PRACTICALLY EVERY TEXTBOOK OR COURSE I TOOK IN PODIATRY MENTIONS ABOUT SPONGIOSIS BEING PRESENT IN ECZEMATOUS LESIONS. I BELIEVE SPONGIOSIS IS SOME SORT OF EDEMA IN THE EPIDERMIS. WHAT ABOUT CAUSATIVE FACTORS? IT COULD BE ANYTHING FROM ATOPIC DERMATITIS, CONTACT DERMATITIS, A BIOMECHANICAL FACTOR CAUSING TRAMA THAT I WISH TO CALL BIOMECHANICALDERMATITIS
IDIOPATHIC DERMATITIS, ETC.. ACCORDING TO SOME DICTIONARIES OR TEXTS, NOT ALL DERMATOSIS SHOWS SIGNS OF INFLAMATION. I BELIEVE I READ IN A DICTIONARY ONCE THAT IF A DERMATOSIS SHOWS SIGNS OF INFLAMATION THEN I BELIEVE THE WORD "DERMAT"  COULD THEN HAVE BE FOLLOWED BY THE TERM "ITIS" AND THUS DERMATITIS. YET ONE MAY ARGUE THAT THE HISTOPATHOLOGICAL PRESENCE OF SPONGIOSIS IN AND OF ITSELF COULD REPRESENT SIGNS OF INFLAMATION. I MAY BE INCORRECT, BUT I CAN NOW TAKE AN EDUCATED GUESS THAT BECAUSE OF THE PRESENCE OF SPONGIOSIS I WILL CONCLUDE THAT ALL ECZEMATOUS LESIONS HAVE AN INFLAMATORY COMPONENT AND THEREFORE I BELIEVE EVERY ECZEMATOUS LESION CAN BE CLASSIFIED AS A DERMATITIS OF SOME DEGREE. THERE SHOULD BE SOME MEANS TO STAGE THE DEGREES OF DERMATITIS THAT EACH ECZEMATOUS LESION FALLS UNDER. THE FOLLOWING IS MY OWN PERSONAL OPINION: A PATIENT SHOULD UNDERSTAND THAT A BIOPSY OF AN ECZEMATOUS LESION CAN LEAD TO A HISTOPATHOLOGIC DIAGNOSIS OF THE DEGREE OF SPONGIOSIS PRESENT, WHICH IS THE DEGREE OF DERMATITIS PRESENT AND CAN BE A FACTOR IN DECIDING TREATMENT. I BELIEVE IT IS TIME THAT DERMATOPATHOLOGISTS CAN BEGIN A CLASSIFICATION SYSTEM DETERMINING THE DEGREES OF SPONGIOSIS PRESENT IN ECZEMATOUS LESIONS. WHY NOT CALL THIS THE SPONGIOTIC CLASSIFICATION OF ECZEMATOUS LESIONS. ANY SUGGESTIONS TO CLASSIFY SUCH LESIONS ARE WELCOME. REMEMBER IF IN DOUBT, WHY NOT BIOPSY? PERHAPS THE BIOSPY MAY CONCLUDE THE DERMATITIS HAS NO SPONGIOSIS AND THUS IS CLASSIFIED ONLY AS A DERMATOSIS AND NOT A DERMATITIS. THIS IS WHY I BELIEVE IT IS IMPORTANT FOR THE PATIENT TO UNDERSTAND AND CHOOSE IF THEY WISH TO TAKE A BIOPSY OF A QUESTIONABLE FOOT LESION. PLEASE UNDERSTAND THAT I BELIEVE I REMEMBER READING THAT ALL FOOT LESIONS ARE r> DERMATOSIS. "OSIS" MEANS ABNORMAL. "DERM MEANS "SKIN". THEREFORE I HAVE DEDICATED THE MAIN SITE TO HAVE A NAME FOOT DERMATOLOGY WHERE "DERM" MEANS SKIN AND "OLOGY" MEANS THE STUDY OF.

http://www.footdermatology.com