A patient signalment (species, sex, breed and age) is often used to assist in diagnosis of conditions, as certain conditions may, for example, be age specific. 

It was a surprise to see that this patient, a 3 1/2 year old female spayed Frenchie, who presented for evaluation of these nodular lesions on her face turned out to have skin cancer. The nodules or tumors were due to epitheliotropic T cell lymphoma verified thru immunohistochemistry.  This type of skin cancer is not something commonly seen in young dogs. It is much more common in older dogs. 

Bad diseases can happen in young dogs too, and just something to keep in mind when the clinical lesions fit a disease but the signalment does not.  This was a very sad diagnosis. 

#cancersucks #petswithcancer #skincancer #miamivetderm #gotitchypet #vetdermatology #dermatologiaveterinaria #vet #veterinarymedicine #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Repost from last year. 

It never fails that the week after thanksgiving our office is taking calls from pet owners whose dog ate some of the thanksgiving meal and now are pruritic. 

If you have a dog with a known food allergy or on a diet trial please be extra careful this week. Keep your dog in a separate area of the home so it doesn’t have access to the thanksgiving dinner table, the trash or worse yet, a relative or friend that can’t resist those begging eyes that dogs know how to do so well. 

Happy Thanksgiving!!!

#thanksgiving2022 #thanksgivingdinner #miamivetderm #gotitchypet #foodallergies #vetdermatology #petowner #vet #veterinarymedicine #vetmed #veterinarian #prevet #vettech #medicinaveterinaria #petdermatologist
The ear canal of a Chihuahua is a different length from the ear canal of a Great Dane.  Practitioners, when dispensing medications for an otitis case it is important to keep this in mind as the volume will depend on the particular breed of dog. 
 
When I see patients with ear infections that are not resolving, a subset of them is not responding to medications because the right volume of medicine is not being applied.
 
A dog like a Chihuahua could get about four to six drops of medication into their ear. A Great Dane would need twenty or more drops into its ear. 
 
We want the medication to fill the ear and reach deep down into the ear canal so that we are treating the entire ear properly.
 
With ear cleaners, we want to make sure we are about flooding the ear canal with the cleaner so that it can dissolve all the debris in the ear. Applying a few drops of a cleanser into the ear will not dissolve or dislodge the discharge in the ear well.
 
#letsdothisright #dogear #dogearinfections #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
A common mistake I see pet owners do is give flea medicine only when they see a flea on their pet. 

It may seem “safer” or less expensive to apply/give the flea product only when there is a flea, but this is not a good method to keep fleas away from your pet long term. 

This method will kill the flea on the pet, but what you may not realize is that that flea has already laid eggs in your home and environment and more fleas are waiting to develop. 

When you see a flea on your pet it is unlikely that flea just got on your pet!Chances are the flea has been there for days.  I know this is a hard one to swallow but it’s true. 

When a flea gets on a pet, it quickly takes a blood meal and then the flea will begin to reproduce and lay eggs.  They say a flea lays 40-50 eggs a day. 

The eggs will fall off the pet into your home/environment and these will be new fleas that will emerge in 3-4 weeks. Therefore, more fleas will be getting on your pet and the cycle continues. 

My favorite flea preventatives are the isoxazolines.  Since these are oral they do not get washed off like the topical flea products. 

Flea baths/ shampoos don’t work because there is no residual effect. These work only the day you use it. 

The point of flea medications: to kill a flea fast enough that it doesn’t reproduce and therefore not cause some degree of infestation in your home and environment. 

Flea preventatives need to be used long term, not just when you see a flea.

#letsdoitright #fleas #learnoninstagram #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Omega fatty acids for the skin

Fatty acids provide a small benefit in reducing the itchiness associated with atopy.  

By itself fatty acids are rarely enough to control the itchiness or clinical signs associated with atopy in dogs and cats.  Therefore, it should not be used as the sole therapy for managing an atopic pet’s symptoms.  It should never be used for acute pruritus (itchiness), there are other allergy medications available that work faster and better.  
 
If a client is interested in therapies to support the skin of their atopic dog, I will recommend omega 3 fatty acids as an ADJUNCT therapy to manage their allergies. 

