Superficial spreading pyoderma: characterised by spreading / coalescing epidermal collarettes leading to large area of alopecia with erythema and exfoliation. 

Have you seen these lesions on a dog? 

#dogskininfection #pyoderma #miamivetderm #gotitchypet #allergies #vetdermatology #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
Second most common food allergen were dairy products for dogs and fish for cats.  Chicken came in as the third most common for both dogs and cats. 

In my opinion and experience, any food ingredient can become allergen.  I have seen various other foods cause allergies like pork, rice and carrots. Therefore, when I conduct a diet trial in my patients, I am very strict that the pet eats nothing else besides the prescription food I sent it with.

If you want to read more about food allergens in pets go to:
Critically appraised topic on adverse food reactions of companion animals (2): common food allergen sources in dogs and cats.  Ralf S. Mueller, Thierry Olivry & Pascal Prélaud. BMC Veterinary Research volume 12, Article number: 9 (2016) 

 
#foodallergyinpets #petallergies #beefallergy #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
Even though food allergy is not as common as atopy or flea allergy (depending on the part of the country you live in), it is still worth investigating in a pet that has nonseasonal or year-round itchiness.  Food allergy is an easy allergy to control. 

Since 1/3 of atopic dogs can be food allergic, if I have an atopic pet that I am having a hard time controlling its allergies well, I want to make sure that I ruled out food allergy.  If part of that atopic pet’s itchiness is due to food allergy and I can control food allergy with the right diet, I can make this pet comfortable relatively quickly.  I have atopic patients whose recurrent ear infections were due to a food allergy and the itchy body issues were the atopy. 

Let’s not forget food allergies do exist in pets and a diet trial may seem like a long waste of time, but food allergy is an easy allergy to control. 

For more info, read- Critically appraised topic on adverse food reactions of companion animals (3): prevalence of cutaneous adverse food reactions in dogs and cats. Thierry Olivry and Ralf Mueller.  BMC. Vet Res. 2016
 
#foodallergyinpets #petallergies #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #medicinaveterinaria #petdermatologist
Something that I will commonly hear from clients is that their dog started off as  seasonally itchy and it is now year round itchy.  Why is this happening? 

Here are somethings that could be occurring: 

1- It is possible the dog has a secondary bacterial and/or yeast infection that may have developed during its allergy season that has carried through into the non season. It’s the infection that is keeping the pet itchy now.  Do skin cytology! 

2- It is possible the pet’s environmental allergy has now become year round, so a worsening of the allergy. If let’s say this pet was managed with Cytopoint just during its season it may now need Cytopoint more often, like every month. 

3- The pet may have developed a new allergy. Always check the pet is on good flea prevention. Otherwise, consider food allergy and start a diet trial. 

4- Let’s not get tunnel vision and just think it’s all about allergies.  If all the above have been ruled out then consider other skin disorders. Mites? Epitheliotropic lymphoma? Etc Etc. 

#dogallergies #atopy #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
I like using the video otoscope to show clients what exactly is going on in their pet’s ear. A picture or in this case a video is worth a thousand words. The patient here is a 11-year-old dog with a unilateral ear infection. As you can see there is a growth in this ear. This growth is causing the ear infection because it is blocking the ear canal. This case is a good example of why it is important to do an otoscopic exam on all pets with otitis.

I am doing this exam on the pet awake so it can sometimes be difficult to maneuver the otoscope well, but we got a good view of the growth. If you look closely the growth is already bleeding and making this pet uncomfortable. A CT or MRI will be helpful in seeing the extent of the growth- how far down the ear canal it is growing. Taking a biopsy of the growth will tell us if it is benign or malignant. However, if it is benign, it still needs to be removed because it is blocking the ear canal. Removal can be attempted by “plucking it out” or complete removal of the ear canal. The latter is often best because there is no chance of it regrowing versus if you “pluck it out.”

#videootoscopy #dogearinfections #dogears #dogsofinstagram #otitis #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
The lesions here represent a superficial bacterial skin infection in two different dogs. The first are pustules in the groin/medial thigh area of a Dachshund, and the other video is of crust or epidermal collarette lesions on the dorsum of a Papillon.

