atopic dermatitis that is not healing

I had a punch biopsy done and the results showed atopic dermatitis, no specific pattern. I have this condition in my vaginal area so this is very painful and Ive had this constantly for 1 yr 3 mo. now. I was prescribed anti fungal creams for a secondary infection, then a steroid cream. nothing is working. hydrocortisone cream helps a little but irritates the soreness when I use it too often. I have to keep a cream on the sore areas all the time because if the area dries out the pain is terrible. Do you think a cream like Elidel would work? Do you have any suggestions to help me? What can I do to Help this at home? What     is the  best treatment for vaginal eczema? please help..

[Dr_Aparna]

Hi,
There is no known cure for eczema, thus treatments aim to control the symptoms: reduce inflammation and relieve itching.
Dermatitis is often treated by glucocorticoid (a corticosteroid steroid) ointments, creams or lotions. They do not cure eczema, but are highly effective in controlling or suppressing symptoms in most cases.
Although it is an inherited disease, eczema is primarily aggravated by contact with or intake of allergens. It can also be influenced by other "hidden" factors such as stress or fatigue. Atopic eczema consists of chronic inflammation; it often occurs in people with a history of allergy disorders such as asthma or hay fever.
Since there is no cure for atopic eczema, treatment should mainly involve discovering the triggers of allergic reactions and learning to avoid them.In your case you need to prevent dryness in the area by using vaginal creams and suppositories.
ref:http://en.wikipedia.org/wiki/Atopic_dermatitis
http://www.webmd.com/menopause/news/20080523/non-estrogen-option-menopause
Pimecrolimus is an immunomodulating agent used in the treatment of atopic dermatitis  (eczema). It is currently available as a topical cream under the trade name Elidel.
In January 2006, the United States Food and Drug Administration (FDA) announced that Elidel packaging would be required to carry a black box warning regarding the potential increased risk of lymph node or skin malignancy.

[willy851]

I have the same problem on my scrotum. The only thing that works is Vaseline and diet. Stay away from sugar, processed foods and foods that make your body acidic.
My problem started over a year a go and has bothered me every day.
Don't use steroids it only makes it worse. Elidel is dangerous and doesn't work. Protopic is also a possibility but is also a black box.
The problem is a digestive disorder. If I drink orange juice it gets bad if I eat fruit and veggies it doesn't bother me. I don't think It's an allergy problem it's just that the foods don't get digested properly.
When I eat fruits and veggies and apply a thin coat of Vaseline on every other night, it stays away. One can of soda will turn it red.
They need to rub poison ivy on the tp at the dermatologists bathroom, maybe they will have a clue how this feels.