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Symptoms, Causes, and How To Treat It

by Carrie Madormo, RN, MPH
June 29, 2025
in Health
Reading Time: 5 mins read
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Spongiotic dermatitis is a time period that refers to a particular kind of pores and skin irritation. It impacts the highest layer of the pores and skin (the dermis), resulting in fluid buildup and signs comparable to scaling, redness, and itch. Typically related to atopic dermatitis and different types of eczema, the rash could blister and leak fluid, but it surely’s not contagious.

Spongiotic dermatitis will get its identify from the pores and skin’s sponge-like look (spongiotic) and the related pores and skin irritation (dermatitis). Frequent signs could embody:

  • Dryness
  • Redness and irritation
  • Scaly patches
  • Extreme itching 
  • Pink rash within the form of cash 
  • Blisters, which make leak fluid (weep)
  • Dandruff that’s tough to deal with 
A spongiotic dermatitis rash related to allergic contact dermatitis.

Reproduced with permission from © DermNet New Zealand www.dermnetnz.org


One of these pores and skin irritation is normally related to atopic dermatitis or different varieties of eczema.

Particular pores and skin circumstances which will result in spongiotic dermatitis embody:

  • Atopic dermatitis: The commonest type of eczema
  • Contact dermatitis: An itchy rash brought on by a pores and skin irritant, like a chemical or perfume 
  • Dyshidrotic eczema: A sort of dermatitis that causes small, itchy, painful blisters in your arms or toes
  • Nummular eczema: A sort of eczema that causes spherical, crimson rashes 
  • Seborrheic dermatitis: A persistent pores and skin situation that causes a crimson, itchy scalp

Danger Components

Individuals with the next elements could have the next danger of creating spongiotic dermatitis: 

  • Allergic reactions: An allergic response to meals or medicine could trigger a pores and skin rash.
  • Age: Atopic dermatitis is extra widespread in youngsters, and many individuals outgrow it by maturity.
  • Household historical past: Individuals with a historical past of dermatitis of their household usually tend to be identified with it.
  • Immune operate: Individuals with weakened immune techniques are at increased danger of pores and skin infections and swelling.
  • Work exposures: In case you are ceaselessly uncovered to irritating chemical substances or substances, your danger of dermatitis is increased. Publicity to cigarette smoke additionally will increase the danger. 
A spongiotic dermatitis rash on the pores and skin.

Reproduced with permission from © DermNet dermnetnz.org 2023.


Spongiotic dermatitis therapy can differ based mostly in your signs and the underlying explanation for the irritation. Attainable therapy choices for spongiotic dermatitis could embody:

  • Skincare: Wash your pores and skin with heat water and a delicate cleanser as soon as day by day. Moisturize after washing. Pure oils, comparable to coconut oil, on the pores and skin may assist.
  • Keep away from irritants: Keep away from skincare merchandise, soaps, or detergents that appear to annoy your pores and skin. Keep away from merchandise with fragrances or harsh chemical substances. Search for fragrance-free merchandise or these labeled for delicate pores and skin.
  • Topical medicines: A steroid cream could soothe redness, swelling, and itching. Topical (on-the-skin) calcineurin inhibitors are additionally useful for irritation.
  • Oral medicines: Your healthcare supplier could suggest taking an antihistamine by mouth if allergic reactions contribute to your rash. In extreme circumstances, they could prescribe an oral steroid to assist management your signs. 
  • Phototherapy: This therapy makes use of ultraviolet mild to heal your pores and skin and enhance flare-ups. It is normally not really helpful for kids.
  • Weight loss program adjustments: A balanced, nutrient-rich weight loss program with a concentrate on probiotics and vitamin D could ease signs.

Uncontrolled irritation could result in extreme itching, which can trigger issues comparable to:

  • Bleeding: Scratching patches of irritated pores and skin could trigger the pores and skin to crack and break open. This may result in bleeding and fluid weeping. 
  • An infection: When the pores and skin cracks open, scratching could introduce micro organism, fungi, and viruses. Indicators of a pores and skin an infection embody redness, pus, and ache. 
  • Lichenification: Over time, extreme scratching may cause the pores and skin to thicken, darken, and turn out to be leathery. 

See your healthcare supplier should you suppose you’ll have spongiotic dermatitis. Take into account seeing your supplier when you have pores and skin adjustments that don’t enhance with time. You probably have indicators of a pores and skin an infection, comparable to pus-filled blisters, speak to a healthcare supplier immediately.

Spongiotic dermatitis describes the signs that happen when fluid builds up in your pores and skin and causes irritation. It is usually associated to atopic dermatitis, different types of eczema, and different pores and skin circumstances.

It could trigger extreme itching and a round, crimson rash that appears spongy. Remedy for spongiotic dermatitis could embody skincare, medicines you are taking by mouth or apply on to your pores and skin, and phototherapy. You probably have signs, speak to a healthcare supplier.



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