Veterinary Medicine - Dermatology Flashcards
Atopic Dermatitis - General age of onset , and most common age of onset)
6 Months - 6 Years of age. Most common - 1 to 3 years of age
Atopic Dermatitis - Commonly associated allergens
Dust, Dust Mites, Pollens, Mold, Fungal elements
Atopic Dermatitis - 3 Main predisposed dog breeds
WHWT, Golden Retriever, Labrador Retriever
Atopic Dermatitis - Clinical signs
Pruritus, Alopecia, Erythema, Lichinefication. Typical locations: Paws, Inguinal region, Abdomen, Chest, Axillary region, Ears, Muzzle, Around the eyes. Brown-salivary staining where the dog licks. Otitis externa (Can sometimes be the only clinical sign). Hyperhidrosis (“Wet dog”)
Name the 4 feline non-specific cutaneous reactions
Self-induced alopecia, Head and neck pruritus and excoriations, Milliary Dermatitis, Eosinophilic skin lesions: -Granuloma -Indolent ulcer -Plaques
Atopic Dermatitis - Diagnosis
Classic history - Seasonal pruritus, Onset < 6 Years old, Breed predisposition. Matching skin lesion distribution (Ventral pruritus, ears, eyes, muzzle +/- Otitis externa). Diagnosis of exclusion; Rule out adverse food reaction (AFR), Flea allergy dermatitis (FAD), Ectoparasites. *Skin cytology for secondary infections
Atopic Dermatitis - Treatment
Allergen avoidance, Treat secondary infections, Anti-pruritic treatment (Steroids / Cyclosporine / Apoquel / Cytopoint), Improve skin barrier - Shampooing, Omega-6 supplement
Adverse Food Reaction - Age of onset
Any age. But if < 6 Months - Suspect
Adverse Food Reaction - Clinical signs
Same as Atopic dermatitis - Pruritus, Alopecia, Erythema, Lichenification - Paws / Inguinal / Axilla / Muzzle / Around eyes/ Inside of ears. Brown-salivary stains where they lick. Otitis Externa. GI Signs (e.g. Chronic vomiting/diarrhea/borborygmus)
Adverse Food Reaction - What is the most common cutaneous reaction in cats
Head & neck pruritus (60-80% of cases)
Adverse Food Reaction - Diagnosis
Elimination diet trial - Novel / Hydrolyzed protein exclusively for 6-8 weeks. If truly AFR - pruritus should subside within 1-2 weeks (but anti-pruritic treatment during that time is recommended). After 6-8 weeks - perform the Challenge test - Gradually change back to previous diet. If clinical signs return - diagnosis of AFR is achieved
Flea Allergy Dermatitis - Clinical signs
Pruritus, Alopecia, Erythema, Lichenification - Lumbo-Sacral region , Periumbilical, Neck region. Hot Spots
Flea Allergy Dermatitis - What is the most common clinical sign
Pruritus + Alopecia at the Lumbo-sacral region
Flea Allergy Dermatitis - Regular anti-flea treatment rules out FAD (T/F)
False
Flea Allergy Dermatitis - Diagnosis
Ectoparasite Treatment Trial
Flea Allergy Dermatitis - Treatment
Treat animal for fleas. If already receiving treatment - shorten interval (e.g - Bravecto - from every 3 to every 2 months, Nexgard from every 4 weeks to 3 weeks). Treat the environment for fleas. Treat 2nd Infections. Hot spots - Short course of steroids
Acute Moist Dermatitis (“Hot Spot”) - Typical locations of lesion
Lumbo-sacral region, Lateral thigh region
Acute Moist Dermatitis (“Hot Spot”) - 3 Common causes
FAD, Foreign body, Anal sacs disease
Acute Moist Dermatitis (“Hot Spot”) - Treatment
Treat underlying cause, Topical/Systemic steroids (Short course), Topical antibiotics
Intertrigo - Treatment
Shave region, Steroids (Short course) +/- antibiotics - Topical cream/Shampoo
Impetigo - Signalment
Young / Adolescent Dogs - 8 Weeks - 1 Year old
Impetigo - Common clinical signs and locations
Non-follicular Pustules, Non-pruritic. Abdomen / Inguinal region / Axilla
Impetigo - Treatment
Generally no treatment required (Self limiting). If want to treat - Local antibiotic (Shampoo)
Impetigo in Feline - Location
Withers / Head
Bullous Impetigo - Signalment & Clinical signs
Old dogs with immunosuppression . Non-follicular bullas with pus
Folliculitis - 3 Main causes
Bacteria, Demodicosis, Dermatophytes
Bacterial Hypersensitivity - Classic history
Superficial dermatitis that resolves with antibiotic treatment but returns after treatment is finished
Bacterial Hypersensitivity - Treatment of choice
Staphage Lysate
Nodules / Pustules / Fistulas - Associated with Superficial / Deep Pyoderma
Superficial Pyoderma - Pustules, Deep Pyoderma - Nodules, Fistulas
Deep Pyoderma - Usually occurs due to…? Causes systemic clinical signs (T/F)
Immunosuppressive diseases. True: Can cause Anorexia, Lethargy, Lymphadenopathy
Deep Pyoderma - Treatment
Systemic antibiotics per Culture & Sensitivity for 6-8 Weeks (2-3 Weeks after clinical healing)
Pyo-Traumatic folliculitis & Furunculosis (“Hot Spot-Like”) - Common “signalment” and commonly associated with..?
