Atopic Dermatitis Flashcards Preview

Small Animal Internal Medicine > Atopic Dermatitis > Flashcards

Flashcards in Atopic Dermatitis Deck (33):
1

What factors decrease the itch threshold?

1. Breed
2. Heat
3. Dry skin
4. Inflammation

2

What factors increase the itch threshold?

1. Breed
2. Cool
3. Hydrated skin

3

Which do you manage first, the primary problems or the secondary problems?

Secondary problems

4

What are 6 ways to identify the primary factors?

1. Hematology
2. Endocrine evaluation
3. Allergy tests
4. Dietary trials
5. Skin biopsy
6. Environmental isolation

5

What is the most common primary factor of (1) pyoderma, (2) Malassezia dermatitis, and (3) otitis externa?

Atopy

6

What is the #1 allergen?

Dust mites

7

What are the seasonal allergens for Spring?

1. Tree pollens
2. Mold

8

What are the seasonal allergens for Summer?

1. Grass pollens
2. Weed pollens
3. Mold

9

What are the seasonal allergens for Autumn?

1. Weed pollens
2. Mold

10

What are the seasonal allergens for Winter?

1. Indoor allergens
2. Mold

11

True or False: Dust mites are not a problem during the winter months.

FALSE - Dust mite is the most common allergen all year long.

12

What is the hallmark clinical sign for atopic dermatitis?

Pruritus

13

Atopic dermatitis causes an itch that ____.

Atopic dermatitis causes an itch that RASHES.

14

Which dog breed are predisposed to atopic dermatitis (7)?

1. Terriers
2. Dalmations
3. English bulldog
4. Golden retriever
5. Labrador retriever
6. French bulldown
7. Shar pei

AND MORE...

15

At what age do clinical signs of atopic dermatitis typically start to appear?

1-3 years of age

16

Is atopic dermatitis glucocorticoid-responsive?

Yes, if secondary infections are not present

17

What are the 5 physical lesions you would find with atopic dermatitis?

1. Erythema
2. Scale
3. Excoriations
4. Hyperpigmentation
5. Lichenification

18

What are the 2 causes of military dermatitis in the cat?

1. Flea infestation
2. Atopic dermatitis

19

What are the 8 conditions off of which to clinically diagnose atopic dermatitis?

1. Onset

20

What type of hypersensitivity does an intradermal skin test elicit?

Type I hypersensitivity

21

Which allergy test measures IgE in the skin?

Intradermal test

22

Which allergy test measures IgE in the serum?

Serologic test

23

Which allergy test requires more time and supplies?

Intradermal test

24

Which allergy test could cause false (-)s?

Intradermal test

25

Which allergy test could cause false (+)s?

Serologic test

26

What are your 4 options for treating allergies?

1. Glucocorticoids
2. IL-31 blocking agents
3. Cylosporins
4. Allergen-specific immunotherapy

27

What is the glucocorticoid-of-choice for controlling allergies in the dog?

Prednisone

28

What is the glucocorticoid-of-choice for controlling allergies in the cat?

Prednisolone

29

What is the least expensive way to control allergies?

Glucocorticoids

30

What is the dosage for prednisone/prednisolone in treating atopy?

1.1 mg/kg

31

What is the prednisone/prednisolone protocol for atopy?

1.1 mg/kg q24h PO for 5-7 days, then 1.1 mg/kg q48h PO for 14-21 days, decreasing by 10-20 % every 10-21 days from there. Maintenance dose: 0.5-1.1 mg/kg q48h

32

What are the 3 advantages of glucocorticoids in treating atopy?

1. Effective in 90-95% of patients
2. Inexpensive
3. Easy to dose

33

What are the side effects of glucocorticoids?

1. P/U
2. P/D
3. P/P
4. Panting
5. Personality changes