Ag Animal Dermatology Flashcards
3 Basic Dermatology Tests
- Scrape
- Culture
- Biopsy
Which LA species gets pemphigus foliaceus?
- Goats
Appearance of pemphigus foliaceus
Widespread, crusty, pruritic lesion
Pathophys of pemphigus foliaceus
- Type II hypersensitivity
- Autoantibodies against keratinocytes (glycocalyx)
- Intracellular junctions breakdown, blisters and acantholysis
Diagnosis of pemphigus foliaceus
- Biopsy
Treatment for pemphigus foliaceus
Steroids (prednisolone, dexamethasone)
- Taper dose over time
Prognosis for pemphigus foliaceus
Unknown
- Rare
What is urticaria?
- Transient swelling of skin (wheals) or mucous membranes
- Localized dermal edema
- Transudate of fluid from capillaries and small vessels
Non-immune causes of urticaria
- Injury, thermal, solar
Immune causes of urticaria
- Reaction to allergens
- e.g. penicillin, sulfas, aspirin, ingested/inhaled allergens
- MILK at dry-off
Diagnosis for urticaria
- Physical examination and history
- Wheals “pit” +/- pruritus
Treatment of urticaria
- Avoid allergen
- Corticosteroids
- Antihistamines
What is angioedema?
- Angioedema: same as urticaria but involves SQ and is diffuse
- Still involves transudation of fluid from capillaries and small vessels
Side effect of corticosteroids in pregnant cattle
- Abortion
What are causes of contact dermatitis?
- Irritant (most common) and allergic
Clinical signs of contact dermatitis
- Variable severity (mild itchiness to severe lesions)
- Erythema, edema, vesicles, erosion, ulcers, crusting, pigment changes
Causes of contact dermatitis
Usually iatrogenic
- Bedding, tack, etc.
Diagnosis of contact dermtatitis
- History is important
Treatment for contact dermatitis
- remove source
- Symptomatic care
What is Dermatophilus congolensis?
- Gram +, branching, filamentous, aerobic bacteria
Type of division of Dermatophilus congolensis
- Longitudinal and transverse division
***Classic appearance of Dermatophilus congolensis
Railroad tracks (parallel rows)***
Other names of dermatophilosis (maybe not so important)
- Mycotic dermatitis, rain scald, rain rot, lumpy wool, strawberry footrot
Type of infection with dermatophilosis
- Superficial bacterial infection
Type of infection with dermatophytosis
- Ringworm
- Superficial fungal infection of keratinized skin by Microsporum, Trichophyton, etc.
Who gets dermatophilosis?
-Most all domestic mammals
Signalment with dermatophilosis?
- No predilection for age, sex, or breed
Where is dermatophilosis?
- Worldwide
Seasonality of dermatophilosis
- high moisture regions/conditions
- Fall/winter
Risk factors for dermatophilosis
- Humid weather, warm or cool
- Prolonged rainy seasons (e.g. the PNW)
- Frequent spraying or dipping
- Crowding
- +/- worse in some breeds (Merino, based on the wool type)
- High fly and tick populations
Which tick is associated with dermatophilois?
- Amblyomma variegatum
- Immunosuppression
Where is Dermatophilus congolensis thought to live?
- Soil
Main source of Dermatophilus congolensis
Chronic carrier animals
Spreading of Dermatophilus congolensis
- Contact, fomites, biting and non-biting flies
Where does Dermatophilus congolensis persist? For how long?
- Crusts (in environment)
- Up to 3.5 years
Pathophysiology of dermatophilosis
- Moisture –> defect in stratum corneum
- Zoospores germinate –> mycelia proliferate in the living layers of the epidermis
- Inflammatory response (neutrophils/PMNs
- Organisms eliminated via re-epithelialization
What causes the clinical signs of dermatophilus?
- The inflammatory response
Major issues with dermatophilosis in cows
- Decreased production (Moses lake case)
- Hide damage
- Epizootic death
Major issues with dermatophilosis in sheep
- Decreased fleece/skin value
- Interferes with shearing
- Lamb deaths
Is dermatophilosis zoonotic?
