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Dermatology Community

This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
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Spongiotic Dermatitis-Causes-Treatment

by Tim001, Aug 02, 2007 08:33PM
I have been experiencing a rash on the calf of my left leg for about two+ years. The rash starts out with little red spots and then forms tiny blisters which are very itchy.  The rash becomes prominent during the hot summer months but continues throught the year at a lesser intensity.  The rash was treated with Fluocinonide, a topical steriod cream, and was wrapped in plastic wrap during the evening which healed the irritated calf very well.  However, Recently the rash spread to my torso and arms and the itching was relentless.  Prednisone was taken orally and the rash was immediately halted.  A biopsy of a blister was examined by a lab and was diagnosed as "Spongiotic Dermatitis".  
  1.  What is the cause of the rash " Spongiotic Dermatitis" ?
  2.  What can be done to avoid its reoccurance ?
  3.  Suggestions and recommendations that may be helpful for treatment and avoidance of rash

Thank you for your assistance and God Bless you.
Member Comments

by Medic72, Nov 27, 2007 02:38PM
To: Tim001
Spongiotic Dermatitis Is Nothing But Acute Eczema

Spongiotic dermatitis is another way of referring to a condition known as acute eczema that is usually found affecting the abdomen, chest and even the bottom while the scalp is generally free from this condition. In addition, spongiotic dermatitis can also be contracted at a relatively young age and in babies it takes the form of a diaper rash and as far as gender distribution is concerned, men are thrice as likely to get it as compared to women, and the problem will cause an itching in your skin that can even turn into a rash. The most commonly attributed causes of spongiotic dermatitis is that it occurs due to allergic reactions and it can come about because of an allergy to food, insect bites and even drugs can cause this condition.

Signs Of The Condition

The common signs as well as symptoms of spongiotic dermatitis can be noticed on the patient’s abdomen, chest and even bottom, and the appearance is much like a horrible rash which begins as a red color and which can then becomes darker as the condition grows, and at its worst, it can even appear totally black in color. Also, you should treat your spongiotic dermatitis condition to prevent it from becoming worse; in which case you will notice a raising in the rash and the appearance is quite crusty and there is also oozing as well, and you can best think of spongiotic dermatitis as being a weal with raised edges.

What causes spongiotic dermatitis to occur has yet to be ascertained and the sooner its cause is discovered the easier we can all breathe, though it does help to create a list that holds all the things that you have made contact with in the previous three days. And, in case you have noticed such rashes, the first thing you need to do is get you tested through a biopsy and the doctor will also need to find out your background to see if the problem isn’t by any chance a hereditary one.

After the doctor diagnoses you with spongiotic dermatitis, you will be prescribed a regimen of treatment which may include menthol lotions that can be applied on the rash, or you may require stronger corticosteroid that will provide you with relief from the itching as well as burning skin. Other things you can ingest include vitamin A tablets that need to be taken over a period of twenty-five days, though if you find that you have severe spongiotic dermatitis, you may be prescribed anti-inflammatory medications of which Prednisone is a good option. For those who are pregnant or are nursing, they should inform their doctor to get the appropriate medication prescribed. However, prevention is certainly the best cure and so you should take every precaution to forestall it from affecting you.

by Rmom, May 01, 2008 08:04AM
To: whom ever can help
My 8 yr old daughter has been diagnosed with spongiotic dermatitis and it is located on the back of her thighs mostly and can get really bad.  I have had her on a lot of lotions and steroid cremes, the cremes work, but I am told that you cannot use the steroid for too long or the skin will become thin and you will be able to see the blood vessels and it is not reversible.  We do not know the cause of the irritation, but I want to know if there is anything else we can try that is strong like the steroid but not as harmful long term?  Once we stop the steroid it seems to get inflamed quickly and then we are back to square one again.  I am also concerned about scarring, she is young and embarassed by this and as summer approaches, there is no hiding it.

Rmom
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