How would you manage a patient with nonspecific clinical symptoms and pathology consistent with spongiotic and psoriasiform dermatitis other than oral JAK inhibitors?  

Vast majority of these patients will not have any diagnosable underlying cause (like 99% in a non-academic setting) and the longer and more you look before you treat, the longer and worse they suffer. Take your best guess if more psoriasiform or more eczematous. If guess psoriasiform give them samp...

What are "nonspecific" clinical symptoms? Be sure an appropriate work up has been done. I believe there are several subgroups of patients who initially present with psoriasiform spongiotic dermatitis: some that actually have psoriasis, some that actually have a spongiotic dermatitis, some that have...