Omega fatty acids provides its benefit by incorporating itself onto the skin and therefore the inflammatory mediators produced are anti-inflammatory.  Their benefit can also come from improvement of the quality of the coat and may affect superficial skin lipids, therefore improving the skin barrier. A strong skin barrier means less water loss from the skin and less penetration of microbes and allergens into the skin.

You can find fatty acids in oral supplements (like the product in this picture), enriched in diets or topicals.

What has been your experience with fatty acids for atopic pets?

#fattyacids #fishoils #omegafattyacids #linoleicacid #supplements #supplementsfordogs #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Don’t forget to look under the tail in a dog or cat with rear end itchiness. 

The trauma from chewing, licking or scooting can cause secondary infections like bacteria and malassezia. 

Look at the skin under this dog’s tail: it’s become lichenified (elephant like skin) from chronic trauma.  It will take weeks to get this skin to look normal by treating the infection and stopping the itchiness. 

We can stop the itchiness with medicines like Apoquel and Cytopoint.  But these medications will only be bandaids if we don’t look for the underlying cause of the itchiness. 

Number one cause of rear end itchiness is fleas! But food allergy and atopy can be causes too. 

Full anal glands can also cause a dog to scoot and itch back there, but if the glands are expressed frequently it should never get to a point that the tail looks like this.  Don’t blame all scooting on anal glands! 

#scooting #itchydog #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
There is a misconception that pet’s eating starchy foods, like potatoes, will cause yeast infections of the skin or ears. This myth comes from the belief that Candida overgrowth in people is caused by a diet high in white flour and sugars. Therefore, removing these types of foods from the diet resolves the Candida. Even if the latter were true in people, Candida is different from Malassezia. Malassezia is the species of yeast that primarily causes skin and ear infections in dogs (and sometimes cats).

Malassezia is primarily triggered by allergies. Allergies causes inflammation of the skin and the trauma from licking, chewing, scratching creates an environment for Malassezia to flourish. When Malassezia is present it makes the pet even more itchy, more itchiness means more trauma and inflammation to the skin, which then leads to more Malassezia, and the cycle continues.

A dog can have a food allergy that is making the skin itchy and leading to secondary Malassezia, but it is not the food that is causing the Malassezia, it is the itchiness and inflammation on the skin.

Can other conditions cause yeast? Yes, I have seen Malassezia in dogs with mites, hormonal disorders, like hypothyroidism, and nutritional disorders.

If your pet has been diagnosed with a yeast infection, make sure the underlying cause is being addressed.

#mythbusting #candida #malassezia #mythvsfact #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
For your enjoyment, because I know you can’t get enough of these ear videos…. another scary and yucky looking ear.  It’s hard to imagine a dog has been living with this for the last 1-2 years. 

Happy Halloween 🎃 

#hallloween #happyhalloween #miamivetderm #gotitchypet #otitis #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
This is a 6-year-old male Labrador that I recently saw with severe pododermatitis and several draining tract lesions on its body. 

Please take note that lesions like these are indicative of a deep infection.

This patient had been on and off antibiotics without resolution and worsening as the weeks went by.

When a patient is presented to me with these types of lesions and a long medical history of antibiotic use, cultures of the skin are necessary. In this pet, I did not want to blindly guess on an antibiotic that would or would not work.

Culture! Culture!

For this pet, we proceeded with skin cultures. Since the infection was deep, I took biopsies of the skin and submitted the infected tissue to the lab for analysis.

The cultures of the skin grew a methicillin resistant staphylococcus infection, or MRSP.

Deep infections require minimum 6-8 weeks of antibiotics.  This is minimum, so it may be longer.

Do not forget to look for the underlying cause!

I also took tissue biopsies for pathology. Anytime I see severe pododermatitis like this I want to rule out demodex, and this pet had not been on any flea preventative like an isoxazoline. It is hard to do skin scrapes on inflamed paws like this and therefore biopsies are necessary. No mites seen on biopsy.

Cause- likely allergies to food or environmentals. It is hard to believe that an allergy can cause a pet to get this bad, but it can when you have severe secondary infection.  Sometimes the infection can be worse than the disease!

#dogpaws #MRSP #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Paw licking is often confused with grooming or behavioral issues. 

Many pet owners do not realize that paw licking is a sign that their dog is itchy of it’s feet. 

