Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.
CHALLENGES & NEW DEVELOPMENTS IN CANINE PYODERMA |
Table 1. Underlying Causes for Recurrent Canine Pyoderma Endocrinopathy
r )ZQFSBESFOPDPSUJDJTN $VTIJOH T EJTFBTF r )ZQFSFTUSPHFOJTN r )ZQPUIZSPJEJTN
Follicular Dysplasia r $PMPS EJMVUJPO BMPQFDJB r $POHFOJUBMMZ BMPQFDJD CSFFET
Hypersensitivity Dermatitis
Keratinization Abnormalities
Parasites
r "UPQJD EFSNBUJUJT r 'MFB BMMFSHZ EFSNBUJUJT r 'PPE BMMFSHZ
r *DIUIZPTJT r 1SJNBSZ TFCPSSIFB r 4FCBDFPVT BEFOJUJT r ;JOD SFTQPOTJWF EFSNBUPTJT
r 'MFBT r Demodex mites r 4BSDPQUJD NBOHF TDBCJFT
5BCMF $MJOJDBM 4JHOT PG 4VQFSGJDJBM PS 4VSGBDF 1ZPEFSNB
Superficial or Surface Pyoderma
Bacterial Folliculitis
Clinical Signs r 1SJNBSZ MFTJPOT 1BQVMFT m NN SBJTFE BOE PS DSVTUFE QJOL PS SFE CVNQT BOE QVTUVMFT
r 4FDPOEBSZ MFTJPOT &YQBOEJOH; BSFBT PG BMPQFDJB TVSSPVOEJOH TDBMJOH FQJEFSNBM DPMMBSFUUFT DSVTUT IZQFSQJHNFOUBUJPO BOE MJDIFOJGJDBUJPO1,2
Bacterial Overgrowth Syndrome
r &SZUIFNB; TDBMJOH MJDIFOJGJDBUJPO IZQFSQJHNFOUBUJPO PEPS QSVSJUVT BOE FWFOUVBM BMPQFDJB
r 0GUFO QSFTFOU PO WFOUSBM USVOL BYJMMBSZ BOE inguinal areas
r /P QBQVMFT QVTUVMFT PS FQJEFSNBM DPMMBSFUUFT QSFTFOU3
Impetigo
r /POQSVSJUJD QVTUVMFT OPU BTTPDJBUFE XJUI GPMMJDMFT r 0O TQBSTFMZ IBJSFE BSFBT PG UIF TLJO TVDI BT inguinal area
r 1VTUVMF SFTVMUT JO FQJEFSNBM DPMMBSFUUFT BOE scaling
r 0GUFO TFFO JO ZPVOH QVQQJFT1,2 Intertrigo
(Fold Dermatitis/ Pyoderma)
Mucocutaneous Pyoderma
Pyotraumatic Dermatitis (Acute Moist Dermatitis)
See Table 3 QBHF
r %FSNBUJUJT PDDVST JO BSFBT PG TLJO GPMEJOH TVDI BT GBDF MJQ BOE UBJM GPMET BOE WVMWBS BSFB
r -FTJPOT BSF BSFBT PG NPJTU JOGMBNNBUPSZ EFSNBUJUJT XJUI TVSGBDF CBDUFSJBM PWFSHSPXUI1,2
r %FSNBUJUJT PDDVST PO MJQ NBSHJOT FZFMJET OBSFT PS anus2
r &SZUIFNB; JOGMBNNBUJPO BOE DSVTUJOH EFQJHNFOUBUJPO
r "SFBT PG BDVUF QBJOGVM NPJTU FYVEBUJWF inflammatory dermatitis created by self trauma
r 0GUFO PDDVST JO UIJDL DPBUFE EPHT XJUI VOEFSMZJOH GMFB BMMFSHZ PS BUPQJD EFSNBUJUJT
