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She has swollen nose crusty on top, round circular spot top…

Customer Question
She has swollen nose...

She has swollen nose crusty on top, round circular spot top of nose. noisy breathing from swollen nostrils

Veterinarian's Assistant: I'll do all I can to help. What is the dog's name and age?

Buttercup 8yrs old

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about the dog?

Golden retreiver, always been healthy. I took her to dog park recently

Submitted: 3 months ago.Category: Dog Veterinary
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Answered in 5 minutes by:
4/2/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,871
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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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.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Can you upload a photo(s) of Buttercup's nose to our conversation? You can upload photos by using the paperclip or add file icon in the toolbar above your message box (if you can see those icons on your particular device) or you can use an external app such as dropbox.com/ Please check that the photo(s) is in focus prior to uploading it.

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Customer reply replied 3 months ago
Im at work, i texted my daughter to send me picture via text. not sure how i can attach to here from phone
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

I understand. Please contact customer service at ww2.justanswer.com/contact-us or 1-***-***-**** in that regard.

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Customer reply replied 3 months ago
No call, I'm hard of hearing. Texting better
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

No worries. My state board of veterinary examiners doesn't allow me to speak to customers by phone in this venue.

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Customer reply replied 3 months ago
my daughter not home, right now. Her nose looks like it has ulcers inside nostril. I gave her a bath and now i have rash on my neck. So im assuming what ever she has is contagious
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

You can return to our conversation at your convenience. You can bookmark this page for ease of return. If the round circular spot on top of Buttercup's nose represents ringworm (fungus/dermatophyte infection), yes, it's contagious to you. Ulcers inside the nostril, however, can represent bacterial infection or autoimmune skin disease such as discoid lupus erythematosus or the pemphigus complex. I'll need to see what you're seeing to be most accurate for you.

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Customer reply replied 3 months ago
ok, Im off work at 12. i will go home and send picture. Thank you
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Sounds good. I'll watch for your next post.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Thank you. Give me a moment to take a look, please...

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

The crustiness represents nasal hyperkeratosis. Here's more on that:

This is an idiopathic (unknown cause) condition characterized by the excessive formation of nasal keratin. Keratin is a structural protein of skin. Thickened, hard, dry keratin accumulates on the nasal planum - mostly on the dorsum of the nose. 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 diseases are confirmed 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 Buttercup's 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.

Regretfully, I can't see into his nostrils due to shadowing in the pics. The circular spot on top of his nose is out of focus and so I can't assess it as well as I'd like to but considering that there's hyperkeratosis, ulceration inside the nostrils and there's now erythema (redness) on his snout, there's a good chance that all of these changes are due to autoimmune skin disease. Buttercup's vet will want to examine these areas hands-on and is likely to recommend biopsying representative areas. Please continue our conversation if you wish.

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Customer reply replied 3 months ago
Auto immune meaning cancer?
Customer reply replied 3 months ago
Can you give rx for panalog?
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

No, autoimmune describes my patient's immune system attacking my patient's own tissues.

Regretfully, no, we're not allowed to prescribe through this venue. Please continue our conversation if you wish.

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Customer reply replied 3 months ago
I forgot she keeps sneezing too
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Thank you. Those changes just inside her nostrils are likely to be responsible for her sneezing. I don't expect to find changes that aren't visible with the naked eye; in other words, I don't believe that scoping her nose under sedation will be needed.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian 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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Customer reply replied 3 months ago
No different
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Thank you. Buttercup is going to need the attention of her vet. Feel free to share our conversation with the vet.

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