ESVD WARSAW ESVD Veterinary Dermatology day - Warsaw - March 28th 14/04/2015. Luc Beco - 1

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Georgia McKenzie
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ESVD WARSAW 2015 GOLDEN RETRIEVER GENERALIZED PRURITIC DERMATITIS WITH PAPULES AND CRUSTS Luc BECO, DMV, Dip. ECVD Avenue Reine Astrid, 104 4900 Spa Belgique www.monvt.eu Luc BECO, DMV, Dip.

1 ESVD WARSAW 2015 GOLDEN RETRIEVER GENERALIZED PRURITIC DERMATITIS WITH PAPULES AND CRUSTS Luc BECO, DMV, Dip. ECVD Avenue Reine Astrid, Spa Belgique Luc BECO, DMV, Dip. ECVD Avenue Reine Astrid, Spa Belgique Bonten : «Peluche» DIAGNOSTIC PROCEDURE History First differential diagnosis Clinical examination Problem list MAIN COMPLAIN Intense pruritus «oozing sores» Last chance before euthanasia Differential diagnosis Diagnostic tools or Therapeutic trial Revised differential Other tests or Treatments Diagnosis not confirmed Final diagnosis Treatment GENERAL HISTORY: PELUCHE Golden Retriever, female, 1year 8 months Exclusively living outdoors: pasture shared with horses and sheep. At night in a kennel close to a chicken run. Concrete floor and plastic bed No travel history (Belgium only) Exclusively commercial Hills Z/D Ultra diet since 3 w 1 dog who died 6 months ago was in contact (at the beginning of the dermatitis) Water intake from river, appetite slightly reduced Vaccines and deworming: OK DERMATOLOGICAL HISTORY One year ago: Pruritus and pyotraumatic dermatitis Isobetadine and antibiotics (?) cured within one week Recently: recurrence of pyotraumatic dermatitis Isobetadine and antibiotics without any results Second vet: Dexafort, Hibitane, Dogeczema, Advantix, Pyoderm, Atarax, Elisabethan collar poor efficacy Long Acting glucocorticoids Moderin no effect Luc Beco - 1

2 CLINICAL ASPECT CLINICAL ASPECT: PELUCHE D0 Good general condition Intense generalised pruritus Erythema, erythematous papules, crusts Forehead, neck, trunk Distal limbs are spared CLINICAL ASPECT: PELUCHE D0 CLINICAL ASPECT: PELUCHE D0 PROBLEM LIST Pruritus Papules/crusts/excoriations Pruritus? Luc Beco - 2

3 Pruritus Sarcoptic mange Allergies Flea Allergy Dermatitis «Food allergy» Canine Atopic dermatitis (CAD) Bacterial folliculitis / furonculosis Dermatitis caused by Dermanyssus Papules and crusts? LABORATORY PROCEDURES Plaques / nodules with crusts, hemorrhagic to purulent exudation Sarcoptic mange Bacterial folliculitis / furonculosis Primary Secondary to: Demodicosis Allergies: AFR, CAD Insect bites: Flea allergy dermatitis, Dermanyssus Laboratory procedures: which ones? LABORATORY PROCEDURES Otopedal reflex: Negative Skin scrapings and epilation: No demodex No sarcoptes Scotch test No external parasites Cytology under the crust Neutrophils and staphylococci FINAL DIAGNOSIS Sarcoptic mange Bacterial folliculitis Dermatitis induced by insect bites Luc Beco - 3

BACK TO THE GENERAL HISTORY Golden Retriever, female, 1year 8 months Exclusively living outdoors: prairie shared with horses and sheep. At night in a kennel close to a chicken run.