Just as the pet’s body can be itchy due to allergies, the paw licking can also be part of the allergy presentation as well. 

#dogsofinstagram #dogpaws #pawlicking #dogownersofinstagram #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Surrounded here by my team. ❤️

I am a small business with a small work group. 

I have two full time vet techs & one part time vet tech. 

As much as I honor our vet techs this week and I know this week is for them, I’d be remiss to not acknowledge the entire staff this week as well. 

So in essence, vet tech week for us turns into staff appreciation week. 

Because we are a small group, on some days, especially the crazy busy days (you all know what I mean), my receptionist, my manager and even my scribe have to fill in the vet tech role.  Therefore it’s hard for me not to honor everyone this week. 

I am grateful for my team. ❤️

#vettechappreciationweek #vettechweek #myteam #werock #miamivetderm #gotitchypet #staffappreciation #thisishowwedoit
Little dark spots on a dog’s skin.  What can these be?

Make sure its not a flea or tick, or flea dirt.

Focal brown/black crusty lesions may be a sign of bacterial or fungal skin infection. 

Hyperpigmentation (or darkening) of the skin can be age spots, however, mites (like demodex) or endocrine (hormonal) disorders can cause the skin to darken.

Raised dark spots may be a skin growth or viral lesions (pigmented plaques).

Best to see a veterinarian to assess the cause.

#dogskin #darkspots #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
When we think of dermatophyte or ringworm infection, Microsporum canis often comes to mind as the most common cause.  However, another dermatophyte to keep in mind is Trichophyton mentagrophytes.

A few things about this species of dermatophyte, as it can be easily missed and confused with other skin disorders:

T. mentag rarely fluoresces under UV light. Therefore, a Wood’s lamp is unlikely to detect this dermatophyte.

T. mentag can cause lesions that mimic autoimmune conditions, like pemphigus foliaceus. Lesions include alopecia (can be generalized), erythema, crusts and scales.  The skin can become hyperpigmented and scaley.  The alopecia with this infection can be quite scarring and dramatic.  Dogs can be itchy as well, often due to secondary bacterial infection.

Not too long ago I posted about Yorkies being predisposed to dermatophyte infection.  It is important when seeing a Yorkie with skin problems that you keep this fungal infection in mind and consider performing a dermatophyte culture or dermatophyte PCR (w/reflex culture).

Don’t forget that dermatophytes are contagious.  Ask the pet owner if they have skin lesions.  It so happens that the human family this Yorkie lives with had a ringworm infection diagnosed by their medical doctor. 

#yorkies #yorkiesofinstagram ##yorkielovers #dermatophyte #ringworm #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
When do I start worrying that a pet’s skin lesions could be a sign of skin cancer …. 

When I see depigmentation on the skin and nose.

When I see loss of cobblestone texture to the nose.

Ulcers or erosions on the skin.

Crusting of the foot pads.

Pet overall feeling ill.

All the above and oral lesions.

There is a low probability that these lesions on the skin are due to allergies.

These types of lesions warrant biopsies of the skin to confirm the diagnosis. 

#cancersucks #dogskinproblems #miamivetderm #gotitchypet #vetdermatology #petowner #notallergies #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
I wanted to share with you a unique case of Nodular Dermatofibrosis.

This is an 8-year-old M/N Mixed breed dog that for the last 4 years has had these growths throughout its entire body. On exam, dozens of these growths were on the head, trunk, and extremities.

Closer look you can see that these growths were raised firm cutaneous nodules of varying sizes. On the dorsal trunk the growths caused the hairs to tuft up that from a distance “appeared” as hives. This begs the importance of parting the hair and looking to see what is under those raised tufts of hair.
When I saw these growths, I knew it was time to biopsy. Biopsies were sent to a dermatopathologist, Dr. Karen Trainor, whom I have tagged on this reel @innovativevetpath. The biopsies revealed nodular dermatofibrosis.

This is a rare skin disease where collagenous type of skin growths appear on the skin as a manifestation of internal disease or paraneoplastic syndrome. Nodular dermatofibrosis has been associated with renal (kidney) cysts, cystadenomas, or cystadenocarcinomas. In female dogs, it has been associated with uterine leiomyomas.

