Transcript Dermatology2016pt.4

ATTITUDE IS
EVERYTHING
“A bad attitude is like a flat tire,
you can’t get too far until you
change it.”
Pyoderma ***
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PYODERMA Definition: Bacterial infection of
skin, superficial or deep; Primary or secondary
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Pyoderma occurs when:
 skin
surface broken
 chronic exposure to moisture
 Circulation impaired
 Immunosuppressed
 May be superficial or deep
Pyoderma
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Organisms associated with pyoderma
 Superficial
 Staph
 Deep
 E.
pyoderma-
intermedius, Pasteurella multocida
pyodermas – gram-negative organisms
coli, proteus sp, pseudomonas sp
Pyoderma ***
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Physical Exam may show:
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papules
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pustules
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crusts
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epidermal collarettes
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circular erythematous or hyperpigmented spots
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alopecia
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scaling
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lichenification
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abscess, cellulitis, etc..
PYODERMA
ERYTHEMA, PUSTULES
Pyoderma
EPIDERMAL COLLARETTES
Deep Pyoderma
Deep Pyodermas
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More difficult to treat than superficial
pyodermas due to chronic nature
Patients are often resistant to treatment or
immunosuppressed
Deep Pyodermas
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Diagnosis
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clinical signs may include fever, and deep draining wounds
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Treatment:
 Thorough cleaning
 Systemic Antibioics (clavamox, baytril, cephalexin)
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Client Info
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Causative organism often drug resistant
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Treatment may be prolonged and expensive in large breed
dogs
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Some animals will never fully recovery
CASE #9
Superficial Pyoderma:
“Hot Spot”
Superfical Pyoderma ***

Acute Moist Dermatitis, Superficial
pyotraumatic dermatitis (“Hot Spots”)
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Clinical Signs:
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red, moist, painful areas
Common in thick coated dogs
Usually in hot moist summer months
Hair loss, very pruritic
Develops very fast
Superficial Pyoderma ***
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Diagnosis: clinical signs
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Treatment:
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Clip hair around lesion
Cleanse skin with medicated shampoo
Topical Antibiotics/steroid creams or sprays
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(ex: Betagen Spray)
Treat underlying disease (fleas, allergies)
Systemic steroids, Antibiotics
Client Info
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Gentle cleansing BID
E-collar may be necessary
CASE #10
Skin Fold Pyoderma
(Intertrigo)
 Occurs
in breeds with abundant skin
Facial folds, vulvar folds, tail folds
 Folds trap moisture, heat and bacteria
 Diagnosis:
 clinical
signs - affected area moist, red,
ulcerated
Skin Fold Pyoderma
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Treatment: Relieve symptoms by cleaning and drying
lesion
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Surgical correction of skin fold may be only permanent
solution
Weight loss in obese patients may help
Oral Antibiotics, or antibiotic containing wipes
Antibacterial and/or benzoyl peroxide shampoos
Client Info
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Require long term medical management
Keep area dry and clean
Keep hair/folds away from eyes
Skin Fold Pyoderma
Vaginal Folds
Skin Fold Pyoderma
Lip Folds
CASE #11
Acne

Common in young short-haired dog
breeds and cats
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Clinical Signs:
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can be chronic
Chin swollen and painful to touch, dark
spots => black heads (comedones)
Diagnosis: clinical signs, r/o bite
wounds, abscesses
ACNE
 Treatment:
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clip hair on chin
clean daily with human acne product (helps
with follicular flushing)
systemic antibiotics
Topical antibiotic cream or spray
 Client
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Info:
Daily cleaning of chin is required
Use only ceramic or stainless steel bowls –
NO PLASTIC
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Thought to be an allergy to the plastic