What do you do when an itchy dog just isn’t responding to allergy treatment the way you expected?

In this episode of The Derm Vet Podcast, I break down my refractory allergy checklist to help veterinary professionals reevaluate difficult allergy cases. From choosing the wrong medication or dose to poor compliance, concurrent disease, and even an incorrect diagnosis, I walk through the key questions to ask before labeling a patient as a treatment failure.

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Timestamps
00:00 Intro
01:56 Itch Inquiry: Managing a 7-Month-Old Allergic Dog
03:43 Refractory Allergy Checklist
04:10 #1 The Wrong Drug
05:27 #2 Wrong Dose
06:24 #3 Too Short a Duration
07:44 #4 Wrong Expectations 
09:04 #5 Poor Compliance
10:13 #6 Concurrent Disease
12:00 #7 It's Not Allergies: Mimics & Lookalikes
14:10 Recap and Outro

Lupus can show up in more ways than one in veterinary dermatology!

In this episode of The Derm Vet Podcast, I break down three important lupus and lupoid diseases seen in dogs: discoid lupus erythematosus (DLE), symmetrical lupoid onychodystrophy (SLO), and mucocutaneous lupus erythematosus (MCLE).

Learn the clinical signs that should put these autoimmune diseases on your differential list, from loss of the normal cobblestone appearance of the nasal planum to painful nail loss and persistent mucocutaneous ulcerations. I also discusses diagnosis, biopsy considerations, and treatment options, including the growing off-label use of JAK inhibitors in autoimmune skin disease.

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Timestamps
00:00 Intro
00:44 Itch Inquiry: Off-Label JAK Inhibitors for Autoimmune Diseases
02:33 Systemic Lupus Erythematosus (SLE) Overview
03:15 Discoid Lupus Erythematosus (DLE): Clinical Signs & Diagnosis
06:03 Treatment Strategies for DLE
07:28 Symmetrical Lupoid Onychodystrophy (SLO): Presentation & Diagnostics
09:03 Managing and Treating SLO
10:42 Mucocutaneous Lupus Erythematosus (MCLE)
12:11 Summary & Outro

Is your allergic patient still itching despite treatment? They may be dealing with more than one allergy!

In this episode, I break down how to identify the multi-allergy veterinary patient and recognize the clues that suggest multiple underlying causes of pruritus. I discuss partial responses to allergy therapy, seasonal changes in itching, persistent problem areas, recurrent otitis, and why different lesions may respond differently to treatment.

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Timestamps
00:00 Intro
00:43 Itch Inquiry: Managing Chronic Ear Inflammation & Steroid Therapy
04:19 Identifying the Multi-Allergy Patient
06:11 Clue 1: Partial Response to Allergy Therapy
07:16 Clue 2: Seasonally Fluctuating Pruritus
08:26 Clue 3: Persistent Itch in Specific Anatomical Regions
09:57 Clue 4: Recurrent Otitis vs. Improving Skin Disease
11:52 Clue 5: Variable Lesion Response Across Treatments
13:28 Recap
14:59 Outro

French Bulldogs, English Bulldogs, and other brachycephalic breeds are frequent flyers in veterinary dermatology but successfully managing their skin disease often requires looking beyond the obvious itch.

In this episode of The Derm Vet Podcast, I break down some of the most common dermatologic problems seen in brachycephalic dogs, including skin fold dermatitis (intertrigo), pododermatitis, secondary infections, and underlying food and environmental allergies.

Learn why examining every facial, tail, and vulvar fold matters, how cytology can guide treatment, why topical therapy is so important for both treatment and long-term maintenance, and how to build an allergy workup that is realistic for both the patient and owner.

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Timestamps
00:00 Intro
00:52 Itch Inquiry: Feline Ear Flushing and Horner's Syndrome Risk
04:05 Fold Dermatitis and Key Fold Locations
07:14 Cytology and Topical Therapies for Skin Fold Infections
09:58 Pododermatitis
12:48 Allergic Workups and Long-Term Inflammatory Options
16:15 Overview and Final Takeaways
18:03 Outro

In veterinary dermatology, the right diagnosis often starts before the physical exam... it starts with the history!

In this episode of The Derm Vet, I break down how a thorough dermatologic history can help veterinary professionals build stronger differential lists, choose more targeted diagnostics, and develop more effective treatment plans.

Whether you're working through a new pruritic patient or reevaluating a case that isn't responding as expected, this episode highlights the historical clues you don't want to overlook!

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Timestamps
00:00 Intro
00:24 The Value of History Taking in Veterinary Dermatology
03:52 Itch Inquiry: Cyclosporine Use in Allergic Disease
06:00 Building Differentials, Diagnostic Plans, and Treatments
08:30 Core History Basics: Signalment, Seasonality, and Travel
12:15 Age of Onset Considerations
14:46 Analyzing Past Medication Responses
16:03 Identifying Systemic Signs and Underlying Internal Disease
17:59 Reevaluating History in Chronic Cases
20:05 Outro

Crusty, irritated, or abnormal paw pads in cats can point to much more than a simple skin problem. In this episode of The Derm Vet Podcast, I break down the differential diagnoses behind feline crusty paw pads, including plasma cell pododermatitis, autoimmune disease, allergies, eosinophilic granulomas, contact dermatitis, infections, trauma, cutaneous horns, and even neoplasia.

Plus, this week’s Itch Inquiry features a medication-averse German Shepherd and a discussion about the limitations of monoclonal antibody therapy!

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Timestamps
00:00 Intro
00:24 Itch Inquiry: Case Study of a Med-Averse German Shepherd
05:20 Limitations of Monoclonal Antibodies
07:00 Feline Crust Paw Pads
07:44 Plasma Cell Pododermatitis
10:58 Autoimmune Causes
12:22 Allergic Conditions, Eosinophilic Granulomas, and Contact Dermatitis
13:52 Infectious, Viral, Fungal, and Traumatic/Burn Causes
16:02 Cutaneous Horns, Neoplasia, Lung-Digit Syndrome, and Diagnostic Workup
19:02 Outro

Crusty paw pads may seem like a straightforward dermatologic finding... but they can point to everything from simple hyperkeratosis to autoimmune, metabolic, infectious, and even systemic disease!

In this episode of The Derm Vet Podcast, I break down my diagnostic approach to canine paw pad disease and the major differentials veterinarians should keep on their radar. I cover hyperkeratosis, pemphigus foliaceus, erythema multiforme, vasculitis, hepatocutaneous syndrome, zinc-responsive dermatosis, canine distemper, infections, trauma, and more. Plus, learn why lesion distribution, breed, systemic signs, and (most importantly) biopsy can be critical for reaching the right diagnosis!

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Timestamps
00:00 Intro
00:24 Itch Inquiry: Feline Inflammatory Ear Polyps
04:46 Canine Paw Pad Disease
05:17 Primary Hyperkeratosis & Weight-Bearing Patterns
07:31 Autoimmune Paw Pad Diseases
09:58 Metabolic Causes
12:47 Infectious, Traumatic, & Viral Causes
14:25 Outro 

Allergy cases are rarely straightforward... and explaining the diagnostic process to pet owners can be just as challenging as managing the itch.

In this episode of The Derm Vet Podcast, I break down a practical approach to talking with clients about allergic skin disease in dogs and cats. From ectoparasites and food allergies to environmental allergies, learn how to organize the conversation so owners understand not only what you're recommending, but why it matters.

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Timestamps
00:00 Intro
00:24 Zoetis Ad
02:13 Itch Inquiry: Convincing Owners on Symptomatic Meds
06:08 Category 1: Ectoparasite Control
09:05 Category 2: Food Allergies & Diet Trials
11:13 Category 3: Environmental Allergies & Symptomatic Therapy
13:24 Allergy Testing & Immunotherapy
16:14 Tailoring Communication and Visual Aids
20:10 Outro

Why do cats develop crusting, curling, inflammation, or unusual lesions on their ears? In this episode of The Derm Vet Podcast, I'm diving into feline pinnal diseases and the dermatologic conditions that can affect the feline ear.

I cover why oral exams are an important part of evaluating itchy cats, reactions to topical steroids that can cause pinna curling, and key conditions including solar dermatitis, auricular chondritis, cystomatosis, pemphigus foliaceus, and proliferative necrotizing otitis externa!

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Timestamps
00:00 Intro
00:24 Feline Pinnal Diseases
01:37 Itch Inquiry: Why Perform Oral Exams on Cats
03:45 Topical Steroid Reactions & Pinna Curling
04:55 Solar Dermatitis
06:53 Auricular Chondritis
08:23 Cystomatosis
10:44 Pemphigus Foliaceus
12:36 Proliferative Necrotizing Otitis Externa 

In this episode, I answer a listener question about off-label JAK inhibitor dosing before taking a deep dive into common canine pinnal (ear flap) diseases. Learn how to recognize and manage canine scabies, pinnal vasculitis, pemphigus foliaceus, ear margin seborrhea, zinc-responsive dermatosis, and thrombovascular necrosis. Whether you're a veterinarian, veterinary technician, or student, this episode delivers practical dermatology insights you can use in practice!

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
00:54 Itch Inquiry: Off-Label JAK Inhibitor Dosing and Usage
05:32 Introduction to Canine Pinnal Diseases and Ear Anatomy
08:08 Canine Scabies
09:33 Pinnal Vasculitis Presentation and Management
11:22 Pemphigus Foliaceus
13:08 Ear Margin Seborrhea
14:27 Zinc Dermatitis
15:47 Thrombovascular Necrosis
16:45 Outro 

Dogs don't always scratch when they're itchy and that can make diagnosing allergic skin disease much more challenging! In this episode of The Derm Vet Podcast, I break down the subtle and commonly overlooked signs of itching in dogs, from scooting that isn't caused by anal glands to head shaking, excessive licking, perineal dermatitis, and secondary skin changes that can easily be missed during an exam.

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Timestamps
00:00 Intro
00:24 Zoetis
01:15 Itch Inquiry: Non-Anal Sac Causes of Scooting
03:25 How to Tell If a Dog is Itchy
06:03 Common Itching Behaviors
08:42 Overlooked Indicators
10:35 Perineal Dermatitis and Head Shaking
13:16 Identifying Secondary Skin Changes
15:39 Outro 

How do feline dermatology cases differ from canine dermatology? In this episode, I answer a listener's question on treating yeast-only ear infections before breaking down three major clinical differences between cats and dogs... from ear flap lesions and claw fold inflammation to oral cavity and mucous membrane disease!

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
02:20 Itch Inquiry: Treating Yeast-Only Ear Infections
05:51 Feline vs Canine Dermatologic Distributions
06:27 Difference 1: Pinna (Ear Flap) Lesions
08:27 Difference 2: Claw Fold Inflammation
11:00 Difference 3: Oral Cavity & Mucous Membrane Lesions
13:58 Outro

Constant scratching, chewing, and ear infections aren't just annoying... they're your patient's way of telling you something's wrong! In this episode, I break down everything veterinary professionals need to know about managing allergic dogs, from spotting the first signs of trouble to building a long-term treatment plan that actually works.

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Timestamps
00:00 Intro
01:39 Itch Inquiry 
02:55 Maintenance Therapy for Allergic Dogs
05:35 Nutrition
06:07 Ear Care 
07:19 Client Education and Early Detection
09:34 Utilizing Our Pharmaceuticals
11:27 Identifying Allergy Triggers
13:09 Routine Rechecks
15:27 Summary
17:39 Outro

Is allergen-specific immunotherapy the closest thing we have to changing the course of allergic disease in dogs?

In this episode of The Derm Vet Podcast, I explore why immunotherapy remains the gold standard for long-term allergy management and how it differs from simply controlling itch. She explains how starting treatment early may help reduce the progression of allergic disease, what pet owners should realistically expect from immunotherapy, and why educating clients is critical to long-term success.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps:
00:00 Intro
01:39 Itch Inquiry: Distinguishing Autoimmune Disease from Neoplastic Disease
04:40 Immunotherapy
06:05 Proactively Halting the Progression of Allergic Disease
07:30 Natural Therapy
08:14 Instilling Trust in Your Client
09:28 Preparing for Future Health Uncertainties
13:06 Outro

Learn how rostrolateral nasal alar arteriopathy is diagnosed, why it can be mistaken for other conditions, and the treatment options available to help improve quality of life. I also discusses setting realistic owner expectations and the importance of recognizing uncommon dermatologic diseases in veterinary medicine.

