Gold-Olufadi Shakirat Profile picture
Aug 13, 2020 4 tweets 2 min read Read on X
#dermatologyteaching
Discoid eczema. Cause not exactly known but may be associated with dry skin (xerosis), contact dermatitis, some drugs, nutritional deficiencies amongst others. May run a relapsing/remitting course.
Discoid means coin shaped because of how it looks like
It usually occurs more in the extremities especially upper ones. Eczema in dermatology especially acute one refers to a skin with all the features of inflammation; redness, itching, vesiculation and exudation of fluid. Pityriasis versicolor aka 'ifo' is NOT ezcema please
This may also for discoid eczema. Most people tend to say tinea corporis, but remember straightforward tinea corporis has the centre clear with scaly raised edge. Signs of inflammation not common except it the zoophilic forms.
Picture from Dermnet Image
Treatment is to treat underlying cause if possible. Then cleaning of eczematous lesions. Topical steroids and immune modulators like Tacrolimus, UVB therapy may be needed.
May recur.
Note that conditions like atopic dermatitis can also have discoid lesions.

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