Cutaneous Malassezia (yeast) hypersensitivity shows up as a marked inflammatory and pruritic response to relatively low numbers of yeast organisms, though some dogs may also have overt infection with many yeast organisms on cytology.There is no specific criteria of how to diagnose these dogs and maintain treatment. However, there are hints of how you can look at the clinical signs and history to heighten your suspicion.Find out more on this week's episode of The Derm Vet podcast!TIMESTAMPS00:00 Intro00:25 Yeast Hypersensitivity05:12 When to call a dog hypersensitive to yeast07:15 Encouraging people to allergy test08:41 How is my underlying control?11:21 Symptoms13:09 OutroÂ
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270. How to be proactive instead of reactive
Allergy management is a long-term game. So, how do clinicians educate clients and use their tools to practice a "proactive" approach rather than a "reactive" approach?Check out this week's episode of The Derm Vet podcast to alter how you manage these itchy pets!TIMESTAMPS00:00 Intro01:54 What's a proactive mindset?06:44 Supplements with good research08:42 Immunotherapy12:43 The Flare Prep14:46 Summary
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269. When to suspect pemphigus in dogs and cats
It can be difficult to differentiate pemphigus foliaceus (PF) in certain cases. If there is a lot of infection or inflammation, it can be difficult to tell if the case is autoimmune or allergic. However, there are a few hints between dogs and cats that can give you an indication you are dealing with PF.In dogs, honey colored adherent crusting, facial lesions, nasal planum involvement and crust paw pads can occur with PF. In cats, purulent debris at the claw folds, crusting/erythema around the nipples and crusting/erythema to the pinna can be hints of PF.As always, check cytology and look for neutrophilic inflammation without infection and/or acantholytic keratinocytes (prematurely lifted skin cells). Learn more details on this week's episode of The Derm Vet podcast!TIMESTAMPS00:00 Intro01:53 Dogs and Pemphigus04:29 Oral Mucosa06:00 Cats and Pemphigus09:53 Cytology and Pemphigus 12:53 Summary
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268. Skin barrier: three ways to repair it
When we talk about the multimodal approach to allergy management, a large portion of that is repairing the skin barrier. As the skin is the largest organ in the body and external, it is important to keep it healthy and hydrated. Pets with atopy have genetic defects in their skin that allow allergens to penetrate easily.But, how can you restore the skin barrier? Learn about three different ways on this week's episode of The Derm Vet podcast! 1. Topicals2. Nutrition3. SupplementsTIMESTAMPS00:00 Intro03:13 Topicals08:41 Topicals That Are Good For Restoring The Skin Barrier11:53 Nutrition14:13 Supplements16:33 Summary
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267. I know you hate hearing this, but Google said...
It is the dreaded conversation in the exam room... when the owner brings up what they heard from a friend, the internet, a social media group, etc. You have to control the eye roll or being super defensive because you want to the the only trusted source for medical decisions for the pet.Over the years, this topic has not scared me in the exam room anymore. I have learned to be curious (might as well know what information is out there) and empathize with the owner with how many sources are out there.Four steps I use in this scenario: Be open, recognize intent, validate and educate. I hope you find this episode of The Derm Vet podcast helpful!
Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.
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