The Derm Vet Podcast: Recent Episodes

Ashley Bourgeois, DVM, Dip ACVD

Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.

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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!

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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

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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

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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!

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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

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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

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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.

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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

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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.

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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

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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

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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

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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

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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.

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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

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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

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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

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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!

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

Send me a derm question or story through text or voicemail!

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

Send me a derm question or story through text or voicemail!

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!

Work up the underlying allergies
Support the skin barrier
Adjust topical therapy accordingly
Recognize historical patterns
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

Send me a derm question or story through text or voicemail!

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

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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!

More confidence in cytology
Comfort in using new tools and innovations
Improving client communication and utilization of staff
Treating dermatology like a puzzle you have to put together
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

Send me a derm question or story through text or voicemail!

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.

Rule out simple mistakes like missed flea prevention, diet change, etc.
Identify infection
Progression of allergies
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

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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

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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

Send me a question or story!

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

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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

Send me a question or story!

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

Send me a question or story!

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.

A dog with weird paw pad ulcers
A cat with an ulcerated nasal planum
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

Send me a question or story!

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

Send me a question or story!

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

Send me a question or story!

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!

Topicals
Nutrition
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.

Infection
Inflammation
Advanced imaging
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.

Combining immunosuppressive drugs
Feline otitis
Cutaneous lymphoma
Missteps that can haunt you
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

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.

Dermatologic disease starts when the pet is senior
Mucus membranes are affected
The pet is not itchy
Infection is controlled but the lesions or pruritus do not respond to steroids or other anti-pruritic therapies
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!

Have you ever been at a conference, asked a dermatologist a question and get the dreaded answer.... "it depends"?

Why can't we commit to a more clear cut answer for you? Find out why on this week's episode of The Derm Vet podcast.

Exciting episode of the podcast this week! The Derm Vet X The Dogtor Bros crossover! I had the privilege to discuss parenthood on their podcast and wanted to share the episode on my platform. Even if you are not a parent, there is a lot of great discussion about work/life integration.

Check out this episode and other episodes of The Dogtor Bros podcast!

It is very important to assure you know what ingredients are in the topicals you are using. Also, to utilize topical products beyond infection control. Learn more about particular products and when to use them on this week's episode of The Derm Vet podcast!

There are many causes for pododermatitis... how do you assure you work these cases up the right way? If it is due to underlying allergies, which treatments tend to be more successful?

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

With the new year, many people are feeling refreshed and the need to make a change. As a veterinary dermatologist, I had a lot of clients putting off diet trials in their pets until after the holidays. But is it the right time in January? What reminders do we need to give clients? Find out more on today's episode of The Derm Vet podcast!

I can't believe it has the end of another year for the podcast! Here is a fun year end wrap up where I discuss derm wins for listeners of The Derm Vet podcast!

What are things you should consider when approaching a case with an immune mediated disease?

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

The podcast is officially 4 years old! Thanks for your support!

Cat dermatology can be difficult. Even more reason it is SO important to know how to collect a quality history on your kitty patients.

What questions should you ask? How can you be time efficient with history? Find out this and more on this week's episode of The Derm Vet podcast!

Sometimes chronic allergy management can become difficult... but it isn't always because the allergies got worse. Another disease could pop up and you may need to view that case with fresh eyes... learn some tips on this week's episode of The Derm Vet podcast!

Immunotherapy... should you recommend subcutaneous or sublingual? Is there a difference in efficacy? What are pros and cons of each?

Find out more in-depth information on this week's episode of The Derm Vet podcast!

Happy Thanksgiving to all of my friends in the US! I am so thankful for the support for The Derm Vet podcast and wanted to share a little love on this week's episode of the podcast!

It is so important to learn new skills and change your way of doing things. This is not only best for the pet you are treating, but makes dermatology more fun for you! Learn about some of the ways I have changed my derm practice on this week's podcast episode!

We often talk about pemphigus foliaceus... but did you know there are other forms of pemphigus? Learn some of the differences in distribution, pathology and species on this week's episode of The Derm Vet podcast!

Dermatology is a lot of talking. As we set up realistic expectations for our owners, there can be some tough conversations that need to happen. How can we approach these chats a bit easier?

Learn about an expectation I needed to make clear for an owner including how I approached it (even when uncomfortable). This scenario and more on this week's episode of The Derm Vet podcast.

Did you know that recognizing different distribution patterns in cats can help guides your diagnostic workup?

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

Ear cultures are a bit controversial in veterinary dermatology. Do you know why?

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

If you are managing an allergic or autoimmune pet with certain medications, how do you appropriately monitor their labwork? What changes are you looking for? What other diseases does the pet have that may require monitoring?

Check out some of my thoughts on The Derm Vet podcast this week! And (remember) that every clinician can be different!

Chronic skin disease can cause a lot of discomfort for dogs and cats. In turn, this can cause veterinary visits for not only the pet, but the owner to be intimidating. Implementing fear free techniques can allow veterinarians to work with the patient and a client to make the experience less stressful. In a specialty that often includes lifelong, frequent rechecks, it will change the way you practice.

Check out this week's episode of The Derm Vet podcast to learn how you can implement fear free techniques from scheduling the appointment all the way to the derm exam itself!

What are a few things I wish I knew sooner in my veterinary dermatology career? Listen to this week's episode of The Derm Vet podcast to find out!

Nasal planum diseases. There are so many different types and biopsy is going to be the most direct way to sort through your differentials. Check out this week's episode of The Derm Vet podcast for tips and tricks!

Vasculitis is a disease that can encompass many different presentations. Usually end-points (pinnal tips, claws, tail tips, etc.) are affected due to lack of collateral circulation. Though pentoxifylline is the mainstay treatment traditionally, there are other options that are sometimes needed. This includes the off-label use of a common allergy medication. Check out this week's episode of The Derm Vet podcast to learn more!

Apoquel and Cytopoint. Revolutionary therapies to manage pruritus from allergic dermatitis in dogs. Both should be stocked on the shelf of your veterinary clinic. But are there certain instances where I prefer one vs. the other?

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

Atopic dermatitis should be viewed as a syndrome rather than a singular disease. Between genetics, skin barrier, environment, microbiome, TH2 immunity, etc. there are so many factors that play a role which is why dermatologists always mention a multimodal approach.

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

Why do dermatologists love topical therapy? How can you explain to an owner the importance of bathing or applying a mousse?

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

How often should I have an owner flush a dog's ear? How do I know if I can change the frequency of flushing in a patient? Check out this week's episode of The Derm Vet podcast!

I love collaborating and this is an exciting one! Skin Flint podcast is a veterinary dermatology podcast (yes there is more than one!) based out of the UK. It was such an exciting opportunity to chat about the differences in how we treat dermatology but a lot of similarities as well. I have posted this episode of the podcast on my platform.

However, please check out Skin Flint podcast as well for more amazing dermatology tips!

https://open.spotify.com/episode/5FqBDcmpLcOcdem2CXQctr?si=e1yKpgCkTBmAiynVYG8XvQ

On May 15 of this year, I had the honor of giving the commencement speech at my alma mater (University of Missouri). It was such an honor and one of the most important speeches I have ever written.

I decided to record it for the podcast hoping it brings some insight or inspiration to listeners. Enjoy!

Since we covered cats last week, we have to give dogs some love this week!

I discuss the differences of the different DOG isoxazoline products in the United States (all the countries are different with labeling) on this week's episode of The Derm Vet podcast!

We have talked a lot about the importance of isoxazolines in dogs and cats during the allergic workup. We want those easy wins by ruling out itchy ectoparasites!

But there are so many different products out there, what are the differences? I discuss the differences of the different CAT isoxazoline products in the United States (all the countries are different with labeling) on this week's episode of The Derm Vet podcast!

Pseudomonas otitis is one of the toughest issues we face in veterinary dermatology. What do these cases look like? What do these cases need topically and systemically? What ingredients should be in the ear flush?

Back to interviews on the podcast (my favorite!), I am joined by Amelia White, DVM, MS, DACVD from Auburn University. Listen into our discussion about this difficult case and gain tips on how to be successful with treatment on this week's episode of The Derm Vet podcast!

Photobiomodulation is a novel way to manipulate the function of cells within the dermis and epidermis, to reduce inflammation while still accelerating regeneration. Phovia is a two-part system released by Vetoquinol in 2021. As pyoderma has become more and more difficult to control, it is essential that we investigate alternative methods to antibiotics. Phovia has also been shown to be helpful for the management of perianal fistulas (a painful, difficult disease!).

Learn about how Phovia works and the benefit of implementing its use in your practice.

This episode is sponsored by Vetoquinol.

References mentioned in the podcast episode:

1. Marchegiani A. Klox Fluorescence Biomodulation System (KFBS), an alternative approach for the treatment of superficial pyoderma in dogs: preliminary results. In: Proceedings of 61st BSAVA Congress; Birmingham, England: 2018; 442.

