Wondering if You Might Have Spongiotic Dermatitis?

Spongiotic dermatitis is a kind of dermatitis where the skin starts to develop what looks like holes. It is sometimes studied by scientists who are experts in histology. The word “histology” can be defined as the study of certain aspects of tissues. Specifically, it applies to those aspects that can be seen only when using a microscope. Spongiotic dermatitis is sometimes considered to not be a specific kind of dermatological diagnosis, but actually a concept used when speaking about most kinds of skin disorders. This is not a universal truth for scientists and doctors, but an opinion on which they vary. Though some kinds of dermatitis involve the process of skin spreading apart more than others, almost all dermatitis causes spongiotic results at a cellular level. It rarely becomes so pronounced that it is visible with the naked eye. Sometimes, however, it can be.

Spongiotic dermatitis

How is this Kind of Dermatitis Different from Spongiosis?

For some scientists and doctors, “spongiosis” is a term that only refers to the kind of sponge-esque skin development that is pronounced enough to be seen without the help of a microscope. Someone that shows this kind of dermatitis is considered an anomaly, even amongst people whose dermatitis is spongiotic. They use this word to distinguish it from the typical spreading apart of cells and skin that most skin disorder involve to a small extent. This kind of spongiotic dermatitis is not typical in everyone who experiences spongiotic dermatitis. This is a hard topic for most people who aren’t in the medical field to understand, but it can be important to know. When your doctor says that your skin shows this kind of pattern, it doesn’t mean that the holes will spread to be anywhere as large as they will need to be to be visible without the aid of a microscope.

Not all skin disorders lead to spongiotic dermatitis, let alone the kind that becomes visible over time. Please continue to talk to your doctor about your diagnosis and how it may or may not involve spongiotic dermatitis until you completely understand it. Knowing what is going on with your body is the first step to making educated treatment plans with the help of your doctor and other specialists. It will also keep you feeling in control and at peace while the treatments take time to fully take effect.

Is There a Simpler Way to Explain This?

Much of this may be hard to take in all at once. Now that you have the foundational knowledge needed to understand this condition, it can be explained to you in simpler terms without leaving anything out. Basically, all kinds of dermatitis are spongiotic dermatitis. It just looks more obvious than usual sometimes. What may look like holes in the skin is actually a bunch of raised bumps over the normal level of the skin. The word “dermatitis” in any context means that the skin is red, or at least inflamed and appearing to be irritated.

What is the Difference Between this and Eczema?

Technically, eczema and spongiotic dermatitis are the same thing. However, some doctors prefer to only use the latter term when the eczema is severe. The rash known as “eczema” can be caused by a lot of different things. It isn’t usually a term used for skin rashes on people who would get them no matter what their skin touched. This means that something irritating had to rub against the skin in order to cause it. Whatever it was that did it is referred to as a “trigger.” You will probably not realize right away what it is that caused it.


Spongiotic Dermatitis with eosinophils

Spongiotic reaction is subdivided into six subtypes;

  1. Neutrophilic,
  2. Eosinophilic,
  3. Miliaria,
  4. Follicular,
  5. Pityriasiform,
  6. Haphazard

Neutrophilic Spongiosis

Neutrophilic spongiosis in other words spongiosis with neutrophils present and perhaps the important one is IgA pemphigus is a number of conditions in which that can occur and there is AGEPic generalized extent Infantile acropustulosis and one can see quite a lot of neutrophilic spongiosis. Notice the basket-weave is still on the top so this is happened very quickly indeed.

