Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Seborrhea In Dogs ___________________________________ Management in Shelters ___________________________________ and Foster Homes Karen Moriello, DVM, DACVD ___________________________________ Clinical Professor of Dermatology University of Wisconsin-Madison ___________________________________ Madison Wisconsin, USA ___________________________________ ___________________________________ ‘Seborrhea’- term is obsolete ___________________________________ Correct term: cornification defect ___________________________________ Excessive scales (flakes, ‘dandruff’) with or without oily skin and hair. ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 3 1 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ ‘Seborrhea’ is…. ___________________________________ • Clinical description, not a diagnosis ___________________________________ • Disruption in production epidermal cells and • Causes ___________________________________ • Primary-Hereditary-noted early in life, life long • Secondary-acquired, occurs as a result of other diseases, ___________________________________ temporary • Most common in dogs ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 4 ___________________________________ Odor and scales that do not wash off… ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 5 ___________________________________ Practical Anatomy ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ www.google. images ___________________________________ Advancing animal and human health with science and compassion 6 2 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ Cornification ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 7 ___________________________________ Importance of Epidermal Barrier ___________________________________ • Prevents excessive water loss from skin ___________________________________ • Prevents loss of other bodily fluids • Protects against UV damage ___________________________________ • Protects against trauma • Part of the body’s immune system ___________________________________ • Prevents against infection and invasion of micro-organisms ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 8 ___________________________________ Pathogenesis of Clinical Signs ___________________________________ • Accumulations of scale and crust because of shortened ___________________________________ epidermal cell turnover ___________________________________ • Irritation, inflammation, pruritus and odor develop because of changes in the composition of surface oils ___________________________________ • Frequent bacterial and yeast overgrowth/infections ___________________________________ often with pruritus due to changes in the skin flora ___________________________________ Advancing animal and human health with science and compassion 9 3 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ ‘Seborrhea sicca’-dry ___________________________________ ‘Seborrhea oleosa’-greasy ___________________________________ • Clinical descriptors • Not a specific disease ___________________________________ • Only of importance when determining topical therapy • Avoid use of these terms!!!! ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 10 ___________________________________ Primary Cornification Defect ___________________________________ • Hereditary with breed predisposition or random genetic ___________________________________ abnormality • Noted early in life for many conditions ___________________________________ • Manage, not cure • Diagnose via ruling out other causes ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 11 ___________________________________ Primary Breed Predisposition ___________________________________ • Primary cornification disorder ___________________________________ • West Highland white terrier, cocker spaniel, basset hound, Doberman pincher, German shepherd, English springer spaniel, Irish setter, Labrador retriever ___________________________________ • Vitamin A-most notably cocker spaniel • Zinc responsive ___________________________________ • Alaskan malamute, Siberian husky, Samoyed, Pharaoh hound • Epidermal dysplasia-West Highland white terrier ___________________________________ • Ichthyosis-golden retrievers, Jack Russell terrier, Norfolk terrier, American bull dog ___________________________________ Advancing animal and human health with science and compassion 12 4 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 13 ___________________________________ Primary Cornification ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 14 ___________________________________ Severe Odor ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 15 5 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ Vitamin A ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 16 ___________________________________ Zinc ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 17 ___________________________________ Ichthyosis ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 18 6 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ Really, really big scales ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 19 ___________________________________ Localized Disease ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 20 ___________________________________ Localized Disease ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Advancing animal and human health with science and compassion 21 7 Stopping the Scales, Greasiness and Odor of Seborrhea in Shelter and Foster Home Dogs May 21, 2015 ___________________________________ Localized Disease