2. Marchegiani A, Cerquetella M, Tambella AM et al. The Klox Biophotonic System, an innovative and integrated approach for the treatment of deep pyoderma in dogs: a preliminary report. Vet Dermatol 2017; 28: 545 (abstract).

3. Marchegiani, A., Tambella, A.M., Fruganti, A., Spaterna, A., Cerquetella, M. and Paterson, S. (2020), Management of canine perianal fistula with fluorescence light energy: preliminary findings. Vet Dermatol, 31: 460-e122.

I love lecturing... but this keynote will be very special to me.

On August 26, I get to cross something off of my speaker bucket list: keynote presentation. I was supposed to do this keynote last year and had to drop out after our son was diagnosed with leukemia.

So I feel so fortunate to get to finally fulfill this dream in two months. Fetch has a special place in my heart. Kansas City has a special place in my heart as a Mizzou grad and an Air Force brat who was stationed an hour away for years. This topic will also have a special place in my heart as I discuss how this medical journey with our son has changed my perspective on caregiver burden and empathy toward clients.

Check out this week's episode of The Derm Vet podcast to learn more about the keynote topic. I have a special code BOURGEOIS25 off your registration if you want to join me in KC!

Cat head and neck pruritus... what differentials for you have for a feline friend that is showing this pattern? Check out this week's episode of The Derm Vet podcast!

Reference from the episode: Hobi S, et al. Clinical characteristics and causes of pruritus in cats: a multicenter study on feline hypersensitivity-associated dermatoses. Vet Dermatol 2011; 22: 406-413.

When in a fast paced GP practice, how can you categorize your thinking to appropriately diagnose and treat dermatologic cases? Check out my 4 tips to increase your confidence!

Do you understand the flea lifecycle? Know why it is important to know about the egg, larva, pupa and adult... also some gross flea facts.

If most ear products have ingredients to address bacteria, yeast and inflammation, then why is ear cytology important? check out this week's episode of The Derm Vet podcast!

When you start a patient on an allergy protocol, how can you tell if it is successful? Do you expect them to never get an infection again? If they do, did the plan fail?

Check out this week's episode of the podcast to learn what successful allergy management looks like!

You look at a new patient's history and see "owner can't give oral medications at home". But what if all the injectables didn't work? Do we just assume we can't help this pet?

What if we asked the owner more in-depth questions? How have you tried giving it? What was going on with the pet when you tried oral medications? Can you focus on topical therapy for the infection? Based on a recent case I had, I wanted to present a real life solution on this week's episode of the podcast.

Starting with an allergy case can be daunting... especially if you have a 15 minute exam to do it in. What are the top 3 things you should consider to get a pet out of an allergic crisis and on their way to management? Check out this week's episode of The Derm Vet podcast!

Replay of a popular podcast episode form a year ago... bald belly cats!

Bald belly cats present commonly in veterinary dermatology. Many of these cats develop bald bellies due to overgrooming but there are also non-pruritic causes.

What history questions should you ask? What differentials should you consider? What other clinical signs should you look for?

Check out this episode of the podcast to feel confident in the bald belly kitty workup!

Peanuts... Snowmen... Yeasty Beasties! All things Malassezia on this week's episode of The Derm Vet podcast!

Is there a difference between intradermal and serum testing for atopic dermatitis? Learn the differences in what these tests measure and why testing should be recommended to your patients on this week's episode of The Derm Vet podcast!

I am starting a new podcast episode type called: DERM DEBUNK.

These are the "facts" I hear thrown around often. Some may not be true at all... some may be partially true. But (similar to any aspect of medicine) blanket statements can be really tough! First derm debunk episode, "Apoquel can't treat otitis."

There are so many varying degrees of otitis... Find out my thoughts on this week's episode of the podcast.

What is the difference between a dermatology internship and residency? What does a dermatology residency entail? Is it worth it?

I was asked to create a podcast episode all about pursuing a dermatology residency. So this week's episode answers all the questions you asked about becoming a board certified veterinary dermatologist!

Are you confident in cytology? It is the minimum database for dermatology case!

Refresh yourself on cytology collection techniques with this week's episode of The Derm Vet podcast. Remember... you don't have to use them all! Find the few you love and stick with them.

You walk into your next dog appointment... and the ear is completely swollen shut. What do you do??? Panic? Refer to surgery? Send home ear drops?

Check out my step-by-step process of a swollen ear canal and feeling confident about managing these cases!

Oh, bulldogs... they are sweet but can have difficult dermatologic disease. From interdigital furuncles to demodex to facial folds... learn all about bulldog dermatology on this week's episode of The Derm Vet podcast!

I asked and you delivered! On Instagram, you gave me your questions regarding topical therapy for canine atopic dermatitis. Here my answers on this week's episode of the podcast!

Why should you focus on the skin barrier? Why are dermatologists so passionate about it?

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

Client communication can be difficult in chronic dermatology cases. Especially with so much misinformation available to clients from other sources.

Learn how to be on the offense (not defense with clients)... and how this can change your happiness managing dermatology cases.

What does a complete ear exam look like? What order of steps should occur? What if the pet is wiggly?

Find out a quick, efficient way to evaluate the pinna, vertical canal, horizontal canal and tympanum of a dog and cat on this week's episode of The Derm Vet podcast!

Diet trials in puppies... When do you consider it? What approach should you take with the owner? What options are available? What if the owner doesn't want to do a full workup in the dog with ear infections?

Diet trials are challenging enough... but it can be especially overwhelming for an owner with a new puppy. Check out this week's episode of the podcast which dives into the challenges and approaches to diet trials in puppies.

This podcast is sponsored by Hill's Pet Nutrition.

Life as a vet parent is difficult and it doesn't look the same for everybody. Community and not comparing to others is so vital. I welcome back my friend Dr. Tannetje Crocker to talk about our experiences as vet moms. The highs, the lows, the guilt and our advice.

What do the emergency doctor and dermatologist have in common? Probably more than you think!

With hospitals being so busy, how can you manage an ear infection at 2am? What derm medications should be on an ER shelf? Welcome my good friend Dr. Tannetje Crocker as we discuss dermatology in the ER.

Sure, dermatologists manage a lot of allergies. However, there are signs that should raise a red flag that you AREN'T dealing with an allergic patient?

Distribution of lesions seem off? The history doesn't jive with allergies? Not responding to traditional therapies? Tune into this week's episode of the podcast to learn more!

A very common history we receive from owners... "Apoquel used to work great! But now it doesn't control my dog's itch." Do dogs really become immune to Apoquel or other anti-itch drugs? Or could there be other reasons itch fails to be controlled by the medication over time?

Find out the top 3 reasons we can see anti-itch medications stop working in an allergic dog on this week's episode of the podcast.

What are five things you can do to improve your veterinary practice for the year? How about reigniting your passion for veterinary medicine? Check out these simple challenges you can do throughout the year to love what you do.

2022 has been quite a year! Here is the annual wrap up episode of The Derm Vet podcast. Highlighting the top things you all have learned from the podcast this year when I asked on social media. Thanks for another wonderful year!

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!

Who is ready for the next allergy spiel???? This is about the dreaded FOOD TALK.

How do you approach this conversation if you know the owner will be hesitant to switch foods? What about all the opinions regarding pet food? Check out this week's episode of the podcast!

Kicking off our first topic in this allergy spiels series: THE FLEA TALK.

Get nervous when you have to bring up starting flea prevention to a client? What about including other pets in the household? What if the client isn't seeing fleas? Check out this week's episode of the podcast!

When asked on social media what topics you would covered in the podcast... many of you asked for allergy spiels. How do I communicate with owners of allergic pets? How do I convince owners to start flea prevention even if they don't see fleas? How do you stop dreading the food allergy talk?

This is an introduction to client communication as we spend the next few weeks going over specific allergy spiels.

This podcast episode is releasing on Thanksgiving 2022 in the US. Find out the things I am thankful for in veterinary dermatology... both medical and non-medical!

A pustule is a common dermatologic lesion. Though it is often related to a secondary pyoderma, there are other differentials that can cause a pustule. From recognizing it clinically, sampling for diagnostics and coming up with appropriate differentials, learn all about pustules in this episode of the podcast!

Papules are often overlooked clinical lesions. These small red dots can be essential to identify during the dermatologic examination. Though they are often due to bacterial infection, there are other differentials that should be on your list. This episode will review important diagnostics and things to consider when seeing papules on exam.

Comedones (or blackheads) are not as common as other dermatologic clinical signs. But they can be really important to identify and the differentials can be quite unique. Learn what a comedo actually is and what diseases you want to be thinking about in this episode of the podcast!