Thick fur breeds (e.g. Retrievers, Rottweiler, Saint Bernard). Commonly associated with Otitis Externa
Pododermatitis - Common signalment and which type of pyoderma is it
Large breeds, Deep Pyoderma
Acral Lick Dermatitis (“Lick Granuloma”) - Common Locations
Meta-carpus / Carpus / Radius, Meta-tarsus / Tarsus / Tibia, Tail
Acral Lick Dermatitis (“Lick Granuloma”) - Classic appearance of lesions
Elevated nodules with hyperpigmented margins +/- fistulas
Acral Lick Dermatitis (“Lick Granuloma”) - Name the specific treatment and what does it do?
Capsaicin. Substance-P depletion (apply Lidocaine prior to use - as it causes local burning sensation)
Superficial Pyoderma - Empiric antibiotic treatment (3 Options)
Clindamycin, 1st Gen. Cephalosporin (e.g. Cefalexin), Augmentin
Demodicosis - Clinical signs
Alopecia (Non-pruritic), Erythema, Scales. Can be focal or generalized
Demodicosis - Diagnosis
Deep skin scrapes (Best), Trichogram, *Can be seen in skin cytology but not common
Demodicosis - Treatment
In young dogs (<1.5 y) - Self limiting. *In generalized demodicosis to best to treat to prevent deep pyoderma Isooxazolines Bravecto / Simparica / NexGard
Demodicosis in cats - 4 underlying diseases that can lead to a generalized disease
DM, FIV, FeLV, Cushing’s disease
Demodicosis in cats - What are the 2 unique features of D.Gatoi?
Infectious, Highly pruritic
Demodicosis / Scabies - Where does each reside in the skin?
Demodicosis - Hair follicle Scabies - Stratum Corneum
Scabies - Clinical signs and distribution
Intense (!) pruritus, alopecia, hyperpigmentation, Lichenification . Regions with low hair amount: Ventral Region, Elbows, Tip of the ears
Scabies - Diagnosis (2 Methods)
Superficial skin scrapes (Only 50% sensitivity) . Isooxazoline trial
Scabies - Diagnosis (2 Methods)
Superficial skin scrapes (Only 50% sensitivity) . Isooxazoline trial
Scabies - Treatment
Isooxazolines (Simparica / NexGard / Bravecto). 1st Week - Steroids (for 2nd skin lesions). Clean the environment
Feline Scabies - Name of the parasite
Notoedric Mange
Cheyletiellosis - Common “pathognomonic” sign
“Walking dandruff” on the dorsal region of the body
Cheyletiellosis - Diagnosis
Cytology, Superficial skin scrape
Cheyletiellosis - Treatment
Isooxazolines
Straelensiosis - Common lesions and distribution
Alopecia, Papules, Nodules. Head, Legs , Ventrum
Straelensiosis - Diagnosis
Histopathology: “Red rim” of mucin around follicles. Deep skin scrapes (Rare)
Straelensiosis - Treatment
Isooxazolines
Ear Mites (Otodectes) - Signalment
Kittens. Can also affect adult dogs and cats
Ear Mites (Otodectes) - Diagnosis
Otoscopy. Cytology (Collect typical black-dry secretions with swab dipped in oil)
Ear Mites (Otodectes) - Treatment
Isooxazolines
Dermatophytosis - Where on the body can dermatophytes be found?
Keratinic tissues: S.Corneum of the epidermis, Hair, Nails
Dermatophytosis - Most common signalment
Young, outdoor kittens
Dermatophytosis - Clinical signs, Common distribution
Alopecia (non-pruritic), Crusts, Scales, Erythema, Kerion. Face, Ears, Feet, Tail
Dermatophytosis - Zoonotic?
Some but not all. Especially to Kids, Elderly, Pregnant women, people with immunosuppressive diseases
Dermatophytosis - Main zoonotic dermatophyte
M.Canis
Dermatophytosis - Diagnosis
Wood’s lamp (only detects M.Canis), Sample for culture (Mycology), DTM, Trichogram (Difficult)