Lecture: Scabies and other parasitic skin dz Flashcards

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1
Q

canine scabies

A

sarcoptes

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2
Q

Feline Scabies

A

Notoedres

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3
Q

Canine Scabies

about

A
  • parasitic, contagious disease
  • one species, and many varieties
  • zoonotic
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4
Q

Sarcoptes

life cycle

A
  • male mite lives on surface of skin
  • fertilized femails burrow into stratum corneum
    • eggs
    • larvae (6 legs)
    • Nymphs (6 legs)
    • Adult (8 legs)
  • life cycle: 3 weeks
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5
Q

Sarcoptes transmission

A
  • direct contact
  • not part of normal flora
  • not resilient in environment
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6
Q

sarcoptes pathogenesis

A
  • hypersensitivity
  • mechanic irritation
  • pruritogenic substances from saliva and feces
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7
Q

Sarcoptes CS

A
  • intense pruritis
  • predilection for
    • ventral abdomen
    • pinnae (margins)
    • Hocks
    • Elbows
  • Primary lesions: papule
  • Excoriations, crusts, alopecia
  • Secondary infections
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8
Q

Clinical features chronic sarcoptes infestation (scabies)

A
  • hyperpigmentation
  • lymphadenopathy
  • weight loss
  • hyperglobulinemia
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9
Q

Norwegian scabies

A
  • immunosuppressed animals
    • glucocorticoids
    • puppies
  • rare form
  • thick crusts
  • numerous mites
  • little pruritis
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10
Q

Scabies incognito

A
  • well groomed animals
  • Intense pruritus
  • No lesions
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11
Q

Scabies dx

A
  • clinical diagnosis
    • intense pruritis
    • papular eruption
    • typical distribution of lesions
  • superficial skin scraping
    • positive < 50% of the time
    • margins of pinnae, elbows, hocks
  • response to treatment
    • if you suspect it, treat it
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12
Q

scabies

TX

A
  • Topical
    • lime sulfur dip (for itching)
    • selamectin (revolution)
    • Fipronil (frontline)
  • Systemic
    • Ivermectin
    • Milbemycin
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13
Q

Scabies

General considerations

A
  • treat all animals with contact
  • length of treatment (duration of cycle plus so more than 3 weeks)
  • treat secondary infections
  • pruritus may get worse before better
  • product resistance
  • clean environment
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14
Q

LymDip

A
  • Faster relief
  • strong antipruritic
  • yellow staining
  • sulfur smell
  • drying
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15
Q

Selamectin

A
  • label
  • suggested regimen 1 dose/2 weeks for 3 times
  • won’t kill demodex
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16
Q

Ivermectin

A
  • 250-300mcg/kg
  • make sure HW negative
17
Q

Notoedric mange

(feline scabies)

A
  • rare, zoonotic disease
  • Notoedres resembles sarcoptes
  • life cycle: 21 days
18
Q

Notoedric mange

CS

A
  • extreme pruritus
  • erythema, crusting, papules
  • Distribution
    • head and neck
    • generalized
19
Q

Notoedric mange

Diagnosis

A
  • clinical signs
    • itchy face, ear pinnae
  • superficial skin scrapings
    • frequently positive
  • response to treatment
20
Q

Notoedric mange

TX

A
  • LymDip
  • Revolution
  • Ivermectin
  • All in contact animals need to be treated
  • treatment should extend beyond life cycle
21
Q

cheyletiella

(walking dandruff)

A
  • large, obligate parasite, hook-like mouth parts
  • whole life cycle on host
  • can live in environment up to 10 days
  • zoonotic
22
Q

Three species of cheyletiella

A
  • C. yasguri (dogs)
  • C. parasitovorax (rabbits)
  • C. blakei (cats)
23
Q

Cheyletiella

CS

A
  • skin irritation and subsequent scratching
    • hair loss, scabs, wounds
  • digesting enzymes excreted by mite
    • mites eat the dissolved skin
24
Q

Cheyletiella

transient zoonosis

A
  • papular eruption and pruritus
  • unable to reproduce on human skin
  • self-limiting once source removed
25
Q

Cheyletiella

Life cycle

A
  • completed in 3 weeks
    • eggs
    • larvae (6 legs)
    • nymphs (8 legs)
    • Adults (8 legs)
26
Q

Cheyletiella

CS

A
  • usually puppies
  • scaling and pruritus
  • dorsal distribution
27
Q

Cheyletiella

CS in cats

A
  • miliary dermatitis
  • mild/moderate pruritus
  • asymptomatic carriers
28
Q

Cheyletiella

DX

A
  • Demonstration of eggs or mites
    • combing technique
    • superficial scrapings
    • cellophane tape impressions
29
Q

what drug toxic to rabbits?

A

fipronil

30
Q

Cheyletiella

TX

A
  • Easily killed by most insecticides
    • pyrethrin
    • lime sulfur dips
    • Ivermectin
    • Fipronil (not on rabbits)
    • Selamectin
  • clean environment
31
Q

Pediculosis

2 types affecting dogs

A
  1. biting lice (bigger head w/ jowels)
    • Trichodectes canis
  2. Sucking lice (pointy head)
    • linognatus setosus
32
Q

Pediculosis

about

A
  • host specific (not zoonotic)
  • spends all ife cycle on host
  • life cycle: 3 weeks
33
Q

Pediculosis

more about :-D

A
  • Esp in winter months
  • Variable clinical signs
    • asymptomatic-intense pruritus
  • few direct lesions
  • secondary excoriations
  • seborrhea
  • anemia
  • matted coat with nits (eggs)
34
Q

Pediculosis

DX

A
  • Physical identification of lice and eggs
  • Brush or acetate tape impression
35
Q

Pediculosis

TX

A
  • clip long-haired animals
  • treat to cover life cycle
  • easily killed
    • pyrethrin
    • fipronil
    • lime sulfur dips
36
Q

papular diseases

A
  • scabies
  • ???
  • staph
  • flea allergy/bites