Continuing our journey in lesions. Find out what scaling is and what differentials should be on your list. It can often happen with crusting (covered last week) but depending on the presentation there are certain diseases that should come to mind.

What is a crust? What differentials are on our list with a crusting disease? Is it primary or secondary?

These are all the questions we go over on this week's episode of The Derm Vet podcast!

Chlorhexidine... very commonly used ingredient in veterinary medicine.

BUT... do you know the mechanism of action? What percentage is proven to be effective for pyoderma? Did you know chlorhexidine resistance has been reported?

Check out this week's episode of the podcast.

Diagnosis of canine atopic dermatitis... it can be time consuming to do all the rule outs (though necessary). But there is criteria that can make it very likely (or unlikely) that you are dealing with canine atopic dermatitis.

Check out this week's episode of the podcast for the hints!

Managing canine atopic dermatitis long-term can be difficult and frustrating. Between managing flares and client education there can be a lot to juggle. Today's podcast welcomes Fiona Bateman, BVSc, MANZCVS, DACVD. She is a senior veterinary dermatologist for Zoetis.

We discuss how to work with clients to manage these chronic cases, long-term anti-pruritic therapy and identifying flare factors. Though these cases can be confusing and hard to manage, there are some key tips that can help navigate this common case presentation.

This podcast is sponsored by Zoetis.

It is one of the biggest debates in veterinary dermatology. Are ear cultures useful? Check out this week's podcast to hear why this is a hot topic and my thoughts on it.

Welcome Dr. Karen Shenoy to the podcast! She is the Chief Veterinary Officer for Hills US. We discuss Hill's Global Symposium which is focusing on dermatology this year! Dr. Shenoy and I will be co-hosting this event which contains a bunch of amazing speakers.

Register at hillsglobalsymposium.com! It is free and will be recorded so you can catch up later if you can't watch the entire event live.

"If you love what you do, you will never work a day in your life."

Is this really true? Or an unrealistic concept? Check out this episode of the podcast with Dr. Jeff Tinsley (senior resident at Animal Dermatology Clinic Louisville). We discuss this and ways to recharge outside of work.

I was recently giving a set of lectures about allergies and I was asked about the prevalence of aural hematomas in dogs with no signs of otitis externa. I hadn't appreciated this clinically but then ran across a review article that discussed a new potential etiology and though it was interesting. Check out this week's episode of the podcast and let me know your thoughts! Have you appreciated this in the clinic?

Study reference:
O’Neill, D.G.; Lee, Y.H.; Brodbelt, D.C.; Church, D.B.; Pegram, C.; Halfacree, Z. Reporting the epidemiology of aural haematoma
in dogs and proposing a novel aetiopathogenetic pathway. Sci. Rep. 2021, 11, 21670

As a dermatology specialists we tend to see the more severe, chronic cases of allergic dermatitis and infection. But in general practice, our colleagues are seeing these cases at much earlier stage in younger dogs. So how do you start management at these initial signs of allergies?

This podcast episode welcomes back Dr. Dana Liska, DACVD. Dr. Liska is a senior veterinary dermatologist with Zoetis. We discuss early recognition, management and client communication regarding canine allergic dermatitis.

This podcast is sponsored by Zoetis.

I opened it up on Instagram! In this episode, I answer the top questions submitted regarding canine atopic dermatitis. This is a great summary of some of the most important aspects of this chronic, frustrating disease.

It’s Itchy Pet Awareness Month! Come listen to this podcast episode with Alice Joseph and Dr. Shannon Cabell of Zoetis.

We will discuss fun ways to get your practice ready for Itchy Pet Awareness Month in August including wonderful resources listed below:

www.itchypetawarenessmonth.com
www.itchingforhelp.com
www.zoetispetcare.com/blog

Flea bite hypersensitivity is a common cause of pruritus and secondary infection in dogs and cats. It can be easy to prescribe flea prevention and assume you have ruled it out. But some cases need a little more detail when collecting history and providing discharge instructions...

How is the owner giving the flea prevention?
Are other dogs and cats on quality fast flea prevention?
What frequency is owner giving the prevention?

Find out about a recent case I had where the pet was on great flea prevention... but the other pets in the household weren't. A big difference occurred with just a small change.

Welcome Dr. Valerie Fadok, DVM, PhD, DACVD back to the podcast. She is a senior veterinary dermatologist with Zoetis. One of her passions involves a dog breed that we see quite often in dermatology... The West Highland White Terrier aka Westie! Hear all about this allergy prone breed and the amazing research being done through the Westie Foundation of America (westiefoundation.org).

Some wonderful studies are mentioned on this episode. The references are listed below:
1. Favrot C et al. Atopic dermatitis in West Highland white terriers- part 1: natural history of atopic dermatitis in the first three years of life. Vet Dermatol 2020;301:106-e16. AR-17046

Rostaher A, et al. Atopic dermatitis in a cohort of West Highland white terriers in Switzerland. Part II: estimates of early life factors and heritability. Vet Dermatol 2020; 31:276-e66. AR-17045
Rostaher A, et al. Atopic dermatitis in a cohort of West Highland white terriers in Switzerland. Part III: early life peripheral blood regulatory T cells are reduced in atopic dermatitis. Vet Dermatol 2021; 32:239-e63. AR-17047

This podcast was sponsored by Zoetis. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team.

This week's episode goes over differentials, diagnosis and treatment options for histiocytoma. Do you "wait and see" or go for the removal? Check out your options here!

This week's episode is all about canine papillomavirus. They aren't always obvious wart-like lesions in young dogs. Did you know there are inverted papillomas? Pigmented plaque-like lesions in Pugs?

Check out the podcast to take a little dive into this common virus.

Resistant infections seem to get worse every year. So how do you handle a culture that comes back with limited antibiotic options? Or an owner can't afford to culture but systemic antibiotics are not resolving the pyoderma?

Dilute bleach is an inexpensive, effective topical option for pyoderma. There are various concentrations listed in the literature and certain tips that can increase your chances of being successful with implementing bleach as a rinse, spot treatment or soak.

We always want easy wins in veterinary dermatology... and Scabies is absolutely one of them! Sarcoptic mange can make an animal miserable. But, luckly, it is a very easy mite to treat leading to fast comfort!

However, this mite can be sneaky and difficult to find on skin scrapings. Check out this podcast episode for lesion distribution, diagnosis, history and treatment!

You hear dermatologists mention the "multimodal approach to allergies" but what does that mean beyond prescribing an anti-itch therapy?

Find out why the epidermal barrier matters and how you can help restore it for your itchy patients.

Otitis can be a frustrating disease to diagnose and manage. However, it is one of the most common diseases seen in general practice. Successful treatment does not just mean picking the right ear drop. You have to consider why the infection is happening and what other factors are present that may complicate remission of the disease.

Learn how the PSPP system can be a quick way to have a full view of how to manage a complicated otitis case!

Bald belly cats present commonly in veterinary dermatology. Many of these cats develop bald bellies due to overgrooming but there are also non-pruritic causes.

What history questions should you ask? What differentials should you consider? What other clinical signs should you look for?

Check out this episode of the podcast to feel confident in the bald belly kitty workup!

Stephen Kochis, DVM joins the podcast to discuss dermatology in shelter medicine. He is the Chief Medical Officer for the Oregon Humane Society in Portland, OR.

Dr. Kochis discusses some of the amazing work he does in shelter medicine managing dermatologic diseases including feline dermatophytosis and canine allergies. Also, the importance of getting to know your local shelters.

Before referring a dog or cat to a dermatologist, what should you do? Of course we love cytology, diet trials, topical therapy, etc. but there is ONE particular thing I would love for every case to have before seeing us at the dermatology clinic. Check out this episode of the podcast to find out my top request!

Claw fold disease is often overlooked in dogs and cats during the dermatologic examination. However, this a common anatomical area that is affected in pets with allergies, infections, parasites or autoimmune diseases.

Though there are similarities in claw fold diseases between dogs and cats, there are some differences that should be recognized as well. Learn all about clinical signs, diagnostics and differentials in this episode!

Welcome Valerie Fadok, DVM, PhD, DACVD to the podcast to discuss canine allergic and atopic dermatitis! She is a senior veterinary dermatologist with Zoetis.

We’ve come a long way in our ability to manage allergic skin diseases in dogs. Due to our increased knowledge based on research, there are better therapeutics available. We have learned that several Type 2 cytokines such as IL-2, IL-4, IL-6, IL-13, and IL-31 are major players in mediating allergic pruritus and inflammation. These cytokines mediate their action through Janus kinase-1 and appear early in the allergic inflammation cascade.

It is so important with the management of allergic and atopic dogs that we continue to have studies showing the effect of therapies on itch and inflammation. Check out this episode of the podcast to learn more!

