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Can Eczema Be Mistaken For Ringworm?
A skin condition that causes rashes alongside dry and highly sensitive skin is known as eczema. However, a particular kind of eczema - nummular eczema - is sometimes mistaken to be ringworm infection.
Ringworm, quite like nummular eczema (also referred to as dermatitis), is a skin condition that causes itchiness, redness and other signs. As both of these appear as circular rashes many people might get confused between nummular eczema and ringworm. However, the triggers behind eczema are quite different from that of ringworm.
Nummular eczema is typically seen in the form of coin-shaped patches on the skin, whereas ringworm is a fungal infection that appears as ring-shaped patches. Ringworm would usually have a red center. They may appear flat or slightly raised. The ringworm sores, during the initial stages, appear to be moist. The rash keeps increasing in size over time. Spider bites can also sometimes look like ringworm. Nummular eczema is much more severe than ringworm and tends to have a kind of bull's eye shaped rash.
Understanding Nummular Eczema
This is also known as discoid eczema. People who have this condition have reddish or brownish patches on their skin that are oval in shape.
The spots can appear on the hands, torso, legs or arms. They can appear has large patches or in clusters. They can be as small as 1 inch and sometimes larger patches can be around 4 inches in size.
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What Causes Nummular Eczema?
Research says that nummular eczema mostly affects men, especially between the age ranges of 55 to 65 years. Women usually experience this condition between the ages of 13 to 25 years. This condition is not hereditary in nature and not necessarily present in other family members.
Although doctors do not exactly know what causes nummular eczema, the following are some of the primary triggers:
•
Cold
weather
that
causes
the
skin
to
dry
out.
•
Poor
flow
of
blood
to
the
legs.
•
Use
of
topical
medicated
creams
such
as
interferon
and
isotretinoin.
•
Presence
of
history
of
atopic
eczema
or
other
allergic
reactions.
•
Skin
injuries
such
as
insect
bites,
scrapes
or
burns.
Some foods that can cause allergies and conditions such as nummular eczema are:
•
Fish
•
Nuts
•
Gluten
•
Shellfish
•
Soy
products
•
Cow's
milk
•
Egg
•
Citrus
fruits
•
Tomatoes
•
Spices
such
as
cinnamon,
cloves,
vanilla
What Are The Symptoms?
The symptoms of nummular eczema are:
•
Burning
and
itching
of
the
skin,
usually
which
worsens
at
night
•
Open
spots
that
could
crust
over
•
Excessive
skin
dryness
If the spots due to nummular eczema open up, then there is a high chance of bacterial infection. Infected nummular eczema would cause redness, swelling, fever and a foul-smelling discharge.
How Is It Diagnosed?
Examining the skin along with the signs and symptoms are enough for a doctor to reach a conclusion about whether the skin condition is nummular eczema or not. You might be asked questions such as when the rash first appeared, things that make the rash worse and if you have already tried any treatment to cure the condition.
What Are The Treatment Options?
Your doctor might prescribe oral or topical corticosteroids to treat the skin ailment.
The possible treatment options are:
•
Phototherapy
-
exposing
the
skin
to
ultraviolet
light
•
Topical
calcineurin
inhibitors
(tacrolimus/pimecrolimus)
•
Coal
tar
cream
Emollients are moisturizers that can prevent the skin from drying up.
Antihistamines are sometimes prescribed in case the itching is so bad that it does not even allow you to sleep.
In case nummular eczema has got infected, you might need to take oral or topical antibiotics.
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Tips For Managing Nummular Eczema
People with nummular eczema should ensure that they always keep their skin hydrated and clean. The symptoms can be relieved by doing the following:
•
Use
gentle
soaps
that
would
not
dry
out
your
skin.
You
can
even
skip
the
application
of
soap,
if
required.
•
Use
fragrance-free
moisturizer
to
prevent
skin
damage.
Do
not
use
creams
loaded
with
chemicals
on
the
affected
areas.
This
might
worsen
the
skin
condition.
•
Stay
in
cool
and
moist
rooms.
Use
a
humidifier,
if
possible.
This
would
ensure
that
your
skin
does
not
dry
out.
•
Wear
cotton
clothes
to
prevent
skin
irritation.
•
Avoid
woollen
clothes
as
this
can
turn
into
a
skin
irritant.
Many people vouch for the use of aloe vera gel to ease the symptoms associated with nummular eczema. Aloe vera seems to work wonderfully on broken, dry and irritated skin. It reduces the risk of affected skin being vulnerable to infections.
If you receive proper treatment, the symptoms associated with nummular eczema are most likely to lessen within a period of one year. However, being a chronic condition, nummular eczema might not resolve completely ever. Some lesions might get cured while others might keep coming back.
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