Test your dermatology skills on the following cases. What would you do first? Which diagnostics would yield the most information yet not break your client's wallet? Are you seeing an unusual disease or more commonly, an unusual manifestation of a common disease?
In my last article, I discussed skin diseases that result from not enough sun exposure, i.e. seasonal flank alopecia or light responsive alopecia. With the coming of summer, it is timely to offer attention to skin diseases that are exacerbated by sunlight.
At one time or another, we have all made the same mistakes when working up a dermatology case. To help us all save time and get the most information with the least amount of work, I thought I would address what in my referral practice appear to be the most commonly made mistakes when working up a dermatology patient.
Coming off of a long, dark winter as we are in the Midwest, we're confronted with a unique disease seen in certain breeds of dogs. Light responsive alopecia or seasonal flank alopecia is most often seen at this time of the year.
Editor's Note: In our ongoing telemedicine series, Dr. Johnny Hoskins presents medical case studies. The format is heavily focused on radiology and ultrasonography and details complicated, yet fairly common cases most veterinarians will be exposed to in practice.
"Why does my dog have dry skin? Didn't I wash off all the shampoo? Am I bathing him too much? Does he need a conditioner?" We have all been asked these questions many times. With the winter months upon us for those in the colder areas of the country, the low humidity often causes humans to have "dry skin". This may be true for our canine patients as well, however dry skin in dogs may be the result of several underlying diseases (Photo 1).
All of us, at one time or another, were probably guilty of treating one of our sarcoptic mange patients as an allergic patient. It is the perfect example of a patient with the same clinical appearance and symptoms of two diseases: atopy vs. sarcoptic mange.
When clients bring in their pets to have growths removed or wounds examined, we have the clients mark the problem spots on an anatomy chart. The chart makes it easy for us to locate all the lumps and lesions and is a great alternative to drawing on the animals with a marker. --Sage Olson, receptionist Kensington, Conn.