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1502  Section 12  Skin and Ear Diseases

            trauma. In adulthood, the skin fragility persists but areas   Great Dane
  VetBooks.ir  of dark gray hyperkeratosis and hyperpigmentation will   fine, dry, white to yellow scaling along with a greasy,
                                                              Clinically, Great Dane puppies present with generalized
            develop and are worse in the intertriginous regions.
                                                              leathery appearance to the axillary and inguinal regions.
            Pruritus has not been described and footpads, claws,
            teeth. and hairs were reported to be normal.      Marked skin wrinkling is present on the head, muzzle
                                                              and distal limbs.
            Jack Russell Terrier
            Affected dogs are born with thick, large, adherent, white   Other Breeds
            to dark scales in areas with sparse hair coat and loosely   Ichthyosis has been anecdotally reported in West
            adherent scales in other parts of the body. Footpads are   Highland white terriers and English springer spaniels.
            reported to be moderately hyperkeratotic and the nails   An epidermolytic form was described in a Labrador
            soft. Secondary bacterial and Malassezia infections may   cross based on histopathologic findings. More recently,
            be a complicating problem.

            American Bulldog
            Shortly after birth, puppies present with a disheveled
            hair coat and erythema associated with tightly adherent
            tan scales localized to the hairless skin (axilla, abdomen,
            groin) which acquires a wrinkled appearance. In adult-
            hood, the hairless areas develop a reddish‐brown discol-
            oration. Large, loosely adherent, white to tan scales are
            present throughout the body (Figure  170.8). Foodpad
            hyperkeratosis is a rare finding in adult dogs. Affected
            dogs  are  very  prone  to  developing  Malassezia  over-
            growth which can be severe and result in pruritus
            (Figure 170.9).
             The clinical appearance of American bulldog ichthyo-
            sis is frequently misdiagnosed as atopic dermatitis which
            can indeed co‐exist in some dogs.                 Figure 170.9  Same dog shown in Figure 170.8. Malassezia
                                                              overgrowth present on the flank and ventral abdomen resulting in
            Cavalier King Charles Spaniel                     a brownish discoloration of the skin and hair coat.
            Puppies are born with a rough and curly hair coat and as
            they become older, the glabrous skin becomes hyperpig-
            mented  and  hyperkeratotic,  particularly  around  the
              nipples and inguinal region. Scales, footpad hyperkerato-
            sis and abnormal nails, that may slough, develop at
            about  6  months of age or older (Figure  170.10).
            Keratoconjunctivitis sicca is noted as the puppies open
            their eyes and can be mild to severe.



















            Figure 170.8  Two‐year‐old American bulldog with ichthyosis.   Figure 170.10  One‐year‐old Cavalier King Charles spaniel with
            Loosely adhered scales localized throughout the trunk.  ichthyosiform disease showing severe footpad hyperkeratosis.
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