ACCREDITED CPD
ACCREDITED CPD
d. Allergic contact dermatitis (ACD) – very rare
in dogs, lesions are restricted to contact areas
where hair is absent or thin.
After 3 weeks the patient should be re-evaluated. The
owner should score the dog again. The dog should
be checked thoroughly to see how the pruritus and
the lesions have responded to the treatment. Follow
up cytology has to be performed to grade infections
that may have remained. It is important to evaluate
the pruritus score as well as the appearance of the
lesions – lesion resolution does not always accompany the resolution of pruritus. Failure to respond to a
proper therapeutic trial is not a failure. It simply means
that a possible cause has been eliminated. There is
no quick fix and most, if not all chronic pruritus cases
cannot be controlled in one visit. If the client does not
return for the revisit, the initial visit will not have any
long term benefits.
There are now three possible scenarios:
a. The patient is much better, pruritus score is now
0/10, both pruritus and lesions have resolved: it
could have been FAD with secondary infections,
Sarcoptes with secondary infections or non prur ]X