r 1FSJQIFSBM QBQVMFT QVTUVMFT PS UIJDLFOFE MFTJPOT JOEJDBUF QZPUSBVNBUJD GPMMJDVMJUJT1,2
GPS SFGFSFODFT UÊ Þ«iÀÃinÃiÌiÛiÌÞÊ`iÀm>ÌiÌiÃ
UÊ*>À>ÃiÌiVÊÃkinÊinviÃÌ>Ìionà UÊ n`oVÀino«>Ìhiià UÊ olliVÕl>ÀÊ`Þël>Ãi> UÊ iÀ>Ìiniâ>ÌionÊ`iÃoÀ`iÀð nÊoniÊ«ÀoëiVÌiÛiÊÃÌÕ`ÞÊovÊÎäÊV>ÃiÃÊ ovÊV>niniÊÀiVÕÀÀinÌÊ«Þo`iÀm>\8
Ê
UÊ Ìo«iVÊ`iÀm>ÌiÌiÃÊÜ>ÃÊvoÕn`ÊinÊÈä¯Ê ovÊV>ÃiÃ°Ê Ìo«iVÊ`o}ÃÊ>ÀiÊ«ÀoniÊÌoÊ ÀiVÕÀÀinÌÊÃkinÊinviVÌionÃÊ`ÕiÊÌoÊ inVÀi>Ãi`Ê >`hiÀinViÊ ovÊ ÃÌ>«hÞlo- VoVV>lÊ L>VÌiÀi>Ê ÌoÊ >Ìo«iVÊ V>niniÊ ÃkinÊVillÃ]n-£ä
ÃkinÊL>ÀÀiiÀÊvÕnVÌion]11 ÃkinÊimmÕniÊÃÞÃÌimÊvÕnVÌion°£Ó]£Î
UÊ oo`Ê >lliÀ}Þ]Ê vli>Ê >lliÀ}Þ]Ê >n`Ê hÞ«oÌhÞÀoi`iÃmÊ i>VhÊ >VVoÕnÌi`Ê voÀÊǯÊovÊV>ÃiðÊÊÊ
UÊ Þ«iÀiÃÌÀo}iniÃm]Ê `imo`iVoÃiÃ]Ê >n`Ê âinV-ÀiëonÃiÛiÊ `iÀm>ÌoÃiÃÊ i>VhÊ>VVoÕnÌi`ÊvoÀÊ{¯ÊovÊV>ÃiðÊ
UÊ nÊ onlÞÊ ÓÊ `o}ÃÊ ÜiÀiÊ Õn`iÀlÞin}Ê V>ÕÃiÃÊÕni`inÌivii`°ÊÊ
Identification of Conditions i«in`in}Ê onÊ VliniV>lÊ «ÀiÃinÌ>Ìion]Ê
>}iÊ ovÊ onÃiÌ]Ê Ãi>Ãon>liÌÞ]Ê >n`Ê oÌhiÀÊ VliniV>lÊ Ãi}nÃ]Ê i`inÌiviV>ÌionÊovÊÕn`iÀ- lÞin}Ê`iÃoÀ`iÀÃÊinVlÕ`iÃ\ UÊ-ÌÀin}inÌÊvli>ÊVonÌÀol UÊ ii«ÊÃkinÊÃVÀ>«in}ÃÊvoÀÊDemodex UÊ/Ài>lÊÌÀi>ÌminÌÊvoÀÊÃV>Liià UÊ Þ«o>lliÀ}iniVÊ`iiÌÊÌÀi>l UÊ nÌÀ>`iÀm>lÊ >lliÀ}ÞÊ ÌiÃÌin}Ê >n`Ê `iÃinÃiÌiâ>Ìion
UÊ-VÀiinin}ÊvoÀÊin`oVÀino«>Ìhiià UÊ-kinÊLio«ÃÞÊvoÀÊkiÀ>Ìiniâ>ÌionÊ`iÃ- oÀ`iÀð
Outcomes UÊIn dogs without compromising disease]Ê ÌÀi>ÌminÌÊ ovÊ «Þo`iÀm>Ê ÜillÊlikilÞÊÀiÃÕlÌÊinÊVom«liÌiÊVÕÀi°
UÊIn patients with relapsing infec- tionÊ ÀiVÕÀÃÊ ÜiÌhinÊ £qÓÊ Üiikî]Ê in>`iµÕ>ÌiÊ`ÕÀ>ÌionÊovÊ ÌÀi>ÌminÌÊ oÀÊL>VÌiÀi>lÊÀiÃiÃÌ>nViÊiÃÊlikilÞ°Ê
UÊIn patients with recurrent infec- tionÊÀiVÕÀÃÊÜiÌhinÊÎÊmonÌhî]Êi`in- ÌiviV>ÌionÉÌÀi>ÌminÌÊ ovÊ Õn`iÀlÞin}Ê `iÃoÀ`iÀÃÊmÕÃÌÊLiÊÕn`iÀÌ>kin°Ç
Differential Diagnosis /hiÊvolloÜin}Ê`ivviÀinÌi>lÊ`i>}noÃiÃÊ
ÃhoÕl`ÊLiÊVonÃi`iÀi`ÊvoÀÊ>nÞÊ`o}Ê«Ài- ÃinÌin}ÊÜiÌhÊÃi}nÃÊovÊ«Þo`iÀm>\ UÊ
imo`iVoÃiÃÊFigure 1]Ê«>}iÊÎ{® UÊ iÀm>Ìo«hÞÌoÃià January/February 2012 Today's Veterinary Practice 33
Ê>lÌiÀ>ÌionÃÊ inÊnoÀm>lÊ Ê>n`Ê>lÌiÀi`Ê