346. When Allergy Treatments Stop Working: Rethinking Chronic Skin Disease in Dogs

Send me a derm question or story through text or voicemail! What happens when a dermatology patient you've treated for years suddenly develops symptoms that don't quite add up? Is it another allergy flare, or could something entirely different be going on? In this episode of The Derm Vet Podcast, I share two fascinating clinical cases that highlight the importance of looking beyond a patient's history and reconsidering your diagnosis when something doesn't fit. Watch The Episode: https://ww...

Send me a derm question or story through text or voicemail! What do you do when an itchy dog just isn’t responding to allergy treatment the way you expected? In this episode of The Derm Vet Podcast, I break down my refractory allergy checklist to help veterinary professionals reevaluate difficult allergy cases. From choosing the wrong medication or dose to poor compliance, concurrent disease, and even an incorrect diagnosis, I walk through the key questions to ask before labeling a patient a...

Send me a derm question or story through text or voicemail! Lupus can show up in more ways than one in veterinary dermatology! In this episode of The Derm Vet Podcast, I break down three important lupus and lupoid diseases seen in dogs: discoid lupus erythematosus (DLE), symmetrical lupoid onychodystrophy (SLO), and mucocutaneous lupus erythematosus (MCLE). Learn the clinical signs that should put these autoimmune diseases on your differential list, from loss of the normal cobblestone appea...

Send me a derm question or story through text or voicemail! Is your allergic patient still itching despite treatment? They may be dealing with more than one allergy! In this episode, I break down how to identify the multi-allergy veterinary patient and recognize the clues that suggest multiple underlying causes of pruritus. I discuss partial responses to allergy therapy, seasonal changes in itching, persistent problem areas, recurrent otitis, and why different lesions may respond differently...

Send me a derm question or story through text or voicemail! French Bulldogs, English Bulldogs, and other brachycephalic breeds are frequent flyers in veterinary dermatology but successfully managing their skin disease often requires looking beyond the obvious itch. In this episode of The Derm Vet Podcast, I break down some of the most common dermatologic problems seen in brachycephalic dogs, including skin fold dermatitis (intertrigo), pododermatitis, secondary infections, and underlying foo...