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20 Cards in this Set

  • Front
  • Back
How can you diagnose cutaneous parasites
Direct observation
skin scrapings
What are general guidelines for cutaneous parasite treatment
duration >> life cycle
treat all animals
clean and disinfect environment
consider human risk with treatment
What are the follicular mites occur on the dog
Demodex canis - MOST common mite in dogs
D. injai
What are the follicular mites occur on the cat
Demodex cati
What are the surface mites occur on the dog
D. cornei
What are the surface mites occur on the cat
Demodex gatoi - MOST common mite in cats
Contagious!
What is the pathogenesis of Demodicosis
normal commensal passed after birth
overgrowth associated with mite specific immunoincompetency
suppresion of T lymphocytes
secondary infections (pyoderma)
additional immunosuppression
When is Demodicosis most common
<1 year of age (can outgrow)
all animals at risk
What is localized demodicosis
Lesions restricted to one or two body areas (face)
Lesion: alopecia, erythema, mild scaling
not pruritic
How do you treat localized demodicosis
treat secondary pyoderma with ab
90% spontaneously resolve
topical treatment (1-3% benozyl peroxide) may make lesion look worse initially - rub out hairs
lesion persists - miticidal treatment
What are the characteristics of generalized demodicosis
Multiple lesions (anywhere) - alopecia, scaling, crusts, pustules, erythema, draining tract
bacterial infection with Staph
folliculitis and furunculosis (causes pruritis)
What causes pruritis with Demodicosis
secondary pyoderma
not Demodex itself
what is the key sign of furunculosis
Small draining tracts
What are the characteristics of adult onset demodicosis
1-2 years of age
50% identifiable systemic disease - immunocompromised
caused by any mite species
How do you diagnose demodicosis
history and clinical features
skin scrape
trichogram
biopsy
How do you treat localized demodicosis
Time
Topical: benzoyl peroxide, rotenone, amitraz
Advantage multi
dont treat
How do you treat generalized demodicosis
-treat underlying pyoderma - systemic antibiotics, topical antimicrobial / antiseborrheic shampoo; hydrotherapy
-topical: organophosphates, amitraz, metiflumazone, moxidectin
-systemic: milbemycin oxime, moxidectin, ivermectin
What is the most important first step in managing generalized demodicosis
Antibiotics to treat pyoderma
Stop glucocorticoids
How do you use Amitraz / Mitaban
total body clip
shampoo
10-15 min rinse contact time
allowed to dry
rinse once weekly for 8-12 rinses
How long do you use Amitraz rinses
treat for 2 rinses past 2nd negative scraping