Whether you're a veterinarian, veterinary technician, or veterinary student, this episode provides practical clinical insights you can apply to future cases. 

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Fleischman DA, Mauldin EA, Lowe A, Cain CL, Bradley CW. Clinical and histopathological features of rostrolateral nasal alar arteriopathy of German shepherd dogs. Vet Dermatol. 2023;34:441–451. https://doi.org/10.1111/vde.13173

Timestamps
00:00 Intro
01:32 Itch Inquiry:  Topicals for General Practice 
06:20 German Shepherd with Chronic Nasal Bleeding
09:29 Diagnosis: Rostrolateral Nasal Alar Arteriopathy
12:02 Treatment Options & Owner Expectations
14:44 Outro

Client communication can make or break even the best dermatology treatment plan...

In this episode of The Derm Vet Podcast, I answer a listener's question about improving cytology skills in veterinary practice before diving into one of the most valuable communication frameworks I've found for challenging client interactions: The 5 E's.

Whether you're discussing chronic allergies, recurrent skin infections, or complex treatment plans, frustrated clients are inevitable. The key is knowing how to navigate those conversations with confidence!

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Timestamps
00:00 Intro
01:14 Itch Inquiry
03:10 The 5 E's in Dealing with Frustrated Clients
03:40 Empathize with the Client
05:47 Expectations
07:08 Expense
08:14 Effort
10:23 Encouragement
12:18 Summary/Outro
 

In this episode, I tackle some of the most common (and challenging) questions surrounding the diagnosis, treatment, and long-term management of canine otitis externa. From maintenance therapy protocols and cleaning strategies to biofilm management, chronic stenosis, ear cultures, and the role of AI-powered cytology, I share practical insights you can apply in everyday practice. 

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Timestamps
00:00 Intro
01:25 Itch Inquiry: For maintenance therapy, do you suggest using a combination product weekly as maintenance?
04:30 What is your favorite product as a cleanser when the patient has biofilm?
06:51 How do tackle chronic stenosis?
09:12 What is your favorite maintenance cleaning product?
10:31 When dogs have recurrent otitis, how often do you suggest maintenance cleaning? 
12:37 What do you think of the various AI cytology machines?
14:27 What is the usefulness of an ear culture for otitis externa?
16:15 What do you consider for broad spectrum treatment for otitis?
17:40 Besides ear flushing, what other treatments do you use for maintenance?
18:18 Outro

Can cats safely take Apoquel or Zenrelia? In this episode, we take a deep dive into the use of JAK inhibitors in feline dermatology, exploring the science behind atopic disease, practical treatment considerations, and the realities of off-label medication use in cats.

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Timestamps
00:00 Intro
01:31 Itch Inquiry: Atopic Dogs and the pathophysiology
04:22 JAK Inhibitors and Cats
05:58 Using Apoquel with a Cat 
08:58 Using Zenrelia with a Cat
10:53 Dosing These Medications in Cats 
12:35 Lab Work Monitoring the Cats
14:02 The Risk
14:25 The Duration
15:40 Discussion of Off Label Use with Owners
16:58 Outro

Skin barrier is having a moment... and for good reason. In this episode, I break down why restoring the skin barrier is a non-negotiable piece of the multimodal approach to managing atopic dermatitis in dogs and cats, and more importantly, how to actually do it when your clients can't keep up with a bathing schedule.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
00:45 Itch Inquiry: Recurrent Yeast Otitis
01:37 Antifungal Resistance in Malassezia
03:54 Underlying Allergies and Immunotherapy
06:29 Paronychia
07:19 Toothpick vs. Tape Methods
09:30 Treatment for Yeast
15:35 Summary/Outro 

A new JAK inhibitor has officially entered the veterinary market but where does it fit into managing allergic dogs?

In this episode of The Derm Vet Podcast, I sit down with boarded veterinary dermatologist Dr. Christine McKinney from Merck Animal Health to discuss Numelvi, the newest JAK inhibitor approved in the United States for canine allergic dermatitis. We break down what makes this medication unique, how it compares to other allergy therapies, and why having multiple treatment options matters when managing complicated allergic patients.

We also dive into practical approaches for itch control, infection management, and building confidence when treating chronic allergy cases in practice. If you manage itchy dogs regularly and want to stay up to date on the latest dermatology treatments, this episode is packed with valuable clinical insights.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps and references:

7:26: At the recommended treatment dose, Numelvi is at least 10X more selective for JAK1 over the other JAK enzymes in in vitro assays. Reference: Kowalski T, Schuette S. The second-generation Janus kinase inhibitor atinvicitinib is a potent and highly selective inhibitor of JAK1. Vet Dermatol. 2026;37(2):179.

8:03: At the recommended treatment dose, Numelvi is at least 10X more selective for JAK1 over the other JAK enzymes in in vitro assays. Reference: Kowalski T, Schuette S. The second-generation Janus kinase inhibitor atinvicitinib is a potent and highly selective inhibitor of JAK1. Vet Dermatol. 2026;37(2):179.

8:07: JAK1 is the primary driver of itch and inflammation. Reference: Huang I, Chung W, Wu P, Chen C. JAK-STAT signaling pathway in the pathogenesis of atopic dermatitis: an updated review. Front Immunol. 2022;13:1068260

10:36: At the recommended treatment dose, Numelvi is at least 10X more selective for JAK1 over the other JAK enzymes in in vitro assays. Reference: Kowalski T, Schuette S. The second-generation Janus kinase inhibitor atinvicitinib is a potent and highly selective inhibitor of JAK1. Vet Dermatol. 2026;37(2):179.

21:52: Numelvi, starts reducing itch within 2-4 hours in a canine interleukin-31 (cIL-31)-induced pruritus model Reference: Kowalski T, Prohaczik A, Locke K, Samson C, Hope K. The second-generation Janus kinase inhibitor atinvicitinib significantly reduces pruritus 2-4 hours after dosing dogs in a canine interleukin-31 model. Vet Dermatol. 2026;37(2):179-180.

23:13: Numelvi, starts reducing itch within 2-4 hours in a canine interleukin-31 (cIL-31)-induced pruritus model Reference: Kowalski T, Prohaczik A, Locke K, Samson C, Hope K. The second-generation Janus kinase inhibitor atinvicitinib significantly reduces pruritus 2-4 hours after dosing dogs in a canine interleukin-31 model. Vet Dermatol. 2026;37(2):179-180.

Timestamps
00:00 Intro
02:29 The Complexity of Canine Allergic Dermatitis
06:44 What is Numelvi and How Does it Work?
13:50 Dosing Guidelines and Tablet Specifications
16:57 Candidate Selection and Infection Control
21:37 Onset of Action and Efficacy Timeline
24:08 Final Thoughts

This episode is sponsored by Merck Animal Health

Skin barrier therapy has become one of the hottest topics in veterinary dermatology but with so many sprays, spot-ons, mousses, collars, and topical products available, it can be difficult to know what actually works and when to use them.

In this week’s episode of The Derm Vet Podcast, we dive into the concept of skin barrier support and why managing allergic skin disease goes far beyond simply treating itch. I break down different categories of topical therapies, including AtopiVet products, spot-on formulations, mousse therapies, and skin care collars, while discussing how these products can fit into a multimodal dermatology plan.

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Timestamps
00:00 Intro
01:40 The Itch Inquiry: Skin Barrier and Beyond Topicals
04:48 AtopiVet Products
08:04 Spot-On Products
09:23 Mousse Products
10:19 Skin Care Collar
12:44 Outro

In this episode, I dive into the diagnostic approach and long-term management of sterile nodular panniculitis in veterinary patients. We discuss everything from sampling claw folds and interpreting flaky cytology samples to biopsy techniques, infectious disease rule-outs, and when to consider JAK inhibitors as part of a treatment plan. 

If you’ve ever struggled with diagnosing challenging nodular cases or navigating long-term management decisions, this episode is packed with practical clinical insights you can apply in practice.

Did you know you can submit a question or voicemail to the show by using the link at the top of the show notes? Send me any and all questions to be featured on an episode!

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
01:14 Itch Inquiry: Sampling Claw Folds and Flaky Samples
06:00 Identifying Sterile Nodular Panniculitis
08:54 Diagnostic Approaches and Biopsy Techniques
09:56 Ruling Out Infectious Causes
12:53 Use of JAK Inhibitors
16:19 Long-term Management
19:49 Outro

In this episode, I tackle one of the most important — and often most challenging — conversations in veterinary dermatology: the diet trial discussion. We break down common client concerns, why compliance can be difficult, and how veterinarians can better communicate the value of diet trials in diagnosing food allergy cases.

Did you know you can submit a question or voicemail to the show by using the link at the top of the show notes? Send me any and all questions to be featured on an episode!

Watch The Episode: https://www.youtube.com/@thedermvet3932

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Timestamps
00:00 Intro
01:04 Itch Inquiry
07:20 The Diet Trial Conversation 
09:45 Tip #1: Explain the "Why"
11:06 Tip #2: Treat it as a Diagnostic Test
14:26 Tip #3: Short-Term Pain for Long-Term Gain
15:37 Tip #4: Challenging the Diet to Get Answers
18:54 Summary
20:38 Outro

When an otitis case just won’t clear, there are often simple changes we can make to be more successful. In this episode, we break down the most common (and fixable) reasons ear infections fail to respond in clinical practice.

From real-world struggles with client compliance and patient tolerance, to the often-overlooked importance of proper ear flushing, we unpack where cases go off track—and how to get them back on course. We’ll also dive into the consequences of choosing the wrong topical therapy, and why matching treatment to cytology is non-negotiable for success.

Whether you’re dealing with repeat offenders or frustrating first-time failures, this episode offers practical, clinic-ready insights to help you troubleshoot smarter, treat more effectively, and set both your patients and clients up for long-term success.

Timestamps
 00:00 Intro
00:24 Itch Inquiry
03:47 Why that Ear Infection isn't Responding
05:18 Lack of Inflammation Control
06:55 The Wrong Medication
08:32 Not Using Appropriate Flushing Methods
11:19 It's Not Getting In There
13:16 We Don't Know Why It's Happening
15:34 Review
17:54 Outro 

In this episode, we take a closer look at the often-overlooked areas of the dermatologic exam in allergic dogs—because the clues you’re missing may be the ones that matter most. From the ventral neck and axilla to claw folds, lip margins, and perianal regions, these hidden sites frequently harbor early or persistent lesions that can shape your diagnosis and treatment plan. We’ll discuss why these areas are commonly skipped, what subtle findings to look for, and how a more thorough dermatology exam can improve case outcomes.

Tune in for practical tips to elevate your dermatology exams, catch lesions earlier, and avoid missing key pieces of the allergy puzzle.

Want to ask a question or share a story to be featured on the podcast? Tap the link at the top of the show notes to text an inquiry or leave a voicemail!

Timestamps
00:00 Intro
01:57 Ventral Neck
03:14 Axilla
04:21 Claw Folds
06:05 Lip Margins
07:28 Perianal Region
08:51 Pinna
10:23 Other Folds 
13:14 Review/Summary
15:55 Outro

In this week's episode, we explore an interesting feline case that illustrates why no detail should ever be overlooked. When a "perky nose" complaint actually becomes plasma cell pododermatitis.

Using this case as a guide, we highlight how critical it is to go beyond the presenting complaint. A thorough dermatologic exam, combined with a detailed history, can uncover subtle abnormalities that completely change your diagnostic path, treatment plan, and ultimately, patient outcome. It’s a good reminder that even when a diagnosis seems obvious, there could be clinical clues that point you a different direction.

We discuss how this case unfolded, what could have been missed with a more limited approach, and practical strategies to ensure you’re consistently gathering complete information in every appointment.

References:
Declercq J, DeBosschere H. Nasal swelling due to plasma cell infiltrate in a cat without plasma cell pododermatitis. Vet Dermatol. 2010;21:412–414. doi: 10.1111/j.1365-3164.2010.00869.x.

Brosseau G. Feline plasma cell pododermatitis. Can Vet J. 2022 May;63(5):545-548. PMID: 35502252; PMCID: PMC9009751.

