https://www.vetsurgeon.org/f/clinical-questions/20125/anti-histamines-in-puppyHi,a couple of quick queries on a case: background is 8 w.o. Westie puppy, owner had for 3days, came with generalised dermatitis, hairloss and seborrheoic style thick crusty bits on back and very itchy, no fleas/dirt seen. At this stage am suspectingen-USTelligent Community 10https://www.vetsurgeon.org/thread/121258?ContentTypeID=1Mon, 22 Sep 2014 22:45:57 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:9ae55ff7-e793-441a-86a8-c4565cfe84c0Stephen Courtney<p>The young pups i have seen with Cheyletiella were hooching with the buggers, but weren&#39;t really that itchy. Made the mistake of showing the client what was under the microscope on the last one, she nearly fainted, and clearly seemed rather fallen out of love with her puppy after that....</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/121217?ContentTypeID=1Mon, 22 Sep 2014 13:07:20 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:56375629-ff3b-457a-a1cc-6b1d6ec113deBob Russell<p>I would use Stronghold so you can <i>really</i> rule sarcoptes out!</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/121181?ContentTypeID=1Sun, 21 Sep 2014 20:08:22 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:67992be8-d77d-4e57-bd06-b0bc865a29a8emma o&amp;#39;connor<p>I would have sarcoptes high on the list as well, especially if very pruritic. Even if you can&#39;t find the mites on scrapes I would use advocate to be sure to rule it out. Licenced from 8 weeks old so fine to use.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/121168?ContentTypeID=1Sat, 20 Sep 2014 21:15:30 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:0616e92b-d94d-46c6-aca1-e94ae9a237faNicola Cole<p>[quote user=&quot;Stephen Courtney&quot;]<p>I would have thought a bit too young for demodecosis to have progressed this far. Likewise atopy and food allergy but not impossible. More likely sarcoptes if it is mites.</p> <p>a skin scrape takes a few minutes and if you suspect demodex it should have been done in the initial consultation surely?</p><div style="clear:both;"></div>[/quote] Puppy came in for a ghc-I initially suspected cheyletiella (wasn&#39;t typically dry scurfy but due to age of puppy) so didn&#39;t do a skin scrape for demodex, just did a sellotape slide. Asked owners to ring breeder to see whether any recent tx etc then we would discuss in a few hours re tx....no cheyletiella found (surprisingly) so was looking at the other options, hence the mention of demodex.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/121167?ContentTypeID=1Sat, 20 Sep 2014 20:33:57 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:74dacde5-d53e-42ec-9180-16109ad207edChristina Smith<p>Cheylettiella would be my top guess. Easy to find on a scraping unless already treated with a spot-on even then you can see the eggs. Classically thick crusty, scaling especially over the dorsum.&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/121161?ContentTypeID=1Sat, 20 Sep 2014 18:01:11 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f43be358-69cd-4848-92e0-43b7bb6d3bfdStephen Courtney<p>I would have thought a bit too young for demodecosis to have progressed this far. Likewise atopy and food allergy but not impossible. More likely sarcoptes if it is mites.</p> <p>a skin scrape takes a few minutes and if you suspect demodex it should have been done in the initial consultation surely? Never treat for demodex without confirming - amitraz is pretty potent, and probably you can&#39;t use it on a pup that age anyway, but sarcoptes is different. Much harder to prove, much easier to treat!</p> <p>At this stage i would skin scrape, start suitable antibiotics and malaseb shampoo, then advocate so long as the pup is heavy enough - minimum 1kg - sorry can&#39;t remember age limits.&nbsp;</p> <p>If the client is dithering about treating this either they bought it from a crap breeder or they are likely to be crap owners - I feel sorry for the pup&nbsp;</p><div style="clear:both;"></div>