. In extreme circumstances, you might need to apply an antibiotic cream or take antibiotics as a tablet or capsule.
A doctor should be able to identify the condition simply by looking at the skin's affected areas. To rule out alternative conditions, they may occasionally also conduct tests or ask further questions.
If your GP is unsure of the diagnosis or determines that a patch test is necessary, they may recommend that you see a dermatologist.

Symptoms

Distinctive round or oval spots of eczema are brought on by discoid eczema. Although it rarely affects the face or scalp, it can affect any portion of the body.
Typically, a cluster of tiny patches or bumps on the skin indicate the presence of discoid eczema. A few millimeters to several centimeters in size, these then quickly combine to form larger patches.
These patches will be pink or red on skin with a lighter tone. These patches may be dark brown or paler than the surrounding skin on those with darker skin.
These patches frequently start out bloated, blistering (covered in tiny fluid-filled pockets), and oozing fluid. Additionally, especially at night, they can be extremely irritating.
The spots may develop into dry, crusty, cracked, and flaky states over time. Additionally, the center of the patch may occasionally clear, leaving a ring of discolored skin that resembles ringworm.
Even though you might just have one area of discoid eczema, most people experience many patches. Frequently, the skin between the patches is dry.
Sometimes, discoid eczema patches can contract an infection. Infection symptoms may include:
The patches are dripping a lot of fluid, 
A yellow crust is forming over the patches, 
And the skin surrounding the patches is getting heated puffy, and unpleasant or uncomfortable.

Causes

Although the etiology of discoid eczema is uncertain, having abnormally dry skin may contribute to it.
Your skin cannot operate as a barrier against chemicals that come into contact with it when it is too dry. A product that was previously unharmful, like soap, can now irritate your skin.
The ingredients in all your toiletries and cosmetics that may have come in contact with your skin should be thoroughly examined. Discoid eczema may be impacted by contact dermatitis, a type of eczema brought on by coming into contact with a specific allergen.
Atopic eczema can occur in those who are predisposed to asthma and hay fever, and some people with discoid eczema have a history of it. Discoid eczema, on the other hand, does not appear to run in families, unlike atopic eczema.

Treatment

Clearing your skin and reducing your discomfort are the major targets of treatment. Your treatment program can include therapies intended to:
moisturize your skin: You most likely have excessively dry skin. You may need to: Add moisture to your skin, which will aid in skin healing.
Take a 20-minute shower or bathe every day in lukewarm water.
When taking a daily bath, add bath oil. Your bathtub and skin may become slick if you use bath oil. To prevent falling, exercise caution when adding bath oil to a bath.
Apply moisturizer as directed throughout the day, including just after a shower or bath on damp skin.
Your skin's healing process depends heavily on moisturizer. Instead of a lotion, your dermatologist can suggest a hypoallergenic, fragrance-free moisturizing cream or ointment. Lotions are less effective than creams and ointments at retaining water in your skin. Your skin may recover more quickly if it contains more water.
Avert aggravating your delicate skin: Nummular eczema flare-ups are more likely to occur frequently on dry, sensitive skin. Because of this, your treatment plan can contain guidelines that will allow you to prevent irritating your skin.
Apply a gentle, non-drying cleanser only where your skin actually needs it, such as your feet, groin, or armpits.
Wear cotton apparel that is loose-fitting.Do not sit close to a heater, fireplace, or other heat source.Put a humidifier in your bedroom so you may sleep in a cool, comfortable environment.
 The majority of people will use one of these treatments:
Inflammatory steroid cream
Pimecrolimus cream or tacrolimus ointment
Cream of tar
These medicines can all lessen the itching and inflammation.
You might need to apply your medication to damp skin just after taking a bath for optimal benefits. This may speed up the healing process of the drug on your skin.
You could require more aggressive therapy if you have numerous spots and patches. Your dermatologist could advise taking corticosteroid medication or applying medicated bandages. Corticosteroids are injected into some patients.
In the event that you contracted an infection, your dermatologist will prescribe medication to assist you get rid of the illness. This medication may need to be taken orally or applied straight to the skin.

Help you fall asleep: Your dermatologist may suggest using a sedating antihistamine if the irritation keeps you awake. Your skin can heal more quickly if you get enough rest. The itching usually stops as the eczema begins to clear up.
 

Tests Required for Diagnosis

A dermatologist can frequently determine if you have nummular eczema by looking at the spots or patches on your skin.
Dermatologists use their in-depth understanding of the skin and magnifying equipment to diagnose skin conditions.
Your dermatologist will swab any area of your skin that exhibits infection symptoms.
A skin biopsy may also be carried out by your dermatologist. In order to diagnose the ailment, a small portion of the afflicted skin must be removed..
Your dermatologist will develop a treatment strategy for your nummular eczema that is specific to your requirements.