Had a great visit at the Vet Dermatologist and it is pointing more to Food Allergies. Dermatologist notice some things that neither my regular vet nor I saw before. Specifically his paws and skin as I just kept concentrating on his head shaking only.
Dermatology Physical Exam: Non-seasonal mild pedal licking lately shaking of the head and digging at the neck, tried
apoquel in the past did not help ear symptoms.
Skin Description: Mild erythema of a few areas under each ear and mild alopecia and oily seborrhea of the plantar
aspect of the paws, subtle changes on his chin from prior pedal licking
AS (left ear): Mild lichenification on concave pinna, no major excoriations noted AU (both ears)
AD (right ear): No odor or pain reaction from ears AU, negative pinna-pedal reflex
Otoscopic Exam – Left: Mild cobblestone hyperplasia on surfaces of all aspect of the ear canal, no stenosis and no
ulcerations, mild edema and slight erythema AU
Otoscopic Exam – Right: No excessive exudate note
Assessment: We talked about how the diet trial would have to be a little stricter for the full 60-90 days to yield a
conclusive answer… and if not seeing a significant effect over the next 5-7 weeks then we could potentially be going
more towards environmental allergies as the likely life long trigger of the mild skin, paw and ear issues
Also we looked within his ear canal and on the screen we saw his ear canals were red in irritation. Cool to see the inside of his ear cannals on a giant tv screen as he used his scope with a flashlight to go down deep into his ear.. The ear cannals were visibly red with mild irritation.
