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I have spongiotic dermatitis on my chest, arms & back. For…

Customer Question
I have spongiotic dermatitis...

I have spongiotic dermatitis on my chest, arms & back. For 10 months, I have seen 10 doctors & just did a round of prednisone and although it knocked it back, as soon as I finished it is coming back!!

Doctor's Assistant: What seems to make the symptoms worse or better? In general, how would you describe your health lately?

Excellent, 2time ovarian cancer survivor, cancer free for 4 years & take my health very seriously. Heathy natural diet & lifestyle.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I haven't had any meds in 3 years, but just did a round of Keflex & prednisone

Submitted: 1 year ago.Category: Dermatology
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Answered in 4 minutes by:
7/19/2016
Dermatologist: Dr. Bob, Medical Doctor replied 1 year ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: Dermatology
Satisfied Customers: 5,754
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
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Hi there? How long have you had this? Do your doctors know what triggered it?

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Dermatologist: Dr. Bob, Medical Doctor replied 1 year ago

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.

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