Challenges in diagnosing spongiotic dermatitis: A complex case report

This case study presents a challenging case of spongiotic dermatitis manifesting in the vaginal region. Spongiotic dermatitis, characterized by fluid buildup causing skin swelling, poses diagnostic difficulties due to its resemblance to other skin conditions. A 64-year-old female initially misdiagnosed with various genital infections underwent multiple treatments without relief. With Sexually Transmitted Diseases (STD) tests being negative, a biopsy later revealed spongiotic dermatitis. Histological examination confirmed characteristic features of spongiotic dermatitis, guiding definitive diagnosis. Following confirmation of spongiotic dermatitis through biopsy, the patient received appropriate treatment, leading to the resolution of symptoms. This case underscores the importance of biopsy in diagnosing spongiotic dermatitis amidst variable clinical presentations, highlighting the need for further research to understand spongiotic dermatitis prognosis and clinical manifestations.