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Peer-reviewed veterinary case report

How to treat and manage dog skin allergies (atopic dermatitis)

By Lipscomb, Hannah & De Bellis, Filippo·Published in Companion Animal·2020·Dermatology Intern, Southern Counties Veterinary Specialists, Unit 6 Forest Corner Farm, Hangersley, Ringwood, Hampshire, BH24 3JW·View original on Crossref

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Original publication title: Management of canine atopic dermatitis

Species:
dog

Plain-English summary

A dog with itchy skin and red, inflamed areas was diagnosed with atopic dermatitis, which can flare up suddenly or be a long-term issue. For acute flare-ups, the vet focused on finding and removing the allergy trigger while providing quick relief with topical treatments. For chronic cases, the vet recommended long-term options like oral medications or injections to manage itching and prevent future flare-ups. One effective long-term treatment is allergen-specific immunotherapy, which can help the dog achieve complete remission of symptoms.

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Abstract

Canine atopic dermatitis can present in two different ways — acute versus chronic — which require different treatment. When dealing with an acute flare, it is important to try and identify and eliminate the trigger and then provide fast-acting topical and/or systemic treatment. The treatment of chronic atopic dermatitis differs as it includes identification of flare factors, treatment of pruritus and prevention strategies. For long-term treatment of pruritus, there are currently four licenced prescription options available: oral glucocorticoids, oral ciclosporin, oral oclacitinib and injectable lokivetmab. The key prevention strategy for canine atopic dermatitis is allergen-specific immunotherapy and it is currently the only treatment that may induce complete remission of clinical signs. Alongside treatment for cases of canine atopic dermatitis, it is important to effectively communicate with clients in order to achieve compliance and medical adherence.

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Original publication on Crossref: https://doi.org/10.12968/coan.2020.0007