Pododermatitis (Interdigital Dermatitis) - Page 5

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Pododermatitis (Interdigital Dermatitis)

By: Dr. Rosanna Marsalla

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Treatment In-depth

  • Symmetric lupoid onychodystrophy. Therapy includes the use of high doses of essential fatty acids or anti-inflammatory doses of glucocorticoids. Secondary infections need to be addressed at the same time.

  • Fungal infections of the nails. Therapy includes systemic antifungal drugs and may take several months (average of 6 months). Itraconazole is preferred over griseofulvin and ketoconazole because of its affinity for nails and its residual activity after discontinuation of therapy. Terbinafine (Lamisil®) has also great affinity for nails and long residual activity. No study has been done to determine the appropriate dose in dogs.

  • Hookworm dermatitis. Treatment includes cleaning of the premises, frequent removal of feces and topical thiabendazole for the feet and routine antihelmintic treatment for all dogs in the kennel.

  • Idiopathic digital hyperkeratosis. Therapy is based on topical keratolytics (propylene glycole 1/1 with water, tar). Oral retinoids may be beneficial. Therapy should be continued for several weeks before improvement is evident.

  • Bacterial infections of the nails. Systemic antibiotics for 6 to 8 weeks is usually necessary. The presence of osteomyelitis may warrant P3 amputation.

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