Timestamps
00:00 Intro
03:50 The Swollen Nose
07:02 Deflated Paws
09:12 Biopsy and Diagnosis Confirmation
12:09 Importance of Looking at the Complete History
16:53 Outro

Allergy cases can be REALLY tough!

In this week's podcast episode, we explore how veterinarians and staff can build confidence using the full range of allergy medications available. From JAK inhibitors to monoclonal antibodies to cyclosporine, I discuss the importance of knowing the mechanisms and clinical applications of these medications. Atopic dermatitis is a syndrome with many layers. You can have your favorite allergy drugs, but there will always be difficult cases that don't respond and we need to try something different.

Tune in for practical insights, real-world case strategies, and tips to help you feel more comfortable navigating complex allergic conditions. 

Studies:
https://pubmed.ncbi.nlm.nih.gov/34344611/
https://pubmed.ncbi.nlm.nih.gov/20887404/

Timestamps
00:00 Intro
00:44 New Segments Starting Soon
02:07 Being Comfortable w/ Allergy Medications
03:25 Breed-Specific Allergy Phenotypes
05:07 JAK Inhibitors
06:45 Monoclonal Antibodies
08:36 Cyclosporine
09:58 Summary
12:41 Outro

Feline dermatology be tricky and daunting. It is easy to skip over simple steps that can make a big difference in your allergic cat management. In this episode, we break down four of the most common missteps that in managing feline skin cases.

First, we tackle how to be ABSOLUTELY sure you have eliminated flea allergy dermatitis as a cause of pruritus. Next, we explore how cats express skin disease in unique ways that can be missed by owners and veterinarians such rodent ulcers.

We dive into inappropriate diagnosis of food allergies, explaining why true elimination diet trials are essential and often done incorrectly. Finally, we emphasize the importance of not skipping basic diagnostics like cytology and fungal testing—foundational steps that are sometimes overlooked in favor of quick treatments such as steroids.

Whether you’re a practicing veterinarian or a student, this episode can give you easy tips to implement in the clinic tomorrow for your itchy cat patients!

Timestamps
00:00 Intro
02:22 Fleas and Ectoparasites
06:33 Recognizing Unique Lesions
08:50 Overdiagnosing
10:58 Skipping Basic Diagnostics
13:23 Summary
15:48 Outro

Remembering how to treat and prevent otitis in a complete manner can be difficult in a busy general practice. There are different acronyms to help, but everybody remembers things a bit differently.

This week's podcast goes over a new acronym to make acute and chronic otitis management a bit easier.

E: etiology (what infection is present)
A: appearance (what does the debris look like and where is it)
R: Reason (what is the primary cause)
S: Support (how do we manage this long-term)

EARS to help ears. Let me know your thoughts on this week's episode!

Timestamps
00:00 Intro
01:05 EARS
01:27 Etiology
03:11 Appearance 
04:38 Reason
06:22 Support
08:14 Summary
09:22 Outro

Really red, inflamed and itchy cases can be tough to differentiate. Could it be allergies? Maybe something else like an autoimmune disease has popped up...

On this week's episode of The Derm Vet podcast, we discuss five RED FLAGS that you should have an autoimmune disease on your differential list.

Timestamps

00:00 Intro
02:14 Red Flag #1: Mucous Membranes
03:40 Red Flag #2: Crusting with No Infection
06:12 Red Flag #3: Weird Types of Lesions
08:58 Red Flag #4: Systemic Signs
10:50 Red Flag #5: Weird Distribution
13:51 Summary
14:55 Outro

Allison Inga, DVM, DACVD is back on the podcast! In this week's episode, we review the systemic antimicrobial recommendations from the International Society for Companion Animal Infectious Diseases (ISCAID) and what they mean for veterinarians treating superficial or deep pyoderma.

We highlight when systemic antibiotics are truly indicated, first-line drug selection, along with more resitant infections that may require second- or third-line antibiotic treatment. The discussion also reinforces antimicrobial stewardship principles, including avoiding unnecessary use of critically important antibiotics.

A focused update designed to help veterinarians and staff members to apply ISCAID guidance confidently and responsibly in everyday clinical cases.

Timestamps

00:00 – Intro
01:35 – When To Use Systemic Therapy
02:32 – Topical Therapy 2-Week Period
03:35 – Different Types of Pyoderma
07:18 – First Choice Drugs
10:20 – Go-To Drug Choice
11:50 – Wiggle Room When Prescribing
14:03 – Second Choice Drugs
16:57 – Where To Dose
18:54 – Usage in Dogs
19:37 – Other Second Choice Considerations
23:09 – Usage Experience with Rifampin
25:52 – Systematic Use of Amikacin
28:03 – Chloramphenicol Use in Patients
31:08 – When To Limit Use
32:46 – Other Considerations
34:08 – Outro

In this week's podcast episode, I get to interview Allison Inga, DVM, DACVD who practices at Animal Dermatology Clinic in Robbinsville, NJ. We take a practical, clinician-focused look at the latest guidelines from the International Society of for Companion Animal Infectious Diseases (ISCAID) on the use of topical therapy in managing bacterial skin infections.

Topical therapy is no longer just an adjunct — it’s a central component of antimicrobial stewardship in dermatology. We review how the ISCAID guidelines support cytology-driven diagnosis, when topical therapy can be used as sole treatment, and how it helps reduce systemic antibiotic use in cases of superficial pyoderma and Malassezia dermatitis. 

00:00 – Intro
01:25 – Dr. Inga 
03:50 – Advantages of Topical Therapy in Pyoderma Cases
05:40 – Evidence of Using Chlorhexidine Percentages
08:22 – Factors to Consider In Chlorhexidine Cases
09:30 – Other Topical Anti-Septics to Consider
10:44 – Diluting Bleach 
13:50 – Addressing Concerns Around Bleach
15:00 – Topical Antibiotic Use
17:26 – Efficacy of Topical Therapy
21:20 – Simple Things That Yield Good Results
23:10 – Concurrent Use
26:10 – Outro

This is the last installment in our series of DERM DRUGS. Monoclonal antibodies are becoming an important tool in veterinary dermatology — but what are they, and how do they actually work?

In this episode, we break down monoclonal antibody therapy in practical terms. We explain how these targeted treatments are designed to recognize and block specific molecules in the immune system, helping reduce itch in allergic dogs without broadly suppressing immunity.

We discuss commonly used products like Cytopoint which targets IL-31, a key cytokine involved in pruritus. We also introduce the announcement of an upcoming (not yet released) product called Befrena, another monoclonal antibody therapy, and what we know about this therapy today.

00:00 – Intro
02:07 – What is a Monoclonal Antibody
03:18 – Cytopoint Basics
05:35 – Potential Side-Effects
06:33 – Befrena Basics
08:44 – Overview
09:22 – Outro

Janus kinase (JAK) inhibitors have become a cornerstone in managing pruritic and allergic skin disease in dogs by targeting the JAK-STAT signaling pathway, which transmits itch and inflammatory cytokine signals. With so many medications hitting the market, it is important to understand the differences between all of the different JAK inhibitors in veterinary medicine.

Apoquel (oclacitinib) has been in the veterinary field the longest with over a decade of use. However, Zenrelia (ilunocitinib) has been available in many countries for over a year. Additionally, Numelvi (atinvicitinib) has recently become available in Europe and will hit the market in the United States very soon (with others to follow). 

Learn about the differences in these medications and why it is important to become comfortable with all of them on this week's episode of The Derm Vet podcast.

Timestamps
00:00 Intro
01:35 JAK Inhibitor Basics
02:35 What are JAK Receptors
03:31 Apoquel and Zenrelia 
05:20 Numelvi 
07:57 How To Tell If a Pet Is Atopic 
09:12 Are JAK Inhibitors Safe with Neoplasia
11:32 What Does JAK Selectivity Mean 
13:47 Common Side-Effects of JAK Inhibitors 
17:01 Using JAK Inhibitors Off-Label
18:51 Outro

In veterinary dermatology, gram-negative rods like Pseudomonas, E. coli, Proteus, etc. can develop in chronic or deep skin infections. When systemic therapy is needed, culture and sensitivity are essential. But what are some of the more common antibiotics that are effective against these nasty bugs?

Common options include fluoroquinolones, potentiated penicillins, later-generation cephalosporins, etc. These organisms are frequently multidrug-resistant so appropriate diagnostics and re-evaluation is crucial.

Learn more as we continue our current series on DERM DRUGS on this week's podcast!

00:00 – Intro
01:36 – General Things to Keep in Mind
03:49 – The Importance of Topical Therapy
05:31 – Systemic Therapy Options
06:38 – Antibiotic Choices
10:35 – Last Resort Antibiotics
12:44 – Overview
13:39 – Outro

When a senior dog walks in with multiple lumps and bumps, the big question becomes: which ones actually need a needle? And how do we make those decisions when time, finances, and patient comfort all matter?

In this episode of The Derm Vet Podcast, I take a break from the Derm Drugs series to dive into an exciting new diagnostic technology... VISTA iQ. This conversation features Dr. Liron Levy-Hirsch (managing director for HT VET), who breaks down exactly what VISTA iQ is, how it works, and why it may be a game-changer for evaluating multiple masses in dogs.

Timestamps
02:29 What Does Vista IQ Do?
04:03 Why Was This Tech Needed?
06:07 The Basics of HT Vista
08:17 The Practical Applications
10:46 How the Science Works
11:56 Process Efficiency
13:15 Limitations of the Vista IQ
15:21 How It Fits With Existing Tools
16:28 Final Thoughts
18:37 Outro

Continuing our DERM DRUG series... we are discussing one of the most common class of drugs asked about: antibiotics! Specifically, those used for staphyloccal pyoderma since it is seen almost every day in general practice.

A majority of this discussion was developed from the newly updated ISCAID (International Society for Companion Animal Infectious Diseases). These guidelines were updated in 2025 and are open access to the public. You can find them at https://onlinelibrary.wiley.com/doi/10.1111/vde.13342.

These guidelines cover duration of treatment, topical therapy and different tiers of systemic antibiotics. Which antibiotics can you feel more comfortable using empirically? Find out on this week's episode of The Derm Vet podcast!

00:00 – Intro
02:12 – Important Precursors
05:37 – First Choice Drugs
08:50 – Second Choice Drugs
14:39 – Reserved Microbial Drugs
21:21 – Overview
23:47 – Outro

Welcome to our first podcast series of the year: DERM DRUGS! We will spend the next few weeks jumping into different categories of medication and provide real world application of when and how we reach for these medications.

Our first installment in this series are anti-yeast medications. How do you know when to reach for systemic anti-yeast drugs? Which one should you pick? How long should you treat and when do you recheck?

We address all of these questions and more on this week's episode of The Derm Vet podcast!

00:00 – Intro
02:53 – Azoles
07:26 – Which Anti-Fungal to Choose
12:27 – Azole Side Effects
13:34 – Length of Treatment
14:26 – Pulse Dosing
18:45 – Overview

I have had quite a few cool video otoscopy procedures lately. With cool procedures, come the ability to share these videos and images online. With that, comes lots of questions from you!

When should I refer for video otoscopy?

What is the purpose of video otoscopy?

When should I choose video otoscopy over everyday handheld otoscopy?

We break down the four main reasons to consider video otoscopy. If you check out the YouTube channel, there are some cool images and videos or recent scopes that will confirm how cool this procedure can be!

00:00 – Intro
01:43 – Should you have a video otoscopy
02:58 – Four main reasons to consider video otoscopy
03:12 – Magnifying the image
04:26 – Deep flushes
06:15 – Middle ear cytology and culture
07:37 – Removing things
09:19 – Overview
11:17 – Outro

Recurrent infections can be so difficult in our allergic patients. Learn how to minimize severity of frequency of pyoderma on this week's episode of The Derm Vet podcast!

1. Work up the underlying allergies

2. Support the skin barrier

3. Adjust topical therapy accordingly

4. Recognize historical patterns

5. Refer to a dermatologist early in the disease

00:00 – Intro
02:24 – Working up the underlying allergies
04:53 – Support the skin barrier
07:36 – Adjust your topical therapy accordingly
10:27 – Recognize historical patterns
13:02 – Referring these patients early
13:56 – Overview
14:32 – Outro

Periocular dermatitis can occur for a multitude of reasons. The first step is to figure out if the eye itself is involved or not. Once we know the eye is healthy, it is time to figure out why the SKIN AROUND the eye is losing hair, crusty, itchy, etc.

