Dermatology Flashcards
Atopic Dermatitis
- allergic (inappropriate) reaction to environmental allergens
Atopic Dermatitis (Causes)
- allergens gain access to body by resp. or percutaneous route
- hypersensitivity via IgE antibodies
- loss of barrier function
Atopic Dermatitis (Loss of Barrier Function)
- abnormal lipid layer in stratum conreum
- decreased epidermal filaggrin
Allows for: - allergen penetration
- staph spp. and malassezial “stick to the stratum corneum
- water loss
Atopic Dermatitis (Signalment and Clinical Signs)
Dogs:
- Age 1-7 years,
- no sex predilection
- pruritis, erythema, rarely small papules, feet face axilla ears conjunctiva (front end disease)
Cats:
- no age or sex predilection
- facial head neck pruritis, miliary dermatitis (fleas most common cause), eosinophilic granuloma complex, self-induced alopecia
Atopic Dermatitis (Secondary Infections)
- Dogs > Cats
- Staph and Malassezia infections
Atopic Dermatitis (Diagnosis)
- History - seasonal, <7 years old
- Clinical Signs - pruritis, feet face axilla ears
- Rule Outs - food allergy, ectoparasites
Classic (seasonal, typical lesions), Semi-classic (non-seasonal or non-typical lesions), and Not classics (rule outs fail)
Atopic Dermatitis (Hyposensitization)
- intradermal testing (IDT)
- serologic testing
Common Allergens for Atopic Dermatitis
- house dust mites
- house dust
Pyoderma
- pus producing bacterial infection of the skin
Pyoderma ( Reasons for increased frequency)
- canine stratum corneum is less effective barrier to prevent bacterial infection
- lack of ostial plug in entrance of canine hair follicle
Top 3 canine skin pathogens
- Staph pseudintermedius (most common)
- Staph schleiferi (uncommon in dogs, > in cats)
- Staph aureus (uncommon in dogs and cats)
T/F: all staph species can develop methicillin resistance
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Predisposing Factors for Pyoderma
- pruritis -> self-trauma
- environment
- dec immune function
- endocrinopathy
- infectious dz
- inflammatory dz
- hair follicle dz
- cornification disorders
Diagnosis of Pyoderma
- inflammatory skin disease
- evidence of bacterial invasion/ proliferation
- response to antimicrobial therapy
Acute Moist Dermatitis
- Surface Pyoderma
- ‘hot spot’, pyotraumatic dermatitis
- caudal manifestations usually flea allergy dermatitis
Intertrigo (skin fold pyoderma)
- Surface Pyoderma
- moist areas created w/in skin folds
- either breed related or obesity
- common d/t change in temp, pH, humidity, and frictional microtrauma
Mucocutaneous pyoderma
- Surface Pyoderma
- often around lips and peri-oral
- occurs around muco-cutaneous jxns
Impetigo
- Superficial Pyoderma
- non-follicular pustules
- often less haired areas
- > puppies and immunocompromised
- inguinal regions
Superficial folliculitis
- Superficial Pyoderma
- follicular pustules –> collarette
- circular hair loss, scale
Deep folliculitis and furunculosis
- Deep pyoderma
- pyotraumatic derm on the head/ neck
- any hemorrhage evidence means that it’s deep
Cellulitis
- deep pyoderma
- bacterial infection of skin and deeper tracts
Feline Pyoderma
- same species as dogs
- can present w/ miliary dermatitis (pinpoint rash), papules, scale, and collarettes
When to do culture and sensitivity testing
- <50% reduction in lesions w/in 2wks of abx therapy
- new lesions still develop 2 wks or > after starting abx therapy
- cocci after 6 wks, rods on cytology
- Sample intact pustules*
Tier 1, 2, 3 abx
Tier 1 - no risk factors for antimicrobial drug resistance are present
Tier 2 - post culture and sensitivity
Tier 3 - never use
Treatment of Pyoderma
- surface and superficial can get topical alone (chlorhexidine)(treat for 7 days post-clinical cure)
- Abx (start with tier 1)
T/F: previous abx therapy elevates the risk of mrsa to about 1/3
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Most important flea species
- Ctenocephalides felis (Most common in all of small animal)
- Ctenocephalides canis
Flea Life Cycle
- Egg
- Larva (feed on organic matter, flea feces, dried blood)
- Pupa (adult emerges in response to CO2, warmth, vibrations)
- Adult
Flea Allergy Dermatitis
- hypersensititivyt to flea saliva
- most common type of allergy in both dogs and cats
Canine FAD: - caudal half disease
- any breed, season, age
Feline FAD: - miliary dermatitis anywhere on the body (esp head and neck)
Diagnosis of Fleas
- history
- flea comb
- location of itch (particularly for dogs)