Clinical Profile of Nummular Eczema in a Hilly Population and Associated Xerosis
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 3
Abstract
Background: Nummular eczema, a variant of endogenous eczema, is a common dermatoses with a chronic relapsing course. It is often associated with xerosis and impaired skin barrier. This study aimed at evaluating clinical profile of nummular eczema in a hilly population where xerosis of skin is a feature due to dry weather conditions. Methods: Forty consecutive patients of nummular eczema attending the out- patient department of a tertiary care centre were recruited in the study and their clinical details along with seasonal variation in the course of dermatitis were analysed. Results: There were 27(67.5%) males and 13(32.5%) females with a mean age of 39.1 ± 19 years. Most commonly involved site was lower limbs (in 72.5% patients), followed by upper limbs (in 50% patients), further followed by trunk (in 45% patients). Winter exacerbation of the dermatitis was seen in 57.5% patients, while 17.5% patients showed summer exacerbation and 25% of patients reported no seasonal variation. No history of atopy was seen in maximum number of patients i.e. 57. 5%. Conclusion: Nummular eczema follows a more chronic and relapsing course in the setting of dry skin conditions. Dry environmental conditions precipitate acute exacerbations of dermatitis.
Authors and Affiliations
Renu Rattan
Keywords
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