Eosinophilic Spongiosis

Eosinophilic spongiosis is the next category and there’s a precursor of bullous pemphigoid is one of the most important but a precursors of other bullous diseases can also have eosinophilic. Arthropods of course are a major group. EPPER which is the acidophilic periodic eruption of radiotherapy is another one that can be present. it was interesting that we see this is a rare condition but there was a series from the same institution in France that reported about 25 cases of this eruption. It has been called bullous pemphigoid incorrectly in the past. And then of course incontinentia pigmenti so there is eosinophilic spongiosis notice the nice prickles the widening of the space due to the spongiosis. There’s a baby with incontinentia pigmenti which remember is excelling dominant most of the males die in utero I think there are about 50 living males with this particular condition in the whole world. it’s a disorder of the Nemo Gene found on XQ28. It’s excelling dominant disorder and death in utero for affected males. As well as the eosinophilic spongiosis there are three stages in incontinentia pigmenti. There is the blistering stage does the aphotic dyskeratotic cells and out on the right hand side of that blister there are two aphotic keratinocytes which you don’t normally see in eosinophilic spongosis at all. The third late stage is pigment incontinence as a result of appetizers going on at different levels of the epidermis.

spongiotic dermatitis Biopsy Eosinophilic Spongiosis

Follicular Spongiosis

Follicular spongiosis is really seen only in infundibular folliculitis mainly a disorder of black Americans’ but it can also be sometimes seen in the follicular lesions on the abdomen in piece of patients with atopic dermatitis. Occasionally you can get an infundibular folliculitis in atopic eczema.

Pityriasiform Spongiosis

Pityriasiform Spongiosis is the spongiosis with langerhans cells within the vesicle as well as lymphocytes. it’s particularly seen in pityriasis rosea also in pityriasiform drug reactions in erythema annulare centrifugum. The old thing we used to call erythema annulare centrifugum has been reallocated and is probably a deep form of annular erythema. No longer is it a superficial and deep perivascular lymphocytic infiltrate. It is a pityriasiform tissue reaction. If you separate that group off from the great unwashed in that particular group, you’ve got a well-defined condition which is identical to pityriasis rosea. EAC is a Queensland phenomenon. It’s a long-standing term that’s peculiar to Queensland. There is a pityriasiform Spongiosis you can see in there are localized areas of spongiotic fasciculation and within those vesicles there are usually large cells which actually are Langerhans cells here’s also some lymphocytes. Just to say the herald patch in pityriasis rosea if someone by mistake biopsies that because that’s the only lesion to start with they’re much sorrier as a form in their parents and they shade off into the sorry as a form tissue reaction and pityriasiform spongiosis is probably fairly uncommon in that. Erythema annulare centrifugum again with the pityriasiform tissue reaction against either spongiotic fasciculation there is a little bit of sub-epidermal edema that’s variable in these conditions and within the vesicles Langerhans cells and lymphocytes.

Pityriasiform Spongiosis

Haphazard Spongiosis

There’s a great group of haphazard spongiosis and a PAS compulsory for any spongiotic vesiculation of palms and soles. There’s the old rule that you can see the matter fights on H and E by turning down the power and lowering your sub stage condenser. These are the important disorders within the haphazard spongiotic group you’re allergic and irritant contact and often there is an overlap between the two. They’re not pure disorders.

  • Atopic which often doesn’t have much spongiosis,
  • Nummular or discord eczema,
  • Seborrhoeic dermatitis,
  • Drugs,
  • Dermatophyde infection

Spongiotic dermatitis triggers

Some risk factors for spongiotic dermatitis are:
Age: Spongiotic dermatitis is more common in children than adults. Ten to twenty percent of children and one to three percent of adults have this disease.
Allergy: People who prone to allergy are riskier to have spongiotic dermatitis.
Irritants: Long-term contact with irritants such as detergents, chemicals or metals may trigger the disease.
Genetic Heritage: A person who has genetic heritage of spongiotic dermatitis is more prone to have this disease.

What causes spongiotic dermatitis

Atopic dermatitis is the most common reason of spongiotic dermatitis. Exact reason is not known, but it is thought that it is related with a combination of genetic and environmental factors.
In a newly research, it is put forward that people having this problem may have a mutated gene which is responsible of producing a protein named as filaggrin. This protein helps to protect a protective barrier in the upper layer of the skin.
If there is not enough filaggrin, skin barrier weakens, therefore, skin loses its moisture, more allergen and bacteria influence the skin.
Atopik dermatitis may be seen with other diseases like asthma and hay fever.

