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A 2023 epidemiological study found that nummular eczema flares correlate with: Low humidity environments: Low indoor humidity can contribute to dry skin, a common trigger for nummular eczema, especially during colder months [3] Temperature fluctuations: Extremes of temperature can trigger flares of nummular eczema [3] Hard water exposure: Living in a hard water area is associated with an increased risk of eczema [11] Occupational irritants: Certain occupational exposures, such as to cutting fluids in metal workers, can trigger nummular eczema [3] But here's what most doctors don't tell you: nummular eczema often signals underlying health issues