Water intake from river, appetite slightly reduced Vaccines and deworming: OK TREATMENT Systemic antibiotics Cefalexine: bid 3 weeks (Rilexine ) Ectoparasite treatments Stronghold topical every two

4 BACK TO THE GENERAL HISTORY Golden Retriever, female, 1year 8 months Exclusively living outdoors: prairie shared with horses and sheep. At night in a kennel close to a chicken run. Concrete floor and plastic bed No travel history (Belgium only) Exclusively commercial Hills Z/D Ultra diet since 3 w 1 dog who died 6 months ago was in contact (at the beginning of the dermatitis) Water intake from river, appetite slightly reduced Vaccines and deworming: OK TREATMENT Systemic antibiotics Cefalexine: bid 3 weeks (Rilexine ) Ectoparasite treatments Stronghold topical every two weeks Shampoo Benzoyl peroxide: once a week Diminish pruritus for owner s compliance Hydroxyzine (Atarax ) Modify the sleeping area and search for dermanyssus in the chicken run during the night FOLLOW UP FINAL DIAGNOSIS Numerous 1mm parasites are found in the chicken run Coq au vin or BBQ chicken to treat the chicken Chicken run was cleaned, disinfected and burned down Pruritus and pyoderma resolved and never recurred Dermatitis secondary to Dermanyssus Gallinae bites 1. SM is characterized by papules, crusts and intense pruritus 2. SM affects mainly ear pinnae, elbows, abdomen and digits 3. SM can be diagnosed by a specific serology test 4. SM can affect humans in contact 5. Sarcoptes are difficult to observe in skin scrapings 1. SM is characterized by papules, crusts and intense pruritus 2. SM affects mainly ear pinnae, elbows, abdomen and digits 3. SM can be diagnosed by a specific serology test 4. SM can affect humans in contact 5. Sarcoptes are difficult to observe in skin scrapings Luc Beco - 4

5 1. Glucocorticoids can reduce pruritus 2. Selamectin (Stronghold ) or Imidacloprid/Moxidectin (Advocate ) are effective treatments 3. Fipronil spray (Frontline ) can be an effective treatment 4. Treatment of every dog and cat in contact is mandatory 1. Glucocorticoids can reduce pruritus 2. Selamectin (Stronghold ) or Imidacloprid/Moxidectin (Advocate ) are effective treatments 3. Fipronil spray (Frontline ) can be an effective treatment 4. Treatment of every dog and cat in contact is mandatory WHAT S THIS? WHAT S THIS? 1. An egg from sarcoptes 2. An egg from a flea 3. An egg from a demodex 4. An egg from lice 5. One Malassezia yeast 6. An amphora 1. An egg from sarcoptes 2. An egg from a flea 3. An egg from a demodex 4. An egg from lice 5. One Malassezia yeast 6. An amphora IDENTIFY THIS PARASITE? IDENTIFY THIS PARASITE? Ctenocephalides felis felis Sarcoptes Cheleytiella Demodex canis Dermanyssus gallinae Leishmania Ctenocephalides felis felis Sarcoptes Cheleytiella Demodex canis Dermanyssus gallinae Leishmania Luc Beco - 5

6 scabei scabei 4. Trombicula autumnalis 5. Dermanyssus gallinae 6. Ixodes ricinus 4. Trombicula autumnalis 5. Dermanyssus gallinae 6. Ixodes ricinus 6. Trombicula autumnalis 6. Trombicula autumnalis Luc Beco - 6

7 KRAKOW 24-26/09/2015 Krakow 24-26/09/2015 Krakow used to be the capital of Poland for over 5 centuries A wonderful new congress centre A very nice city to visit Beautiful Old town Wavel castel Jewish District (Kazimierz) Wieliczka Salt Mine (UNESCO patrimonium) for the dinner and dance Krakow 24-26/09/2015 Questions? Luc Beco - 7

A VET NURSES GUIDE TO WORKING UP THE ALLERGIC PATIENT

A VET NURSES GUIDE TO WORKING UP THE ALLERGIC PATIENT B Y E L L I E C L AR K R V N T H E S K I N V E T 1 WHERE DO WE START?! COMMON CAUSES OF SKIN DISEASE Allergies Ectoparasites Infectious organisms Neoplasia