This podcast was sponsored by Zoetis. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

APOQUEL-IMPORTANT SAFETY INFORMATION

Do not use Apoquel in dogs less than 12 months of age or those with serious infections. Apoquel may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions. New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval. Apoquel has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. Apoquel has been used safely with many common medications including parasiticides, antibiotics and vaccines. For more information, please see the full Prescribing Information at Apoquel.com/pi.

Apoquel Indications

Control of pruritus (itching) associated with allergic dermatitis and control of atopic dermatitis in dogs at least 12 months of age.

Cytopoint Indications: Cytopoint has been shown to be effective for the treatment of dogs against allergic dermatitis and atopic dermatitis.

How do you diagnose and appropriately treat yeast otitis? What if it doesn't respond? When do you reach for systemic medications?

Learn why cytology is SO important in these cases and how to manage yeast otitis.

Discussing food changes and diet trials with clients can be very frustrating and emotional. How do you break down that barrier? How do you gain confidence as a clinician when you are already dreading the conversation?

Learn some tips and tricks on approaching the food talk with your clients!

Technicians are the backbone of a veterinary clinic. Between client communication, collecting diagnostics and administering therapies, their capabilities truly are amazing! Today, I welcome two amazing technicians to the podcast: Amanda Friedeck, BS, LVT, VTS (Dermatology) from Texas A and M University and Shannon Carroll from Animal Dermatology Clinic Portland. They discuss the similarities and differences between their roles at a University and private practice caring for dermatology patients.

Zoetis has recently launched an amazing program for veterinarian technicians that provides free education about Cytopoint. You can check out the below links about implementing this program:

https://cloud.mc.zoetis.com/Cytopoint_NGSE_Landing_Page

https://learn.zoetisus.com/learn/course/1186/Cytopoint%253A%2520Essential%2520Facts%2520and%2520New%2520Information%2520You%2520Need%2520to%2520Know%2520%28CE%253A%25200.5%29

This podcast was sponsored by Zoetis, the makers of Apoquel and Cytopoint. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

Why should you refer a dog or cat for environmental allergy testing? It is important to realize this is a not a diagnostic test but how we formulate immunotherapy for desensitization.

Learn about the different allergy tests (intradermal, serum) and the purpose of performing them.

Plasma cell pododermatitis is an autoimmune disease we most commonly see in cats. Learn about the clinical presentation, diagnosis and treatment options!

Infections are getting scarier and scarier. with resistance.

Now more than ever, it is essential that we are being judicious with our antibiotic use. But what alternatives are there? From topical therapy to fluorescent light therapy (Phovia), find out what options are available and are necessary to implement.

Why is ear flushing important? Should we flush in the clinic or at home? What flush should you use for cocci, rods, yeast or just ceruminous debris?

Ear flushing is an essential tool in the treatment and management of otitis. Get a review of the basic strategies you can use to have more success with your cases!

You hear dermatologists talk about the importance of cytology. But, how do you become confident about your collection technique?

Learn how to master this important derm diagnostic. You will become an expert in no time with these tips!

Workup of the allergic dog can be time consuming and difficult. Going through the necessary rule outs is important for allergies, but there are criteria that can heighten your suspicion of atopic dermatitis Check out some criteria that can help you feel more confident about diagnosing a dog with atopic dermatitis!

Today, Steve Pfohl joins as a guest on the podcast. He is the market research lead for the U.S. dermatology portfolio at Zoetis. Market research is conducted to help uncover insights that provide value to veterinarians and dog owners. This information can improve our communication with owners, and this benefits their pets’ lives.

For more interesting information about market research and how it impacts your daily veterinary practice, check out this!

Julia Miller, DVM, DACVD is back to chat about farm animal dermatology. From cows to pigs to goats... get a down and dirty discussion about problems that can be seen with the skin!

Julia Miller, DVM, DACVD joins the podcast to chat about horses! There are a lot of amazing things we can do to control horses with skin disease between topicals, immunotherapy and changing simple things like nutrition.

Listen to our discussion which ranges from urticaria to dermatophytosis!

Scrape, pluck, smear... biopsy if weird. We need to remember to go back to the basics in derm cases. So, get a quick refresher on where to start with abnormal skin lesions.

Dr. Lauren Adelman is back on the podcast! She is a board-certified internal medicine specialist practicing at Canada West Veterinary Specialists in Vancouver, BC. On this episode, we discuss hyperadrenocorticism (Cushing's disease). This can be a complicated disease to diagnose and manage. So check out our discussion and feel comfortable knowing there is no clear cut answer!

Welcome Lauren Adelman, DVM, DACVIM to the podcast! An internist at Canada West Vet Specialists in Vancouver, BC. We discuss the clinical signs, diagnosis and treatment options for canine hypothyroidism.

One of the most overdiagnosed diseases... how do you know you got it right?

Sebaceous adenitis is an autoimmune disease that can cause scaling, follicular casting and hair loss in dogs. Standard Poodles, Vizslas and Akitas are predisposed. Learn how to recognize this disease, diagnose it through biopsy and the wide array of treatment options that are available.

Color dilution alopecia (CDA) is an inherited condition that causes patches of hair loss, and may also include flaky skin and pruritus. The condition is associated with individuals who have a “dilute” color, and is most commonly seen in dogs with a blue or fawn coat.

Learn about this interesting disease, how to diagnose it appropriately and manage it long-term.

You always hear me mention "cytology everything"! But, how do you actually collect a diagnostic cytology sample?

Cytology is the minimum database of any dermatology case. So, it is important to find 2-3 techniques you feel comfortable with and become a PRO at them. From direct impression to tape to toothpick samples, get a step-by-step guide on the difference collection methods.

Don't forget to check out The Derm Nerds which includes a cytology collection PDF and RACE approved cytology presentation! https://thedermvet.com/the-derm-nerds

I asked you what you have learned from the podcast this year. My husband joins me again (check out the 2020 wrap up!) to chat about your responses. From cytology to feline dermatology to being a veterinary parent, check out a summary of 2021!

Thank you for continuing to help this podcast grow and reach more people!

IL-31 has gained a lot of attention in the last decade based on its role in pruritus for canine allergic dermatitis. Also, the specific therapies that target this pruritic cytokine (Apoquel and Cytopoint). This episode welcomes Meagan Painter, DVM, DACVD. She is a boarded certified dermatologist at MSPCA-Angell West in Waltham, MA.

Dr. Painter has recently released an online course all about canine allergies (theallergicdog.com) that dives even further into this important topic!

Laura Dennis joins the podcast for this episode. She is the Vice- President of Sales and Marketing for Xoran Technologies. She provides her marketing expertise on ways that you can allow your practice to thrive. For example, if you have innovative technology such as cone beam CT and want to inform clients and other clinics.

As a general practitioner, you see itchy, infected pets all day long. But, when do you decide to make the referral to a dermatologist? Every veterinarian is going to have a different comfort level with managing chronic, allergic pets. Every client is going to have a different threshold for getting a specialist involved with their pet. However, there are some basic guidelines that can be used of when referral can fit into your recommendations.

Stenotic ears can be very challenging to get under control and manage long-term. Get the 5 top tips to be successful with reversing these severe changes!

The podcast welcomes back Dr. Chris Pachel, DVM, DACVB, CABC! How can you tell if a dog's licking is related to allergies or behavior? It may not be as straight forward as you think since there can be some overlap. Client communication, multimodal treatment, etc.

Dig into some details of this complex area of case management!

How much grooming is too much grooming in a cat? Can stress really be the cause? Do you refer them to a dermatologist, internist or behaviorist?

Learn where to start with overgrooming cats! Diagnostics, causes and how to get them under control and comfortable.

The podcast welcomes Dr. Amy Thomson, DVM, DAVDC (@toothy.thomson) to discuss cases that can cross over from dentistry to dermatology.

Learn about oral lesions, how to biopsy them and client education. We discuss eosinophilic granuloma complex and autoimmune and neoplastic diseases in the mouth.

Proliferative and Necrotizing Otitis Externa (PNOE) is a rare autoimmune disease that can affect young cats. Once you see a picture of this disease, you won't forget it! Learn about the clinical apperance and treatment options available for this crusty disease.

Since owners are having a hard time getting into their general veterinarian, there is an increase amount of dermatologic patients trying presenting to the emergency veterinary clinic. This can be acute moist dermatitis (“hot spots”), otitis and general allergic itch. Dr. Nell Dalton, DVM (WestVet in Boise, ID) discuss this in this podcast episode. She communicates with owners that life-threatening emergencies take precedent, but she tries to accommodate dermatology patients as much as she can. Knowing these pets and clients are having their quality of life affected by the itch, lesions, etc. This may include collecting diagnostics and phoning the owner later with results or arranging a drop off appointment where the pet can stay in the clinic until time allows.

