| CONSIDER THIS CASE Diet l/d, hillspet.com)
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UÊ- com) (225 mg PO Q 24 H)
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liver damage but could not address the undiag- nosed hepatopathy. The patient was scheduled for a recheck in 1 week.
FOLLOW-UP & OUTCOME One-Week Recheck When the dog was presented 7 days later, the condition of the skin and feet had improved. The client was very
pleased that the dog was less pruritic and more playful. The coat was growing and appeared thicker and shinier. The foot pads appeared less hyperkera- totic and devoid of fissures. The prescribed therapy was con- tinued and another recheck scheduled.
Three-Week Recheck The dog returned for evaluation 2 weeks after the first recheck. His
atti- Pedal pruritus
in a dog may be related to atopy, food allergy, infection, or a wide variety of other dermatologic issues. A complete and thorough
history combined with physical examination will help develop a list of differential diagnoses.
42 Today’s Veterinary Practice July/August 2011
tude had regressed from alert and responsive to depressed. The seborrhea and i n t e r d i g i t a l crusting had returned and the feet were painful. The owner was con- cerned about quality of
and was not interested
life in
repeating par- enteral amino acid thera- py. Humane euthanasia was elected. ■
iÊm>ÞÊÃloÜÊ«Ào}ÀiÃÃionÊovÊ
Joel D. Ray, DVM, MS, is an assistant clinical professor at Mississippi State University. He is also the assistant service chief for Community Veterinary Services at the Animal Health Center at MSU. Dr. Ray coordinates the small animal internal medicine course for the veterinary technology students and lectures to both
veterinary and graduate students. His research interests include innovative teaching methods and public health. Dr. Ray is the faculty coordinator and cofounder of the Pet Awareness with Students (PAWS) program, a student- led children’s public health educational program. He received his DVM and MS (with an emphasis in public health/ preventive medicine) from Mississippi State University.
ACTH = adrenocorticotropic hormone; HCS = hepatocutaneous syndrome; SAMe = S-adenosylmethionine
References 1. Koutinas CK, Koutinas AF, Saridomichelakis MN, et al. Metabolic epidermal necrosis (hepatocutaneous syndrome) in the dog: A clinical and pathological review of 6 spontaneous cases. Eur J Com Anim Pract 2002; 12:163-171.
2. March PA, Hillier A, Weisbrode SE, et al. Superficial necrolytic dermatitis in 11 dogs with a history of phenobarbital administration. J Vet Intern Med 2004; 18:65-74.
3. Ghisleni G, Nägeli-Schenker C, Caniatti M. Symmetrical crusting rash in a dog. Vet Clin Pathol 2003; 32:19-21.
4. Medleau LH, Keith A. Hepatocutaneous syndrome. Small Animal Dermatology: A Color Atlas and Therapeutic Guide, 2nd ed. St. Louis: Saunders Elsevier, 2006, pp 310-312.