Pustules are so rare to see that I got excited and needed to video it. A pustule is transient, meaning they don’t last very long, and will dry up into a crust.

These lesions are called superficial infections because it is confined to the upper layers of the skin and hair follicle. Since the hair follicle is often involved, the hair will eventually fall off leaving a focal hairless spot. So, if you can imagine several of these lesions on the body and hair falling off subsequently, how a dog starts to get large bald spots. Add on the trauma from scratching, because these lesions can be itchy, and more hair is falling off.

Cytology of these lesions showed bacteria. How do we treat these lesions?

The Dachshund was a virgin case that had never been on antibiotics. Since the lesions were localized to the groin/medial thighs I opted to treat this with a topical antibacterial ointment and medicated baths.

The Papillon had been on and off antibiotics for 2 years. It had just recently finished a course of antibiotics from its primary vet and still had lesions. Due to this medical history and past antibiotic use, in this patient I opted to take cultures of its skin so that I could find out the exact bacteria infecting the skin and get the right antibiotic to treat it.

Bacterial skin infections are always secondary. There is a primary cause that triggers their occurrence. Some causes to consider are allergies, demodex (mange), endocrine/hormonal disorders.

 
#bacterialskininfection #superficialpyoderma #dogsofinstagram #petowner #dogskincare #miamivetderm #gotitchypet #vetdermatology #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
A little glimpse of my week in Seattle. 

Looking forward to next year’s conference in Boston- @wcvdcongress 

#navdf2023 #wcvd10 #miamivetderm #gotitchypet #vetdermatology #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
Not all medicated shampoos are alike. The ingredients in the shampoo can clue you into what it will do to help the pet’s skin. It may have ingredients to soothe the skin and thus reduce itchiness or it may have ingredients that act more like exfoliators and help remove crusts or scales. Shampoos like the ones often bought at a vet’s office will treat skin infections.

I have clients that come in and say they have been using a pet store “medicated” shampoo, but it is not working. This is usually because if the pet’s skin is infected the shampoo did not have ingredients to help treat infection.

Pet owners should not be surprised if a veterinarian wants them to use a veterinary prescribed medicated shampoo, as these often have the right formula of antibacterial and/or antifungal ingredients at the right concentrations to treat infection. Many of the veterinary prescribed shampoos have also been clinically evaluated on pets and proven to show efficacy in treating infection in comparison to pet store shampoos.

Medicated shampoos from the pet store MAY get a pet by and be a band aid to the skin problem, but not enough to resolve the skin issue. It is best if the pet owner speaks to their veterinarian about the right shampoo for the pet.
 
#petshampoo #petgrooming #medicatedshampoo #dogbath #petowner #petsofinstagram #miamivetderm #gotitchypet #vetdermatology #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
One more week until #NAVDF2023! Get ready for 4 days of valuable veterinary dermatology education and networking!
For information regarding program and speakers, visit navdf2023.com!
#veterinariansofinstagram #veterinarianlife #vetclinic #vetsofinstagram #veterinarystudent #veterinarians #petsofinstagram #veterinaryhospital #veterinarynurse #animalhospital #petcare #doglovers #veterinarysurgery #vetsurgeon
Veterinarians are BEAUTIFUL people with big hearts. 

It is incredible how our profession nowadays can reach out to the public and pet owners through social media.  There are many veterinarians on this platform educating about our profession and animal health in their OWN SPECIAL WAY.  Take sometime to check out their page and follow them!

Love that I am part of this amazing group of people. 

@dr.terrellpetvet @drmollysays @dr.tannetje.crocker @drlisaradosta @theycallmedrlindy @drsuecancervet @senior_pet_vet @michaelmillerdvm @dogter_echols @dr.bozelkaervet 
 
#collaboration #vet #veterinarianmedicine #medicinaveterinaria #veterinarian #veterinarianlife
Are you ready for #NAVDF2023?

