Proactive Methods For Treating Nummular Dermatitis

Corticosteroid Ointment

Corticosteroid ointment helps reduce the inflammation that arises from eczema. It can also reduce swelling, redness, and itching. Both over-the-counter and prescription versions of corticosteroid creams are available, and most patients with nummular eczema will need the prescription-strength versions for adequate relief. Due to the side effects, such as skin thinning and stretch marks, corticosteroids should not be used continually for more than four weeks. After four weeks, steroid creams should only be used twice a week. In patients for whom steroids are not appropriate, other non-corticosteroid creams can be recommended.

These commonly include topical calcineurin inhibitors such as tacrolimus and pimecrolimus. At other times, coal-tar ointments may be recommended. These creams are available over-the-counter and are made from byproducts of coal production. They work by softening the top skin layer so that scabs can be removed, and they help the skin hold moisture. The creams also slow down the rate of skin cell growth.

Oral Antibiotics

Oral antibiotics may be needed if a nummular eczema patient has a bacterial infection on their skin. To avoid overusing antibiotics, doctors try to only recommend them when there are clear indications of an active skin infection. Such signs include pus and warmth at the affected area, scabs that are the color of honey, and a fever. Common antibiotics include amoxicillin, penicillin, and erythromycin, and these are typically taken for one to two weeks. Potential side effects of antibiotics include stomach pain, nausea, vomiting, diarrhea, headache, rash, and swelling of the tongue.

Dermatologists may choose to provide antibiotic ointments instead of oral antibiotics to reduce the likelihood of side effects. Oral antihistamines may be recommended in moderate to severe nummular eczema cases to reduce itching and aid sleep. In the most severe cases of this condition, oral or injectable corticosteroids may be used to provide systemic relief from symptoms. These are only used when other conservative treatments have been unsuccessful.