Possible triggers include these:
• Some food, plants, paints and allergens like medicines
• Soap, cosmetics, latex and irritating matters like metal parts of jewelry
• Rising stress level
• Changes in hormone level
• Dry or humid climates
• Excessive sweating that worsens itching.

What is spongiotic dermatitis

Spongiotic dermatitis is a dry, red, itchy and cracked condition of the skin. It usually contains a swelling caused by excess fluid beneath the skin.
Spongiotic dermatitis is closely associated with atopic dermatitis or eczema. It is a very common condition including inflammation on skin and caused by allergy.

Symptoms of spongiotic dermatitis
In this article, general information about spongiotic dermatitis will be given by touching on its symptoms, causes and treatments.

Spongiotic dermatitis signs and symptoms

The symptoms of spongiotic dermatitis are:
• dry and scaly skin
• severe itching
• exuviation especially on hands, inner elbows, and backside of knee
• pimples caused by exuviation that creates liquid
• Red and inflammatory skin because of scratching too much.

Treatment for spongiotic dermatitis

Even if there is a specific treatment for spongiotic treatment, it may treat with medicines, skin care and lifestyle changes.
Below is a list of possible treatment methods for spongiotic dermatitis:
*Daily moisturizing and washing with moisturizer instead of soap can also help.
*Avoid of using soaps, detergents and shower gel because of their irritating ingredients.
*Applying tropical steroid creams to relieve itch and erythema. Be sure to use medicines which are proper and sold with a prescription because ones which are very powerful may cause skin thinning.
*During a fever, applying topical calcineurin inhibitors such as tacrolimus ointments and pimecrolimus creams to control inflammation. These medicines inhibit a chemical that triggers inflammation of the skin and causes redness and itching.
*Using antihistamines to relieve allergy symptoms. More recent antihistamines are less likely to cause fatigue.
*Applying ointment or cream to bandages in order to reduce friction and prevent scratching or using wet bandages. *Because of wet bandages may be too cold, it is not recommended to use on babies and children.
*Ultraviolet light therapy or phototherapy. This treatment is usually not recommended for children. Sunlight may relieve some skin disorders by reducing inflammation.
*Taking oral steroids like prednisolone can relieve symptoms while severe or extensive exacerbations.
Some people say that eating fish oil and vitamin-A can relieve symptoms.

Spongiotic Dermatitis Differential Diagnosis

A doctor or a dermatologist can diagnose spongiotic dermatitis by examining the skin of a person. Furthermore, they may ask some questions about symptoms, family story, diet and lifestyle.

Sometimes, a doctor may advise biopsy to help diagnosis. Biopsy includes getting a skin tissue sample and sending it to a laboratory for testing.

spongiotic dermatitis Biopsy

Doctors may also make a patch test. This test is made by placing patches which includes common allergens on a person’s skin to see whether they cause an allergic reactions or not.


Itching while body temperature is high, may cause cracking of skin and increasing pain and therefore infections on skin.
Repeated itching may also cause thickening of the skin which is named as lichenification. Thickened skin can always cause itching even if the condition is not present.

Spongiotic Dermatitis Treatment

    • If a part of skin is irritated because of allergy, the most important thing is not to scratch that part of the skin. Scratching may worsen infection and lesion.spongiotic dermatitis scratch
    • Another important issue is moisturizing your skin. Moisturized skin will be able to prevent ailment. If you have trouble to stop yourself from scratching, you may bandage the parts having spongiotic dermatitis.spongiotic dermatitis skin moisture
    • One another method to feel better is making cold press with cold water or cold swab.

spongiotic dermatitis ice press

  • Wear cotton or silky clothing.
  • You can use insect repelling spray where there is a risk of insect bite.
  • Applying antipruritic cream may reduce the symptoms of spongiotic dermatitis.antipruritic cream
  • You can use one of the antihistamines sold without a prescription in pharmacies in consultation with your doctor. Histamines cause allergic reactions. Antihistamines in these creams stop the reactions and allergy, and also show a relieving effect.antihistamines in the treatment of spongiotic dermatitis
  • Finally, corticosteroid creams sold without a prescription may help to heal wounds. Once a day is enough.Hydrocortisone creams

