Dermatolog Flashcards
Treatment of neotrombicula autmalis
Harvest mites can be asymptomatic to severely pruritic,
If asymptomatic don’t treat but NO LICENCED treatment. Fipronil off licence
Harvest mite hypersensitive horse.. Which location?
Horse eating grass therefore facial pruitis when hypersensitive to harvest mites
Cheyletiellosis clinical signs
Scaling 'walking dandruff' Pruitis Primarily dorsal trunk In Dogs/Cats/Rabbits ZOONOSIS
Treatment of Cheyletiellosis
Non licenced by selecmectin for 4 weeks!!
Which dog is especially predisposed to demodicosis
Probably inherited predisposition- should not breed from them
STAFFORDSHIRE BULL TERRIER v. predisposed,
Treatment of Demidocosis
Expect minimum of 12 weeks of treatment. Repeat plucks reg. 2 negative scapes two weeks apart.
Avoid steroids as it supresses immune system.
Ivermectin- not collies
-Avermectin (doramectin/ milbemycin)
OR TOPICAL Amitraz shampoo
Which skin disorders are steroids contraindicated?
Deep pyoderma,
Which species get sarcoptic mange?
Intensely pruitis caused by sarcoptese ‘scabes’
Common in dogs
Rare in cats
Very rare in horses (notifable)
What type of mite is Sarcoptes?
Burrowing mite hence intense pruitis.
Primary lesion is crusted papules.
Flea bite hypersensitivity
Caused by flea saliva (contains anticoagulant)
Define hypersensitivity
Objectively reproducible signs
What is Anioedema
Marked localised subcutaneous oedema
How to differentiate urticarial from another swelling?
Oedema - thumb mark will leave a pit.
Which species are especially predisposed to Urticaria/Angioedema
Horses
Acute, recurrent, chronic, seasonal or non-seasonal, may progress to crusting/sloughing.
Effectiveness of food serology
Food serology is rubbish and not useful.,
Only way to test for food allergy is to remove from diet.
Atopic dermatitis presentation
Typically 6months to 3 years. No sex predis.
Pruitis, rashes, ear infections
Skin lesions for atopic dermatitis
No primary lesions.
Erythema or Erythematous maculopapular rash.
Define urticaria
Multiple wheals (hives)- circumscribed rasied lesions caused by dermal oedema
How to differentiate oedema from inflamm
Oedema = thumb prints leave a pitt
Define angioedema
Angioedema is marked localised subcutaneous oedema.
4 Arachnids that cause skin disease
Demodecosis, sarcoptic mange, cheyletelssis, tromiculiasis
When are cases of Trombiculiasis generally seen. Laymans term =
Typical presentation
Harvest mite. Strictly seasonal. July to Sept/Oct.
Asymptomatic to severely pruitic.
Treatment of Trombiculiasis?
No licenced treatment: Fipronil
Cheyletiellosis is seen is which species
Cats, dogs, rabbits.
Walking dandruff. Pruitis mild to severe. Primarily dorsal trunk. ZOONOSIS
Treatment of Cheyletiellosis
Therapy often difficult > 6 weeks. No licenced treatment. Amitraz: dog Fipronil Selamextin Moxidectin Ivermectin
What is Demodecosis
An inflamm parasitic skin disease characterised by the presence of larger than normal numbers od demodectin mites. Common in dog. V. rare in horse.
Cigar shaped
small numbers ARE NORMAL
Onset of Demodecosis
Juvenile onset, localised= recover spontaneously Juvenile onset, generalised = inherited predisposition Adult onset (norm >2 yrs) suspect underlying immunosup (drugs, endocrinopathy, neoplasia)
Treatment of Demosecosis
Min 12 weeks treatment. Monitor by repeat plucks.
Avoid steroids
Small numbers of Demodex mites are normal!!
Difference between intersitital and interface patterns of dermatitis
Interstitial: Interstitial dermatitis is the spreading out of inflamm cells from original perivascular pattern.
Interface: Dermo-epidermal junction is obscured by accumulation of inflamm cells.
Interface dermatitis often reflects
Autoimmune disease targetting epidermis or drug reaction
Example of a surface mite and a burrowing mute
Surface mite: Cheylietella - walking dandruff (cat, dog, rabbit)
Burrowing mite: Sarcoptes
Age of onset of Flea bite hypersensitivity
3-5 years old.
Which species are most commonly affected by urticaria and angioedema?
Horses are esp predisposed.
Atopic dermatitis age of onset
6mnts to 3 years.