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Demodectic Mange Linda Faris, DVM, CVA Boxer Rescue April 22, 2006 Hollis Renewal Center
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Lecture What is demodectic mange? What causes demodectic mange? Why do some dogs get it and others not? Different presentations of demodicosis. How is it diagnosed? Why is it hard to diagnose? How is it treated? Incorporating alternative therapies. Case Study
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What is demodectic mange? Dermatitis caused by a follicle mite. Folliculitits Small or large areas of allopecia Erythema Seborrhea Bacterial pyoderma Itching
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What causes demodectic mange? Demodex canis mite Genetic susceptibility Doberman Schnauzer Shar Pei Weimaraner German Shepherd Samoyed Beagle Boxer?
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Why do some dogs get it and others not? Almost all normal dogs have a few Exposure while nursing Hand raised pups don’t get it Individual immune system issues Weak individual Stress Treatments Vaccine Spot on flea and tick products Poor quality diet Steroids
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How is it diagnosed? Physical Examination Skin Scraping Biopsy-histopathology Trial therapy-evaluate response
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Why is it hard to diagnose? Different presentations Severe symptoms Few mites Multiple skin scrapings Expensive-multiple attempts at diagnosis Often mistaken for allergies Often mistaken for fleas Treatment for allergies makes it worse
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Diagnostic tests Skin Scraping
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Microscopic
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Different presentations Generalized Localized Face Feet Abdomen Spot Vaccine location Chemical burn
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How is it treated? Traditional Medicine *Mitaban Dip (Amitraz) *Ivermectin *Interceptor (milbemycin) *Topical organo-phosphates *Antibiotics
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Incorporating Alternative Therapies in a treatment protocol Stop doing anything that stresses the patient Immune support Colostrum/IgG/Plant Sterinols/Antioxidants Diet and nutritional support Natural foods Vitamins Fatty Acid supplements Acupuncture Chinese Herbal Medicine Tonify the Blood Move the Blood Treat infection
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Herbal Prescription
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The bugs
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Case Study Georgie
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Demodectic Mange Presented February 7, 2003 Owner lived in Independence Found us because we carried Amore (frozen raw) 15 month old Female spayed Pitbull History Found in July as a stray Multiple other therapies by other vets Vaccinated multiple times Spayed w/severe dermatitis
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February 7, 2003
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February 17, 2003
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April 15, 2003
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August 5, 2003
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Treatment Included Chinese Herbs (1 year duration) Cephalexin 500 mg BID (2 months) Medicated baths 2/week Ivermectin injections (6) Mitaban Dips (4) started when most of the sores were healed (March 21, 2003) Acupuncture (6) March 11, 2002 –June 4, 2003
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October 29,2003
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April 20, 2004 Needed Rabies vaccine-trouble & high risk Breed-likely to bite-kills cats 3 year Rabies vaccine administered Herbal remedy with ingredients to help Liver and immune system cope with challenge of vaccine. No adverse reaction or return of symptoms
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February 22, 2005 Mild outbreak of skin symptoms Related to change in diet One herbal prescription resolved symptoms
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Georgie March 16, 2006
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Questions? Thank You For all you give to the rescue dogs. For asking me to share my passion and work with you. For referring pets and people to our practice.
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