For information on speakers, program, social events and much more, be sure to visit the official website at navdf2023.com!

#vetmed #veterinarymedicine #veterinarian #veterinarians #vetlife #animal #animals #animalhealth
My daughter spent the day at work with me yesterday.  She got a glimpse at what I do on a daily basis.  I was so happy that the ophthalmology team took her under their wing too. She was able to see an enucleation surgery!!!

I think she loved her time with the eye team more… who can blame her what’s more cool to see ? Taking an eye ball out or bumps on the skin? Lol.  I can’t imagine what she is telling the kids at school today. 

#takeyourchildtoworkday #minime #miamivetderm #gotitchypet #vetdermatology #veterinarydermatology #petdermatology #dermatologiaveterinária
It’s a team effort on video otoscopy day. 

I couldn’t do it without my team! 

#teamwork #workbuddies #dogears #dogearinfections #videootoscopy #miamivetderm #gotitchypet #vetdermatology #vet #veterinarymedicine
This is a 10-year-old M/N mix breed dog that had this lesion on its trunk for approx. 1 year.  The lesion was not pruritic and the pet owner thought the lesion appeared after a grooming appointment. The primary vet treated this lesion as a ringworm infection repeatedly, but it did not resolve.  The lesion was treated with antibiotics, and it still was not going away.  It was then referred to our clinic for evaluation.

The lesion appeared odd in its skin texture: somewhat thickened irregular skin.  The fact that it was not itchy, and its unresponsiveness to medications was concerning.  This dog also had no previous history of skin problems, and it was worrisome when a new skin lesion appears in an older dog.  Therefore, we took skin biopsies and histopathology showed that this lesion was a mast cell tumor. 

Once again, I post about these innocuous lesions that sometimes are more than what we realize.  It never hurts to do a biopsy when skin lesions are just not responding to your treatment plan. 

#skincancer #dogskincancer #petsofinstagram #miamivetderm #gotitchypet #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
Two weeks until the start of #NAVDF2023! See you all in Seattle!
#vetmed #veterinarymedicine #veterinarian #veterinarians #vetlife #animal #animals #animalhealth
Here is another reminder why bathing is so important for pets with allergies.

1️⃣The bath removes allergens that accumulate on a pet’s skin before the skin absorbs it and causes the allergy.

2️⃣Bathing removes microorganisms like bacteria and yeast that can make a pet itchy.

3️⃣Bathing with shampoos that have ingredients like ceramides, phytosphingosine, fatty acids can help restore the skin barrier. It can help make an allergic pet’s skin healthier and stronger to prevent allergens and microbes from sneaking in.

4️⃣Baths soothe the skin and will lower a pet’s itchiness.

 
If you have been following me long enough, you know that I harp on how baths are so important in the management of atopy or environmental allergies. 

I often recommend a bath once to preferably twice weekly. Talk to your veterinarian for their recommendations on shampoos.

#dogbaths #petsofinstagram #petshampoo #dogsofinstagram #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
#navdf2023 is just around the corner!
We’re so excited to see you all May 9th! For more information about the conference, visit the website at navdf2023.com!
#veterinariansofinstagram #veterinarianlife #vetclinic #vetsofinstagram #vetsofseattle
Food allergy should be considered in all dogs and cats that have year-round itchiness.  The only way to assess a food allergy in a pet is with a diet trial.  Most diet trials are done using a prescription novel protein or hydrolyzed diet strictly given over 3 months.

If the patient you are about to start on a diet trial has a skin infection, it is important to work on treating that skin infection appropriately.  Bacteria and malassezia on the skin cause lesions and can make the pet very itchy.  If the skin infections are not treated and the pet is started on a diet trial, the diet has no chance of working.  Prescription food alone cannot make infection on the skin go away. 

If you have a pet on a diet trial and the pet owner tells you the food doesn’t seem to be working, before completely giving up on the food, assess for infection.

#foodallergy #diettrial #petsofinstagram #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
Allergy testing should only be done in pets that are diagnosed with atopy or environmental allergies.

