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Symmetric Lupoid Onychodystrophy
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Questions, Comments, Cigarettes, Cigars?
References
Symmetric Lupoid Onychodystrophy
Barrand, K.R. (2006) What is your diagnosis? Journal of Small Animal Practice 47, (757-759). {http://onlinelibrary.wiley.com.lp.hscl.ufl.edu/doi/10.1111/j.1748-5827.2006.00118.x/abstract;jsessionid=753D3A9639DAB8AFA7083E8BF064B98A.f02t04}
Miller, W.H., Griffin, C.E., Campbell, K.L. (2013) Muller&Kirk's Small Animal Dermatology. 7th ed. 734-737.
Scott, Danny W. (2010) Tetracyclines and niacinamide in canine dermatology (Proceedings). DVM360. {http://veterinarycalendar.dvm360.com/tetracyclines-and-niacinamide-canine-dermatology-proceedings}
Ziener, Martine L., Nodtvedt, Ane. (2014) A treatment study of canine symmetrical onychomadesis (symmetrical lupoid onychodystrophy) comparing fish oil and cyclosporine supplementation in addition to a diet rich in omega-3 fatty acids. Acta Veterinaria Scandinavica 56:66
Etiology - Anything and everything
Clinical Signs - OnychoDisaster
Diagnosis - Immune = rule out and biopsy
Management - A few things forever
Clinical History
September 2014 - UF Dermatology
- Evaluation of suspected SLO
- Cytology, DTM - negative
- Rx) Pentoxiphylline, Ketochlor shampoo
December 2014 - UF Dermatology?
- Actively losing toenails
- Rx) Doxycycline
- Returned to Helping Hands
"Candy" Jackson
Symmetric Lupoid Onychodystrophy
HIT A SNAG!
August 2015 - UF Dermatology
February 1, 2016 - UF ECC
February 16, 2016 - UF Dermatology
- Broken nail LF - culture
- Rx) Clindamycin, Prednisone, Tramadol
- Recheck - Comfortable. Nail trims q2weeks.
- Gnarley nails, interdigital erythema, focal erosions on hyperkeratotic pads, hypotrichosis on dorsal paws.
- Cytology of nail crumbles - NSF. DTM - No growth at 8 days.
- Rx) Pentoxillyine, EPA, Prednisone
- Overall improvement, only LF&RR affected. Intermittent swelling - associated with environmental moisture?
- PLTs: 77k > 133k
- Crusts @ ungual processes, deformed nails
- Cytology - Normal bacterial population
- Rx) pentoxifylline, EPA