Clinical Challenge 2: November, 2012

Resolution
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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.

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services