Page 616 - Small Animal Clinical Nutrition 5th Edition
P. 616

638        Small Animal Clinical Nutrition




                    Table 32-1. Key nutritional factors for foods and supplements for dogs and cats with nutrient-responsive dermatoses.
        VetBooks.ir  Factors        Associated conditions          Nutritional recommendations
                    Protein and fat
                                    Keratinization abnormalities
                                                                   Adult maintenance
                                    Loss of normal hair color      Avoid protein and energy deficiency
                                    Secondary bacterial or yeast infection  Dogs:  Protein = 25 to 30% dry matter (DM)
                                    Impaired wound healing                   Fat = 10 to 15% DM
                                    Decubital ulcers                  Cats:   Protein = 30 to 45% DM
                                    Telogen defluxion                        Fat = 10 to 15% DM
                                    Anagen defluxion               Growth/lactation
                                                                      Dogs:   Protein = 30 to 35% DM
                                                                             Fat = 15 to 30% DM
                                                                      Cats:   Protein = 35 to 50% DM
                                                                             Fat = 20 to 35% DM
                                                                   Phenylalanine + tyrosine >1.3% DM
                                                                   Use a food with DM digestibility >80%
                    Essential fatty   Excessive scales (seborrhea sicca)  Avoid fatty acid deficiency
                     acids (EFA)    Alopecia                          Dogs: Linoleic acid >1.0% DM
                                    Dry, dull coat                    Cats: Linoleic acid >0.5% DM
                                    Lack of normal hair growth     Some dogs and cats respond to levels in excess of those listed above
                                    Erythroderma                   Provide adequate levels and availability of zinc, B-complex
                                    Interdigital exudation            vitamins and vitamin E to ensure adequate use of EFA
                    Zinc            Alopecia                       Avoid zinc deficiency
                                    Skin ulceration                   Dogs: 100 to 200 mg/kg food DM
                                    Dermatitis                        Cats: 50 to 150 mg/kg food DM
                                    Paronychia                     Avoid excess calcium
                                    Footpad disease                   Higher levels of zinc are required in foods with calcium >1.5% DM
                                    Slow hair growth               Avoid excess copper (copper <200 mg/kg food DM)
                                    Buccal margin ulceration       Avoid EFA deficiency (see above)
                                    Hyperkeratotic plaques         Zinc supplementation (Do not give with food)
                                    Secondary bacterial or yeast infection  Zinc sulfate:   10 mg/kg body weight/day per os
                                                                                  10 to 15 mg/kg body weight/week IV
                                                                      Zinc methionine: 2 mg/kg body weight/day
                    Copper          Loss of normal color           Avoid copper deficiency
                                    Dull or rough coat                Dogs: >5 to 10 mg/kg food DM
                                    Reduced density of hair           Cats: >15 mg/kg food DM
                                    Alopecia                       Avoid excess zinc (zinc <1,000 mg/kg food DM)
                                                                   Avoid ingredients that have low copper availability
                                                                      Copper oxide
                                                                      Liver from simple-stomached mammals
                                                                   Avoid excess calcium
                                                                      Higher levels of copper are required in foods with
                                                                         calcium >1.5% DM
                    Vitamin A       Seborrheic skin disease        Treatment with retinoids (Table 32-5):
                                      (mainly cocker spaniel breed)  Vitamin A alcohol
                                    Keratinization disorders          625 to 1,000 U/kg body weight, q24h, per os
                                    Chin acne                         10,000 U q24h, per os (cocker spaniel, miniature schnauzer)
                                    Nasodigital hyperkeratosis        50,000 U q24h, per os (Labrador retriever)
                                    Ear margin seborrhea/dermatosis  Tretinoin
                                    Callus                            Apply topically q12 to 24h
                                    Actinic keratosis              Isotretinoin
                                    Cutaneous neoplasms               1 to 3 mg/kg body weight, q24h, per os
                                    Schnauzer comedo syndrome      Acitretin
                                    Sebaceous adenitis                0.75 to 1.0 mg/kg body weight, q24h, per os
                                    Lamellar ichthyosis
                    Vitamin E       Discoid lupus erythematosus    Treatment with vitamin E:
                                    Systemic lupus erythematosus      Dogs: 200 to 800 IU twice daily, per os
                                    Pemphigus erythematosus
                                    Sterile panniculitis
                                    Acanthosis nigricans
                                    Dermatomyositis
                                    Ear margin vasculitis



                                                                      hair color) is an important part of the historical information
                   NUTRIENT-DEFICIENT DERMATOSES                      that should be obtained for patients with dermatologic prob-
                                                                      lems, especially those with possible nutritional disorders (Table
                  Patient Assessment                                  32-2). Both dogs and cats develop nutritionally related skin and
                  History                                             hair disorders, although certain conditions such as zinc-respon-
                  The signalment (species,breed,age,gender,reproductive status,  sive dermatoses are best characterized in dogs.
   611   612   613   614   615   616   617   618   619   620   621