Adopting
a dog is an exciting time for pet owners.
But, what do you do if that new bundle of fur has a skin disorder? Soon after entering a new home, all dogs
should have a veterinary exam to begin immunizations, deworming, and heartworm
preventive medication. This visit also provides
an opportunity for veterinarians to conduct a full wellness exam and to diagnose
diseases, including skin disorders that may be contagious to humans.
A
primary health concern for dog owners is “mange,” or mite infestation of the
skin. While there are multiple different
mites pets may acquire, two types of mange are most common. These include demodectic mange or
“demodecosis,” and sarcoptic mange, commonly referred to as “scabies.” Specific diagnosis of each of these
infestations is made via microscopic examination of deep scrapings of multiple
skin lesions on affected dogs.
Demodecosis
is also referred to as “puppy mange” or “red mange” because it is more commonly
diagnosed in puppies and is associated with reddening of the skin. The typical presentation
is a young puppy with hair thinning, especially on the forehead or
extremities. This condition is generally
not itchy, and when mild, does not require treatment.
While
demodecosis is usually localized, it can be generalized on the entire body and
will be harder to eliminate when it affects the toes. Some short-haired dog
breeds are over-represented with this disease, including Boston Terriers,
Dobermans, Bulldogs and Pitbulls. It is
important to note demodecosis is not
contagious to other pets or to humans!
The
Demodex canis mite spends its entire
life cycle on the dog. Why these “normal
inhabitants of the skin” begin to proliferate by the thousands is not known,
however, a genetic or immunologic abnormality is the most likely cause. If five or more areas of hair loss are
diagnosed on a patient, the disease may be considered genetic and the dog
should not be used for breeding.
Treatment
of demodecosis when warranted, varies from the use of topical products
(rotenone ointments, benzoyl peroxide gels, amitraz dips) to oral
anti-parasitic drugs (e.g. milbemycin).
Your veterinarian will likely perform follow-up examinations to insure
that your dog’s demodecosis has entirely resolved. Since this is potentially a genetic and/or
immune disorder, recurrences are possible during times of stress.
Unlike
demodectic mange, sarcoptic mange is
contagious to other dogs AND humans
via direct contact, and will be intensely itchy! Greater than 50% of the dog’s
waking hours will be spent scratching due to irritation associated with the
mites’ feces. This mite, Sarcoptes scabiei, actually burrows
under the skin but can live off the host in the environment for a few days.
Scabies mites will reside in kennels, grooming shops and on pet bedding. There is not a breed predilection with this
mite infestation, but dogs that travel to shows, stay in kennels, or live
outdoors are more likely to encounter this mite.
Lesions
seen with scabies are most commonly found on ear edges, elbows and undersides
of dogs, but may be anywhere on the body.
While it is easy to find multiple cigar-shaped demodex mites in skin
scrapings, locating the globoid sarcoptic mite is much more difficult. So much so, that scabies is usually diagnosed
based on clinical appearance of the skin and response to treatment.
The
onset of symptoms with scabies is usually sudden, and not all dogs in a
household will experience the same intensity of itching. The history for scabies patients often includes
that the dog originated from a puppy mill or breeding kennel, traveled to dog shows,
was exposed to straw, wood, or mulch, or lives in an environment with scabies
infested squirrels or fox.
Scabies
may be treated either topically (selamectin, amitraz, lime sulfur dips), or
orally (ivermectin). Because the source
of scabies mites is often difficult to identify or eliminate, once cured, these
patients should be placed on selamectin (Revolution ), a monthly, topical
heartworm preventive known to treat and control sarcoptic mites. The dog’s environment should also be treated
by disposing of contaminated bedding and cleaning all surfaces with 10% bleach
solution repeatedly.
Owners
of dogs diagnosed with sarcoptic mange are themselves most likely to acquire a
self-limiting scabies infection on exposed areas of skin such as the wrists,
abdomen, and neck from handling the infested dog. Contact your physician for treatment advice
if you think you might be experiencing a scabies infestation from your dog.
Pets
can harbor other skin diseases besides mange that are contagious to humans so
please be certain to consult your veterinarian if your furry family member is
itchy or has skin lesions.
By Dr. Bonnie Jones