It is important to return to the basic diagnostics. Cytology can be sampled with tape (if the lesion is dry) or swab (if the lesion is wet) to not risk damaging the eye. A trichogram can be used instead of a skin scrape to also protect the eye from a scalpel blade!

Anything that can cause folliculitis to other areas of the skin can impact the periocular dermatitis. Allergies, mites, dermatophytosis, pyoderma, yeast dermatitis, autoimmune diseases and neoplasia can cause lesions. Dive into the details on this week's episode of The Derm Vet podcast!

Timestamps
00:00 Intro
03:00 Periocular Dermatitis
05:21 Cytology Techniques
06:45 Allergies and Facial Pruritus
08:20 Demodex
12:00 Biopsy
13:20 Neoplasia
16:00 Outro

I asked a few of my vet friends what "derm gifts" they received in 2025. I loved their answers and wanted to share them on our final episode of the podcast this year!

1. More confidence in cytology

2. Comfort in using new tools and innovations

3. Improving client communication and utilization of staff

4. Treating dermatology like a puzzle you have to put together

5. Prioritizing referral for allergy testing and immunotherapy

And mine... be curious and collaborate!

Thanks for another wonderful year of podcasting! Can't wait to see what 2026 has to bring.

00:00 – Intro
01:55 – Derm Gifts of the Year
02:26 – Gift 1: Improving Confidence in Cytology
04:33 – Gift 2: Becoming Open to Try New Things
06:11 – Gift 3: Learning More About Client Communication
09:28 – Gift 4: Realizing Derm is a Puzzle
12:08 – Gift 5: Being Thoughtful When Referring Immunotherapy
15:27 – Gift 6: Remaining Curious and Collaborative
18:52 – Outro

It is very common for clients to present their pet to the veterinarian complaining that an allergy medication that used to work is no longer effective. Before changing therapies, it is important to consider four different things.

1. Rule out simple mistakes like missed flea prevention, diet change, etc.
2. Identify infection
3. Progression of allergies
4. It is no longer just allergies

Learn more details on this week's episode of The Derm Vet podcast!

Timestamps
00:00 Intro
01:20 Looking for Simple Causes
03:47 Identify Infections
06:10 Allergy Progression
08:30 When It Isn't Just Allergies
10:22 Overview
12:05 Outro

Zinc responsive dermatitis is a skin condition in dogs resulting from a zinc deficiency or an inability to properly absorb the mineral. It is a rare condition that typically presents as scaling, crusting, and hair loss around the head (especially muzzle and periocular region) and pressure points.

The most common form is syndrome I which is almost exclusively seen in Nordic breeds like Huskies and Malamutes. They have a genetic defect that impairs intestinal absorption of zinc (even when sufficient quantities are in their diet). 

Learn about this disease process including diagnosis and treatment on this week's episode of The Derm Vet podcast!

Timestamps
00:00 Intro
01:00 Zinc Basics
04:12 What Happens If You’re Not Absorbing Enough Zinc
05:55 Syndromes Seen With Zinc Deficiency
07:22 Zinc Responsive Dermatitis in Huskies
08:31 Presentations of Zinc Responsive Dermatitis
09:50 Other Differentials You Can See
11:53 Treatment for Zinc Responsive Dermatitis
13:35 Length of Treatment
14:10 Other Treatment Methodologies
15:19 Outro

Solar dermatitis (actinic keratosis) is skin damage from prolonged UV exposure, affecting both dogs and cats, particularly those with light-colored or thin coats. So, pets that have white fur and live in high UV exposure areas (like the southern US) are predisposed. Symptoms include redness, scaling, hair loss, and thickened, crusty skin. Commonly affected areas include the nose, ears, abdomen, and inner thighs. 

This condition can lead to more severe issues, including pre-cancerous lesions and aggressive skin cancer like squamous cell carcinoma. We will discuss ways to identify this disease and treatment options such as CO2 laser ablation, etc.

00:00 – Intro
04:06 – Nasal Solar Dermatitis
06:32 – Classic Canine Solar Dermatitis
08:15 – Treatment Options for Solar Dermatitis
16:52 – Outro

In the spirit of Thanksgiving, I like to reflect on the things I am thankful for in the world of veterinary dermatology and life. Check out the products and people I am thankful for on this celebratory 300th episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
1:53 New Product Launches
4:30 Dr. Bourgeois’s Experiences
5:30 Dr. Bourgeois’s Family
7:21 New Research
8:29 Patients and Clients
10:21 The Viewers
11:39 Outro

For how common we see pyoderma in cats and dogs in veterinary practice, the appearance can be variable. A cutaneous bacterial infection can appear as crusting, erythema, scaling, moth-eaten alopecia, epidermal collarette, etc. 

Differentials can also be varied. Pyoderma can mimic dermatophytosis, demodicosis, pemphigus foliaceus, epitheliotropic lymphoma, etc. 

Check out this week's episode The Derm Vet podcast! Also, I highly encourage you to check out the YouTube channel to see some clinical images.

00:00 – Intro
01:20 – Moth-Eaten Alopecia
03:18 – Diffuse Alopecia
04:21 – Erythema
05:27 – Scaling
06:40 – Epidermal Collarettes
07:57 – Crusting
11:15 – Urticaria-like Lesions
13:58 – Outro

As dermatologists, we LOVE topical therapy. However there are some basic things that need to be considered when suggesting a protocol. 

What are you treating?

What is the ultimate goal?

What do you or the owner have?

Can it happen?

Check out some simple tips on this week's episode of The Derm Vet podcast!

00:00 – Intro
01:15 – Q1: Why Are You Using Topical Therapy?
04:41 – Q2: What is the Goal of the Product?
05:58 – Q3: What Do You Have Available?
08:45 – Q4: Can the Owner Do It?
11:34 – Overview
12:44 – Outro

Even as a specialist, I still get cases that surprise me or change appearances. It can leave me doubting what the next step is. But, if you take a breath, it is amazing what can happen when you figure them out. Check out three cases that recently threw me for a loop.

1. A dog with weird paw pad ulcers

2. A cat with an ulcerated nasal planum

3. A service dog with non-pruritic alopecia and scaling

Hint: If you check out the YouTube channel, there are a lot of clinical photos!

00:00  Intro
02:14  Case Number 1: Veni
08:02  Case Number 2: Gadget
14:42  Case Number 3: Bruno
19:19  Outro

Alex Sigmund, DVM, DACVO returns to the podcast to discuss something other than allergies! There are so many non-allergic things that can occur with eyeballs (or the skin around the eyes) that may also include input from a dermatologist?

What non-allergic cause can lead to periocular dermatitis?

How do you start evaluation of blepharitis or chemosis?

We dig even deeper into eyes this week on The Derm Vet podcast!

00:01 – Intro
01:21 – What is the most common reason for periocular alopecia
03:48 – What topical antibiotic can you safely use around the eye
08:02 – Basic guidance on blepharitis
12:09 – When should general practitioners consult ophthalmologists
15:07 – Breeds with a strong overlap in skin and eye conditions
18:01 – Outro

Back for round 2! Alex Sigmund, DVM, DACVO returns to talk us through periocular and ocular disease that can occur from allergies. 

How common is it?

Should it go to ophtho or derm?

Can you consider topical antihistamines? Topical steroids?

We dive into all of your questions related to allergic eyeballs on this week's episode of The Derm Vet podcast!

00:00 Intro
02:46 How often are you referred patients with underlying allergy issues?
05:10 Managing chronic KCS associated with atopic dermatitis
10:55 Topical antihistamines or steroids to manage allergic pruritus towards the eyes?
18:00 Are oral antihistamines helpful for allergic conjunctivitis?
21:52 JAK inhibitors, cyclosporine and steroids vs. conjunctivitis / pruritus
24:40 How atopic dermatitis affects the eyes
27:29 Outro

We have so many wonderful non-steroid options to manage itch and inflammation in veterinary dermatology. HOWEVER, there is still a time and place that steroids are necessary. It is important to not be afraid of steroids, but now when and how to use them appropriately.

From stenotic ears to cost concerns, check out the situations where, even as a boarded dermatologist, I lean on steroids on this week's episode of The Derm Vet podcast!

00:00 Intro
01:00 Taking away guilt for steroid use
02:04 Scenarios where steroid use is considered
03:07 Severe Inflammation
05:05 While waiting for a slower medication to work
07:27 Stenotic Ears
9:11 Management of autoimmune diseases
11:14 Cost Concerns
13:10 Sometimes nothing else works
14:56 Summary/Outro

Tom Lewis, DVM, DACVD is back on the podcast! Last year, Dr. Lewis joined the podcast last year to discuss the release of Zenrelia. One year later, he is back to discuss his experience with having this medication for a year and the relief it has provided for hundreds of his canine patients. Also, we discuss the recent change to the US boxed label warning which removed the vaccine induced disease portion of the label.

Learn more on this week's episode of The Derm Vet podcast!

Studies mentioned in podcast: 
Recent study regarding vaccine booster response in dogs receiving Zenrelia: Fent, G.M., Jacela, J., Plazola-Ortiz, R. et al. Immunologic response to first booster vaccination in dogs treated with zenrelia™ (ilunocitinib tablets) at up to three times the recommended therapeutic dose compared to untreated controls. BMC Vet Res 21, 481 (2025). https://doi.org/10.1186/s12917-025-04929-z

Recent study regarding safety of Zenrelia: S. Forster, C. M. Trout, S. Despa, A. Boegel, D. Berger, and S. King, “ Efficacy and Field Safety of Ilunocitinib for the Control of Allergic Dermatitis in Client-Owned Dogs: A Multicenter, Double-Masked, Randomised, Placebo-Controlled Clinical Trial,” Veterinary Dermatology (2025): 1–13, https://doi.org/10.1111/vde.70009.

Timestamps
00:00 Intro
02:46 Zenrelia box label warning change
08:14 What does the box label warning change mean and why it's only in the US?
12:10 Looking at every patient as an individual
17:00 How comfortable do you feel using Zenrelia long-term?
22:14 Outro

Otitis is a common thing for veterinarians to treat. Commonly associated with underlying allergies, we can see other things cause ear infection such as ear canal masses, endocrinopathies, etc. 

When you are busy in the clinic, it can be hard to think about every aspect of ear canal disease. In an attempt to make things a bit easier, I put together the top 5 mistakes I recognize in management of otitis cases. Let me preface with the fact that I have also made these mistakes in the past! Learn more on this week's episode of The Derm Vet podcast!

00:00 Intro
01:49 Mistake #1: Not performing ear cytology
05:18 Not implementing appropriate ear flushing protocol
07:46 Fail to control inflammation
09:45 Don’t recheck progress
12:14 Not identifying the underlying issue
14:49 Recap / Final Thoughts
16:27 Outro

As always, you bring the best questions for these grab bag episodes. Today, we cover dog autoimmune diseases (though cats find their way to make it in a bit). 

How do you tell the difference between DLE and PF?

What if an owner can't biopsy the case?

How do you treat SLO? Sebaceous adenitis?

Find the answers to these questions and more on this week's episode of The Derm Vet podcast!

00:00 Intro
01:30 SLO & sabaceous adenitis
09:40 Steroids and Autoimmune diseases
12:23 What to do when owners can’t biopsy the case
15:12 Pemphigus foliaceus in Dogs
16:05 Pemphigus foliaceus in Cats
17:07 Autoimmune Disease vs Allergies
18:31 Differentiating between DLE and Pemphigus Exfoliation in dogs
21:48 Outro

Hyperbaric Oxygen Therapy is the use of supplemental oxygen in a chamber under increased pressure so the blood oxygen concentration increases which facilitates healing. There are not many veterinary practices that have HBOT for pets. However, we are lucky enough to have Trenton Ewing, DVM, DACVD back on the podcast to discuss HBOT since his practice (Animal Dermatology Clinic in Pasadena, CA) has had HBOT available for years!

Learn what diseases he has used this therapy to treat, what a typical HBOT "dive" looks like and how this therapy works! Not only can you check out our conversation on traditional podcast apps, but check out the YouTube channel which includes pictures and videos!

