Split Paw Pad Disease

Re: Split Paw Pad Disease

Martin Atkinson — Mon, 18 Feb 2013 13:03:35 GMT

[quote user="james herriot lied"]+1 for sudocrem; in fact, I'm using it more and more instead of fuciderm for out-of-the-way hot spots. Super stuff, and familiar to all with a young family.[/quote]

Even better:

Re: Split Paw Pad Disease

Gareth Dowdeswell — Mon, 18 Feb 2013 12:45:08 GMT

I agree food allergy bloods aren't absolutely reliable - I think they can help with compliance with a food trial though because there is a list of acceptable and unacceptable foods, rather than just guesswork from the animals dietary history.

[quote user="Mike Dale"]

i agree doesn't look like a corn. histopath ruled out auto-immune?

[/quote]

No evidence of autoimmune from the biopsies - deeper sections of tissue were normal and unremarkable.

Re: Split Paw Pad Disease

Rob Loxley — Sun, 17 Feb 2013 22:36:21 GMT

[quote user="Gareth Dowdeswell"]and food allergy serology (another differential from the lab tho the clincal history and signalment don't really fit)[/quote]

I always question the helpfulness of "food allergy serlogy", YMMV...

Re: Split Paw Pad Disease

Mike Dale — Sun, 17 Feb 2013 22:31:58 GMT

i agree doesn't look like a corn. histopath ruled out auto-immune?

Other thoughts are hookworm or Zinc deficiency - both of which I used to see in greyhounds years ago.

Mike

Re: Split Paw Pad Disease

Gareth Dowdeswell — Sun, 17 Feb 2013 21:41:58 GMT

A few pictures of when I saw the dog again 2 days ago. Dog has been on Carprofen and Co-Amoxycillin since the biopsies were taken.

This is the dogs front left paw, the area of inflammed skin had only being noticed by the owners 24 hours previously. Prior to this lesions were only on one of the hind paws.

This is the area of eroded skin on the rear foot - it has improved from when the biopsies were taken and appears to be healing.

The lesion on the upper pad in the picture is worse than when it was biopsied. When it was biopsied it was a circular area of differently pigmented dermis, it now appears a little larger and has inflammed skin proximal to it.

Plan is to have the dog back in for bloods to rule out any liver disease and food allergy serology (another differential from the lab tho the clincal history and signalment don't really fit). Anyone got any other ideas? Owners cannot apply topical meds to the feet

Re: Split Paw Pad Disease

james herriot lied — Wed, 13 Feb 2013 15:58:37 GMT

[quote user="Mike Dale"]

recently I have found sudocream (nappy cream) to be rather fine at reducing incidence of recurrence and in one case resolution occurred in three out of three pads on a foot using sudocream alone.

[/quote]

+1 for sudocrem; in fact, I'm using it more and more instead of fuciderm for out-of-the-way hot spots. Super stuff, and familiar to all with a young family.

Re: Split Paw Pad Disease

Gareth Dowdeswell — Wed, 13 Feb 2013 14:14:26 GMT

It doesn't look like a corn to me, its not really circular and its not on the weight bearing part of the pad. I did wonder if the second lesion occured as response to the first lesion but both lesions are similar histoloically which suggests they have the same cause.

Re: Split Paw Pad Disease

Mike Dale — Tue, 12 Feb 2013 15:06:53 GMT

Hi Gareth

Is it a corn? Do I understand there was a lesion on the adjacent toe pad? Sometimes a corn develops on a pad that becomes obliged to take extra weight. They can be dug out using something like small spoon curette. They tend to recur (most experience in greyhounds) but recently I have found sudocream (nappy cream) to be rather fine at reducing incidence of recurrence and in one case resolution occurred in three out of three pads on a foot using sudocream alone. (I had been buying time prior to a scheduled GA for another issue!). Just a thought. Corns are usually fairly circular separated from the rest of the pad by an obvious fault line and usually darker or lighter than the peripheral normal pad tissue. I think the cream works by softening the tissue and I guess there is some relationship between the role of Zinc in keratin and its presence in sudocream.

Mike