NUMMULAR ECZEMA /ATOPIC DERMATITIS

My nephew had the exact same symptom described by the previous patients describing the ringworm like eczema.  Initially, he did have ringworms because he contracted them from a relative.  Every since then, we have not been able to keep the breakouts from happening and tonight in particular he has had a mature break out!  We have followed the last of two Dermatologist's recommendations to wash with All-Clear or Tide-Clear detergent, using suggested bath soap, laundered & changed bedding, etc.  I have eczema and this doesn't look or act like it to me but I'm told that it is not ringworm by 3 different doctors.  My question, is it possible that there is something in his bloodstream that could be detected by a simple blood test to help with this mystery?  Nothing I am doing is helping him and he is constantly getting worse.  He is a 9 yr old active little boy who my have to forfeit some wonderful opportunities this summer if we cannot get this under control.  We need some immediate help.  I plan to go back to the doctor but I'm not hopeful about doing that either.  It seems it's a guessing game, trial and error style of treatment while all the while his condition is worsening.  I would appreciate a prompt response.  Thank you.



This discussion is related to Ringworm or Nummular Dermatites?.

[Vanessa Lacuesta]

Hi,

I understand your concern for your nephew.You are interested in knowing if there is a blood marker that may be measured that will help diagnose eczema.Is this correct?

As far as I know,no biomarker or blood test is being used to help diagnose an eczema.However, for skin lesions that may be difficult to identify,a skin biopsy may be intended.The child's dermatologist may also diagnose the lesions through trial and error by testing response of the condition to certain medications.

Nummular dermatitis may be chronic and recurrent. It is something that may be controlled through a mainstay of corticosteroid therapy and moisturizers.Avoiding possible triggers may also help. I suggest that the child should also be assessed by an allergologist to rule out an allergic component.To differentiate ringworms , a culture of scrapings from the involved skin and microscopic analysis may help establish the diagnosis.