Symmetrical lupoid onychodystrophy is an autoimmune disease that can cause dog's to slough their claws. It can be very painful and requires chronic management. Learn the approach to this disease from diagnosis to treatment.

Cone-beam computed tomography systems are a variation of traditional computed tomography (CT) systems. This technology has been used in human dentistry with the ability to rotate around the patient, capturing data using a cone-shaped X-ray beam. This information can be used to reconstruct a 3D image of the patient’s anatomy.

Cone-beam CT is making its way into veterinary medicine. Beyond dentistry, it can be used to evaluate the middle ear, limbs, etc. A more affordable and portable option! Dr. Mike Canfield, DVM, DACVD from Animal Dermatology South in New Port Richey, FL joins the podcast to share his experience utilizing cone-beam CT. He is a dermatologist that also practices as a general practitioner and has a lot of experience with this cool advancement in imaging.

Initially, I was a little thrown off when I heard Douxo® was changing their main active ingredient from phytosphingosine to ophytrium. Why change it now? But, as I learned more about the upgrades that were being made to the new Douxo® S3 line, I was really excited hear about the thought and innovation that went into upgrading this line.

On this episode of the podcast, I got to talk to two amazing ladies from Ceva Animal Health: Dr. Christine Mullins (veterinary services manager) and Jacqueline Hodges (associate key account manager). They walk though the steps to this upgrade to assessing its effect on new canine skin models, a human skin model (to assure safety for owners) and in real canine patients. Not only were the ingredients considered but the user experience with the bottle, smell and lather. Enjoy learning all about this new line of topicals!

With veterinary clinics being so busy, it seems helpful to hand out an antihistamine dose
over the phone when a client calls about their itchy pet. However, the more we learn
about the pathomechanism of pruritus in dogs, histamine doesn’t play as big of a role as
originally thought. Pruritus from canine atopic dermatitis is actually driven by various
proinflammatory and pruritogenic cytokines such as interleukin-31.

In the veterinary profession, we have so many amazing therapies that provide fast
effective pruritus relief. We want to establish trust with our clients by helping their dog’s
allergic symptoms quickly. Check out this episode to learn more!

Dermatophytosis can be a frustrating disease process. There are many different diagnostic tests and treatment options. This episode reviews "Diagnosis and treatment of dermatophytosis in dogs and cats: clinical consensus guidelines of the World Association for Veterinary Dermatology". This was an extensive review of the literature over several years. The article is available at: https://pubmed.ncbi.nlm.nih.gov/28516493/

On this episode, I discuss the four common flare factors for allergic pets. If a dog becomes itchy despite the use of an effective antipruritic, we want to assure a flare factor isn’t complicating things before switching our allergy management. Listen in to see if you agree with these flare factors!

From my hotel room in Las Vegas for WVC, a basic overview of the various ear flushes you should consider carrying in the clinic. Pick 3 different types such as antiseptic, TrizEDTA and cerumenolytic.

An allergic workup is key to reduce itch in dogs and control infection long-term. Identifying the underlying cause of pruritus is essential to minimize the severity and frequency of infections. This leads to less resistant bacteria in our patients and reduction in systemic medications over the lifetime of the pet.

In this episode of the podcast, I’m joined by Dr. Jennifer Schissler, DVM, MS, DACVD. We discuss the canine allergic workup and the importance of communication to owners of allergic pets.

Allergies are chronic, frustrating and expensive. With so many different things to treat (itch, infection, parasites, etc.), costs can add up quickly. This2 episode welcomes Dr. Adam Christman, DVM, MBA. He is the Chief Veterinary Officer for Fetch DVM 360. We discuss how common allergies are in the clinic and how offering pet insurance to your clients at a young age can alleviate a lot of the financial burden for this chronic disease management.

This episode of the podcast is sponsored by Nationwide Pet Insurance.

Do you know how to recognize the clinical signs of epitheliotropic lymphoma in dogs? Remember, not every itchy dog is allergic. Listen to this quick overview of this disease including clinical signs, diagnostics and treatment options.

When should you be suspicious of an autoimmune disease? How do you collect the best biopsy samples? This podcast episode welcomes Dr. Tyler Jordan, DVM, DACVD to discuss the basics of autoimmune skin diseases in dogs and cats. Dr. Jordan is currently earning his PhD degree at North Carolina State University including research in canine pemphigus foliaceus. This is a great overview of autoimmune diseases- how to recognize them clinically, diagnose and manage with therapeutics.

Apoquel® (oclacitinib tablet) and Cytopoint are tremendous tools in the management of allergic and atopic dermatitis in dogs. On this episode of The Derm Vet podcast, I got to discuss both of these therapies with Dr. Dana Liska, DVM, DACVD. Dr. Liska is a senior veterinary specialist in dermatology with Zoetis Petcare.

Learn how these therapies can be successfully utilized during the canine allergic workup and provide relief from pruritus.

This podcast was sponsored by Zoetis. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

Apoquel-Important Safety Information

Do not use APOQUEL in dogs less than 12 months of age or those with serious infections. APOQUEL may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions. New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval. APOQUEL has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. APOQUEL has been used safely with many common medications including parasiticides, antibiotics and vaccines. For more information, please see the full Prescribing Information at APOQUEL.com.

APOQUEL® Indications

Control of pruritus (itching) associated with allergic dermatitis and control of atopic dermatitis in dogs at least 12 months of age.

Cytopoint Indications: CYTOPOINT has been shown to be effective for the treatment of dogs against allergic dermatitis and atopic dermatitis.

Dr. Darin Dell, DVM, DACVD joins this episode of the podcast. He is the medical director of Wheat Ridge Animal Hospital in Wheat Ridge, CO. Topical therapy in canine otitis can be very frustrating due to all of the product options and recurrence of infections.

Dr. Dell provides advice on the diagnostic workup of canine otitis and how to create a therapeutic plan for each individual case. Topical commercial leave-in products (such as Osurnia) can provide an easy way to treat infections and increase compliance and follow-up at recheck. We discuss how to implement these therapies in cases and the range of severity canine otitis externa cases can present in the clinic.

August is Itchy Pet Awareness Month! This is the third year of raising awareness for itchy pets and what veterinarians can do to help provide fast relief. On this episode of the podcast, I welcome Dr. Michele Rosenbaum, VMD, DACVD (Medical Lead for Dermatology at Zoetis Petcare) and Cammie Johnson (Senior Marketing Manager for Dermatology at Zoetis Petcare). Hear about all the fun things you can do to celebrate Itchy Pet Awareness Month in the clinic to help educate owners!

Check out these great resources mentioned within the episode:
ItchyPetAwarenessMonth.com
ItchingForHelp.com
ZoetisPetCare.com
ScienceOfStrongerBonds.com
LetsTalkAllergicItch.com
This podcast was sponsored by Zoetis, the makers of treatments including APOQUEL (oclacitinib tablet) and CYTOPOINT. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

Apoquel-Important Safety Information

Do not use APOQUEL in dogs less than 12 months of age or those with serious infections. APOQUEL may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions. New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval. APOQUEL has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. APOQUEL has been used safely with many common medications including parasiticides, antibiotics and vaccines. For more information, please see the full Prescribing Information at APOQUEL.com.

Interdigital furuncles (aka interdigital cysts) can be very uncomfortable for the pet and alarming for the owner. The difficult thing about management is the (often) multifactorial component (infection, allergies, arthritis, etc.).

Treating infection, decreasing inflammation and working up the underlying cause is imperative in successful management. Get a brief overview of this disease and what you can do to make these pets feel better!

Dealing with acute or chronic otitis can be really difficult. Especially when it becomes resistant to therapies. Knowing which topical ear flushes should be used in gram-negative infections can maximize success of your difficult otitis cases.

Gram negative infections (such as Pseudomonassp.) are notorious for creating biofilms which can make treatment even more challenging. TrizEDTA is an ingredient in several different veterinary ear flushes which can help. TrizEDTA has antibioitic-potentiating effects by creating holes within the bacteria. Additionally, it has anti-biofilm properties. This episode goes over the benefits of TrizEDTA in gram-negative infections.

Dermatology and critical care cases may seem quite different, but there are more similarities than you may think. Setting client expectations, considering long-term management and prioritizing treatment in certain cases are important whether it is for a patient with DKA or allergies.
Dr. Justine Lee, DVM, DACVECC, DABT joins me on the podcast today to give her view as a criticalist managing skin and ear cases. As the CEO of VETgirl, Dr. Lee is an expert on teaching veterinarians how to manage cases in the ER setting. We have a wonderful conversation and discover a lot of overlap between our two specialties. Enjoy!

Perianal fistula is an autoimmune disease predominantly seen in German Shepherd dogs. It can be very uncomfortable and various clinical signs. But, when appropriately diagnosed, medical management can drastically improve the dog's quality of life. Learn how to diagnose this disease, appropriately document location in medical records and how to approach medical management.