Spongiotic Dermatitis Symptoms

Spongiotic dermatitis is a skin disorder that usually appears like acute eczema. Although this form of dermatitis is usually painful, it is relatively easy to prevent and treat it. After the medical diagnosis of spongiotic dermatitis, you can use home remedies and medical treatment to treat.

spongiotic dermatitis symptoms

1. It should be examined by a doctor:

If you experience any of the symptoms of spongiotic dermatitis, it is important to be diagnosed by a medical doctor. He/she may help you to take steps for treatment with the aid of drugs.

2. Subacute spongiotic dermatitis symptoms:

Symptoms of spongiotic dermatitis may vary widely for each person, but there are some common symptoms to diagnose. Knowing these symptoms may make it easier for you to relieve at home. Typical symptoms of spongiotic dermatitis are: severe itching especially at night, brown-gray spots on skin, thickened, cracked, dry and scaly skin, pimples occurring because of itching. The most common body parts that spongiotic dermatitis occurs are chest, stomach and hip. It may spread to other parts of body.

Symptoms of spongiotic dermatitis

3. Be aware of possible irritants and risk factors:

There are some risk factors for the body to become more prone to spongiotic dermatitis. Being aware of them may help you take the right steps to prevent it. Working with metals such as nickel, solvents or cleaning materials may increase the risk of spongiotic dermatitis. Certain health problems such as congestive heart failure, Parkinson, and HIV/AIDS may also make you more prone to spongiotic dermatitis. Spongiotic dermatitis may occur if you have sensitive skin or if you use very hard and powerful soaps that may cause an allergic reaction on the skin.

What causes Spongiotic Dermatitis

The cause of spongiotic dermatitis is generally a irritating substance. For example, insect bite, cosmetics, food causing allergy, detergent or soap may cause spongiotic dermatits.

what causes spongiotic dermatitis

Except this, if you are suspicious about a substance or some food, it is better to stay away from it. During this time, you can figure out whether your suspicion is right or not by checking the symptoms are diminishing.

Don’t take too hot shower. Hot water dries the skin. This may worsen spongiotic dermatitis.

laundry detergent dermatitis

Detergents including sensitive ingredients and soaps may harm your skin in the same way.

If you have further questions or comments, please leave it below. I would love to hear from you.

Wishing you joy and healing.

Spongiotic Dermatitis Cure

Home Remedies for Spongiotic Dermatitis

Determine what triggers your spongiotic dermatitis. These skin diseases are usually caused by a specific irritant. Knowing what triggers your spongiotic dermatitis can help preventing and relieving your discomfort.
This may be a triggering allergic agent, a food allergy, a cosmetic product, an environmental factor, insect bite, a soap having heavy ingredient or detergent.

If you suspect a specific trigger, try not to be exposed to the trigger and observe whether the symptoms are diminishing.
Some environmental factors like dry skin caused by taking a bath or shower with too hot water, stress, wool clothing, being exposed to tobacco smoke or air pollution may worsen spongiotic dermatitis.

Some foods like eggs, milk, peanuts, soybeans, fish and cereals, may also worsen spongiotic dermatitis.

food allergy for spongiotic dermatitis

Use the soaps having sensitive ingredients or hypoallergenic ones and laundry detergents. These products include less harmful chemical matters for your skin. Ensure that you rinse out your clothes twice after washing and they cleanse from detergent.
Products selling as “Hypoallergenic” are tested for sensitive products and they don’t irritate your skin.

hypoallergenic for eczema

Avoid itching! Which treatment you prefer for spongiotic dermatitis, never itch irritated areas on your skin. İtching erupted areas on your skin may cause worsening of wounds and even infections.
If you cannot stop to itch yourself, bandage the areas severely damaged by spongiotic dermatitis.