The purpose of allergy testing is for allergy vaccine desensitization. Meaning the test tells us what the pet is allergic to so that a vaccine or immunotherapy can formulated to desensitize that pet of its allergies.

Clients often think that the allergy test will tell them what the pet is allergic to in the hopes that the allergen can be removed from the environment and therefore relieve the pet of its symptoms. The common allergens tested for are grasses, trees, weeds, dust mites and molds. These are allergens that cannot be easily removed from the pet’s environment.

If your pet is allergic to dust mites, you can only clean your house so much and there will still be mites that can affect your pet. If your pet is allergic to the oak tree in your backyard, removing that oak tree might help, but if your neighbors have oak trees then the pollen from those trees can still affect your pet.

When deciding to spend money on allergy testing, make sure to understand that the purpose of this test is for immunotherapy or to desensitize your pet of its allergies.
 
#allergyskintesting #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
One day your pet was normal with no skin issues, and then seemingly out of nowhere it started to develop an allergy.
 
Allergies develop when the immune system mistakenly sees substances like pollen or food as harmful. These substances become allergens to the pet’s body.  Therefore, one day it was not an allergen and then it can become one.
 
You may have been giving your pet the right food all along. Providing it with a good clean home. You were doing everything right.
 
Why an allergy develops is beyond our control.
 
 
 
#miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
I receive a lot of DM from pet owners asking for my medical advice on their pet’s skin or ear problem.  I always wish I could help, but I can’t. My veterinary license in Florida requires me to physically see the pet and do an exam before offering medical advice. I cannot even do a telemedicine consult. I believe this requirement applies to most veterinarians in this country. 

If you have DM me, you know I have said to go back to your primary veterinarian and discuss your pet’s problem further or get a second opinion.  Nothing wrong with getting a second opinion, and honestly, no veterinarian should make you feel bad for wanting to do this for your pet.  I can tell you I myself have told some of my clients to go to another dermatologist because I couldn’t figure out their pet’s skin or ear problem.  Fresh eyes on the case are always good and never ever wrong. 

Another option is seeing a dermatologist. You can find a dermatologist in your area by going to: www.acvd.org

If there is no dermatologist in your area or the wait is just too long to see one (yes, there is a shortage of dermatologists and vet specialists in general), then ask your veterinarian if they would be willing to do a phone consultation with a dermatologist.  There may or may not be a fee for that type of consultation that is passed on to you.  The fee may be worth it to get your pet relief. 

Don’t be afraid to have a frank talk with your veterinarian if you feel your pet’s skin or ear issues are not improving.  Don’t be afraid to get a second opinion, whether it’s through another veterinarian or with a specialist.  Our pets can’t talk, and we need to speak up for them. You need to advocate for your pet’s medical needs. 

#acvd #petsofinstagram #petownersofinstagram #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
I know I repeat myself a lot about ear issues in dogs. 

And because I saw two patients this week with severe ear infections and chronic changes to their ear canals that I couldn’t fix medically …. and who I needed to refer to a surgeon for ear canal ablation surgery I felt I needed to just keep harping about dog ear problems.  Because if I can save a dog from losing its ear(s) then I know these posts have been meaningful. 

Save this video and share it with someone who has a dog with ear problems. 

#dogear #petsofinstagram #dogsofinstagram #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
I post many videos of abnormal, severely infected ears. I thought it might be good to post a video of a normal dog ear.  This is a video of a dog that had one normal ear, and the other ear had a middle ear infection which we were flushing that day.  It is not uncommon for a dog to have one ear that is prone to infections, and the other ear does not have any problems.

When examining a dog’s ear, I like to assess three things:

One, the ear canal.  Describe it.  It should be a smooth pink colored lined ear canal.  In a dog with otitis, the ear canal will likely be inflamed. Estimate the otic inflammation, it may be to the point of narrowing or completely closing the ear canal.  Make sure there is no growth like a tumor or polyp obstructing the ear canal.  You also want to palpate the ear canal.  Ear canal has cartilage and should be pliable.  In chronic ear infections, the ear canal can thicken to the point of calcification. 

