Page 2775 - Cote clinical veterinary advisor dogs and cats 4th
P. 2775

Pruritus   1445



            Pruritus
  VetBooks.ir                                      History and physical examination





                                                         Initial database:
                                                         • Flea comb
                    Positive                             • Acetate tape
                                                         • Trichogram
                                                           Skin scrapings
                                                         •
                                                           Skin cytology
                                                         •
                                                         • Fungal culture
                                                            Negative

                                            Papules                Papules and pustules
            Treat for:                        only                or epidermal collarettes
            •  Parasites:
                 Fleas/flea allergy                                Yes          No
                 Sarcoptes
                 Cheyletiella             Acaricide and         Antibiotic   Acaricide and
                 Notoedres                insecticide trial       trial     insecticide trial
                 Otodectes
                 Pelodera               Positive  Negative    Positive    Positive  Negative
                 Harvest mites
            •  Infections:
                 Pyoderma           Parasitic skin   Antibiotic      Parasitic skin   Pruritus persists
                                      disease
                                                    trial
                 Malassezia                                             disease
                 Dermatophytes
                                                      Positive
                                                       Pyoderma
                                                                      Yes
                                                                                  Pruritus seasonal
                                                                                     No
                                          • Seasonal atopic dermatitis (e.g., pollens)
                                          • Contact allergy to plants                Food trial
                                          • Harvest mites
                                          • Pelodera                             Positive  Negative
                                          • Mosquito bites hypersensitivity

                                                                               Food        In vitro/in vivo
                                                                           hypersensitivity  allergy testing
                                                                                        Positive  Negative


                                                                                 Atopic dermatitis  Skin biopsy


                                                                                             • Sebaceous adenitis     Clinical   Algorithms
                                                                                             • Epitheliotropic lymphoma
                                                                                             • Calcinosis cutis

           EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
           ORIGINALLY WRITTEN BY: Manon Paradis, DVM, MVSc, DACVD














                                                      www.ExpertConsult.com
   2770   2771   2772   2773   2774   2775   2776   2777   2778   2779   2780