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The health care provider should be consulted for diagnosis of nummular eczema, as it can be difficult to differentiate from other skin disorders. Treatment should be guided by the health care provider.
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Treatment is focused on relief of the symptoms. Anything that aggravates the symptoms is avoided whenever possible. Frequent bathing is not advised. Other possible allergens are avoided, including foods and environmental irritants, such as wool and lanolin.
Dry skin often makes the condition worse, so bathing and the use of soaps may be reduced. Temperature changes and stress may cause sweating and changes in the blood vessels of the skin, also aggravating the condition.
Topical treatment of weeping skin areas may include soothing lotions, soaps, or wet dressings. Mild antipruritic lotions or topical (applied to a localized area of the skin) steroids may be used to soothe scaly, dry, less acute, or healing areas. Chronic areas may be treated with ointments or creams that contain tar or corticosteroids, or lubricating, skin softening, or other ingredients. Systemic corticosteroids may (rarely) be used for severe cases.
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