RE: Difficult canine pododermatitis case

grumpyoldman — Wed, 16 Sep 2015 22:59:08 GMT

I have had a few of these with middle aged russian blacks , nothing medical seems to work , cutting all the webs out completely, helped one dog.

RE: Difficult canine pododermatitis case

Miriam Lodewyks — Wed, 16 Sep 2015 20:58:36 GMT

Do you have Advocate and Cyclosporine available in Hong Kong? i'd have this dog on 2-weekly Advocate, trial Atopica, and encorage using topicals like hibiscrub washes and topical cortisone... if you haven't already. And I'd switch to Clindamycin for a while - I find it particularly helpful for "sweaty, dirty paws".

RE: Difficult canine pododermatitis case

Busybee — Wed, 16 Sep 2015 20:39:03 GMT

Sounds like you've done a very comprehensive job with a difficult dog and owner!

The main thing I'd suggest is to maybe re-skin scrap/hair pluck as a very similar case I had turned out to be demodecosis, despite having previous negative scrapes. How long ago were the scrapes done?

RE: Difficult canine pododermatitis case

Aine Seavers — Wed, 16 Sep 2015 05:52:01 GMT

What brand of cephalexin are you using,-not all have the same bioavailability or bioequivalence. I tend to prefer Kefvet brand rather than some more widely promoted ones that have failed me spectacularly in the past. What dose/kg and how often as well. Have you any bloods- an eosinophil counts etc. These are nightmare cases but sometimes simply things help- Malaseb foot baths in a whirlpool action in a container hand held does help, followed by aloveen lotion application- which you can apply daily to act as a lubricant as well to assist in helping these hard hairs not traumatise the opposing skin. Dog boots are wonderful- the USA dogglegs site could provide you some. For aggressive dogs esp re feet a simple technique taught to me by an appropriately named Aggro dog- was to distill antibiotic or antifungal or emollient creams into the boot or sock, slip the foot in then take the dog for walk- thus increasing the massaging in of the therapeutic creams. Great compliance from dog and owner. Years ago I had some cases in a trial using Vivitonin family of drugs to increase the bioavailability of the antibiotic at the target site esp in furunculotic lesions so that could be a Plan B. Sharpei are a nightmare due to the unique skin characteristics and why skin scrapings in this breed not particularly useful and hence need to fast track to biopsy quicker than in a lot of breeds. You could try the dry cellotape pluck of hairs directly onto a slide as per Vogelnest- really does increase your demodex harvest and a great first technique in any dog but esp an aggressive, active or show dog where using a blade not always safe or allowed. That aside- and knowing you have used abts in last 1-3mths,consider a thyroid screen- at that age I woudl not include TgAA but a TT4/cTSH/Ft4/Ft3 are options you could look at but dont waste money and just do a Tt4 as one of those tests in one moment in time is very unreliable unless really well within the normal RI when you can rule hypot4 out probably at that point.. There some good papers out there on fusion podoplasty but would think augmenting your oral meds with some topical therapies would help