"magic wand" for chronic interdigital cysts in a Doberman

RE: "magic wand" for chronic interdigital cysts in a Doberman

Richard Carter — Fri, 02 Aug 2019 17:08:13 GMT

had amazing results recently using ketoconazole shampoo (Dandrazol 2%) topically ev 3 days (wet feet, work in soap, leave 10 minutes, rinse) with clindamycin for 3 - 4 weeks at 11.5mg/kg for chronic pedal dermatitis. better than previous rx with malaseb which i find sometimes makes feet more inflamed. Then your favourite anti itch meds - apoquel, cytopoint, preds, atopica once pyoderma and yeasts under control

think both apoquel and atopica actually have a contra-indication if pyoderma present

RE: "magic wand" for chronic interdigital cysts in a Doberman

David Mills — Wed, 31 Jul 2019 23:56:47 GMT

[quote user="KMurphy"]

[quote user="Joyce Whitehead"]I’d be inclined to give it some bravecto just in case[/quote]

Just to point out that Bravecto isn't licensed for treatment of demodicosis but Simparica is so technically you should use this...

[/quote]

Ha, yes, common issue.

Been seeing a lot more of pedal demodicosis with suboptimal response to preds (no apoquel here), just find a hint of a flea, or suggestion of one and all good.

Brevecto is a revelation for demodex. One dose. Normally eat in the consult room.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Sara Ramsey — Wed, 31 Jul 2019 22:06:10 GMT

I have seen this dog again. He's doing better, less uncomfortable. Currently on week four of six of clavaseptin and having malaseb bathing of his feet. His is on bravecto and I am going to look into a steroid cream I think.

Thanks for all the advice.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Sara Ramsey — Wed, 31 Jul 2019 22:03:10 GMT

RE: "magic wand" for chronic interdigital cysts in a Doberman

Sara Ramsey — Wed, 31 Jul 2019 22:02:13 GMT

RE: "magic wand" for chronic interdigital cysts in a Doberman

Sara Ramsey — Wed, 31 Jul 2019 22:01:32 GMT

RE: "magic wand" for chronic interdigital cysts in a Doberman

Andrew Henfrey — Thu, 25 Jul 2019 19:58:05 GMT

[quote user="Sarah Keir"]

I am glad that the 'magic wand' didn't mean laser!

[/quote]Depends on the type of laser. CO2 laser ablation is very useful for some pododermatitis cases. Paper here:

Pathogenesis of canine interdigital palmar and plantar comedones and follicular cysts, and their response to laser surgery

DD Duclos, AM Hargis, PW Hanley - Veterinary dermatology, 2008.

I note Edinburgh Uni have one specifically for this, as do Peter Forsyth and Hilary Jackson in Glasgow. We got one in 2008 and have used it extensively for pododermatitis and also to perform fusion podoplasties when necessary. Hope this is useful.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Sara Ramsey — Thu, 25 Jul 2019 18:36:39 GMT

Thank you everyone. They have cancelled yet another appointment but hopefully seeing them next week.

He has malaseb for his feet.

Serology testing was used as O wanted to try immunotherapy... rather than to "diagnose". I also don't use serology for food allergies...though we have been told it may be useful in selecting a novel protein..though I tend to use hydrolysed diets.

His feet don't look moist/inflammed/oozy. I think to re-culture I would have to biopsy and send the tissue for culture to get anything meaningful.

T4 is a good call.

I think I might talk to them about topical steroids and look into those boots..I find the Mikki ones are a bit rubbish!

RE: "magic wand" for chronic interdigital cysts in a Doberman

Anthony Todd — Thu, 25 Jul 2019 14:22:53 GMT

[quote user="Delia Richter"]I would definitely consider trying Cortavance Spray,[/quote]

I think it would work really well on ear pinnae [?? sarcoptes] but on the palm of a hand then between the toes I question the chance of getting it between the toes.

The potent creams or lotions applied, then a boot[s] sounds more effective to me??

RE: "magic wand" for chronic interdigital cysts in a Doberman

Aine Seavers — Thu, 25 Jul 2019 12:42:29 GMT

if you use the Bravecto to keep the flea/tick burden down to help this atopic animal reduce its allergen burden then that would be on licence for UK and if it so happened to treat demodex then no one could complain.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Delia Richter — Thu, 25 Jul 2019 12:26:07 GMT

[quote user="Thomas Johnson"]

[quote user="Sara Ramsey"]I can't think of a good solution to help with this, does anyone think topical steroid spray might work? I have had good results on lichenified pinna in the past.[/quote]

I would definitely consider trying Cortavance Spray, I have used it on chronic skin lesions on feet in the past and it has worked well. When using it on paws I tend to suggest the client puts on a disposable glove, sprays onto their palm and then rubs it into the feet, initially daily, but once they have settled down twice a week may be enough.

[/quote]

I love the gloves idea!

RE: "magic wand" for chronic interdigital cysts in a Doberman

KMurphy — Thu, 25 Jul 2019 10:51:04 GMT

[quote user="Joyce Whitehead"]I’d be inclined to give it some bravecto just in case[/quote]

Just to point out that Bravecto isn't licensed for treatment of demodicosis but Simparica is so technically you should use this...

