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Author: Dr Ian Coulson, Dermatologist (2023)
Edited by the DermNet content department
This 15-year-old boy has intensely itchy, excoriated, and weepy patches on both legs. They have not responded to oral flucloxacillin.
The picture looks like acute discoid eczema – there are exuding, excoriated, weepy well-defined plaques on the lower legs. Affected individuals are often atopic.
Wet exuding lesions can be dried out with the use of one in 10,000 potassium permanganate soaks. Thereafter, a potent steroid and antibiotic combination cream will be needed to suppress the eczema and prevent the development of secondary staphylococcal superinfection.
See: Discoid eczema.