The more we learn about allergies in pets... the more complex it becomes. It is important that the multimodal approach to allergies includes consistent topical therapy. This episodes welcomes Dr. Rusty Muse, DVM, DACVD, MANZCVS. Dr. Muse is the Medical Director for Animal Dermatology Clinic and practices out of the Long Beach and Tustin, CA locations.

Dr. Muse shares his passion for topical therapy. This episodes goes over client communication, topical ingredients, treating infections and long-term maintenance therapy.

Communication between a client and veterinarian is one of the most important aspects of managing a pet with chronic skin disease. But, what type of communication is a client looking for? What things would they change with how options are presented? In this episode, we dive into an article that illustrates different aspects of communication that clients are seeking. This can be important in any aspect of veterinary medicine.

Coe J, et al. JAVMA 2008; 233: 1072-1080

Diascopy is a simple technique that can be used in the clinic with a microscope slide. It can help differentiate from inflammation and hemorrhage. Enjoy this quick episode going over this interesting diagnostic test and how it can be helpful with your erythematous cases.

The differential list for unilateral otitis can be quite different from the typical allergic otitis. It is essential to perform a full otoscopic examination (even if if requires anesthesia or sedation) to assure a foreign body or mass is not present. Either of these can cause nasty, persistent infections that often only affect one ear. Instead of treating with topical medications over and over again, make sure you go searching for the primary cause.

Traditional signs of hypothyroidism or hyperadrenocorticism don't always occur in canine patients. We think of lethargy, weight gain, polydipsia, polyuria, etc. But, you can simply see patients that have recurring pyoderma and otitis as the predominant sign of an endocrinopathy. Learn what hints in the history and clinical symptoms can put hypothyroidism or hyperadrenocorticism higher on your differential list for a derm patient.

Methicillin resistant staph has become a scary aspect of veterinary dermatology. It is important to know how to recognize MRSP through clinical lesions and history, collect diagnostics like cytology and C/S and be diligent about treatment. But, almost more importantly, how to recheck these cases appropriately and work up the underlying cause.

Today, I am joined by Dr. Meghan Solc, DVM, Dip ACVD from Dermatology for Animals in Akron, Ohio to discuss this in-depth and important topic. Dr. Solc mentioned an excellent resource for pet owners regarding MRSP at wormsandgermsblog.com done with the Canadian Academy of Veterinary Dermatology (link below).

https://www.wormsandgermsblog.com/2021/03/articles/animals/dogs/new-mrsp-methicillin-resistant-staphylococcus-pseudintermedius-fact-sheets-for-pet-owners-english-francais/

Work-life balance... what does that look like? It is important to realize it is different for everybody. It also can look different for the same person at different timepoints in their life. Being empathetic and understanding for others and yourself is very important.

Balance is not easy.
Balance looks different for everyone.
Balance is everchanging.
Balance is personal.

Interleukin (IL)-31 has received a lot of attention over the last decade due to its role in pruritus in canine allergies. Apoquel and Cytopoint have been amazing therapies to relieve itchy dogs. But, it is important to realize there are differences in how they work. Learn how to use these therapies separately or together!

Canine otitis can occur secondary to many different etiologies such as allergies and endocrinopathies. It is a very common occurrence and can be very frustrating for the pet, owner and veterinarian. On this episode, I welcome Dr. Millie Rosales (Miami Veterinary Dermatology) to discuss the otoscopic examination, cytology, treatment and long-term management.

Cases of feline pemphigus can develop very severe lesions and be intimidating. However, recognizing the lesion distribution and performing appropriate diagnostics can provide a definitive diagnosis. This allows the veterinarian to treat or refer to a dermatologist. Appropriate management of these cases can lead to a normal quality of life (with some vet visits sprinkled in). Learn the basics regarding diagnostics and treatment of this kitty autoimmune disease!

It is time to bust some derm myths! Dr. Andrea Hernandez from Animal Dermatology Clinic in Tustin, CA joins the podcast today. We cover some common misconceptions in veterinary dermatology such as diets, flea controls and over-the-counter topical therapy. It is a fun episode that all veterinarians can relate to!

We often think about what type of lesion is present... Crusting, ulceration, depigmentation. But, HOW and WHERE it presents can be extremely important. Are the lesions symmetrical? Are mucous membranes affected? Paws? Rump?

Get a refresh on the basics of lesion distribution!

Just a plain ol' toothpick can tell you so much information! Using it to sample the claw fold in itchy pets can reveal sneaky bacteria or yeast that could be masking results of allergy medications. Review a simple method that can make a big difference in management of your itchy patients!

Veterinary dermatology can be frustrating and confusing... not only for the owner, but as the clinician managing the case. We need to make sure before suggesting allergy testing, diet trials, etc. that we have discussed with owners the purpose and commitment to those diagnostics. Sometimes just treating an infection and making a pet comfortable can be a great place to start! Dealing with allergies comes with several layers. Sometimes we need to take our time and address each layer separately.

Feline otitis... it is tough! There are not many options labeled for cats and they can be difficult with administration. When do you use something off-label? When do you compound? What if a cat has otitis media?

Today, Dr. Ali Diesel, DVM, Dip ACVD joins the podcast from Texas A&M University. We tackle this tough topic to provide ideas so we can help our kitty patients with their ears! You can do it, and make them feel better!

Getting back a non-diagnostic histopathology report can be so frustrating! What do you do to avoid this from happening? This episodes highlights the importance of site selection, biopsy punch size, choosing a dermatopathologist and more!

When COVID hit, there was a lot of questioning regarding what services were essential. If dermatology is (most of the time) not fatal, is it considered an essential service? With so much stress and emotions in our world, what are the various ways a pet with allergies could affect an owner?

Pruritus, pain, odor, appearance... these are all things that can affect the quality of life of a pet and an owner. We dive into these reasons and some research regarding caregiver burden associated with dermatologic disease in dogs.

Most otitis cases can be handled with topical therapy. But, what about in cases where it isn't enough and we have to reach for oral medications? Stenotic ear canals, otitis media, etc. There are certain situations where the use of systemic oral antibiotic and corticosteroids are beneficial. This episode will cover these scenarios, collecting middle ear cultures, and more!

When we think of a COMPLETE ear exam, we think of the horizontal canal, vertical canal, tympanic membrane and bulla. However, the pinna is often forgotten! For the most visible part of the ear, it can be overlooked. There are so many pinnal diseases (pyoderma, mycobacterium, vasculitis, etc.) that can cause head shaking and scratching. Get a glimpse on how to palpate and sample the pinna to make our patients more comfortable.

There are SO many products out there! Let me provide a little relief... it isn't necessary to know them ALL. It is most important to know active ingredients and when you would use them. But, don't waste your poor brain space memorizing every single brand name, ingredient and concentration. In the real world, you can't carry every product in the clinic. And, you can always look up products if you aren't familiar with something a client brings in. So, don't feel like you have to be a know-it-all... know the basics and how to use your resources!

Who loves cytology more than a veterinary dermatologist? A clinical pathologist! This episode features Dr. Kate Baker, DVM, MS, Dip ACVP talking all things cytology. You know we had a ton of fun! Not only are we both vet moms of two little ones... we LOVE looking under the microscope!

Dr. Baker shares tips regarding aspirate submissions and cells you can feel comfortable identifying in general practice. This is a fun, practical episode! I hope you enjoy listening to it as much as we loved recording it!

Does a diet trial need to be done in EVERY single allergic patient? There are a lot of different opinions about how to diet trial, when to diet trial, what diets to use, etc. While it is never wrong to perform a diet trial in an allergic workup, there are certain clinical signs where it definitely needs to be considered. This episode goes over those clinical signs such as gastrointestinal upset, non-seasonal pruritus, etc.

Other podcast episodes addressing food allergies:
Episode 10- Frustrating food allergies
Episode 14- How to perform a diet trial

This episode features Catherine Milley, DVM, Dip ACVD from Animal Dermatology Clinic Portland in Oregon to discuss canine atopic dermatitis. She is my partner in crime in the clinic and passionate about managing complicated canine atopy cases. We go over history, clinical symptoms, antipruritic therapies and allergy testing with immunotherapy.

It is a great chat about one of the most common diseases seen by veterinarians!

Eosinophilic granuloma complex (EGC) is a unique clinical presentation in allergic cats. There are three clinical presentations of EGC and a cat can exhibit just one or all three! Can you name them?

Listen to this week's episode to dabble in a little feline dermatology!

On this episode, I asked what tips you learned from The Derm Vet (podcast, webinar, social media, blog, etc.) this year that you use in practice the most. My husband joins me to present the top 5 tips! It is a fun way to reflect on such a crazy year... and we end the episode with ideas to reflect on 2020 and set some betterment goals (beyond eating better and exercise) for 2021.

Enjoy and thanks for all your continued support on this podcast! It grows because of YOU.

Overgrooming cats, acral lick dermatitis, oh my! Can pets really lick out of habit? Is that chocolate Lab really paw chewing due to stress?

Knowing whether a case should be sent to behavior or dermatology can be tough! Luckily, this episode features Dr. Chris Pachel, DVM, DACVB, CABC from Animal Behavior Clinic (Portland, OR) to help answer all of these questions. As a behaviorist, Dr. Pachel is able to give amazing insight of how common pets lick and chew due to stress, anxiety, etc. It is an informative (and fun!) conversation about a very common topic.

In the crazy, tumultuous year of 2020... let's have some easy wins! Here are some quick, simple ways to improve your dermatology case management. Questions to ask clients, diagnostics in the clinic, you can do this!

Today the podcast welcomes Dr. Brittany Lancellotti DVM, Dip ACVD from Animal Dermatology Clinic in Pasadena, CA. It is a great discussion of the importance of fear free within our practices including tips you can use with patient's today and how to communicate fear free with your clients.

Dr. Lancellotti has been passionate about implementing these methods into dermatology practice for several years. Besides lecturing on this topic, Dr. Lancellotti is also in the process of launching her own podcast (Your Vet Wants You to Know) which is intended for pet owners to learn information regarding their pet's medical condition. If you don't have time to talk about a disease such as atopic dermatitis in-depth, you can refer your clients to this podcast for the drive home!

Sorry for the poor audio during this recording. Otoscopy is a part of a complete dermatologic examination, but performing it well and comfortably in a dog or cat can be intimidating. This short episode explains some easy tips to improve your otoscopy skills right now in the clinic.

Also, the podcast is officially a year old with this episode! Thank you so much for the support and loving dermatology as much as I do.

We talk about the importance of client communication a lot in dermatology. But, how do you go beyond educating and actually connect to clients on a personal level? On this episode, I am joined by Dr. Joya Griffin, DVM, Dip ACVD from Animal Dermatology Clinic in Louisville, KY.

Dr. Griffin is passionate about connecting with her clients personally. Not only to make her clients more comfortable and trusting, but to make the time in the clinic more fun for her! This is a fun, enthusiastic episode with two veterinary dermatologists who love to gab!

You always hear dermatologists mention frequent bathing in allergic cases. With so many therapies, diets and preventatives needed in allergy management, is bathing really that important?

Well, obviously, the answer is yes! But, in this episode, you will find out how to communicate with your clients the importance of lathering their pets up frequently. It is essential to prevent infections, remove pollens and debris from the skin, and restore epidermal health.

Allergy management is multifactorial. Beyond antipruritics and infection control, restoring the epidermal barrier function is important. Several studies show that even normal appearing skin in an allergic dog has abnormalities related to the the epidermal barrier. Using systemic, topical and/or nutritional products to repair the barrier is a wonderful tool to improve overall management of allergic dermatitis.

In the spirit of Halloween, we cover a SPOOKY topic... MRSP. It's not MRSA, but still scary and frustrating or owners and clients. I am joined by Dr. Mitzi Clark, DVM, Dip ACVD, assistant clinical professor at Cornell University's College of Veterinary Medicine.

We discuss how to recognize, diagnose, treat, and prevent MRSP. This is one of the most difficult challenges in veterinary dermatology!

What happens when a dog presents with skin lesions at 12 years old... and never had these issues before? Though allergies can start at an older age, don't always assume this is the case. Endocrinopathies, demodicosis, lymphoma... there are other things that need to be ruled out through a complete history and appropriate diagnostic testing.

Check out a quick snapshot on how to approach a senior dog with their first pyoderma.

There is a lot of debate in veterinary dermatology regarding the use of ear culture and sensitivity testing. Learn some of the pros and cons regarding ear cultures. There is a place for ear cultures, but it is not every case. Learn how topical concentrations can differ from MICs reported on ear cultures and when this diagnostic test can be helpful.

Calcinosis cutis is a clinical presentation that is quite striking. Once you start recognizing the appearance (often a firm erythematous plaque on the dorsum, axilla, etc.), it becomes easier to add to the differential list. It can be caused by endogenous or exogenous steroid. This episode will go over the clinical presentation, diagnostics, and treatment.

Managing otitis cases can be difficult! It is important to know in-house techniques and how to train your clients to effectively clean the ear at home. Choosing the right ear cleaner is essential in clearing a current infection and preventing recurrence. Learn about the different types of ear flushes and why you should carry more than one in your clinic!

Allergen specific immunotherapy has been around for years but the subcutaneous form is more traditionally used. Sublingual immunotherapy (SLIT) has gained more and more popularity as we strive to find different ways to cater to our patients. This episode goes over the basics of SLIT. How efficacious is it compared to subcutaneous immunotherapy? What patients do you prescribe it for? How long does it take to work?

All of your SLIT questions answered here!

Cytology is the minimum database for dermatology cases. However, it is one of the most underutilized diagnostic tests in management of allergic patients. Veterinarians are often nervous to offer cytology based on cost, time or lack of confidence. But, explaining the value of cytology to clients can be easier than you think!

Though cytology has been discussed on the podcast before, today's episode specifically touches on convincing owners the importance of a skin or ear cytology. From what you can find to how it can make management of their allergic pet cheaper long-term.

Is dermatology essential? A big question everybody asked when COVID-19 first started hitting. If allergies aren't fatal, why is it such a big deal for owners to get their pets in right away? There are several quality of life and caregiver burden studies that illustrate how dramatically an owner and pet's life is affected by allergic symptoms and infections.

Today, I am joined by Dr. Becca Mount from Dermatology 4 Animals in New Mexico to discuss how to deal with overwhelmed clients and empathize with their frustrations. It is important to communicate appropriately and get the owner on your team!

Dermatophytosis- one of the great imitators. Though, "classically" people think dermatophytosis should appear as a circular lesion, it usually doesn't. It can appear as erythema, scaling, crusting, ulceration, focal kerion, etc. It can really look like anything!

This episodes gives a cliff note version of clinical signs, diagnosis (cytology, DTM, PCR, biopsy, etc.), and treatment.

I am joined by Dr. Melissa Hall, DVM, Dip ACVD from Metropolitan Animal Specialty Hospital (Los Angeles, CA) to discuss pemphigus foliaceus. This is one of the more common cutaneous autoimmune diseases diagnosed in cats and dogs. It can be an incredibly rewarding disease to manage, but also a very frustrating one.

Dr. Hall and I cover the clinical signs, how to successfully diagnose with cytology and biopsy, and treatment options for dogs and cats with pemphigus foliaceus. It is a fun conversation about a disease process you may see in your clinic!

The nasal planum is depigmented. There are ulcers in the mouth. Crusting with no bacteria present on cytology. How do you handle a case when you suspect an autoimmune disease is present?

Identifying lesions, when cytology is suspicious, and how to biopsy are all covered in today's episode!

Down & Dirty Derm! Today's topic... 5 tips to help set your client expectations when dealing with chronic allergies. To starting the conversation about allergies, getting owners to actually use flea control, and calming angry clients when another ear infection happens... these are quick tips that can help client communication be more effective.

Plant the seed
Be proactive about flares
Empathize and relate
Do what is possible
Relate it to humans

DDD about DLE! Discoid lupus erythematosus is one of the more common autoimmune diseases that affects the nasal planum in dogs. However, it can appear similar to other diseases such as pemphigus foliaceus or epitheliotropic lymphoma. Learn about differentiating clinical signs, selecting areas to biopsy, and treatment options.

Feline allergies can be overwhelming! There are less medications for itchy cats, and a lot of our feline friends won't take oral medications anyway. This emphasizes the importance of working up cat allergies. If we identify the underlying allergy (whether it's flea, food, environmental, or a combination) then we can minimize the use of chronic medications. Making it healthier for the cat, and less frustrating for the owner.

Today, Dr. Eva Ganz, DVM, Dip ACVD from the Metropolitan Animal Specialty Hospital in Los Angeles, CA joins me. Dr. Ganz has done research in feline allergies and has a passion for them! We discuss convincing owners to use flea prevention, how to diet trial picky cats, and our take on success of immunotherapy. You wanted more cats, you got it!

Today's DDD (Down & Dirty Derm) goes over skin scrapings. When do you perform a deep scrape vs. a superficial scrape? And, what about tricky areas like the periocular region? We will go over these simple questions and how to appropriately position your light and condenser to enhance your ability of finding those pesky mites!

Today, we cover skin within veterinary medicine in a completely different and deeper way. Dr. Courtney Campbell is a board certified veterinary surgeon practicing with VetSurg in Ventura, CA. We have a real discussion as a Black male and white female, specialists within veterinary medicine with very different experiences. A raw, candid conversation occurs about race within our field. Dr. Campbell opens up about his experience in the veterinary field as only 2% of veterinarians are Black. We talk about what it means to be a true white ally, white privilege, and the importance of knowing the history of oppression so we can appropriately diagnose the problem and implement the treatment.

It is one of the most important and impactful conversations I have ever had. All of the thank yous to Dr. Campbell for sharing on this episode.

Acral lick dermatitis (aka lick granuloma) can be extremely frustrating with several different causes. From allergies to behavioral to osteoarthritis... there are a variety of triggers that can lead to deep infection and frustrated owners. Learn how to start working these cases up with tissue cultures and diagnostics to figure out the underlying cause.

There are many reasons why today's podcast episode is important. On this episode, I welcome Dr. Jeff Tinsley. At time of recording, Dr. Tinsley is finishing up his dermatology internship with Animal Dermatology Clinic in Louisville, KY and about to start his dream residency at the same clinic. We are both passionate about client communication with chronic derm cases so that was an easy subject for us to discuss.

However, with our country recently waking up to the realness of systemic racism and lack of diversity in the veterinary field (less than 2% being black colleagues), we start out the episode having a genuine, raw conversation of how to embrace and uplift the Black Lives Matter movement. Not just now, but forever.

Another episode of DDD (Down and Dirty Derm)! I address one of the most common questions asked on social media. Every time I show a picture of an infected clawfold... "Do you treat this yeast overgrowth systemically or topically?".

As with any derm topic, IT DEPENDS! I go over the factors that guide my decisions in these cases. Infection severity, patient acceptance, owner ability, recheck cytology, etc. These are all important and discussed in this quick episode!

Today, I am joined by Dr. Ashley Detwiler, DVM, Diplomate ACVD to discuss ectoparasite control, specifically for flea allergic pets. Dr. Detwiler currently practices with Pittsburgh Veterinary Dermatology but has lived in many different areas of the country from Florida to Michigan. So, she has dealt with a lot of different environments and fleas. We discuss how to convince pet owners to use flea prevention, what flea allergies look like in cats and dogs, and the evolution of flea preventatives.

Today's DDD (Down and Dirty Derm) goes over video otoscopy (VO). Whether it is a mass in the ear canal or a terrible chronic Pseudomonas otitis, VO can be an extremely useful tool for your ear cases. It allows magnification of the ear canal to identify small tears in the tympanum and aural masses. Also, the ability to culture and flush out the middle ear.

Learn why referring your ear cases for VO will make your local dermatologist and clients happy!

In the last couple of months, our world forever changed due to COVID-19. And veterinary medicine was asked to pivot and adapt very quickly. Telemedicine has been the hottest (and most debated) topic in the healthcare industry. Sure, it is more convenient to allow clients and patients to stay at home. But, are we able to practice appropriately? What about cytology? Otoscopy? Are clients accepting of full exam fees?

Today, I am joined by Dr. Jacqueline Gimmler from Animal Dermatology Referral Clinic in Grapevine, TX. Dr. Gimmler is a board certified dermatologist strictly practicing telemedicine at this time, We discuss our experiences with dermatology telemedicine including how to address suspected infection, setting up client expectations, otitis treatment without otoscopy, and much more!

Introducing DDD (Down and Dirty Derm)! These episodes are meant to be quick, bite-sized bits of information. Fast tips that you can put into practice right away or refer back to after you see a derm case. Our first DDD episode will be how to perform a good diet trial. Refer back to episode 10 for a more in-depth discussion about food allergies. But this episode provides a step-by-step guide of how I navigate a diet trial through anti-pruritics, rechecks and ingredient challenges. Enjoy!

If you are finding this podcast helpful then please leave a review so we can continue to reach more people in the veterinary industry!

Today, we welcome Dr. Andrew Rosenberg, DVM, Dip ACVD to the podcast to discuss topical therapy! Dr. Rosenberg owns and practices at Animal Dermatology & Allergy Specialists in New Jersey and New York. Multimodal therapy is very important in allergic cats and dogs and should include topical therapy. This can help minimize the use of systemic medications in our chronic itchy patients.

But many questions arise about topical protocols... How often should you bathe a dog with pyoderma? What if the owner can't bathe? What shampoo should you recommend? What about cats? We cover all these questions and more!

Today's episode features Dr. Lo Curtis, a neurologist practicing in the Austin, TX area. Dr. Curtis is making her own splash in the veterinary industry through her podcast (Thrive DVM) which discusses health and mental well being. But, in this episode, I pick her brain (ha!) about neurologic symptoms that otitis cases can show such as facial paralysis and Horner's syndrome. We also discuss myringotomy, primary secretory otitis media, diagnostic imaging and empirical antibiotic treatment. It is a fun and energetic episode!

This episode features Dr. Tannetje Crocker, an amazing small animal general practitioner and emergency veterinarian practicing in north Texas. Dr. Crocker goes over how she communicates the chronicity of allergies to her clients and derm referral even when cases are doing well. We also discuss medication withdrawal prior to allergy testing, whether to diet trial prior to referral and (unrelated to derm) how to train yourself to be an early riser.

This is a fun conversation between two moms trying to make a difference in the veterinary industry!

This episode features Dr. Kacie Blessing, DVM, Dip ACVD (from Animal Dermatology Clinic in San Diego, CA) discussing tips on how to convince your clients to perform a quality diet trial. We also talk about when a diet trial is pertinent in the allergic workup for your patients and which diets to select.

Enjoy listening to two dermatologists give you their perspectives on how they handles these cases!

The first otitis episode! Do you cringe when a recurrent otitis case ends up on your appointment schedule? We have to look beyond treating the bacteria and yeast! Learn about the PSPP system. The acronym PSPP (Primary causes, Secondary causes, Predisposing factors, Perpetuating factors) breaks down how to approach creating a diagnostic workup and treatment plan for your chronic otitis causes from multiple angles. A great way to start learning more about dog and cat ears in this introductory podcast episode to otitis.

There are so many different anti-itch and anti-inflammatory medications out there. Which do you reach for when dealing with an allergic dog or cat? Dermatology is not cookie cutter and there are so many different combinations of therapies out there for managing allergic dermatitis. This episode will explore different guidelines for when to select Apoquel, Cytopoint, Atopica or corticosteroids. Examples include diet trials, young dogs, concurrent diseases and stenotic otitis.

You don't have to dread seeing feline derm cases! By using fear free techniques and understanding the unique ways cats exhibit different hypersensitivities, feline dermatology can be fun and rewarding! This episode goes over some basic ways you can quickly improve your skills when working up a cat with allergies. Future episodes will go more in depth regarding the allergic workup itself and treatment options.

If you have a perfectly controlled allergic patient on medications, why bother to refer them for allergy testing and immunotherapy? There are so many tools we have to provide a good quality of life for our allergic pets. However, allergies are a chronic disease process and we want to make sure to offer the best, safest long term options. This episode will go over the basic philosophies of immunotherapy and why you should refer to your local dermatologist for environmental allergy testing.

Being a veterinarian is hard. Being a mom is hard. Being a vet mom definitely has its challenges. But it can be one of the most rewarding titles! As working moms are taking over the veterinary field, it is important for us to support one another and be transparent. We can learn from each other and get through the crazy seasons of life by sharing the ups and the downs. This podcast will break down tips to preserve your sanity, focus on work-life integration and be productive as a #vetmom.

A skin biopsy is one of the most important diagnostic tools in veterinary dermatology. When performed properly, it can provide a wealth of information and, hopefully, a definitive diagnosis. However, inconclusive results can be frustrating for the clinician and owner. In this episode, we will discuss tips to maximize collection of quality skin biopsies including site selection, timing of procedure, technique and submission.

Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

Is it a rash that itches? Or an itch that becomes a rash? There are so many clues that can be discovered in a quality derm history. But it can be daunting to ask so many questions when you are short on time. Learn some directed questions to help guide you through the diagnostic workup of your itchy patients.

Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

Pododermatitis is an inflammatory process that can cause a lot of discomfort and inflammation to the paws of dogs and cats. This episode goes through diagnostic testing and differentials for pododermatitis including demodicosis, interdigital cysts and dermatophytosis. Paw pads and claw disorders will not be covered in this episode.

Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

Cytology should be performed on a frequent basis in any veterinary clinic seeing daily dermatology cases. However, it is often one of the most underutilized tools. Becoming familiar and comfortable with collecting and reading cytologies can be a game changer for your itchy patients! It is a quick, cost effective diagnostic tool that can help guide your workup and evaluate the patient's response to medication. We will cover collecting cytology samples and how to use it in your daily practice. Don't fear the smear! Make it your favorite tool in dermatology!

Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/