Spongiotic dermatitis


Known as acute eczema is a skin disease caused due to allergic reactions.

Areas usually affected are the chest, abdomen, hands, and knees.

Scalp is not affected by spongiotic dermatitis.

Infants and small babies are more prone to this disease and it may appear as diaper rash.

More common in men.

Classified into two categories: acute and subacute, the major difference being the size of vesicles.

Microscopic findings of intraepidermal edema with clear spaces separating keratinocytes, perivascular lymphocytic infiltrates in upper dermis, and lymphocyte exocytosis.

Subacute microscopic findings include focal parakeratosis, acanthosis, papillomatosis, and eosinophils.

Smaller vesicles are observed in case of subacute dermatitis.

Clinically associated with rashes over abdomen, chest and buttocks that may gradually spread to other parts of body as well.

The rashes are usually red, itchy and painful.

Skin rashes may turn black.

Process accompanied by inflammation of skin which can aggravate on repeated scratching.

The rashes may become crusty and ooze fluid, and become exacerbated by the development of fluid-filled cysts.

Can either be contracted from a person already suffering from dermatitis or due to other allergic reactions from insect-bites, foods or medicications.

Clinical diagnosis augmented by skin biopsy.

Treatments of spongiotic dermatitis with steroids systemic or topical, menthol lotiuons and vitamin A.

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