RE: "magic wand" for chronic interdigital cysts in a Doberman

Rob Loxley — Thu, 25 Jul 2019 07:13:07 GMT

[quote user="Chris Geddes"]

In Anthony's defence, I thought that serum testing for allergens was useless for diagnosis, and a diet trial and patch testing was necessary?

[/quote]

certainly i dont believe we have good serol tests for adverse food reactions, and either intradermal or serology aren’t perfect for environmental allergens, but my understanding was that the efficacy of allergen specific immunotherapy was no significantly affected by which testing methodology used in diagnosis

RE: "magic wand" for chronic interdigital cysts in a Doberman

Aine Seavers — Thu, 25 Jul 2019 07:02:35 GMT

Have you had issues with all the different lasers in treating skin issue like feet and anal sacs?

I mean the new strength lasers at the top end of the range not just the entry level K4 versions?

RE: "magic wand" for chronic interdigital cysts in a Doberman

Aine Seavers — Thu, 25 Jul 2019 07:00:10 GMT

yep, glucocorticoids and topical cortavance followed by aloveen 30mins later to reduce TEWL but also strongly advise some form of dog boots. A good brand we use here are AFP (all for paws)=great outdoor solid boots breathable even in hot weather here. For really painful feet we have the owners distill the creams into a baby's sock then slip that onto the paw and put the boot on over it. Take the dog for a walk and you have great penetration of the cream into the skin etc. Photos would be good to see a colour dilution etc esp over the flanks or any friction issues elsewhere.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Dinu Catilina — Wed, 24 Jul 2019 21:33:59 GMT

We see quite a few bulldogs and bull terriers with interdigital cysts and they all respond to 0.5-1mg/kg prednisolone for one week and then continue with Cortavance.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Joyce Whitehead — Wed, 24 Jul 2019 19:51:31 GMT

Has demodex been ruled out? Personally I’d be inclined to give it some bravecto just in case, as I think they can be hard to find in chronic feet, but I’ve had some settle with this when they have been grumbling for ages. And check thyroid function if not already done too.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Anthony Todd — Wed, 24 Jul 2019 17:21:08 GMT

[quote user="Chris Geddes"]you did read the original post?[/quote] I know it wasn't Chris]

Of course, but often my impression was, and is, that everyone gives up; the steroids work or don't and then suddenly says " it' was fine 'til we went to the beach" etc and the allergen is discovered......

For the umptenth time C'steroids can be intermittently given while the "trial and error" search for the allergen [s] goes on as long as they are given only just as the dog starts to itch again and NOT as a course or continuously.

RE: "magic wand" for chronic interdigital cysts in a Doberman

Sarah Keir — Wed, 24 Jul 2019 16:51:50 GMT

I am glad that the 'magic wand' didn't mean laser!

RE: "magic wand" for chronic interdigital cysts in a Doberman

Chris Geddes — Wed, 24 Jul 2019 16:30:06 GMT

[quote user="robloxley"]

[quote user="Anthony Todd"]Of course, and usually overlooked, is you can start and continue the search for a likely trigger or allergen, again, always ignored[/quote]

you did read the original post?

[/quote]

In Anthony's defence, I thought that serum testing for allergens was useless for diagnosis, and a diet trial and patch testing was necessary?

RE: "magic wand" for chronic interdigital cysts in a Doberman

Anthony Todd — Wed, 24 Jul 2019 16:22:46 GMT

Or you could smear one of the more potent creams on the areas and enclose the feet in small plastic bags or washing up gloves for a while while the dog walked on flat wipeable surfaces like a tiled floor in a kitchen?? Or even sacrifice a pair of doggy boots??

Might be hard to get the spray between the digits?? Steroid lotion??

look at re potency: https://bnf.nice.org.uk/treatment-summary/topical-corticosteroids.html

RE: "magic wand" for chronic interdigital cysts in a Doberman

Thomas Johnson — Wed, 24 Jul 2019 16:02:37 GMT

[quote user="Sara Ramsey"]I can't think of a good solution to help with this, does anyone think topical steroid spray might work? I have had good results on lichenified pinna in the past.[/quote]

RE: "magic wand" for chronic interdigital cysts in a Doberman

Anthony Todd — Wed, 24 Jul 2019 13:49:32 GMT

Any chance of some pics? Mobiles take incredibly good clinical pictures which really help! [me anyway!]

In the past derm. was largely a visual diagnostic exercise too.

I understood there was no signs of infection?

Any pain or discharge?

RE: "magic wand" for chronic interdigital cysts in a Doberman

Rob Loxley — Wed, 24 Jul 2019 13:47:48 GMT

[quote user="Anthony Todd"]Of course, and usually overlooked, is you can start and continue the search for a likely trigger or allergen, again, always ignored[/quote]

you did read the original post?

RE: "magic wand" for chronic interdigital cysts in a Doberman

Rob Loxley — Wed, 24 Jul 2019 13:28:07 GMT

If he's had lots of courses of antibiotics, is a culture worth doing before more systemic antibiotics; topical antiseptic such as malaseb as malassezia may be there; topical steroids especially as underlying atopy; sometimes surgery needed - maybe surgical laser ablation?