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Peer-reviewed veterinary case report

Hot spots in dogs: symptoms, treatment, and causes in 44 cases

By Holm, Birgit R et al.·Published in Veterinary dermatology·2004·Department of Dermatology·View original on PubMed

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Original publication title: A prospective study of the clinical findings, treatment and histopathology of 44 cases of pyotraumatic dermatitis.

Species:
dog

Plain-English summary

A group of 44 dogs with hot spots, a type of skin infection caused by scratching or biting, were studied to understand the condition better. Most affected dogs were male and under 4 years old, with lesions commonly found on the cheek, neck, and thigh. In many cases, a possible underlying cause was identified, but no fleas or ear infections were noted. Bacterial cultures showed that most dogs had Staphylococcus intermedius, a common skin bacteria. Treatment focused on addressing the infection and any underlying issues, leading to improvement in the dogs' skin conditions.

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Abstract

Pyotraumatic dermatitis (hot spot) is a common clinical syndrome in dogs but there are few prospective scientific studies related to it. The aim of this study was to investigate correlations among clinical pyotraumatic dermatitis, histopathology of the lesions and possible predisposing causes. The relationship of these with breed, age, sex and location of lesion was assessed statistically. A clinical diagnosis of acute pyotraumatic dermatitis was made in 44 privately owned dogs. Males exceeded females (P = 0.0348) and lesions were more common in dogs aged 4 years or less (P < 0.0001). Lesions were most often seen on the cheek, neck and lateral thigh with a significant correlation between breed and site of lesion (P < 0.0001). In 31 cases a possible underlying cause was found or suspected. In contrast to previous studies, no otitis externa was recorded and the study was conducted in an area without endemic fleas. Fourteen breeds were represented of which Rottweiler, German shepherd dog and golden retriever were most common. There was no significant seasonal incidence and no correlation among site of lesion and cause, time of year, age or sex. Histopathologically, the dogs could be separated into four patterns by the presence or absence of eosinophils and/or folliculitis. Eosinophils have not previously been recorded in pyotraumatic dermatitis but were seen in 29 cases. Acute folliculitis was seen in 20 cases. However, no correlation was seen among age, sex, breed, underlying cause or site of lesion and histopathology. Twenty-seven cases were cultured for bacteria of which 25 grew Staphylococcus intermedius and two were negative.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/15585012/