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Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 25541
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My American bulldog has dry crusty bulbs on her nose. What

Customer Question

My American bulldog has dry crusty bulbs on her nose . What is this and how can I get rid of them?
Submitted: 3 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 3 months ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 3 months ago.

I suspect that her nose is hyperkeratotic but I'd like to take a look at it. Can you upload a photo(s) of her nose to our conversation? You can use the paperclip icon in the toolbar above your message box (if you can see that icon) or you can use an external app such as dropbox.com/

Customer: replied 3 months ago.
Did you receive the picture??
Expert:  Dr. Michael Salkin replied 3 months ago.

No, nothing has uploaded. Please try again.

Customer: replied 3 months ago.
I uploaded the picture on dropbox
Expert:  Dr. Michael Salkin replied 3 months ago.

I'll need the link to it posted here.

Customer: replied 3 months ago.
https://www.dropbox.com/s/usqcoiaozjetcxo/20161026_103854.jpg?dl=0
Expert:  Dr. Michael Salkin replied 3 months ago.

Thank you! She suffers from a severe hyperkeratosis of her nose.

This is an idiopathic (unknown cause) condition characterized by the excessive formation of nasal keratin. Thickened, hard, dry keratin accumulates on the nasal planum - mostly on the dorsum of the nose as is the case here. Secondary erosions, ulcers and fissures may be present and represent an autoimmune skin disease (the immune system is attacking my patient’s own tissues). Autoimmune skin disease is identified only by biopsy.

The intensity of therapy depends on the severity of the lesions. The nasolacrimal ducts should be flushed because blockage of those ducts may present a contributing factor. For mild, asymptomatic cases, affected areas should be hydrated with a warm water soak. A softening agent, then, should be applied every 24 hours until excessive keratin has been removed (~7-10 days). Treatment should be continued on an as-needed basis for control. Effective softening agents include the following: petroleum jelly, A&D ointment, ichthammol ointment, salicylic acid/sodium lactate/urea gel, and tretinoin gel. (The last three are available from her vet.) For fissured lesions, combination antibiotic/glucocorticoid ointment (Panalog, e.g.) may be applied to lesions every 8-12 hours until healed. Horny growths should be trimmed away before hydration and softening therapy are begun.The prognosis is good. Although it's incurable, this is a cosmetic disease that usually can be managed symptomatically. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 3 months ago.
Hi,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin

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