"You did not have much time to treat the poodle for paw biting," I told the retiree owner. "All 4 paws have infected skin with flaky scales! Your dog also has roughened ear pinnae skin which is not a normal situation."
"I thought it is normal for poodles to bite their paws daily," the man said.
"It is not normal."
His poodle attempted to escape from the reception room by pawing the glass door. He figured out that the vet surgery is not good for him!
Treatment was ear irrigation and hair plucking under Domitor and Ketamine sedation IV,
dental scaling and paw clipping.
An initial dose of baytril and pred SC was given to last the first 2 weeks.
Then, Apoquel 3.6 mg, 1 tablet twice per day for 14 days and maintenance dose of 1 tablet daily for 14 days.
To follow up on Feb 2018.
-------------------------
Original images
4 days after removal of 9 warts by Dr Daniel at Toa Payoh Vets, the owner sent the pet mouse for boarding, asking the operator to apply the medication (oral, cream, wash, powder). The mouse felt very itchy and as you can see, the skin above the neck became bald. The skin below the left ear was rubbed bald. So was the right side of the nose, making it red.
It is best to ask your vet to hospitalise the pet mouse for at least 7 days as nursing can be properly done.
FOLLOW UP ON JAN 10, 2019
Owner said the inflammation is much less and was satisfied. Itchiness is lesser in intensity. He wiped the wound with clean plain water daily using cotton bud. The mouse does not exercise nor enter the small houses.
Today, a dog owner was very satisfied with the disappearance of pruritus and skin flakes in her Miniature Schnauzer that had atopic dermatitis for the past 4 years.
"His medical bills cost more than mine," the woman in her 40s did church work in Myanmar, helping out with the drug addict problems.
"Look at the positive side," I replied. "You are healthy. Do you want to incur higher medical bills than your dog!"
The dog was on apoquel 3.6 mg 2x/day for the last 14 days. The vet did not give maintenance dose of 1 tablet 1x/day. He was on antibiotics, ninazol and a pred inj in the first 14 days.
Food allergy tests showed the dog was allergic to duck, turkey, pork and fish. So the owner now feeds chicken, rice, carrots and brocolli. The amount of stool is less compared to the dry dog food.
Apoquel is a synthetic Janus Kinese (JAK) inhibitor.
Dosage is 0.4 to 0.6 mg/kg, oral, twice daily up to 14 days and once daily for maintenance therapy, with or without food. Not for breeding, pregnant or lactating dogs or dogs less than 12 months of age.
Dogs should be monitored for the development of infections, including demodicosis and neoplasia. It is not a corticosteroid or an antihistamine. Its use has not been evaluated with the use of glucocorticoids, cyclosporine or other systemic immunosuppressive agents.
Apoquel trials by the company found the drug effective. Effectiveness for the Control of Atopic Dermatitis
1. Treatment success for pruritus up to Day 28
2. Treatment for success for skin lesions up to Day 28.
Effectiveness for the Control of Pruritus with Allergic Dermatitis
History of allergic dermatitis is attributed to one or more of the following conditions:
atopic dermatitis, flea allergy, food allergy, contact allergy and other/unspecified allergic dermatitis.
1. Treatment success for pruritus up to Day 7
2. Treatment for success for skin lesions up to Day 7.
The dog had collapsed. Is he dying?
"The other vet turned me down as she said my dog was very dirty in the backside ," the owner told me. "Today my dog cannot stand up!"
2 days after consultation. The owner had the muzzle and was able to clip and clean the scrotal area. Most likely a testicular tumour. Owner to take better images.
2 years ago, the dog was OK. Active and standing as in this image
from the owner