This condition is primarily seen in German Shepherd dogs and may have a hereditary component, however, there are reports of this condition occurring in other breeds.

If you diagnose this skin disease, it should warrant evaluation of the kidneys thru bloodwork and ultrasound.

This case highlights that diseases that are typically seen in a certain breed of dog, can still occur in other breeds. Also, I like to point out the importance of a dermatopathologist reading skin biopsies, as they are able to assess these rare skin conditions.

Who has seen this condition before in a non-German Shepherd breed?

 
#cancersucks #dogcancer #paraneoplastic #germanshepherdsofinstagram #dogsofinstagram #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Quick anatomy for non-veterinarians: a dog’s ear canal is shaped like an “L.” There is a vertical and horizontal part to the ear canal.

Lateral ear resection is a surgery where the lateral wall of the vertical ear canal is removed. Veterinarians once thought that removal of this part of the ear in a pet with ear infections would make it easier to treat the patient’s ear. If done properly, it allowed easier access to the horizontal ear canal for application of topical ear medication. However, if the horizontal part of the ear canal is diseased, stenotic/closed/scarred ear canal, then a lateral ear resection does not help the patient because topical medication still cannot get thru a closed ear canal.

Since allergies are the most common cause for a dog’s ear infection, the chronic changes that affect the vertical ear canal will also extend to the horizontal ear canal. With that said, lateral ear surgery does not resolve the primary cause, the allergy, which is affecting the ear. The pet will keep having ear infections even with this surgery. 

Lateral ear resection makes sense if there is a growth in the vertical part of the ear canal blocking the ear. However, it is important to make sure the rest of the ear canal is normal, possibly using imaging like CT or MRI.

There is thought that this procedure may help some dogs if done early before there has been chronic changes to the ear canal or in breeds like Shar-pei’s that have stenotic vertical canal.

I graduated from vet school 22 years ago and learned about this surgery to help with otitis cases. The surgery has since fallen out of favor as most dogs with chronic changes to their ears, which cannot be managed medically anymore, need a total ear canal ablation surgery.  If the allergy is addressed early before chronic changes develop in the ear, we can avoid any kind of surgery to the ear.  Let’s save these ears my fellow colleagues!! 

I would love to hear if anyone has had success with lateral ear resection surgery for otitis cases.

#dogears #earsurgery #dogearinfections #vet #vetmedicine #vetderm #dermatologíaveterinaria #dogowner #vetmedworld #vettech #vetstudent
Another day of ears! 

These were three patients we saw with chronic ear infections.  Video otoscopy provides a nice way to get a better look into the ear.  Some dogs can tolerate it awake, but for many it is best the pet is sedated or anesthetized. 

These dogs were all anesthetized and needed middle ear cleaning. 

I love video otoscopy day!  Dermatologists favorite toy!

#dogears #videootoscopy #favoritethings #thursdayfunday miamivetderm #gotitchypet #vetdermatology #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
For some cat owners it’s obvious when their cats are itchy. And for others it may not be so obvious because they don’t recognize that overgrooming is a sign of itchiness.  Or, some cat owners will say their cats are losing hair and balding, but they don’t see them itchy.  Cats can be secretly over grooming (hiding somewhere in the home) or possibly causing a lot of the trauma at night when the owner is sleeping. 

Keep this in mind when taking a medical history of a cat with hairloss. 

Self induced hair loss, especially when the hair loss is widespread, is more common than spontaneous alopecia in cats. Therefore, err on the side that the cat is itchy and rule out itchy skin conditions. 

#cats #catsofinstagram #itchycat #catallergies #catowner #miamivetderm #gotitchypet #veterinarydermatologist #vetmedicine #vetmedworld #petdermatology
The dark specks on this cat’s back is flea dirt.  Closer look and there are also adult fleas. 

Once you see this much flea dirt and fleas there is no doubt that there are fleas in the pet’s home.  What I mean by “fleas in the home” is that the flea life stages (egg, larvae, pupae) are in the pet’s environment.  I know it is hard to believe these organisms could be in your home.  They are microscopic, you will not be able to see them with the naked eye.  But they are there waiting to develop into an adult flea that will bite your pet. 

