Nummular Eczema

Age: 18 years
Gender: Male
Site: Hands & Feet
Duration: 4 weeks
History:
Pruritus
Positive family history of atopy
Findings:
Multiple discoid oozy and crusted plaques
Investigations:
None
Treatment:
Systemic CS (Prednisolone 15 mg per day for one week)
Topical potent CS (Clobetasole propionate) + Fusidic acid for 3 weeks
Oral antihistaminics (Hydroxyzine 25 mg at night on need)
Response: Good response with more than 80% improvement.