itchy cats

20
15 minutes on itchy cats! Anthony Chadwick BVSc CertVD MRCVS The Webinar Vet and The Skin Vet

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Post on 29-Jun-2015

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this is a short presentation on a logical approach to pruritic cats including diagnosis and treatment. This was presented at an Abbey House Vet Hospital CPD evening

TRANSCRIPT

Page 1: Itchy cats

15 minutes on itchy cats!

Anthony Chadwick BVSc CertVD MRCVSThe Webinar Vet and The Skin Vet

Page 2: Itchy cats

Agenda

• History• Clinical Examination• Differential diagnosis• Diagnostic tests• Treatment• Threshold Management• Resources

Page 3: Itchy cats

History

• Age of onset• In contact animals• Living accomodation• Diet• Seasonality• Parasite control• Distribution of lesions and pruritus• Duration of signs (acute v chronic)• General health• Previous treatments

Page 4: Itchy cats

Clinical Examination

• General physical examination• Lesion distribution• Hair coat• Skin• Secondary Infections• Parasites

Page 5: Itchy cats

Differential diagnoses

• Flea bite hypersensitivity• Food allergy• Atopy• Parasites• Fungal• Immune-mediated disease• Contact irritant dermatitis• Neoplastic• Hormonal• psychogenic

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Diagnostic tests

• Coat brushings• Trichography• Cytology• Haematology• Biochemistry• Hormonal

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Flea bite hypersensitivity

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Some general points

• Cats display pruritus differently than dogs• Flea allergic cats are very good at removing fleas

from their coats• All cats in a household should be treated• The environment should be treated• All pruritic cats should receive flea treatment

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Miliary dermatitis

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Hair loss and papules

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Eosinophilic granuloma complex

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Fleas

• Make up 80% of feline dermatology• Don’t miss them• Compliance• Products

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My top three flea treatments

• Stronghold• Comfortis• Program injection

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Food trialling

• Notoriously difficult in cats• Upto 12 weeks

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Atopy

• Less well characterised than in dogs• Do not use megoestrol acetate• Steroids better tolerated than in dogs• Cyclosporine seems to work well in cats• ASIT can work well in cats

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Threshold Management

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Thanks

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