From the Research
For contact dermatitis in the right axilla, I recommend applying a medium-potency topical corticosteroid such as triamcinolone acetonide 0.1% cream twice daily for 7-14 days, as this treatment has been shown to be effective in reducing inflammation and suppressing the release of inflammatory mediators 1. The axilla is a thin-skinned, intertriginous area that is more susceptible to steroid-induced side effects, so it is essential to avoid high-potency steroids in this location.
- Apply a thin layer to the affected area after gentle cleansing with mild soap and water.
- If the dermatitis is severe with significant inflammation, you may start with a slightly higher potency steroid like fluocinonide 0.05% cream for 3-5 days before transitioning to a medium-potency option.
- Discontinue the steroid once the dermatitis resolves and identify and remove the triggering allergen or irritant to prevent recurrence. It is also important to note that topical steroids can cause delayed hypersensitivity, and cross-reactions between different steroid classes are unpredictable 2. If the condition doesn't improve within 2 weeks, reassess for possible secondary infection or consider alternative diagnoses, and consider patch testing to identify the causative allergen 3, 4. Additionally, the choice of topical product can affect the extent of irritation, and products with low irritation potential, such as triamcinolone spray, may be a suitable option for patients with compromised skin 5.