https://www.vetsurgeon.org/f/clinical-questions/29295/muzzle-folliculitis-and-furunculosis-canine-chin-acne---what-s-the-current-thinking I can find a paucity of information on muzzle folliculitis and furunculosis seen in young Boxers and Bulldogs etc. What is the current thinking on this? Many thanks! en-USTelligent Community 10https://www.vetsurgeon.org/thread/224966?ContentTypeID=1Tue, 18 Aug 2020 09:48:32 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:b187c074-791c-4db3-b189-c8e20a75a0e1Judith Joyce<p>Hi,&nbsp;</p> <p>These are a pain to deal with. &nbsp;Despite all the modern parasiticides, its still mandatory to look for Demodex due to age and associated &nbsp;immature immune response &nbsp;of the patient, and the &nbsp;relationship between pydoderma and demodicosis &nbsp;It is a challenging area to scrape and find Demodex, especially if they have been partially &nbsp;treated. Dermatophytosis &nbsp;is on &nbsp;the list, as &nbsp;is Malassezia though probably &nbsp;secondary.Cytology of &nbsp;pustules or ooze expressed on scraping useful for microorganisms. &nbsp;Some have already been complicated by the various potions that the owners have applied before presentation. Many more mild cases respond to topical antibacterial washes. &nbsp;I avoid glucocorticoids orally or systemically in the early stages. A few may require and respond very &nbsp;well to &nbsp;a short appropriate course of systemic antibacterials. Some resolve ? spontaneously as they mature and some develop into chronic pyoderma that demand thorough investigation of underlying causes (other than &nbsp;being a young short nosed dog) and &nbsp;more aggressive treatment. Not&nbsp;sure how helpful that &nbsp;is &nbsp;but &nbsp;hopefully &nbsp;will stimulate &nbsp;discussion.&nbsp;</p><div style="clear:both;"></div>