00:00 Intro
01:12 Hyperbaric Oxygen Therapy with Trenton Edwards
02:34 What is an HBOT?
04:36 Common cases referred to HBOT
07:15 Typical HBOT Dive Protocol
09:00 Issues doing it long-term?
12:15 How stressful is it be for pets?
14:12 Training for HBOT
16:28 Contraindications
19:56 How available is HBOT?
23:12 Downsides
24:00 Final Thoughts/Outro

It can be scary to have a dog that goes through a life-threatening reaction to a honeybee sting. Often, these dogs are young and active. Though owners can take preventative measures, it is impossible to guarantee 100% avoidance of these venomous insects. So, what can be done?

Trenton Ewing, DVM, DACVD joins the podcast this week to discuss a very effective way to manage these cases. Dr. Ewing practices at Animal Dermatology Clinic in Pasadena, CA and has previously done research on venomous insect testing and desensitization. We discuss a typical history in these patients, how testing is performed and the success rate of long-term desensitization. Enjoy this unique topic on this week's episode of The Derm Vet podcast!

00:00 Intro
00:25 Venomous Insect Testing with Trenton Edwards
01:49 What spiked your interest in venomous testing?
05:08 Typical history that a dog presents to Trenton as an initial exam
09:27 Testing process
14:27 Most common culprits
15:40 Desensitizing 
20:39 Faster protocols
22:29 How long do we do monthly injections?
25:10 What do you send them home with and what is the expectation?
28:27 Outro

It is back to school season! For this episode, I review the four things I have learned to implement as a dermatologist. Even as a specialist, I like to progress and grow into how I am practicing!

We will go over how to use supplement and skin supportive diets, venomous insect testing, improving immunotherapy and proactive skin management.

00:00 Intro
02:15 Being more thoughtful in recommending skin supplements or skin diets
07:02 Venomous Insect Testing
09:33 Improving immunotherapy
12:48 Proactive, not reactive with allergy management
16:53 Summary

Skin damage and cutaneous wounds can be frustrating and difficult to manage. With a growing world of antibiotic resistance and difficult cases of skin repair, alternative solutions are needed. Zarasyl combines the natural power of silica to optimize the wound healing environment. The product helps to moisturize while being semi-occlusive to allow oxygen through the barrier.

Julia Miller, DVM, DACVD is a frequent guest of the podcast and joins once again to discuss her experience with Zarasyl in dogs, cats and horses. This episode provides comedic relief with discussion of being a hand model and Labubus. But, most importantly, you will learn additional ways to treat wounds and manage dermatology cases with Zarasyl.

00:00 Intro
00:25 Dr. Julia Miller
02:16 Zarasyl
05:04 Using non-antibiotics when possible
07:41 What is Zarasyl?
10:54 How and when to use Zarasyl
13:20 Can it safely be used long-term?
18:04 Top diseases where you're using Zarasyl
19:50 Horses
22:36 Lessening the duration of antibiotics
26:40 Zarasyl's scientific support
29:14 Final thoughts about Zarasyl
31:58 Outro

I love getting your questions and answering them on the podcast. This week is one of my favorite topics: cytology! 

What tips do I have for direct impression smear vs. tape prep?

How do I know the appropriate treatment based on quantity of infectious organisms?

What is the difference between superficial pyoderma and deep pyoderma?

Get your questions answered on this week's episode of The Derm Vet podcast!

TIMESTAMPS

00:00 Intro
01:22 What advice do you have for collecting tape prep versus collecting direct impressions?
03:47 Tape prep
07:06 How to stain tape prep
08:43 How can we get better at sampling interdigital spaces?
11:16 Dry Lesion vs Wet Lesion
14:15 How do you interpret the number of Malassezia or bacteria on skin or ear cytology?
17:13 How do you differentiate between a deep pyoderma and a superficial pyoderma?
20:00 How many organisms do you consider 1 plus, 2 plus, 3 plus?
22:20 Thoughts on AI/Digital cytology machines
24:34 Outro

Back again! Fred Wininger, VMD, MS, DACVIM (Neurology) rejoins the podcast to talk about cats! Do clinical signs differ from dogs with neuro disease? What about the dreaded feline hyperesthesia syndrome? Should advanced imaging be considered?

Check out this week's episode of The Derm Vet podcast to jump into the world of cat neuro/derm!

00:00 Intro
00:25 Dr. Fred Wininger and cats
02:13 Otitis Media in cats
06:44 Next step for treating
13:20 Treating concurrent sinusitis rhinitis
15:20 Feline hyperesthesia
19:15 Toxoplasmosis
25:38 Outro

A neurologist visits the podcast this week! Fred Wininger, VMD, MS, DACVIM (Neurology) has recently opened a state-of-the-art neurology focused specialty center called The Animal Neurology Center in St. Louis, MO! He joins the podcast to discuss the clinical signs that can overlap between neurology and dermatology. Whether a head tilt, nystagmus or circling, how do you know where to start with your patient? Dr. Wininger has the unique ability to take a complicated subject (he's literally a brain surgeon) and break it down to digestible, practical information.

Check out this week's episode of The Derm Vet podcast where we explore the canine brain, ear and beyond!

0:00 Intro
00:25 Dr. Fred Wininger
02:34 Differentiating cases
07:57 What other things are considered with peripheral vestibular?
10:55 Idiopathic vestibular disease in young dogs
13:17 Primary Secretory Otitis Media (PSOM)
18:35 Flea Prevention
22:45 Skin disease associated with neurologic pain
25:11 Dermatomyositis
26:55 Outro

You always deliver the best questions when I do grab bag episodes... this one was POPULAR! I got so many questions about different aspects of otitis. Flush, ear meds, cats, TECABO referral, and more!

Check out my answers to your top otitis questions on this week's episode of The Derm Vet podcast!

Intro 00:00
How To Tell If Otitis Is Due To Allergies  With No Other Signs Of Pruritis 01:21
Recommendations To Manage Pseudomonas Otitis 04:44
Maintaining Allergic Ears That Flare But Don't Have Infection 08:40
Benefit Of "Leave-In" Products vs Daily Products 10:28
Basic Guidelines For Choosing Commercial Ear Medication 13:58
What To Do With Ear Culture Results 16:10
Topical Ear Treatments For Cats 17:38
Outro 23:00

Overgrooming cats can be really difficult in general. Owners often don't see their itchy behavior and just noticed the consequences like a bald belly. In addition, cats can be resistant to veterinary visits and treatments.

What if you are concerned that the cat could have a behavioral component to the skin disease? How do you work this up? Is it worth referring to a veterinary behaviorist? 

She's back! Lisa Radosta, DVM, DACVB practicing in Florida brings her expertise about feline behavior to The Derm Vet podcast. We focus on all things cats between managing their anxiety, working up their underlying diseases and how response to steroids can tell you a lot!

00:00 Intro
01:08 Cats: How often is it behavioral vs medical?
10:23 Do environmental stressors compound in skin issues with cats?
13:07 Behavioral Treatment Strategies
20:18 Feline hyperesthesia syndrome
23:58 Final Thoughts

Can anxiety in dogs contribute to skin issues? How do you know if the patient needs to start with a dermatologist or behaviorist? Can improving chronic skin disease help a dog's anxiety?

This week's podcast welcomes Lisa Radosta, DVM, DACVB who practices at a behavior clinic in Florida. Dr. Radosta provides insight of how a board certified veterinary behaviorist can be helpful for dogs dealing with cutaneous disease. Whether it is anxiety with therapy, the primary disease, etc. having a multimodal approach can be beneficial for the patient and owner. Take a listen to this fun episode!

00:00 Intro
02:08 Is it common to see skin issues in dogs occur from a primary behavior issues
06:47 How do you feel stress and anxiety contribute to skin problems?
12:31 Guidance on whether you should send this to a behaviorist or a dermatologist
17:43 Importance of earlier intervention
25:00 Outro

It is really difficult to know what topical treatment options to consider when dealing with a ruptured tympanum. When a difficult multi-drug resistant Pseudomonas otitis occurs, it is very common to have the tympanum ruptured. So, what do you do? Being cautious and upfront with owners about labeling is important. However, bad infections are also ototoxic and it is important we treat them appropriately.

On this week's episode of The Derm Vet podcast, I discuss things to consider when dealing with a ruptured TM, what to do if you do experience a case with ototoxicity, and considering the risks/benefits of selecting treatment for difficult otitis cases.

00:00 Intro
00:25 Treating ear infection
02:23 Ear Exams
04:36 Most commonly reported to be ototoxic
09:15 Dogs with ear infections going on for a long time
10:28 Risk vs Benefit
11:20 Summary/Outro

When a patient is going through an allergic flare, we focus on making the pet comfortable which is absolutely reasonable! However, we have to think of the prevention of future flares and frustration for that case. It is important for us to adjust our mindset once relief has been established and think of the long-term plan for that pet. Each plan can be unique depending on the case presentation, client's goals, etc. 

Check out this week's episode of The Derm Vet podcast where I discuss shifting to this mindset with ease including a recent cat case I had to go through a treatment adjustment.

TIMESTAMPS

00:00 Intro
02:21 A common scenario that I see at the clinic
06:43 Laying the foundation down for the pet to succeed
11:16 Cat case with really bad pyoderma
13:12 Considering allergy testing
15:01 Outro

Vasculitis can be a tricky disease. It can be more straightforward with tissue loss at the pinnal tips, but it isn't always that easy! Lesions can vary from claw loss to paw pad lesions to hair loss.

Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana for another episode! Dr. Plowgian wanted to discuss this topic after having a weird presentation in a cat... definitely strange to have vasculitis in a cat! Learn more about some of our weird vasculitis cases (and treatment options) on this week's episode of The Derm Vet podcast!

00:00 Intro
01:04 Basics of Vasculitis 
10:00 Treatment Options for Vasculitis
16:12 JAK-STAT Inhibitors and Steroids
18:48 Future Vaccines
23:36 Outro

As you progress in your career in the veterinary field, how do you help prepare the next generation? Whether you are a specialist, general practitioner, technician, etc. there are always opportunities to mentor.

Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana. He wanted to discuss the opportunities he has had to mentor including lecturing for students at Purdue University and training residents (including one from across the world). Listen as Dr. Plowgian shares his experience of sharing love for dermatology to the next generation of doctors on this week's episode of The Derm Vet podcast!

00:00 Intro
01:55 What sparked your passion for dermatology?
06:01 Mentoring and why Curtis likes it
17:56 Advice for students seeking mentorship and growing their skills
22:37 Outro

I love hearing the information you want to know! This week... I answered questions you submitted on an Instagram question sticker about pyoderma. Why does it happen? Is cytology really that necessary (hint: YES!)? When to culture?

Learn the answers to your pesky pyoderma questions on this week's episode of The Derm Vet podcast!

TIMESTAMPS

00:00 Intro
01:09 What is the cause of Pyoderma?
02:54 Why does the crust build up?
03:42 Is it necessary to collect cytology if you see pustules?
05:37 JAK inhibitors aren't labeled for pyoderma, is that correct?
07:24 Cephalexin
09:09 Standard length of time for antibiotics
11:52 Preferred topical treatment
13:41 When do you decide to perform a bacterial culture?
15:28 Outro 

This episode of the podcast welcomes Dr. Kelly Keating, DACVP, DACVD. Dr. Keating sees clinical dermatology cases in Las Vegas and reviews dermatopathology. So, she has experience collecting the biopsy samples herself and reading them!

Dr. Keating provides insight on how to maximize your histopathology findings and work with your dermatopathologist to get a diagnosis. Nobody wants to get back non-specific inflammation!

You can go to https://www.animaldermatology.com/dermatopathology-services if you are interested in submitting to Animal Dermatopathology Services!

TIMESTAMPS

00:00 Intro
01:13 Most common mistakes you see with submissions to skin biopsy?
04:46 How much does having a submission of history help you when you do get a sample?
09:21 Tips for general practitioners who are submitting biopsies
12:04 Tips for mass removals
14:46 Site selection
18:28 Biopsy an ulcer
20:14 Preferred withdrawal time
24:25 How often do you see infections covering up what you need to see?
27:40 What are special stains?
30:05 Tissue Culture explanation 
33:18 Biopsy Ear Tips
35:10 Where people can send Dr. Keating samples
36:47 Outro

Itch and inflammation are terms that are often used in allergies. However, it is important to consider how the various allergy medications affect each of these aspects of management. There are so many different presentations of allergies and no one-size-fits-all protocol. Knowing when you may need a drug more anti-inflammatory and not just anti-itch is important! Between Cytopoint, Apoquel, Zenrelia, cyclosporine and steroids... do you feel confident on when to select which medication?

