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Treatment for atopic dermatitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Dry Skin
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I am very embarrassed to discuss this online, but I am in so much pain right now, and cannot seem to get answers or solutions. I have had an ongoing genital rash/ulceration for the past 6 years. I have had it biopsied 5 years ago with a diagnosis of spongyotic dermatitis, but it does not respond to anything...not clobetesol, not diprolene, not prudoxin....nothing. In fact, it is getting much much so that they entire outer labia is nothing but a red, ulcerated mess that looks like raw hamburger. It hurts to sit, wipe...anything! I need answers...I have to wait another month before getting another biopsy as my doc wants to give the clobetesol another chance. Quite frankly, it has gotten worse since using it again! A side note to this is that I have been diagnosed with lupus after many years of trying to figure out what was wrong with me in that field....are they related?
Doctor :   Hi
Doctor :   let me read
Doctor :   yes spongiotic dermatitis may be the manifestation of the lupus
Doctor :   spongiotic dermatitis also know as eczema is like dryness of the skin.
User :   I do have an atypical form of atopic dermatitis that I get on my skin....and have several ointments for that....and I am photosensitive and break out in rashes upon exposure, however, that area does not see the light of day, and it doesn't appear to be any case, what could help it if the ointments I mentioned are not helping it? It is my understanding that the clobetesol is one of the highest steroid creams out there?
Doctor :   atopic dermatitis is some thing to do with the allergy - where in it becomes chronic
Doctor :   it is difficult to say what treatment will be best in you because the dermatitis pattern keeps on changing and there will be remission and exacerbation
Doctor :   most treatment offered is symptomatic relief
Doctor :   and preventive or lessen the frequency of remission and or intensity of the symptoms
Doctor :   to be specific
Doctor :   at present the treatment is directed to control the disease
User :   ok.....well, I guess I will just wait it out then. Doesn't sound as if much else can be done. Thanks.
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