Please enable JavaScript.

Coggle requires JavaScript to display documents.

Dermatology (Alopecia (Canine Demodicosis (Generalized (Tx (Amitraz (핥아먹지…

- - - - one to several small, circumscribed, erythematous, scaly nonpruritic to pruritic areas of alopecia
      - usually on face, around eyes or on forelegs
      - 3~6 month old puppies
      - Tx
        
        will probably resolve w/o any therapy within 4~8 weeks
        
        재발은 rare
        
        topical benzoyl peroxide cream or shampoo to treat the secondary bacterial folliculitis
    - - also seen in adults(>4yrs) indicates an underlying immunosuppressive disorder(HAC, hypothyroidism, neoplasia, exogenous corticosteroids)
      - head, legs, and trunk
      - C/S : prominent follicular casts, seborrheic changes(alopecia+scaling+crusting), secondary pyoderma(common; can be pruritic)
      - demodectic pododermatitis 유발
      - Tx
        
        제모하는 게 좋음. not all curable(치료하더라도)
        
        4주마다 재검사, 적어도 5 skin scrapings
        
        Amitraz
        
        핥아먹지 않게 주의
        
        Always treat associated pyoderma
        
        Bathe before dipping in benzoyl peroxide shampoo (15 min soak time)
        
        Can be sedative for 12~24hr(intoxication : yohimbin, atipamezole)
        
        Response can be vary(0~90%).
        
        Macrocyclic lactone
        
        Ivermectin(주사하면 많이 아파 함.) : not in Collies
        
        Doramectin ← 주사해도 별로 안 아파함.
        
        Combinations of an oral macrocyclic lactone and topical amitraz may be successful.
        
        Milbemycin ← 콜리종에서 사용해 볼 수 있음.
    - - deep skin scraping(multiple sites)
      - 음성 결과는 demodicosis를 r/o하지 못함.
      - 치료 모니터링에 skin scraping만을 사용할 수 있음.
    - - Demodex canis ← the classic follicular mite
      - Short Demodex cornei : 보통 D.canis와 같이 보임. intense pruritus 유발 가능
      - Large bodied Demodex injai : greasy skin, dorsal distribution(scraping 시 찾기 쉽지 않음.)
  - - - Siamese and Burmese cats
      - Pruritus is variable but can be intense.
      - generalized demodicosis w/ D.cati usually associated w/ underlying dz : DM, FeLV, FIV, SLE, HAC, SCC
      - Dx : In pruritic cats mites groomed off and harder to find.
      - Tx : lime sulfur, ivermectin, amitraz(당뇨가 있는 고양이에게는 사용x)
  - - - terbinafine, -conazole
      - Environmental control should be performed(5% sodium hypochloride : bleech diluted 1:10 in water)
- - - - usually Dachshunds
      - heavy crusting & fissures 동반 : 혈관염 고려