Atopic Dermatitis

Question 1

What factors decrease the itch threshold?

Answer 1

1. Breed
2. Heat
3. Dry skin
4. Inflammation

Question 2

What factors increase the itch threshold?

Answer 2

1. Breed
2. Cool
3. Hydrated skin

Question 3

Which do you manage first, the primary problems or the secondary problems?

Answer 3

Secondary problems

Question 4

What are 6 ways to identify the primary factors?

Answer 4

1. Hematology
2. Endocrine evaluation
3. Allergy tests
4. Dietary trials
5. Skin biopsy
6. Environmental isolation

Question 5

What is the most common primary factor of (1) pyoderma, (2) Malassezia dermatitis, and (3) otitis externa?

Answer 5

Atopy

Question 6

What is the #1 allergen?

Answer 6

Dust mites

Question 7

What are the seasonal allergens for Spring?

Answer 7

1. Tree pollens

2. Mold

Question 8

What are the seasonal allergens for Summer?

Answer 8

1. Grass pollens
2. Weed pollens
3. Mold

Question 9

What are the seasonal allergens for Autumn?

Answer 9

1. Weed pollens

2. Mold

Question 10

What are the seasonal allergens for Winter?

Answer 10

1. Indoor allergens

2. Mold

Question 11

True or False: Dust mites are not a problem during the winter months.

Answer 11

FALSE - Dust mite is the most common allergen all year long.

Question 12

What is the hallmark clinical sign for atopic dermatitis?

Answer 12

Pruritus

Question 13

Atopic dermatitis causes an itch that ____.

Answer 13

Atopic dermatitis causes an itch that RASHES.

Question 14

Which dog breed are predisposed to atopic dermatitis (7)?

Answer 14

1. Terriers
2. Dalmations
3. English bulldog
4. Golden retriever
5. Labrador retriever
6. French bulldown
7. Shar pei

AND MORE…

Question 15

At what age do clinical signs of atopic dermatitis typically start to appear?

Answer 15

1-3 years of age

Question 16

Is atopic dermatitis glucocorticoid-responsive?

Answer 16

Yes, if secondary infections are not present

Question 17

What are the 5 physical lesions you would find with atopic dermatitis?

Answer 17

1. Erythema
2. Scale
3. Excoriations
4. Hyperpigmentation
5. Lichenification

Question 18

What are the 2 causes of military dermatitis in the cat?

Answer 18

1. Flea infestation

2. Atopic dermatitis

Question 19

What are the 8 conditions off of which to clinically diagnose atopic dermatitis?

Answer 19

1. Onset

Question 20

What type of hypersensitivity does an intradermal skin test elicit?

Answer 20

Type I hypersensitivity

Question 21

Which allergy test measures IgE in the skin?

Answer 21

Intradermal test

Question 22

Which allergy test measures IgE in the serum?

Answer 22

Serologic test

Question 23

Which allergy test requires more time and supplies?

Answer 23

Intradermal test

Question 24

Which allergy test could cause false (-)s?

Answer 24

Intradermal test

Question 25

Which allergy test could cause false (+)s?

Answer 25

Serologic test

Question 26

What are your 4 options for treating allergies?

Answer 26

1. Glucocorticoids 2. IL-31 blocking agents 3. Cylosporins 4. Allergen-specific immunotherapy

Question 27

What is the glucocorticoid-of-choice for controlling allergies in the dog?

Answer 27

Prednisone

Question 28

What is the glucocorticoid-of-choice for controlling allergies in the cat?

Answer 28

Prednisolone

Question 29

What is the least expensive way to control allergies?

Answer 29

Glucocorticoids

Question 30

What is the dosage for prednisone/prednisolone in treating atopy?

Answer 30

1.1 mg/kg

Question 31

What is the prednisone/prednisolone protocol for atopy?

Answer 31

1.1 mg/kg q24h PO for 5-7 days, then 1.1 mg/kg q48h PO for 14-21 days, decreasing by 10-20 % every 10-21 days from there. Maintenance dose: 0.5-1.1 mg/kg q48h

Question 32

What are the 3 advantages of glucocorticoids in treating atopy?

Answer 32

1. Effective in 90-95% of patients 2. Inexpensive 3. Easy to dose

Question 33

What are the side effects of glucocorticoids?

Answer 33

1. P/U 2. P/D 3. P/P 4. Panting 5. Personality changes