150. Why did Apoquel stop controlling my dog's itch?

With different dog breeds, we can see various phenotypes of allergic skin disease. With German Shepherd dogs, we can see a more ulcerative dermatitis when they get infected with their underlying allergies. Areas of the body such as ventral abdomen and paws tends to be particularly affected.A different presentation of skin disease can lead to different medical management and we often need to focus on more broad spectrum inflammation control. Learn more about this and certain diseases seen predominantly in this week's episode of The Derm Vet podcast!TIMESTAMPSIntro 00:00l've Been Seeing A Lot Of German Shepherds 00:28German Shepherds And Allergic Dermatitis 01:24The Areas Of The Body Affected On German Shepherds 04:32My Suggestions 07:26Other Diseases We See In German Shepherds 12:10Outro 14:36

On this episode of The Derm Vet podcast, I get to welcome Darragh O' Hanlon. He is an advanced veterinary practitioner in veterinary dermatology in Dublin, Ireland. You may know him as @thetopicalvet on Instagram. We have a great conversation about long-term allergy management and how to implement immunotherapy successfully in allergic patients.Here some of the differences and similarities of managing pet allergies in Ireland and the United States!TimestampsIntro 00:00Allergies In The US vs Ireleand 04:50Allergies In Urban Environments 06:58Seasonal Allergies In Ireland 08:26Different Pollens In Ireland 12:26Allergy Testing And Immunotherapy In Ireland 17:56Darragh's Favorite Ways To Use Topicals 35:10Outro 40:02

A preview of one of my lectures coming up this summer at the World Congress of Veterinary Dermatology (WCVD)... Managing dermatologic diseases can be frustrating and costly for pet owners due to the chronicity of diseases and ongoing treatment required for many patients. Secondary issues such as pyoderma and otitis are also common issues that can be recurrent and add to unexpected costs. There are many different aspects of management that can cost money such as pharmaceuticals, topicals, diagnostics, nutrition, parasiticides and supplements. How can dermatologists and general practitioners utilize appropriate tools to lessen the costs long-term for pet owners? Learn how to keep dermatology management CHEAPer by utilizing Cytology, History, Examination, Assessment and Plan. TIMESTAMPSIntro 00:00My New Lecture For WCVD10 00:28How To Make Dermatology C.H.E.A.P. 01:56C)ytology 04:00H)istory 06:49E)xamination 08:44A)ssessment 11:18P)lan 13:26Outro 17:06

Color Dilution Alopecia (CDA) is a rare disease that affects dogs with dilute coat color (blue, fawn, etc.). This disease results from abnormal distribution of melanin granules and formation of macromelanosomes in the hair shaft. This weakens hair and causes them to break especially along the dorsum. Learn how to recognize this disease, useful diagnostics and treatment options on this week's episode of The Derm Vet podcast.TIMESTAMPSIntro 00:00What Is Color-Dilution Alopecia? 01:06Main Symptoms Of Color-Dilution Alopecia 02:02The Tricky Part Of Color-Dilution Alopecia 02:43The Disease Process 04:04The Complications 07:19Treatment Options 09:36Educating Pet Owners 12:44Outro 13:48

We all know that cats are tough with their skin management... so I invited my good friend and feline practitioner Dr. Gary Marshall to join the podcast to discuss this topic. What can you use in cats to manage itch? Is it appropriate to give steroid injections? How do you get a cat to take Atopica? What about flea control?Learn the similarities and differences of how we treat these cat cases in this week's episode of The Derm Vet podcast!TIMESTAMPSIntro 00:00Skin Disease In Cats 02:38Other Things That Cause Hair Loss And Itching In Cats 07:05Flea Bite Hypersensitivity In Cats 12:31Tips For Diet Trials With Cats 17:36Feline Atopic Skin Syndrome 22:55Allergy Testing In Cats 32:33What To Use For Cat Ear Infections 37:21Outro 43:30

"Ideally, I would give no drugs at all to manage the allergies."When owners tell you this, do you just assume it isn't possible. Of course, there are certain cases that are tough and require systemic medications to control their atopic dermatitis. However, there are options we have to manage these pets with less systemic drugs. From diagnosis to skin support to immunotherapy... learn the options you have to use less drugs for environmental allergies.TIMESTAMPsIntro 00:00Getting The Diagnosis Correct 01:49Different Ways To Help The Skin Barrier 05:35Allergen Specific Immunotherapy 11:48Outro 13:32

It is always fascinating to learn about veterinary medicine in different countries. There can be many similarities but a lot of differences as well. Today's podcast episode welcomes Dr. Galia Sheinberg, DLACVD to discuss her dermatology practice in Mexico City.  We talk about the differences in work flow for veterinary medicine between Mexico and USA. She also gives some insight in the Latin American College of Veterinary Dermatology and how it is growing and providing a broader scope of dermatology to Mexico, Central America, South American and beyond.TIMESTAMPSIntro 00:00Dr. Sheinberg's Derm Journey 01:43Getting Board Certified In Latin America 07:09The Derm Community Is So Supportive 09:56Teaching At A Derm Meeting Is Different 13:24It's Okay To Say "I Don't Know" 15:02The Differences Between Practicing Medicine In The US vs Mexico 15:48The Difference In Diseases Between The US and Mexico 21:48Dr. Sheinberg Sees Lots Of Puppies With Scabies 23:52The Difference In Regulations With Topicals In Certain Countries 26:38The Pattern Of Resistance With Bacteria In Mexico 30:28The Challenges Of Client Communication 34:42Outro 43:00

I had people asking about my path in dermatology recently. So I put together a fun, personal episode of the podcast highlighting my path in school, internship and residency. This includes how I fell in love with dermatology and why I started The Derm Vet. Enjoy this week's episode!

Four quick tips to improve your overall confidence in dermatology diagnostics and case management. Learn about them on this week's episode of The Derm Vet podcast!

Flea-nial by the owner can be difficult when you really feel like flea allergy dermatitis is a big cause of a pet's itch. Learn about a recent situation I had in the clinic and how I navigated that conversation.