An adult flea spends its entire life on the dog or cat.  It will lay eggs that fall into the environment, these eggs will develop into larvae (or maggot like stage) and then molt into pupae (or cocoon stage). From the pupae will emerge a new adult flea.

Oral flea preventatives will kill the adult flea once the flea takes a blood meal.  But it is important not to forget about removing the egg, larvae and pupae from the environment.  Removal will allow the flea infestation to be resolved much faster, than to wait for those life stages to cycle thru into new adult fleas that will bite the pet and eventually die. 

Below are some recommendations I like to give for premise treatment.  These tips are good manual removal of the flea life stages without having to use pesticides. 

Vacuum thoroughly the entire home daily to every other day.  Make sure to vacuum areas like carpets, cushioned furniture, cracks/crevices on floors and along baseboards. Don’t forget to throw vacuum bag away.

Consider steam cleaning carpets, the hot steam and soap can kill flea life stages.  Pay extra attention to areas where pet sleeps at. 

If the pet sleeps in the family bed or its own bed, wash it weekly with hot water. 

Use a flea comb daily to check for adult fleas.  If the premise treatment is working, you should see less and less adults. 

For outdoors, rake the yard thoroughly and remove organic debris from under bushes/shrubs.  Flea life stages like shaded areas.  If you have a large yard, the main area of focus for clean-up should be where the pet spends a lot of time at.

#fleas #believeitornot #petowner #vetmedicine #veterinarydermatologist
The lesion is an indolent ulcer.  The indolent ulcer in cat is part of the eosinophilic granuloma complex, that also includes the eosinophilic granuloma and eosinophilic plaque (see a previous post on this lesion).

Indolent ulcers are a cutaneous reaction pattern typically associated to allergies (flea, food, or atopy). It is important when you see these lesions to work up the cat for allergies. Make sure the patient is on a flea preventative.  I have had a few cases where these lesions were due to food allergy, yes! Food allergy does exist in cats.  Most cats, however, have environmental allergies. 

The indolent ulcer commonly occurs on the upper lip, near the philtrum or adjacent to the upper canine teeth.  The lesions can be present on both sides of the upper lip or one sided, like in this case. 

Many times, the indolent ulcer is secondarily infected with bacteria, therefore, antibiotics can help reduce the size.  I like to use Convenia antibiotic as a start.  I will also place them on steroids to reduce the size of the lesion. Some of these ulcers can get so large it appears uncomfortable for the pet.

An important differential would be squamous cell carcinoma. If the clinical picture and history doesn’t fit allergies, then consider a biopsy. 

#catsofinstagram #indolentulcer #catallergies #cats #catowner #veterinarydermatologist #dermatologiaveterinaria #petdermatology #vetmedworld #veterinarymedicine #itsalmosthalloween
There are many shampoos out there available for dogs.

Any regular shampoo or oatmeal shampoo is more than likely going to be safe and keep your dog clean. 

The rest of this post is more on medicated shampoos which is what I like to use long term for my allergic dogs, especially the atopic or environmental allergic dogs. 

I lean towards medicated name brand shampoos.  These are shampoos that have gone thru clinical testing and proven to work for skin infections, and depending on the ingredients, will also help with skin barrier repair. 

Although I do primarily use the brand Dechra, there are other great brands like Duoxo and Virbac that I know many dermatologist and veterinarians use. These shampoo brands have created the right formula and concentration of ingredients for a pet’s skin infection and skin barrier.  I’m sure I’m missing some other good brands, but these are top ones. 

I have seen some generic medicated shampoos on Amazon or pet stores that don’t have the right formula that will work effectively for a skin infection.  So don’t be fooled by a shampoo online that says “medicated”. 

With that said, it’s important that your pet gets examined by a veterinarian and have them tell you which is the best shampoo for your pet’s skin and skin infection. 

What works for me and my patients may not necessarily work for your pet. 

Now if you are going to go to the pet store to find a “medicated” shampoo be careful with topicals that have ingredients like tar, salicylic acid and sulfur as these can be drying to the skin and potentially make things worse. Benzoyl peroxide can also be drying but most of the time this shampoo is prescription based. 

I like to have clients bathe once to twice a week. But in dogs with resistant infections I have had clients bathe up to daily and surprise surprise I didn’t dry out their skin!!! Of course we are monitoring these patients … and here goes back to my recommendation to make sure you see your vet and have them follow up with your pet’s treatment plan. 

