What does coin-shaped eczema look like?
Coin-shaped eczema has a very descriptive name and a characteristic presentation: coin-sized round or oval lesions, often with oozing, crusting or flaking on the surface. These coin-like lesions often occur on the extremities, and after the lesions fade, there will be brown pigmentation, and new lesions can easily recur on these pigmented marks. So it is often the case that just as one “coin” has improved and faded, a new “coin” appears on the other.
Who is coin-shaped eczema most likely to occur in?
People with atopic conditions (commonly known as allergies) are more likely to develop coin-shaped eczema and often develop it in adulthood, with two peak ages of onset: 50-65 years old; and 15-25 years old. Men are more likely to develop it than women. Infants and children are less likely to have coin-shaped eczema.
Why does coin-shaped eczema occur?
The exact cause of coin-shaped eczema is not well understood.
1, dry skin is a more common feature of this type of eczema patients. Some patients have had infantile eczema as a child, and after healing the skin continues to be dry, and after growing up in young adulthood or old age will occur coin-shaped eczema. Some patients do not show signs of allergies, but their skin is usually drier than normal. The prevalence of coin-shaped eczema in older people is also related to the thinning and dryness of the skin. The winter climate is dry, indoor heating, air conditioning, etc. is more likely to intensify the loss of skin moisture and dry skin, so coin-shaped eczema is more likely to occur in winter.
2, the occurrence of coin-shaped eczema is also related to skin trauma. Some patients in the skin is scratched, bruised after the gradual emergence of coin-shaped eczema, sometimes mosquito bites after continuous itching, scratching may also appear coin-shaped eczema, some patients will occur in the scar area after the healing of skin wounds eczema, and sometimes dry skin in winter caused by repeated scratching areas are also more likely to appear coin-shaped eczema.
3, coin-shaped eczema is also related to mental stress. Long-term sleep deprivation, work stress, anxiety or tension can cause aggravation or fluctuations in the condition. It has been found that these mental factors can cause the skin barrier repair to slow down, the skin will be more prone to sensitivity and dryness, which may also indirectly cause eczema recurrence.
Can coin-shaped eczema become a skin infection?
The skin lesions of coin-shaped eczema often ooze and have thick yellow crusts on the surface, when the number of local bacteria increases significantly. The increase in bacteria can cause poor treatment results on the one hand, and on the other hand, it can be a potential recurrence of eczema. This is why some topical anti-bacterial medications are used in the treatment of coin-shaped eczema.
How is coin-shaped eczema treated?
1. Bathing and moisturizing
The skin of people with coin-shaped eczema can be dry, so some people think they should bathe less. In fact, it is not. The actual fact is that you can effectively reduce the bacteria on the surface of the skin, while in the process of bathing the skin can directly absorb moisture, just be careful not to take too high a bath (not more than 37 ℃), not too long (not more than 10 minutes), you can use a weak acidic mild bath or soap-free soap. The use of moisturizer after bathing is the most effective way to keep the moisture in the skin, and should be applied immediately after bathing when the skin is more humid. For patients with particularly dry skin, the number of applications should be more than 2-3 times a day.
2, topical hormone cream
The treatment of coin-shaped eczema preferred topical hormone cream, and to use the strong hormone cream to have an effect, the treatment time will also be longer, most patients need 2-4 weeks to control the condition, when the condition improves also need to maintain treatment for a period of time, so the coin-shaped eczema, need to regularly to the hospital for follow-up.
3, antibacterial treatment
Because of the large number of bacteria colonizing the surface of the lesions of coin-shaped eczema, it is necessary to use some antibacterial treatment methods in the treatment. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. You can also use topical antibacterial creams such as mupirocin ointment and fusidic acid cream on the skin lesions, usually antibacterial creams and topical hormone creams can be used alternately and at intervals of more than half an hour, it is not recommended to mix the two creams, because the antibacterial effect of antibacterial creams and drug concentration, the concentration of mixed creams may not reach the effective antibacterial concentration after being diluted.
4, avoid triggering factors
With eczema, various factors in the surrounding environment seem to stimulate the skin, make the habit of applying moisturizer often is the most effective and feasible way to protect. Also try to avoid contact with alkaline cleaning and bathing products, avoid skin trauma, avoid mosquito bites, do not scratch the skin excessively, etc.