Check out some helpful hints on this week's episode of The Derm Vet podcast!

00:00 Intro
00:25 Itch vs Inflammation
03:36 Cytopoint
05:24 Apoquel and Zenrelia
07:14 Cyclosporine
08:59 Steroids
12:32 Summary

She's back! Based on the success of grab bag episodes... Dr. Julia Miller is back to discuss canine atopic dermatitis! It is one of the most common diseases managed in veterinary dermatology. 

When do you pick a particular allergy medication?

Are there allergy supplements that really work?

What about ear maintenance?

We answer the questions you submitted on this week's episode of The Derm Vet podcast!

We asked, you answered! Food allergy can be complicated and there so many different opinions out there. So, I invited fellow dermatologist and frequent guest on the podcast Dr. Julia Miller to discuss! Dr. Miller is a boarded dermatologist practicing in Louisville, KY. Listen as we take a practical approach regarding when to do a diet trial, what diet to use and how to work WITH (rather than AGAINST) your clients when working up a food allergy on this week's episode of The Derm Vet podcast!

00:00 Intro
01:41 What food do you start with for food allergies?
05:01 Considerations between a young dog vs older dog 
07:11 Concerns about corn allergies?
12:04 Preventatives
16:16 Length of time for diet trials?
19:28 Deciphering between both food and environmental allergies
26:33 Diet Challenges
29:51 Outro

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!

TIMESTAMPS

00:00 Intro
00:25 Yeast Hypersensitivity
05:12 When to call a dog hypersensitive to yeast
07:15 Encouraging people to allergy test
08:41 How is my underlying control?
11:21 Symptoms
13:09 Outro 

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!

TIMESTAMPS

00:00 Intro
01:54 What's a proactive mindset?
06:44 Supplements with good research
08:42 Immunotherapy
12:43 The Flare Prep
14:46 Summary

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!

TIMESTAMPS
00:00 Intro
01:53 Dogs and Pemphigus
04:29 Oral Mucosa
06:00 Cats and Pemphigus
09:53 Cytology and Pemphigus 
12:53 Summary

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. Topicals
2. Nutrition
3. Supplements

TIMESTAMPS
00:00 Intro
03:13 Topicals
08:41 Topicals That Are Good For Restoring The Skin Barrier
11:53 Nutrition
14:13 Supplements
16:33 Summary

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!

This week's episode is a replay! We ran into some technical difficulties with a guest episode that was scheduled for this week (super excited about this guest) and will release at a later date. Stay tuned!

So... you have ruled out flea and food allergy and now it is time for THE talk. The chronic, lifelong, multimodal therapy required atopic dermatitis talk? For such a common disease, how come this spiel can be so difficult? 

Check out this week's episode of The Derm Vet podcast for tips and tricks!

TIMESTAMPS
Intro 00:00
Explaining Feline Atopic Skin Syndrome To Pet Owners 00:56
The Reasoning For Atopic Dermatitis In Pets 05:04
Explaining Multimodal Therapy To Pet Owners 11:08
Outro 14:02

We have all had those super difficult otitis cases... the debris, infection and discomfort never seem to fully respond to treatment. You keep switching topicals but nothing seems to be working. 

This episode of The Derm Vet podcast will go over four considerations when managing a nonresponsive otitis case. 

1. Infection
2. Inflammation
3. Advanced imaging 
4. Surgical intervention

TIMESTAMPS
00:00 Intro
01:50 Where is our infection control sitting
04:50 Inflammation
08:11 Do we need other diagnostics?
10:47 Surgical intervention 
13:00 Summary

Cat dermatology is always a bit tricky. They present their allergies in so many different ways that are unique to this species. Oral lesions and asthma are not as commonly seen in allergic dogs, but often seen in allergic cats. Also, the struggle of administering medications to cats which can be more difficult compared to dogs. I always think of cats as little derm aliens... BUT, just because their management is not as straightforward, doesn't mean we shouldn't provide relief.

Learn more on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
02:02 Cats and flea allergy
05:29 Food Allergy
06:49 Oral Lesions
08:08 Difficulty in medicating
10:33 All the ways they show atopic disease
12:55 Summary

Hormonal disorders can be very difficult to recognize in dermatology cases, especially since many of these cases have been managed for other conditions like allergies earlier in their life.

So, when do you suspect a hormonal disorder in your dog patient? Age of onset, alopecia, recurrent pyoderma and weight gain discussed on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 Thank you to everyone I met this past week
02:30 How do I know if things are hormonal?
03:49 Age
06:25 Non-pruritic Alopecia
07:52 Recurrent Pyoderma
11:38 Weight Gain
13:21 Summary

Obesity has been an increasing issue in dogs and cats over the years. This could be due to increased caloric intake, reduced physical activity, endocrinopathies, etc. There are many issues that occur with obese pets: cardiac issues, joint pain, organ dysfunction, etc. However, the skin can also be included in these issues.

Elbow calluses, fold dermatitis and pododermatitis can all be worse as a patient gains weight. Learn more on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 Skin Issues with Overweight Dogs
03:49 "A World of Inflammation"
06:08 Dysbiotic Drift
08:00 Skin Integrity of Obese Pets
10:05 Secondary Issues
11:28 Fold Dermatitis
12:39 Elbow Calluses
14:10 Summary

With brachycephalic breeds being a common allergic patient, facial fold dermatitis is a common occurrence. Clinical signs can include facial rubbing, scratching, odor, etc. Thought it occurs frequently in these patients, it can be easy to overlook this little pocket of tissue during an exam. This week's podcast episode will go over clinical signs, diagnostics, treatment options including maintenance therapy.

TIMESTAMPS

00:00 Intro
00:25 How We Should Be Evaluating Facial Fold Dermatitis
02:43 Looking For and Evaluating the Folds
04:20 Clinical Symptoms 
05:54 Where to Start
09:34 Treatment
12:44 Maintenance 
14:00 Summary

We can feel like we put together a great plan for a pet's allergies, but if it doesn't happen then it doesn't matter. 

Instead of being frustrated about client compliance, how can we make it better? We have to consider the financial, physical and mental burden pet owners are going through when their pet is diagnosed with a chronic dermatologic disease. However, we must ASK what is possible... and not ASSUME. 

Check out some tips and tricks on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 Tips and Tricks to Increase Customer Compliance
04:19 Thinking of the Customer's Financial Situation
08:21 The Physical Aspect
10:23 The Mental Aspect
12:21 Have to Ask and NOT Assume
14:51 Recognize that Things Change
16:22 Summary

There have been so many wonderful tools added to our management of allergic dermatitis in dogs over the last decade. Apoquel, Cytopoint and Zenrelia have all been medications that provide quick itch relief with a more targeted approach. 

However, the use of cyclosporine as an option (except for cats where it is prescribed more frequently) has dwindled. Though these new tools have revolutionized our field, allergic dermatitis is complicated and there are still some cases that respond better to cyclosporine. So, when should you consider reaching cyclosporine in allergic management? Check out this week's episode of The Derm Vet podcast to find out!

TIMESTAMPS
00:00 Intro
00:25 Cyclosporine
02:27 Why choose Cyclosporine for Dogs with allergies
08:44 Weird Issues with Cyclosporine
11:55 Cats and Cyclosporine
13:36 What's available in the U.S. for Cyclosporine  
15:26 Other forms of Cyclosporine
18:53 Summary

Viewing several skin cases day after day can make recognizing different types of skin lesions daunting... However, evaluating skin integrity, alopecia, skin thickness, etc. can help guide the differential list and fine tune the diagnostic approach.

Learn more on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 What and where when it comes to lesions
01:54 Color change
06:09 Alopecia
07:41 Thickening of the skin
09:33 Scaling
10:56 Skin Integrity
13:07 Summary

A common phrase around The Derm Vet is "cytology everything". But, what does that actually mean?

Looks weird? Cytology.
Itchy spot? Cytology.
How long to treat an infection? Cytology.
Things changed? Cytology.

Cytology everything! Learn more on this week's episode of The Derm Vet podcast.

TIMESTAMPS

00:00 Intro
00:25 My time at VMX
04:22 Cytology Everything
06:13 Where "Cytology Everything" comes from
10:30 Rechecks
12:39 Summary/Outro

As a general practitioner with a bad ear case, where do you send them... Derm or Surgery? There are some clear cut reasons like severe calcification that can lead to case being best served by surgery. However, there are other things to consider like client expectations, finances, patient compliance, etc. that are not as straightforward.

Check out this week's episode of The Derm Vet podcast to gain confidence on where to refer your next difficult ear case!

TIMESTAMPS
00:00 Intro
00:25 Managing Ear Disease
01:20 Videotoscopy
06:46 Owner Expectations and Options
10:12 Bloodhound example
12:41 Summary/Outro

Picking a food for a diet trial can be really tough. Do you choose hydrolyzed, novel protein, home-cooked, etc.? Is there just ONE perfect diet to rule in or out food allergy?

Check out this week's episode of The Derm Vet podcast to learn the ins and outs of selecting a diet.

TIMESTAMPS

00:00 Intro
00:25 Novel Protein vs Hydrolyzed
03:36 Changing the diet
07:11 Hydrolyzed Diets
11:13 Why would you choose novel protein?
12:41 Realize that every pet is an individual
14:20 Summary/Outro

Our first interview of the New Year! I'm very excited to interview Dr. James Bascharon. Dr. Bascharon is a veterinarian and CEO & Founder of Vetnique. He is the inventor of Glandex®, a patented formulation and the first medication of its kind for pets with anal sac/gland problems.

Anal sac issues are a frequent problem for our pets and can negatively affect the lives of the pet owners. Nobody wants to see their dog scooting or be surprised by that "fishy" smell. This episode goes over the need for anal sac health and introduces a new product by Vetnique to address gut health. Check out this week's episode of The Derm Vet podcast!


TIMESTAMPS

00:00 Intro
00:25 Introducing Dr. Bascharon and Glandex
01:50 What anal glands are and common causes of problems
06:24 Clinical symptoms to look out for
11:22 How creating Glandex came about
18:07 How Glandex actually helps with anal gland emptying
20:25 Knowing how to create Glandex
26:31 New Glandex product
29:46 When would a veterinarian choose probiotic over Glandex?
31:58 Do probiotics make a difference for pets with allergies?
35:01 What's next for James?
36:16 Outro

As we welcome in the year 2025... there are some ways we can change the practice of veterinary dermatology. Sure, we hope for continued new products, diagnostics, etc. However, there are simple changes that can make right now that will make your practice of dermatology more fun and impactful!

Learn the 5 ways on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 New Year, New Derm!
02:10 Be Open
07:21 Understand Your Drugs
10:12 Innovate
12:58 Learn
16:02 Don't Get Stuck in Your Old Ways
21:00 Summary

With the end of the year comes a lot of reflection... and stress. Working on chronic dermatology cases can provide frustration as many medications and differentials aren't always a slam dunk on the first exam. 

So, ending the year on a more positive note, learn how derm workups and medication selection aren't perfect for specialists either. Selection of diagnostics and drugs can be trial and error in certain patients... and that's okay.

Cats and dogs are very different with their skin lesions and distribution is no different. If a dog presents with claw fold disease, the list of differentials is much better than a cat with claw fold skin disease. Throw in oral lesions and otitis... and we have to recognize how there are differences in how we create differential lists.

Learn more on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 Distribution of lesions between cats and dogs
02:05 Claw Fold Disease
05:54 Otitis
09:01 Oral Cavity
11:11 Recap

It can be hard in a busy practice to fully work up and treat recurrent otitis. I wanted to provide a quick and easy way to reimagine these cases when they walk into your door. When you see an ear case, I want you to think of two Is and two Ws. What are they?

Infection
Inflammation
Wash
Why

Check out more on this quick and dirty episode of The Derm Vet podcast!

