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Lecture 5
PP9 Parasitic Skin Dz
27
Veterinary Medicine
Professional
08/23/2016

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Cards

Term
What are the common parasitic causes of dermatitis in the dog?
Definition
-demodectic mange
-sarcoptic mange
-fleas
-ticks
Term
What are the two forms of demodectic mange?
Definition
-localized
-generalized: juvenile onset (most common) or adult onset
Term
What are the agents of demodectic mage?
Definition
-Demodex canis (common), Demodex injai, unclassified
Term
Describe the pathogenesis of demodectic mange?
Definition
-neonatal transmision
-adults are normal flora
Term
What is critical about generalized demodectic mange?
Definition
-mtie Ag specific T-cell dysfunction
Term
How do we treat generalized demodectic mange?
Definition
-corticosteroids
Term
What are some predisposing diseases to adult onset generalized demodectic mange?
Definition
-hyperadrenocorticism
-cancer
-diabets
-estrus
-stress
Term
What do we usually use as miticidal therapy?
Definition
-high dose oral ivermectin
Term
WHen can we announce a clinical curing of demodectic mange?
Definition
-1 year without clinical signs
Term
What kind of drug is Amitriz? Side effects?
Definition
-monoamine oxidase inhibitor and alpha 2 adrenergic agonsit applied topically
-Dog side effects: depression, sedation, bradycardia, hyperglycemia
-Handler side effects: light-headed, rash
Term
Can we use Amitraz to treat demedecosis with a concurrent pyoderma? Why or why not?
Definition
-No, will cuase th epyoderma to flare up
Term
How do macrocyclic lactones work?
Definition
-promote glutamate-gated chloride chanels or GABA-gated chloride channels and promotes neuromuscular blockage in parasites
Term
Are any of the macrocyclic lactones FDA approved for treating demodecosis? Which drugs are Avermectines? Milbemycins?
Definition
-nope
-Avermectings: Ivermectin, Doramectin
-Milbemycins: Moxidectin (use in avermectin sensitive breeds)
Term
What is the major concern with using ivermectin to treat Demodecti mange?
Definition
-do not use in collies or herding breeds
Term
What are the clinical signs of Ivermecting toxicity?
Definition
-tremors, seizures, ataxia, depression, stupor, oma
Term
How do we treat Ivermectin toxicity?
Definition
-control serizures and lipid trapping
Term
What physiologically causes Ivermectin hypersensitivity?
Definition
-mutation in the MDR1 gene that codes for p-glycoptoting
Term
What advantages does MOxidectin have over Ivermectin to treat demodectic mange? Disadvantages?
Definition
-Advantage: not as toxic in sensitive breeds
-Disadvantage: more expensive
Term
What other drgus that are used off label can be effective for treating demodectic mange?
Definition
-Fluralaner and Afloxolaner
Term
In addition to medical treatment, what are some other recommendations for a demodectic mange case?
Definition
-spay/neuter
-nutrition
-stress management
-surgery
Term
What are the primary causes for broken hair without true skin lesions in cats?
Definition
-psychogenic alopecia
-dermatophytosis
-food allergy
-demodecosis
Term
What procedures do we employ when facing barbered hair in cats?
Definition
-trichogram and skin scraping
Term
Is sarcoptic mange common in dogs? What aboit in cats?
Definition
-common in dogs
-not common in cats
Term
What is a good place to scrape for sarcoptic mange?
Definition
-margin of ear
Term
How do we confirm a diagnosis of sarcoptic mange if we get an initial skin scraping htat is negative?
Definition
-Put them on prednisolone, it will get way worse, then do another skin scraping in a week
Term
What are some effective acaricidal agents used to treat sarcoptic mange?
Definition
-Selemectin: approved
-Ivermectin: off label
-Moxidectin
-Lime sulfur
-Amitraz
-Also use corticosteroids WITH AN ACARICIDE to decrease itching
Term
What are he reservoirs for Scabies? Is it contagious? Is it zoonotic?
Definition
-foxes and wild coyotes
-yes
-yes
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