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Resolution
The photograph demonstrates nummular eczema, which presents as a coin-shaped dermatitis, most commonly on hands and legs.
The most common peak occurrence is in the seventh decade of life. Treatment includes skin moisturizers, topical steroids and, if secondary infection occurs, oral antibiotics.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge 2: November, 2012
Nahum Kovalski, BSc, MDCM
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