TIMESTAMPS

00:00 Intro
00:25 Ear Disease: Two I's and Two W's
01:04 Infection
02:18 Inflammation
03:55 Wash
05:45 Why
07:14 Summary
08:00 Outro

I asked and you delivered!!!! I wanted to know what general practitioners wish dermatologists knew before they referred a case. You gave me lots of great points!

A recurring theme in my responses... write it down! If an owner declines a diagnostic, medication, referral, flea prevention, etc. make sure you write it in the record. If it is there, then we will know the recommendation was made. We all want to be on the same team with these chronic derm cases! Check out this week's episode of The Derm Vet podcast.

TIMESTAMPS
00:00 Intro
00:25 What is something GPs want Derms to know
01:20 "We DO recommend cytology before referring but owners decline repeatedly"
04:38 "It can be frustratingly difficult to get clients to do antipyretic therapies"
06:35 "I legit try to get my clients to go to you sooner"
08:42 "I have tried to get them on consistent vet-prescribed flea control"
12:36 "We don't have a dermatologist in Puerto Rico"
14:35 "I'm sorry I have to send my needy/annoying clients to you"
17:00 Outro

It is Thanksgiving in the USA... I asked you what you are thankful for in dermatology. From cytology to Pseudopelade to dermatologists, find out what you were thankful for as listeners and what I am thankful for as a podcaster!

TIMESTAMPS
Intro 00:00
What The Derm Vet Listeners Are Thankful For 00:44
What Dr. Bourgeois Is Thankful For 15:08
Outro 17:00

Depending on where you live geographically, you may see a lot of deep fungal disease or not much at all. How do you recognize deep fungal disease? What diagnostics can be done?

Even if you don't see a lot of deep fungal disease where you live, dogs and cats change environments so it could happen! Learn about blastomycosis, coccidiomycosis, cryptococcus, sporotrichosis and histoplasmosis on this week's episode of The Derm Vet podcast.

TIMESTAMPS
00:00 Intro
00:25 Shoutout to ESAVS Dermatology 2 students!
01:29 Deep Fungal Infections
04:04 Blastomycosis
07:28 Coccidioidomycosis
09:19 Cryptococcus
12:17 Sporotrichosis
13:53 Histoplasmosis
16:44 Outro

Isoxazolines are anti-parasitics that inhibit chloride channels in the nervous systems of invertebrates. This paralyzes and kills parasites by blocking the transmission of neuronal signals. 

Isoxazolines are more selective to fleas, ticks, and mites than to mammals, including humans, dogs and cats. It has been a game changer for our flea allergic pets and treating mange cases.

Learn some of the specific differences of these products on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 Before Isoxazolines 
02:28 What is Isoxazolines
04:34 Afoxolaner
06:18 Sarolaner
08:03 Lotilaner
09:10 Fluralaner
11:28 Summary
13:05 Outro

Thanks to the isoxazolines... we don't see demodex as much as we used to! However, it is still a disease that can be overlooked and important to recognize and treat. But when treatment can range from nothing to an anti-parasitic... how do you approach these canine cases?

Localized vs. Generalized
Juvenile-onset vs. Adult-onset
Did you know there are three types of Demodex we can find on dogs?

Find out more on this week's episode of The Derm Vet podcast!

TIMESTAMPS
00:00 Intro
00:25 Why I'm in Thailand
00:45 Canine Demoidicosis
04:02 Demodex Canis
04:24 Demodex Cornei
05:09 Demodex Injai
06:54 Classification of Demodicosis
09:25 Juvenile Onset vs Adult Onset
11:34 How We Diagnose Demodicosis
13:38 Treatment for Demodicosis
15:24 Outro

Happy Halloween!

I asked for your spooky derm concerns and you delivered! Check out our top 5 sppoookkkyyy derm tips on this week's episode of The Derm Vet podcast.

1. Combining immunosuppressive drugs
2. Feline otitis
3. Cutaneous lymphoma
4. Missteps that can haunt you
5. Pseudomonas otitis

TIMESTAMPS
00:00 Intro
01:08 Concern with Combining Immunosuppressive Medications
05:46 Treating Feline Otitis
08:11 Cutaneous Lymphoma
10:25 What is a common misstep that can haunt a practitioner?
14:28 Pseudomonas Otitis
16:42 Outro

Derm drugs are SO important! BUT... there is a reason we talk about multimodal therapy being so essential in managing allergic cases. Preventatives, diet, immunotherapy, topicals, supplements, etc. are crucial. However, we have to tailor and customize our plan for each individual patient AND client.

Learn how the non-drug management tools can help with prevention, skin barrier, microbiome and future flares on this episode of The Derm Vet podcast.

TIMESTAMPS
00:00 Intro
01:03 Why Dermatologists Are Adamant About Non-Drugs
01:51 Prevention
04:58 Skin Barrier
07:57 Microbiome
09:35 Helping Clients Manage Disease Long-term
13:13 Summary
15:38 Outro

Here it is... I have questions. You have questions. We all have questions about the new canine allergy medication: Zenrelia. 

I was able to have Tom Lewis, DVM, DACVD on the podcast who was involved with the initial studies and has prescribed it in over 40 dogs! We jump into many of your commonly asked questions about how this medication works, implementing it in your clinical practice, warnings, etc. 

Take a listen about this new medication in the canine allergy toolkit!

TIMESTAMPS
00:00 Intro
00:25 Zenrelia Is Finally Out
01:51 Why We Need More of This Type of Medicine for Dogs
06:25 The Difference of Selectivity for These Medications
09:28 What is Unique About Zenrelia Compared to Other Meds
15:26 Tom Lewis' Involvement in Zenrelia Studies
24:18 How Cases Are Selected 
31:06 Box Warning for Zenrelia
37:38 Final Thoughts
42:01 Outro

No doubt that bacteria keep getting smarter and smarter... recently, I had a culture come back from a superficial pyoderma with NO ANTIBIOTIC OPTIONS! So we have to pivot and consider options such as dilute bleach rinses.

What terminology is being used for this type of resistance? How can we prevent it from worsening? Find out some tips on this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
Terminology For Resistant Bacteria 01:20
Recommendations For Managing Pyoderma 03:34
Why Do Antibiotics Sometimes Fail? 05:40
Outro 11:52

Allergies add up! Is it really that important to perform ear cytology when most of commercial products have combination ingredients? What do you do if an ear is not responding?

Learn why it is crucial to justify the cost of repeated ear cytology to your cases. Many of these products have potent ingredients so we want to assure we are using them appropriately!

Phovia is an innovative form of photobiomodulation that is easy to use in a veterinary clinical practice and can have several benefits (antibacterial, wound healing, etc.).  It is easy to use and fast!

But, what kind of cases could benefit from this technology? Would it be common to use on a daily basis in general practice? Check out how common Phovia can be used in a general practice. From acral licks, post-surgical incision and deep pyoderma, the common opportunities are endless!

This episode is sponsored by Vetoquinol.

TIMESTAMPS
Intro 00:00
Explaining Photobiomodulation (PBM) 01:22
When Veterinarians Would Use Phovia 05:14
How Phovia Is Helpful 12:18
Outro 14:02

Skin barrier might not sound that exciting, but it is really important to consider in managing allergic dogs and cats. How do you do it?

We know topicals are important! But there are other ways you can help the skin barrier through nutrition, supplements, even collars! Learn all about the ways that skin barrier can be enhanced in this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
The Layers Of Atopic Dermatitis 01:06
How To Restore The Skin Barrier In Pets 04:02
Outro 12:34

I welcome back Dr. Galia Scheinberg on the podcast this week! Dr. Scheinberg has a lot of experience using the Vetbiotek products which contains MicroSilver. How is this ingredient compared to other silver containing products?

Microsilver has a larger surface area, allowing for more positive ions to be released and for longer periods of time. Also, microsilver clings to the fur and skin, for prolonged contact without any systemic absorption.

Learn all about the Vetbiotek line which contains MicroSilver and Ceramide III. You can check out all of the options at https://nextmune.shop/.

TIMESTAMPS
Intro 00:00
The Importance Of Topical Therapy 01:52
Starting With Flares 05:10
Maintenance Therapy 09:44
Why Microsilver Is Different 15:38
Dr. Sheinberg's Take On BioCom 23:02
Touching On BioSeb Shampoo 25:34
Outro 31:22

Otitis media is a middle ear infection and can occur due to many different primary diseases. Ideally, these cases receive advanced imaging with CT or MRI, undergo video-otoscopy with myringotomy, submit a C/S and receive several weeks of appropriate antimicrobial systemic treatment. 

But, what if an owner can't afford referral? How else can we help these cases? Check out this week's episode of the podcast regarding clinical signs, causes, diagnostics and treatment options for otitis media.

TIMESTAMPS
Intro 00:00
A Quick Refresher On Otitis Media 01:08
The Differences In Clinical Signs 03:52
What To Do If A Dog Or Cat Has Otitis Media 08:12
Treatment For Otitis Media 11:08
Outro 16:38

Welcome back, Dr Rachel Venable, DVM, MS, DACVIM (oncology) to the podcast! This week we discuss mast cell tumors!

I don't know about you... but I always get confused about current guidelines with MCT. They can be anything from low-grade removal and no sweat... to multiple high-grade panic! How much margin do you really need? When is Stelfonta an option? Check out all this great conversation all about MCTs and how to approach them from a boarded oncologist!

TIMESTAMPS
Intro 00:00
Predispositions To Mast Cell Tumors 01:08
Single Mast Cell Tumors 02:25
Multiple Mast Cell Tumors 08:30
Are Subcutaneous Mast Cell Tumors More Of A Concern? 13:54
Staging Mast Cell Tumors 15:18
An Overview Of Stelfonta 17:36
Outro 20:10

Cutaneous lymphoma can be a tricky disease. It is red, flaky and itchy just like allergies can be. If you see an older dog with these lesions, it should be a differential. But, what do you do if you get back a biopsy of cutaneous lymphoma? What if you can't refer the case to an oncologist?

Today's post welcomes Rachel Venable, DVM, MS, DACVIM (oncology) to discuss this disease and what you can do to manage them. She is the founder of Pet Cancer Care Consulting which is a teleconsulting service. Dr. Venable talks about diagnosis, prognosis and various treatment protocols regarding cutaneous lymphoma.

TIMESTAMPS
Intro 00:00
What Oncologists See With Epitheliotropic Lymphoma 02:00
The Prognosis Of Epitheliotropic Lymphoma 05:45
Does Dr. Venable Do Staging? 09:50
The Difference Between B-Cell And T-Cell Lymphoma 11:28
Walking Through Different Scenarios 12:58
The Concern Of Apoquel Neoplasia 19:00
Outro 21:44

How can you take your exam and history and "think like a dermatologist"? 
How can you elevate your game in derm when working up these skin cases?

Check out how we pick up on distribution, species variations and history cues to start our skin workup in dogs and cats on this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
The Purpose Of Collecting A History 02:02
The Examination 08:36
Outro 16:46

Wounds can be tough, but there is a new product to help with that. KeraVet Gel is a hydrogel wound dressing intended to act as a protective covering for partial thickness wounds. It is the first veterinary product to include keratin as an ingredient based on human-grade products. Additionally, it contains the most bitter lick deterrent available on the market to discourage pets from traumatizing the area. Wouldn't it be great to get rid of E-collars?

Today, we welcome Cherice Roth, DVM (lead medical advisor for KeraVet bio) to discuss the benefits of this product for dogs and cats. Also, how to best implement it into your daily clinical practice.

I get it! There is so much to cover in general practice that referring your patients to a dermatologist can feel daunting. I want to help! Here are the top 6 mistakes I see before cases are referred. It doesn't mean you are doing anything wrong... these are just simple things that can be fixed to have less frustrated clients.

TIMESTAMPS
Intro 00:00
They're Not On Flea Control (Mistake #1) 01:30
Not Explaining A Diet Trial (Mistake #2) 04:58
Giving Up On Quality Allergy Medications (Mistake #3) 07:00
Thinking Everything Is Allergies (Mistake #4) 09:18
Pet Owners Not Understanding The Intentions Of Allergy Testing (Mistake #5) 11:42
Waiting Too Long (Mistake #6) 14:02
Outro 15:46

Dr. Molly Brinkmann is a GP and medical director of a small animal general hospital in Tennessee. You may know her for the hilarious content she puts on Instagram (@drmollysays)... but she also loves managing skin cases as a general practitioner. We discuss working up these cases as a general veterinarian when you first see them and how to implement successful chronic management. 