itching eczema

Moisten your skin well to relieve discomfort. Protecting your skin’s natural moisture prevents dryness and possible discomfort. You can protect your skin moisture by avoiding extremely hot and cold air, moisten your skin and using a humidifier for your room.

moisturizing the skin for spongiotic dermatitis

Use soft cleaners produced for sensitive skins while taking a bath or shower. Don’t use too hot water while taking bath because this may irritate your skin.
Use moisturizer cream twice a day. The best time to use moisturizer cream is when your skin is still wet after taking a bath or shower. You can moisten your skin by applying appropriate oil.

Be sure you apply odorless and colorless moisturizer cream that won’t irritate your skin. If you are not sure about which moisturizer cream is appropriate for your skin, you may take a doctor’s or a pharmacist’s advice. Creams or ointments are generally a better choice because of their compound and low probability of irritating a skin.

Staying for 10-15 minutes in a bathroom prepared using carbonate, uncooked oats or colloidal oats helps your skin stay moist. Be sure to moisten your skin with a cream or oil after taking a bath.

Having a humidifier in your home ensures that air of your home is humid and prevents your skin from drying.
Stay away from too hot or cold air as it may dry your skin.

humidifier at home

Drink plenty of water during a day. Be sure about you drink enough water to help protecting your skin moisture. You should drink at least eight glass of water for a day in order to prevent dehydration and protect your skin from drying.
Apply cold compress to relieve inflammation and itching. Inflammation and itching caused by spongiotic dermatitis arises from histamine in blood. It can be found in every symptom caused by allergic reactions, including itching and inflammation.

You can apply cold compress to your skin rashes when you need for 10-15 minutes in every two hours.

Prevent excessive sweating by wearing soft textured outfits manufactured from cotton or silk and try not to itch your skin. Don’t wear woolen outfits because they may irritate your skin.
In order to protect your skin from irritants and restrain yourself from itching, wear long sleeve clothing and trousers.
When you go to outside or the areas having risk of bitten by insects, spray onto non-rash parts of your skin. I this way, insects cannot come closer to you and give rise to advanced allergic reactions.
Use an anti-itching cream. These creams can relieve the symptoms of spongiotic dermatitis. You can buy these types of creams on the Internet or shops selling beauty products.

Hydrocortisone creams or ones sold without prescription may help to relieve itching. You should be careful about buying creams including at least one percent hydrocortisone.

Hydrocortisone creams

Apply these creams to problematic parts of your skin before moisten it.
Read instructions for use of products to learn how often it should be applied.
To alleviate itching and reduce inflammation, use antihistamine being sold without prescription. These drugs help to reduce inflammation and itching by stopping histamine causing allergic reactions. There are several types of antihistamine you can buy in pharmacies. Consult your doctor before buying a new drug in order not to cause new medical problems and react with drugs you already use.

Chloropheniramine can be found as 2mg and 4mg tablets. Adults can take 4mg per 4-6 hours. It is not exceeded 24mg per day.

Chloropheniramine 4mg tablet

Diphenhydramine (Benadryl) can be found as 25mg and 50mg tablets. Adults can take 25mg per 6 hours. It is not exceeded 300mg per day.

Diphenhydramine tablet

Ceterizine (Zyrtec) can be found as 5mg and 10mg tablets. Adults can take 10mg per 24 hours.

Ceterizine tablet

These drugs have generally relaxing effects. For this reason, it should not be taken before driving or using a machine and with alcohol.
If you use these drugs to treat a child, you should consult a doctor or a pharmacist for enough dosage.
You can help to reduce itching and inflammation by applying corticosteroid creams sold without prescription. Corticosteroid creams reduce inflammation and by implication itching. These creams should apply to problematic parts of skin once a day.
It is suggested that these creams should be applied after taking a bath in the morning so they stay on your skin all day.
Hydrocortisone creams are some of corticosteroids creams and help to relieve itching and inflammation.