Topical medications are used to reduce itching and inflammation. When these symptoms are controlled, so is their progression and the possibility of scarring is minimized.
If the itching is not accompanied by significant inflammation or rash, then a menthol-based cream or lotion can be used. If the itching is not controlled by that measure, or if other severe symptoms exist, then a topical corticosteroid may be prescribed. This will address both the itching and the inflammation. If topical treatments are ineffective, a prescription for an oral steroid such as prednisone will probably be given to the patient.
Some patients report that taking Vitamin A or fish oil has provided relief from symptoms.
Keeping the affected area moist with any kind of non-irritating lotion or cream is useful in reducing irritation that can lead to a flare-up.
If the patient is experiencing a blistering rash, it is important to avoid breaking the blisters. The fluid from the blisters is an irritant and will further exacerbate the condition.
Each flare-up of spongiotic dermatitis is accompanied by the severe itching that can lead to infection and scarring, and it is difficult to bring symptoms under control once they have started. For this reason, the real key to controlling spongiotic dermatitis is to prevent flare-ups in the first place. If food allergies are known to be triggers, then dietary changes to eliminate those foods are very effective. Avoiding known environmental triggers is important. Keeping affected areas moist with lotions and creams can keep mild symptoms from progressing to severe ones.