Two, the ear drum.  Is it present or not? The ear drum is a thin semitransparent membrane.  It has two parts, the pars flaccida (a soft pink colored membrane that can look like a growth) and the pars tensa.  Make note of any changes to the ear drum structure, is it cloudy? Or bulging?

Three, make note of the type of exudate or discharge in the ear and its amount.  In a normal ear, you may see a small amount of waxy debris.  In a dog with otitis, you may see excessive waxy odorous material or purulent (pus) discharge. 

Keep these three assessment points in mind every time you evaluate an ear.

Veterinarians, I suggest you save this video of a normal ear in a dog. Although, there are variants of normal depending on the breed, you can use this video as reference to what a normal ear should look like. 

Pet owners should save this video, so that you are armed with knowledge when your veterinarian is examining your pet’s ears.

#dogears #learnoninstagram #petowners #miamivetderm #gotitchypet #allergies #vetdermatology #petowner #dermatologiaveterinaria #vet #veterinarymedicine #vetmed #vetmedicine #veterinarians #prevet #vetschool #vettech #medicinaveterinaria #petdermatologist
This is an approx. 8-year-old FS indoor cat that has had this non pruritic alopecic lesion below her right eye for approximately 4-5 years. The various treatments the referring vet had prescribed didn’t ever lead to resolution of the lesion. According to the owner, the lesion never really went away and sometimes it looked smaller, other times larger. Although kind of an innocuous lesion because the cat was not bothered by it, it was not normal, and we needed to find out what was causing it. With the help from our ophthalmology friends @animaleyeguysmiami @eye.luv.eyes , we decided to biopsy it. Histopathology revealed a mast cell tumor. 

Mast cell tumors of the skin of cats are uncommon. These tumors are distinct from canine mast cell tumors in their clinical presentation and behavior.  Cutaneous mast cell tumors in cats can appear as solitary masses or multiple nodules. The head and neck are reported to be the most common body sites affected. There is no sex predilection.

Instead of the tumors being categorized by grade, like in dogs, in cats they are classified by the predominant cell type, then further classified on the appearance and malignancy demonstrated by those cells. Therefore, feline mast cell tumors are categorized as: well differentiated, pleomorphic and atypical/poorly granulated. The latter type is often seen in young adult cats and kittens. Siamese cats are predisposed to the atypical type of mast cell tumor. Otherwise, mast cell tumors in cats primarily occur later in life over the age of 10.

Most of the published information available for feline cutaneous mast cell tumors indicate these neoplasms to be benign with low recurrence rates.  Surgical excision is the treatment of choice. 

For this kitty, surgery will not be easy as the lesion is near the eye. We have referred her to an oncologist for further evaluation. 

Anyone seen this skin neoplasm in a cat? What has been your experience? 

#skincancer #petcancer #catsofinstagram #mastcelltumor #catowner #vetdermatology #vetmedicine #veterinarian #dermatologiaveterinária #petdermatology
#NAVDF2023 is coming up quick! Have you registered yet? Secure your spot by visiting navdf2023.com/registration!

#vetmed #veterinarymedicine #veterinarian #veterinarians #vetlife #animal #animals #animalhealth
Our dermatology team will often see atopic pets starting from puppy or young adulthood through that pet’s geriatric years, managing their environmental allergy flare ups.  For some of these pets we have known them for just over a decade of time.  My team and I have grown old with these pets, and we have bonded with the pet owners.  This is one of the beautiful aspects of this profession and of this specialty, the connections we make with our clients and their pets. So, it is not a surprise when we hear about the passing of a long-time patient that it hits us hard. 

This is dedicated to Gracie, Cash and Marlo who recently crossed the rainbow bridge. I know their families are hurting now, and our thoughts and prayers are with them. 

I hope these little creatures know they left an indelible mark in our hearts.

#rainbowbridge #rainbowbridge🌈 #miamivetderm #gotitchypet #vetdermatology #petowner #vet #veterinarymedicine #petdeath