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September 1996

Eczematous Dermatitis?-Reply

Author Affiliations

Dermatological Investigations Unit Massachusetts General Hospital Warren Bldg, Room 505 Boston, MA 02114

New Orleans, La

Arch Dermatol. 1996;132(9):1130-1131. doi:10.1001/archderm.1996.03890330146031

Sherertz and Soni may regard the terminology of eczematous dermatitis as redundant; however, it is clearly accepted terminology as they so clearly point out by their own reference, Dermatology in General Medicine, in which section 19 is entitled "Eczematous Dermatitis."1

We agree with their comment that the diagnoses were based on clinical patterns of inflammation and these are also described in major textbooks. Further, dermatolo gists have the clinical skills and ability to distinguish between them in most instances. Contact dermatitis may in fact need further, often expensive, follow-up, but that was not the purpose of this study. This study was designed to evaluate the safety and antipruritic efficacy of 5% doxepin hydrochloride cream in pruritic clinical entities.

We were interested in interrupting the itch-scratch cycle and noting whether this would minimize the development of eczematous lesions. Many patients receive topical corticosteroids for a variety of inflammatory and/or pruritic conditions, which may lead to

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