Foot Lesion

RE: Foot Lesion

Anthony Todd — Thu, 04 Mar 2021 11:55:37 GMT

Often an untidy and rather rough strapping of the diagonally opposite foot, ie left hind, with sellotape or electricians black tape used to distract the dog to leave the affected foot alone long enough for drying and healing to start.

Unscientific I know but it usually worked for us.

RE: Foot Lesion

Mark Craig — Thu, 04 Mar 2021 10:31:30 GMT

Age and presence of Proteus suggest prominent underlying factor. Raised SDMA and urea don't improve the prognosis. Vital to check for and rule out potential treatables like Demodex, Malassezia, and dermatophytes. Steroids would be tempting to improve quality of life, but may not be a good idea if kidney disease, active Proteus, and deep skin infection. Frequent washing, salt water, Isaderm, antibacterial wipes, and warn owner of underllying probelms. Appropriate antibiotics if no response. Any skin/pruritus history suggesting atopy?

RE: Foot Lesion

Delia Richter — Thu, 04 Mar 2021 09:37:01 GMT

And some paracetamol for pain relief. If worried about steroids because of kidneys then maybe just a very short course to reduce the initial pain, and then switch to topical.

The timeline is too long for Alabama Rot fortunately!

RE: Foot Lesion

Delia Richter — Thu, 04 Mar 2021 09:34:57 GMT

Hi, get some impression smears to look for bacteria / yeast, there looks like secondary infection there. Clip all the hair out so you can visualise what is actually going on better. Looks inflammatory so steroids are a great idea. If there are yeast on your impression smears you can use surolan topically. If cocci I would use isaderm. If no organisms then cortavance if you have any or Elocon (mometasone) if not. Daily bathing in a nice chlorhexidine shampoo like Douxo, or the Douxo (or CLX) wipes. Check the other paws, I bet you'll see mild inflammation in between the pads of those, just not as bad.

Love to know how it goes

RE: Foot Lesion

Neil Wheadon — Thu, 04 Mar 2021 09:17:53 GMT

[quote userid="10320" url="~/001/veterinary-clinical/small-animal/dermatology/f/discussions/29701/foot-lesion/228898#228898"]Is it too painful for the owner to clean it?[/quote]

I only briefly saw it yesterday, but my impression was that yes this is painful. The dog is 3/10 lame on this

Neil

RE: Foot Lesion

Lucy Fleming — Thu, 04 Mar 2021 08:59:49 GMT

Is it too painful for the owner to clean it? Regular cleaning with CLX wipes or similar might be helpful?

RE: Foot Lesion

Neil Wheadon — Thu, 04 Mar 2021 00:14:21 GMT

[quote userid="3169" url="~/001/veterinary-clinical/small-animal/dermatology/f/discussions/29701/foot-lesion/228894#228894"]Has it had any steroids? I'd have given some alongside abs[/quote]

Not yet.... well not until today when I saw it and I said 'give it a shot of dex' whch we did. I'm going to call the client on Friday

Neil

RE: Foot Lesion

Michael Woodhouse — Wed, 03 Mar 2021 23:39:18 GMT

Has it had any steroids? I'd have given some alongside abs