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PP1
Alopecia & Pruritus
29
Veterinary Medicine
Professional
08/15/2016

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Cards

Term
IN which species are skin diseases very common?
Definition
-dogs, cats, and humans
Term
What types of skin diseases are most common in large animal species?
Definition
-parasitic and fungal infections
Term
What are the basic steps of a dermatological diagnosis?
Definition
-Is it pruritic? Rate it, age of onset, seasonal
-Skin lesions?
-Distribution pattern?
-Contagious?
-Other body systems affected?
-Response to treatment?
-Ddx
-Dx plan
Term
Definition: Pruritus
Definition
-a sensation that provokes the desire to scratch or an uneasy sensation within the skin
Term
From where, anatomically can pruritus be elicited?
Definition
-epidermis or conjunctiva
Term
Why does scratching relieve pruritus temporarily?
Definition
-puts a competing neuro signal into the nervous system?
Term
Why is it important if the patient has chronic dermatitic skin?
Definition
-drastically lowers the threshold of itching
Term
Which enzymes are responsible for causing itching primarily? Which cytokine? Any other players?
Definition
-Proteases )irritate the nerve endings)
-IL-3
-IL-4/5/10/13, Leuotrienes too with Histamine and peptides being minor players
Term
Which drug targets IL-31?
Definition
-Apoquel
Term
What are the major potentiating factors of pruritus?
Definition
-Boredom: lick granuloma, hot spots
-Chronic dermatitis: burning sensation, conversion itch, dec threshold
-scratching: temporary relief, releases inflammatory mediators, potentiates cycle
Term
What are the most common pruritic skin diseases?
Definition
-Allergic dermatoses: atopy, flea allergy dermatitis, adverse reaction to food
-Parasitic skin diseases: sarcoptic Mange
-some bacterial skin infections (pyoderma)
Term
What are the general therapeutic options to reduce inflammation?
Definition
-Corticosteroids > topical treatments > FA therapy/ antihistamines
Term
When can antihistamines be useful to reduce inflammation?
Definition
-when used in combination with corticosteroid
Term
What are the general therapeutic options to decrease immune response?
Definition
-Corticosteroids, Cyclosporine (takes 4-6w), Oclacitinib (works within 12-24 hr)
Term
Definition: Alopecia
Definition
-loss of hair not related to normal shedding
Term
What are the classifications of alopecia?
Definition
-A: Atrophic (endocrine)
-D: Dysplastic (congeital - hereditary)
-I: Inflammatory
-P: Psychogenic
Term
What are the major characteristics of endocrine skin disease?
Definition
-Non-pruritic
-bilateral and symmetrical
-associated systemic signs
-=/- hyperpigmentation changes in skin thickness
-
Term
True or FAlse: Primary differential for black skin is endocrine disease.
Definition
-FAlse, it is chronic inflammation
Term
What are the three follicular stages of normal hair growth?
Definition
-Anagen: active growth
-Catagen: transitional stage
-Telogen: resting stage
Term
Shedding in dogs and cas is continual with peak periods in spring. It is controlled by ______ and environmental temp.
Definition
-photoperiod
Term
What is congenital hypotrichosis?
Definition
-breeding for baldness
Term
Is congenital hypotrichosis primary or secondary alopecia?
Definition
-primary
Term
Definition: Primary alopecia
Definition
-congenital or hereditary abnormalities of follicle development or function
Term
Definition: Secondary alopecia
Definition
-ost common form of alopecia and includes the endocrinopathies, inflammatory diseases, and psychogenic causes
-ex: hyperadrenocorticism, psychogenic alopecia
Term
How do endocrinopathies cause alopecia?
Definition
-promote telogen by arressting anagen
-atrophy of hair follicules and sebaceous glands, atrophy of epidermis, +/- hyperpigmentation
Term
What is a common form of endocrinopathies?
Definition
-follicular hyperkeratosis
Term
What is seborrhea?
Definition
-disorder of keratinizitation that results in scaling
Term
HOw do we diagose color dilution alopecia?
Definition
-trichogram )pluck hair and look at it)
Term
How will color dilutin alopecia appear on trichogram?
Definition
-al the melanin is clumped up as opposed to neatly stacked coins
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