Discoid eczema

Also called Nummular eczema or Nummular dermatitis

Discoid eczema causes round or oval patches of itchy, inflamed skin, usually on the lower legs, forearms and body. The patches can be very itchy and may weep or crust. It is more common in adults and can last for months or come back.

Last updated Nov 9, 2026

What it is

The cause is not fully known, but it is linked with dry skin, skin injuries and sometimes alcohol. It is not contagious.

Emollients used often, strong steroid creams for flare-ups, and avoiding soap help. Infected patches may need antibiotics.

Common signs

  • Round or oval patches of red or darker, itchy skin
  • Patches that weep, crust or blister
  • Dry, scaly skin around the patches

How it is usually diagnosed

  • Recognised by a GP or dermatologist
  • Skin swabs or scrapings to rule out infection

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Photos of patches with dates
  • Treatments used and what helped
  • Dermatology letters

Questions to ask your doctor

  • How strong a steroid cream do I need, and for how long?
  • How can I tell if a patch is infected?
  • What can I do to stop it coming back?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Rapidly spreading redness, fever or feeling very unwell

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources