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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 27933
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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My BLF has what is called Scruf. It doesnt bother her as

Customer Question

My BLF has what is called Scruf. It doesnt bother her as much as it bothers me. I can scrape the bumbs off with my thumbnail but after 4-6 months they are back. No knowing what to use I treated her with Neo-Sporin. Dont know if it will work or not. What treatment will cure the problem ?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

I believe that you're referring to "scruff" which is a colloquial term for seborrhea in dogs. Seborrhea is a term implying a disorder of keratinization and maturation of the skin. Here's a synopsis of how you can approach seborrhea in Misty:

1) Ensure good nutrition. A commercially balanced dog food that meets AAFCO requirements should be fed. You should find the AAFCO statement on the food label.

2) Any secondary bacterial or yeast (Malassezia) skin or ear infection should be treated with appropriate topical and systemic therapies. Periodic treatments or long-term, low-dose maintenance therapy may be needed because these dogs are susceptible to recurring infection.

3) For symptomatic control of ceruminous otitis, long-term maintenance ear care is necessary. Ear treatments with a multimodal therapy (consult with Misty's vet) or ear cleaner should be administered to both ears every 1-7 days to control cerumen (wax) accumulation.

4) For symptomatic control of seborrhea, antiseborrheic shampoos and emollients may be used every 2-7 days until the skin condition is improved (~2-3 weeks), then, bathing frequency should be decreased to every 1-2 weeks or as needed for maintenance. Antiseborrheic shampoos contain some combination of sulfur, salicyclic acid, tar, benzoyl peroxide, and phytosphingosine.

5) Daily oral fatty acid supplementation may be helpful as an adjunct therapy (180mg EPA/10lbs). EPA is thought to be the most antiinflammatory of the essential omega-3 fatty acids. It's plentiful in fish oil supplements.

6) Vitamin A 8000-10,000 IU per 20lbs orally administered with a fatty meal every 24 hours. Improvement should be seen within 4-6 weeks.

7) For dogs with severe, greasy, malodorous, pruritic (itchy) seborrhea, treatment with systemic corticosteroids may be helpful. Acitretin (a retinoid) may be helpful in some dogs. Calcitriol (vitamin D) may be helpful in some cases.

The prognosis is variable, depending on the severity of the seborrhea. This is an incurable condition that requires lifelong therapy for control. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 1 year ago.
Hi Rodney,
I'm just following up on our conversation about Misty. How is everything going?
Dr. Michael Salkin

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