#dogallergies #dogbaths #bathingdogs #petowner #dogshampoo #vetderm #vetmedicine #dermatologíaveterinaria #vet #doggrooming
I’m back with another post on “what I wish more people understood “…

One of the easiest and kind of cost effective way to manage an allergic dog’s allergies is with medicated baths. 

Bathing with a medicated shampoo removes infections from the skin that can contribute to itchiness. 

Bathing also removes pollens and all sorts of allergens from the skin that starts causing the allergy. 

Bathing can be soothing on the skin, and from my experience, most pet owners notice reduction in itchiness for 24-48 hours. Sometimes longer. 

Some medicated shampoos have ingredients like phytosphingosine, fatty acids and ceramides that restore the skin barrier.  Making the skin barrier strong prevents the entrance of allergens and microorganisms. 

I’m here to bust the myth that bathing your allergic dog often will make its skin worse by drying it and removing oils. 

If the right shampoo is used this will not happen.  On the contrary, your dog will likely experience an incredible amount of relief with a good bath weekly to even twice weekly. 

I know what you are going to ask next… What’s the right shampoo? Stay tuned for my next video. 

#dogbaths #dogallergies #dogshampoo #dogsofinstagram #petowners #dogowner #veterinarydermatologist #petdermatology #doggrooming #doggroomersofinstagram #vetmedicine
This is a young 1 year old Cocker Spaniel with otitis of the right ear.  This dog has had ear issues for 6-7 months, and in that period of time the ear became this inflamed and “cauliflowered”. It’s ear canal has also begun to close. 

Cocker spaniels have little leeway with ear infections.  The glands in their ears can become enlarged with otitis and begin narrowing the lumen of the ear canal.  Within a short period of time these breed of dogs can develop marked proliferative changes to the ear canal that can quickly progress to calcified ears if the underlying cause is not addressed. 

The most common underlying cause is allergies to food and environmental.  Once the ear canal becomes calcified, then the only recourse is surgery to remove the ear canal (total ear canal ablation).

The take home message to veterinarians and pet owners… Make sure to address the underlying allergy cause for all Cocker spaniels with ear infections. 

#cockerspaniel #cockerspanielsofinstagram #dogear #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Paw infections or pododermatitis can be caused by a variety of conditions. 

By far the most common cause is allergies to environmentals (pollen) and food. 

Many dogs with allergic disease have their paws  become secondarily infected with yeast and bacteria making the foot problem even worse. 

Although not a common problem nowadays, demodex mites (or mange) should always be ruled out when there is paw infection.  Demodex can just present affecting only the paws. 

Other differentials to keep in mind and see if it fits the clinical picture, history and signalment of your case are dermatophytes, endocrine disorders, autoimmune disorders, nutritional disorders, manifestations of internal disease and neoplasia. 

In some breeds of dogs, like the patient in the video, there could also be a foot conformation problem contributing to the paw issues, from the foot webbing, manner in which the dog walks and obesity. 

A good work up for a dog with paw problems should include skin cytology, skin scrapes and fungal cultures.  Skin biopsies for culture and pathology may be necessary.  A bloodwork panel (CBC, Chemistry and thyroid panel) is never too much to do. 

#dogpaws #pododermatitis #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedworld #vetmedicine #veterinarian #prevet #vetschool #vettechlife #vettech #medicinaveterinaria #petdermatologist
Allergy skin testing is primarily performed by veterinary dermatologists. 

During their residency Dermatologist go thru years of training to perform this test and learn how to read it.  Besides this the dermatologist also leans how take the information from the allergy test to formulate an allergy vaccine to desensitize the pet of its environmental allergies. 

It takes skill and experience to put together a vaccine that fits the patient’s environment, medical history and symptoms.  Efficacy of the vaccine can depend on the right allergens being in the formula.  Guiding the pet owner thru the vaccine schedule also takes experience as sometimes the vaccines can cause exacerbation of symptoms that will require adjustments and tweaking of the schedule. 

Dermatologist can provide a wealth of information and treatment or management plans for an atopic or environmental allergic pet.  Allergy skin testing is one of these. 

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