Follow-up on skin condition of the poodle with Ehmer Sling treatment 2 months ago.
This 14-year-old poodle developed a bad skin inflammation, with wet fluid and "pus" appearing after bathing, for the past few weeks before treatment with Apoquel. The owner gave up going to Vet 1 as the dog would get a steroid injection often when the skin inflammation flares up. Vet 1 had advised food allergy trial but the owner did not accept this.
Atopy is suspected. The dog was clipped bald by Toa Payoh Vets as the owner's groomer who went to the house did not clip the head and tail bald so that the dog would look pretty. Many groomers do not want to clip the dog bald from head to toe. The owner remarked to me that she saw rashes and scales on top of the shaved head after clipping.
OUTCOME
With 1/8th of a tablet of Apoquel 16 for the past 7 days, the skin recovers to its normal appearance. But it is not a cure yet. The allergens and infections must be removed. Many owners think the skin problem has been resolved.
There is still a need to check for food allergy, environmental allergy (e.g. grass), skin mites and inhalation causes. Most owners do not have time to follow up with the vet. Some vets prescribe the same steroid injection since the owner has no time for many follow ups. In the end, the dog is not cured as it needs medication.
TEXT MSG FROM OWNER.
[2:25 pm, 13/01/2023] +65 : Hi Dr Sing, good afternoon to you.
[2:25 pm, 13/01/2023] +65 : There’s no discharge on skin, the rashes have mostly subsided, and the skin is no longer red, wet or smelly. Thank you Dr Sing for your diagnosis to her problem.
[2:25 pm, 13/01/2023] +65 : 1) She is on 1/8 tablet of apoquel 16 daily only
2)Did not start dog on antibiotics. 3) Did not continue with Ketoconazole 200mg for now.
4) shampoo 2-3 times a week.
5) administered ear drops daily for 10 days
Atopy is suspected. The dog was
clipped bald by Toa Payoh Vets as the owner's groomer who went to the
house did not clip the head and tail bald so that the dog would look
pretty. Many groomers do not want to clip the dog bald from head to
toe. The owner remarked to me that she saw rashes and scales on
top of the shaved head after clipping.
OUTCOME
With 1/8th of a tablet of Apoquel 16 for the past 7
days, the skin recovers to its normal appearance. But it is not a
cure yet. The allergens and infections must be removed. Many owners
think the skin problem has been resolved.
There is still a
need to check for food allergy, environmental allergy (e.g. grass),
skin mites and inhalation causes. Most owners do not have time to
follow up with the vet as this takes several weeks.
Some vets
prescribe the same steroid injection since the owner has no time for
many follow ups which cost money. In the end, the dog is not cured as
the cause of atopy is not known. The owner stops treatment of the
dog, as in this case. The dog wears an Elizabethan collar 24/7 while
the owner bathes him with all types of shampoo, till the skin "leaks
with pus" after bathing. That was the time, this owner consulted
me, around 6 Jan 2023.
UPDATES AT:
https://2010vets.blogspot.com/2023/01/4557-vet-case-atopy-poodle-with-right.html
[2:26 pm, 13/01/2023] +65 : unfortunately after she’s back from the clinic, she walks with a slight limp. I observed dog is not putting weight on the right leg anymore (video below).
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6 Jan 2023. Limp on Right hind side, due to restraint during clipping bald and examination earlier.
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