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Diagnosis?

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Searching PubMed

nummular dermatitis AND tinea corporis

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American Academy Dermatology ringworm tinea corporis diagnosis rash eczema nummular dermatitis

I cannot make a definite diagnosis from a photo alone. The lesion looks most consistent with nummular eczema (coin-shaped dermatitis): a small round, dry, scaly, mildly inflamed patch.
An important alternative is tinea corporis (ringworm), especially if it is enlarging with a more raised, scaly outer edge and relative clearing in the center. Ringworm can closely resemble nummular eczema, as noted by the American Academy of Dermatology. A clinician can confirm fungus with a simple skin scraping/KOH test; classic tinea typically forms an expanding scaly ring with central clearing, per the CDC.
What to do
  • Arrange an in-person GP/dermatology review if it persists beyond 1-2 weeks, spreads, or recurs.
  • Until then, use a bland fragrance-free moisturizer and avoid scratching.
  • Avoid using a steroid cream alone if ringworm is possible, because it can temporarily mask and worsen a fungal rash.
  • Seek prompt care if it becomes hot, painful, rapidly enlarges, drains pus, or you develop fever.
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