This is a great episode including two busy vet moms passionate about what they do for animals and their owners!

TIMESTAMPS
Intro 00:00
The Companion Project 01:24
How A General Practitioner Handles A Derm Case 06:34
Dr. Molly's Experience With Flea Prevention 09:32
General Practitioners Using Diet Trials 12:24
General Practitioners And Chronic Management 22:02
When General Practitioners Consider Referrals 26:28
Does Insurance Cover Immunotherapy? 31:00
Outro 32:22

Do you feel comfortable with skin biopsies? For such a small sample, it is easy to mess up. 

Check out this week's episode of The Derm Vet podcast regarding prepping (don't!), sampling and submitting to maximize your results!

TIMESTAMPS
Intro 00:00
Get More Than One Sample (Tip #1) 03:20
User A Bigger Punch (Tip #2) 05:02
Do Not Prep Them (Tip #3) 06:48
Use A Dermatopathologist (Tip #4) 08:16
Rock Your Skin Biopsies (Tip #5) 10:10
Outro 11:54

Erythema multiforme (EM) is an uncommon inflammatory skin disease. The onset is often very sudden and concerning and can affect the skin and mucous membranes leading to other issues (anorexia, difficulty defecating, etc.). 

The condition can require anywhere from no treatment to immunosuppressive drugs. Learn more about this disease in this week's episode of The Derm Vet podcast! 

TIMESTAMPS
Intro 00:00
Erythema Multiforme In Humans 02:16
What Erythema Multiforme Looks Like 03:12
Treatment For Erythema Multiforme 05:44
Outro 10:32

Another grab bag episode of the podcast, you submitted questions about AUTOIMMUNE DISEASES on Instagram. Here is some information that goes through sebaceous adenitis treatment, ear margin vasculitis differentials, topicals for autoimmune diseases and more!

TIMESTAMPS
Intro 00:00
Treatment Options For Sebaceous Adenitis 01:02
Mycophenolate In Autoimmune Cases 05:35
High Dose Prednisone Protocol 07:10
Treating With Antibiotics Before Biopsying An Autoimmune Case 09:04
Rule Outs For Ear Margin Vasculitis 11:30
Topicals For Autoimmune Diseases 14:20
Outro 16:36

Apoquel (oclacitinib tablet) is approved for the treatment of allergic dermatitis in dogs over 12 months of age. However, veterinary medicine can present difficult cases and off-label use based on anecdotal experience can be important to provide quality of life when other options aren't working.

Check out some diseases that have been reported to have been treated successfully with Apoquel... that aren't allergies. The diseases may surprise you!

TIMESTAMPS
Intro 00:00
Discoid Lupus Erythematosus 04:16
Symmetrical Lupoid Onychodystrophy 08:22
Pemphigus Foliaceus 09:56
Vasculitis 12:36
Outro 14:30

It can be daunting to start with a dermatology case in veterinary medicine... or even manage changes in a case you have seen for years! Check out my TOP 5 TIPS to consider when seeing a dermatology case on this week's episode of The Derm Vet podcast!

Join My Email List: https://thedermvet.com/
The Sit. Stay. Laugh! Podcast: https://podcasts.apple.com/us/podcast/the-sit-stay-laugh-podcast/id1743984464

TIMESTAMPS
Intro 00:00
Do You Know Your Diagnosis? (Tip #1) 02:40
Does This Treatment Make Financial Sense For The Pet Owner? (Tip #2) 07:16
Can The Pet Owner Physically Do It? (Tip #3) 09:36
What Is The Current Priority? (Tip #4) 11:16
What Is The Future? (Tip #5) 14:14
Outro 15:38

I gave you the opportunity to ask questions about food allergies... and you delivered!

Come check out the top questions you have about food allergies in this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
How To Challenge A Pet After A Diet Trial 01:56
My Flea Preventative Recommendation For Diet Trials 06:26
Can Pets React To Hydrolyzed Protein? 09:22
How Many Diet Trials To Consider Before A Pet Is Not Food Allergic 10:48
Does A Patient Need To Have A Year Round History In Order To Have Food? 13:04
Dental Chew Recommendations 14:38
Prednisone Helping Itchy Pets For Food 16:54
What If A Pet Doesn't Like Their Prescription Diet? 18:46
Age Distribution For Food Allergies 20:32
How Long Should Diet Trials Last? 21:54
Outro 23:26

History collection is so important in veterinary dermatology... so many skin lesions can look the same. It can be especially crucial when figuring out why infections are happening in a pet.

On this episode, we will discuss important history questions and how to do it in a time efficient manner. Finally, remember that history collecting doesn't just happen at the first exam... it is an ongoing saga as you keep seeing the pet as a recheck.

TIMESTAMPS
Intro 00:00
Why Getting A History Is So Important 01:34
Ectoparasite Control 08:06
If Other Pets And People In The House Are Affected 09:30
Being More Efficient 11:14
Important Red Flags To Remember 14:38
Outro 19:12

As a dermatologist, I see A LOT of allergies. However, there are other causes of skin diseases that can cause a pet to develop pruritus, skin lesions, etc. In this episode, I will cover the 5 red flags that should get you considering other causes of skin disease besides allergies.

1. Dermatologic disease starts when the pet is senior
2. Mucus membranes are affected
3. The pet is not itchy
4. Infection is controlled but the lesions or pruritus do not respond to steroids or other anti-pruritic therapies
5. Weird lesions like depigmentation or nodules are present

TIMESTAMPS
Intro 00:00
Lesions Starting When The Pet Is Older (Red Flag #1) 03:56
Mucous Membranes Being Affected (Red Flag #2) 06:02
The Pet Is Not Itchy (Red Flag #3) 07:52
Not Responding To Anti-Pruritic Medication (Red Flag #4) 10:00
Weird Lesions (Red Flag #5) 12:06
Outro 14:34

On this episode of The Derm Vet podcast, Jenni Grant joins. Jenni is the head veterinary nurse at The Dermatology Referral Service in Scotland. We discuss the differences between practicing in the United States compared to Scotland. Also, some great information regarding improving your cytology skills as a veterinary nurse/technician and how to communicate with clients regarding chronic allergy management. 

TIMESTAMPS
Intro 00:00
Jenni's Role Within Her Dermatology Practice 02:56
Jenni's Veterinary Journey 04:10
How Technicians Help With Client Communication 12:54
Jenni's Dermatology Workflow 17:30
Intradermal Allergy Testing In Scotland 20:22
Videotoscopies In Scotland 23:50
Jenni's Advice For Aspiring Dermatology Nerds 27:32
Jenni's Favorite And Least Favorite Dermatology Disease 31:18
Outro 32:37

One of the top questions I get asked... "How do I get better cytology samples?". This week's episode of The Derm Vet podcast goes over some Dos and Don'ts to improve your cytology collection technique to get amazing samples!

DO: use your non-dominant hand to assist
DO: get under crust and scale
DO: practice
DO: use different collection techniques
DON'T: be wimpy with your sampling
DON'T: skip it
DON'T: rub the slide back and forth
DON'T: give up

TIMESTAMPS
Intro 00:00
The Do's Of Cytology 01:03
The Don'ts of Cytology 08:36
Outro 15:38

Topical therapy is so important in the management of long-term dermatologic disease. Whether it is maintenance for skin barrier dysfunction or to control an active infection, we know it can make a huge difference in our success. However, it can be a big hassle for pet owners to implement. So, how do you convince owners to use the shampoo you sent home. 

Do you ask the right questions? 
Do you provide the right education?

Learn six tips that will help you convince pet owners to bathe, wipe and spray on this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
Client Communication Is Important 01:02
Look At The History 02:52
Ask What Formulations Have Worked 05:56
What Frequencies Have Worked In The Past 09:38
Ask Pet Owners About Location 11:04
Explain Why Topicals Are Important 14:28
Know The Ingredients Of The Topicals Your Using 17:40
Outro 19:04

Chronic otitis can be a scary and frustrating disease to  manage. Ears can be painful to the pet and lead to irreversible changes like calcification. Learn some tips on how to be less fEARful at managing ear disease on this week's episode of The Derm Vet podcast!

Timestamps
Intro 00:00
First Tip On Managing Ears 01:40
Second Tip On Managing Ears 03:16
Third Tip On Managing Ears 06:49
Fourth Tip On Managing Ears 09:30
Fifth Tip On Managing Ears 10:58
Sixth Tip On Managing Ears 12:38
Outro 15:40

On this week's episode of the podcast, Dr. Alex Sigmund, DVM, DACVO joins for a fun conversation. As a board-certified veterinary ophthalmologist he gives his input regarding allergic conjunctivitis, periocular disease and more! You can find him on Instagram as @theveteyeguy. Enjoy this fun episode!

TIMESTAMPS
Intro 00:00
Common Ophthalmology Cases That Are Referred To Dermatologists 03:18
Periocular Dermatitis And Alopecia 08:56
The Rarity Of Pyogranulomatous Blepharitis 12:43
Experience With Uveodermatologic Syndrome 18:10
How Ophthalmologists Manage Allergic Conjunctivitis 23:00
Topical Steroids Need A Plan For Ocular Diseases 27:40
Dr. Sigmund's Thoughts On Traumatic Ulcers 34:33
Outro 41:09

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!

TIMESTAMPS
Intro 00:00
l've Been Seeing A Lot Of German Shepherds 00:28
German Shepherds And Allergic Dermatitis 01:24
The Areas Of The Body Affected On German Shepherds 04:32
My Suggestions 07:26
Other Diseases We See In German Shepherds 12:10
Outro 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!

Timestamps
Intro 00:00
Allergies In The US vs Ireleand 04:50
Allergies In Urban Environments 06:58
Seasonal Allergies In Ireland 08:26
Different Pollens In Ireland 12:26
Allergy Testing And Immunotherapy In Ireland 17:56
Darragh's Favorite Ways To Use Topicals 35:10
Outro 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. 

TIMESTAMPS
Intro 00:00
My New Lecture For WCVD10 00:28
How To Make Dermatology C.H.E.A.P. 01:56
C)ytology 04:00
H)istory 06:49
E)xamination 08:44
A)ssessment 11:18
P)lan 13:26
Outro 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.

TIMESTAMPS
Intro 00:00
What Is Color-Dilution Alopecia? 01:06
Main Symptoms Of Color-Dilution Alopecia 02:02
The Tricky Part Of Color-Dilution Alopecia 02:43
The Disease Process 04:04
The Complications 07:19
Treatment Options 09:36
Educating Pet Owners 12:44
Outro 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!

TIMESTAMPS
Intro 00:00
Skin Disease In Cats 02:38
Other Things That Cause Hair Loss And Itching In Cats 07:05
Flea Bite Hypersensitivity In Cats 12:31
Tips For Diet Trials With Cats 17:36
Feline Atopic Skin Syndrome 22:55
Allergy Testing In Cats 32:33
What To Use For Cat Ear Infections 37:21
Outro 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.

TIMESTAMPs
Intro 00:00
Getting The Diagnosis Correct 01:49
Different Ways To Help The Skin Barrier 05:35
Allergen Specific Immunotherapy 11:48
Outro 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.

TIMESTAMPS
Intro 00:00
Dr. Sheinberg's Derm Journey 01:43
Getting Board Certified In Latin America 07:09
The Derm Community Is So Supportive 09:56
Teaching At A Derm Meeting Is Different 13:24
It's Okay To Say "I Don't Know" 15:02
The Differences Between Practicing Medicine In The US vs Mexico 15:48
The Difference In Diseases Between The US and Mexico 21:48
Dr. Sheinberg Sees Lots Of Puppies With Scabies 23:52
The Difference In Regulations With Topicals In Certain Countries 26:38
The Pattern Of Resistance With Bacteria In Mexico 30:28
The Challenges Of Client Communication 34:42
Outro 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.

We have covered food trials on the podcast previously. But what are some tips you can use to really work with your clients and be successful? Vegan marshmallows? What can they chew while on a diet trial?

Check out this week's episode of The Derm Vet podcast!