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My Chinese Crested has a weird rash on her back. I have

Customer Question
My Chinese Crested has...

My Chinese Crested has a weird rash on her back. I have pics

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

Maggie. She’s around 4 years and s very hairy hairless

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Maggie?

No. She’s healthy but this skin thing is new

Submitted: 3 months ago.Category: Dog
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Customer reply replied 3 months ago
Oh guess it worked. Answer?
Customer reply replied 3 months ago
When?
Customer reply replied 3 months ago
Am I going to get an answer or did I just waste my money.
Answered in 3 hours by:
3/25/2018
Dog Specialist: Dr. B., Veterinarian replied 3 months ago
Dr. B.
Dr. B., Veterinarian
Category: Dog
Satisfied Customers: 23,189
Experience: Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your wee one’s situation, and wanted to help.

Again I do apologize that my colleagues could not aid you sooner, but can you tell me:

How long has Maggie had these?

Are they itchy for her?

Any other changes to the skin (ie pustules, pimples)?

Any diet change in the 2 months before this started?

What flea treatment did you use? When did you last apply it?

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Customer reply replied 3 months ago
I just put frontline on last night. They don’t seem too itchy but she does try to chew. A couple of weeks I think I have her a bath last night. When I first noticed it she also had what looked like flea dirt on her skin. And the red pustules used to be scabs. No change in diet.
Dog Specialist: Dr. B., Veterinarian replied 3 months ago

Hello again,

First, I would note that when we see these kinds of skin lesions, it raises a few concerns. That said, looking at these, I'd note that we'd be less concerned about fungal causes or autoimmune skin issues; but mites/lice, and bacterial infection would be our main concerns. As well, we cannot fully exclude an underlying allergies precipitating this.

With this all in mind, we are a bit limited in what we can do against mites/lice if you have just used Frontline. It will only cover for fleas and we'd really need to use a multi-species alternative (ie Advantage Multi, Selemectin based products, Bravecto, etc) but we cannot use these for another week (since we don't want those to interact with Frontline). So, that is something to keep in mind if these signs persist despite the following bacterial focused topical supportive care.

Now in regards ***** ***** infection concerns, if there is only a small area affected, we can try to topically treat it., though if large then we'd want to have Maggie's vet assess this with a view to starting systemic antibiotics/anti-inflammatories. For topical care, you can start by cleaning this 2-3 times daily with a mild antiseptic (ie dilute betadine, chlorohexidine, or salt water). Afterwards, pat the area dry and apply an OTC antibiotic cream to reduce bacterial load. As well, since we need to prevent self-trauma, after all this we can put an ecollar on your wee one (or a tshirt or boxer shorts depending where on the back we need to cover) to protect this.

As well, since these rashes can often be triggered by an underlying allergy, you can also consider an antihistamine at this stage. Most commonly we use Benadryl/Diphenhydramine (0.5-2 mg per pound of their body weight every 8-12 hours) to reduce allergic irritation. We like to keep the dose low, as it can cause drowsiness (just like people). And of course, this medication shouldn't be used if your wee one has any pre-existing conditions or is on any other medication without speaking to your vet first.

Overall, these lesions do raise concerns of possible mites or bacterial infection. So, the above would be our next step here to see if we can reduce this. Though if it worsens or since we cannot use another spot on for mites for a week, we may want to have her local vet check for the above as there will be prescription options to treat for mites now that can be used safely but also so we can get her on systemic treatment if need be.

Kind regards,

Dr. B

**************************

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Dog Specialist: Dr. B., Veterinarian replied 3 months ago
Hi,

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

Dr. B.
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