- Yes
Clinical signs of dermatophilosis in cattle - distribution
- Neck, top line, udder, limbs, ventrum
Clinical signs of dermatophilosis - appearance
- Thick, horn-like brown crusts (crusted paintbrush)
- “Paintbrush” (hair stick together in variable sized lesions)
- Moist grey/pink “granulation” tissue under crusts
- PAINFUL*****
- Not pruritic
Clinical signs of dermatophilosis in sheep - distribution
- Initial lesions on wool-less areas of face, legs, scrotum
- Later wooled areas
Clinical signs of dermatophilosis in sheep - appearance and other issues
- pyramid-shaped, thick, pigmented crusts, discolored wool
- Heavy losses in lambs
- Secondary fly strike
- Fatal pneumonia
Clinical signs of dermatophilosis in goats - location
- Starts at ears, crusts can block ear canals
- External nares
- Dorsal midline, medial thighs
- Appearance same as cattle and sheep
Diagnosis of dermatophilosis
- Scrape/impression smear***
- Culture
- ELISA
- FA
Where to do the scrape/impression smear for dermatophilosis?
- Under crusts
- He thinks that impression smears are more successful because you don’t disrupt things as much
What to look for with a scrape/impression smear with dermatophilosis?
- Stain and railroad tracks (look at the pictures)
What is the most important aspect of dermatophilosis treatment?
- Remove predisposing factors (SINGLE MOST IMPORTANT ASPECT OF RX)
- Mitigate moisture**
- Reduce external parasites
- Optimize animal health (nutrition, stress, etc.)
Antibiotics for dermatophilosis - which ones? and when to administer?
- Can try in some animals
- Single, high dose (e.g. Penstrep, erythromycin, tetracycline)
- Treat prior to shearing (8 weeks so lesions healed by shearing)
Topical treatments for dermatophilosis?
- Chlorhexidine sprays
- Povidine iodine spray
- Iodine shampoo (imaging in 1000 head herd)
Withdrawals for topical treatments**
- Still need to be considered!
- FARAD
Infectious agent of ovine proliferative dermatitis AKA strawberry footrot?
- Dermatophilus congolensis
Who gets ovine proliferative dermatitis? WHen do they get it?
- Lambs in summer
Morbidity in ovine proliferative dermatitis
- High morbidity
- Primary losses are decreased weight gain
Where does D. congolensis come from with ovine proliferative dermatitis?
- Organism or scabs in soil
Where are the lesions for Strawberry footrot?
- Lower leg
- Coronet to stifle
Clinical signs of strawberry footrot
- Small, coalescing scabs
- Scabs grow, wart like, hair loss
- Under scabs is a bloody, fleshy mass (strawberry-like)
- Not painful unless inter-digital, but he thinks it’s painful
Treatment for strawberry footrot
- Same
- Bath would be appropriate here - walk them through a footbath
Control of strawberry footrot
- Quarantine
- Rest paddocks can help, but if they stay moist, the organism can live for years
Folliculitis
- Inflammation of hair follicles
- AKA superficial pyoderma
Furunculosis
- Severe inflammation of follicles
- Ruptured follicles, “boils”
- Inflammation of adjacent dermis and SQ
Impetigo
- Infection causing subcorneal pustules, but not follicles
- Pustules that aren’t in the follicles
Who gets folliculitis/furunculosis/impetigo?
- Goats and cattle
Signs of folliculitis/furunculosis/impetigo? - distribution
- Udder, abdomen, perineum
Pain/pruritus in folliculitis/furunculosis/impetigo?
- Painful but not pruritic
Which bacterium are most common with folliculitis/furunculosis/impetigo? ?
- Coagulase positive Staph spp (especially S. aureus, S. pseudintermedius)
Diagnosis for folliculitis/furunculosis/impetigo?
Culture, biopsy
Treatment for folliculitis/furunculosis/impetigo?
Antibiotics (parenteral)
Appearance of folliculitis/furunculosis/impetigo?
- look at the pictures
What is hairy heel warts?
- Infectious contagious dermatitis of digital skin
- Important cause of lameness
WHo gets hairy heel warts?
- Mostly dairy cattle
- 1st and 2nd lactation, near parturition or freshening
Where do hairy heel warts usually manifest?
- Hind feet*** (80% of the time on the hind, plantar aspect)
Clinical signs of hairy heel warts
- Hind feet
- Raised, oval, demarcated, +/- filiform, red/brown/grey
- Tends to be in the interdigital area
- Foul odor!
- EXTREMELY painful
How contagious is hairy heel warts?
- Spreads rapidly
Risk factors for hairy heel warts
- Muddy, wet conditions
- Introduction of new animals (carriers?)
What causes hairy heel warts?
- Associated with numerous obligate anaerobes
- Treponema spp. often found
- Mode of transmission unknown
Treatment for hairy heel warts
- Topical antibiotics such as tetracycline powder (extralabel drug use!; unless cow isn’t lactating)
- Parenteral antibiotics (PPG, ampicillin, Ceftiofur?)
- Footbaths
- Improve hygiene (stalls, bedding, alleys, etc.)
- Reduce stocking rate
- Disinfect trimming equipment