Dermatology Questions? Ask an Online Dermatologist.
Hi there? How long have you had this? Do your doctors know what triggered it?
A large part of the management of spongiotic dermatitis involves the avoidance of triggers. Avoidance of known skin irritants, for example, be they soaps, chemicals in washing powders, elements in clothing, or components of foods is all part of the treatment if one subscribes to the view that prevention is better than cure. That said, because it is an inflammatory dermatosis, it will often respond to steroid anti-inflammatories, whether by ointment or oral tablet. If prednisone worked well for you, you might consider trying a "burst" of high dose prednisone followed by a slow taper down to a tiny every other day dose (e.g. 1-2mg) to keep it from coming back. Side effects from an "every other day" dosing regimen like this are typically minimal to none.