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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

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