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Ask Dr. Michael Salkin Your Own Question

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Vet
Satisfied Customers: 24381
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
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I have a8month old Lakeland x fox terrier she started scratching

Customer Question

I have a8month old Lakeland x fox terrier she started scratching around may 24,we have had special shampoo virbac sebocalm for dry seborrhoea bathed once a week for approx. 6 weeks no result she as had a course of antiestermin no results then a course of steroids did help stop scratching but after approx. 2weeks back to the same / she as had biopsies in 3 places , blood test, and skin scrape results are positive , high positive, and negative,i will give the positive results only, soya bean1ge high positive/soya bean1gg positive/corn1ge high positive/corn 1gg/ wheat 1ge high positive/wheat 1gg positive/ rice1ge high positive/rice1gg positive grasses cocksfoot dactylis high positive/ timothy phleum high positive/ ryegrass high positive/oat grass high positive/ rye secale high positive/rape brassica high positive/weeds/ mugwort artimisia vulgaris high positive/ragweed ambrosia elatior high positive/ goosefoot chenopodium album high positive/ dock rumex high positive/ plantain plantago positive/ trees, tree mix betulaceae positive/ privet ligustrum positive/beech fagus positive/ ash fraxinus positive/ willow salix positive/ moulds are negative, mites dermatophagoides farina positive/ storage mites tyrophagus putrescentiae borderline/lepidoglyphus destructor borderline/ I hope you will be able to help, kind Regards Patricia.
Submitted: 3 years ago.
Category: Vet
Expert:  Dr. Michael Salkin replied 3 years ago.
Aloha! You're speaking with Dr. Michael Salkin
Patricia, I'm a bit puzzled and I apologize for the delay in responding to you. Pebbles is evidently atopic - allergic to environmental allergens - so I believe you're stating that an antiserum has been ineffective? Please correct me if I'm wrong.

She's also intolerant to a few grains so has a hypoallergenic diet been initiated? Food intolerance/allergy is addressed with prescription hypoallergenic diets. These special foods contain just one novel (rabbit, duck, e.g.) animal protein or proteins that have been chemically altered (hydrolyzed) to the point that Pebbles's immune system doesn't "see" anything to be allergic to. The over the counter hypoallergenic foods too often contain proteins not listed on the label - soy is a common one - and these proteins would confound our evaluation of the efficacy of the hypoallergenic diet. The prescription foods are available from her vet. There are many novel protein foods and a prototypical hydrolyzed protein food is Hill’s Prescription Diet z/d ultra. A positive response is usually seen within a few weeks if we’ve eliminated the offending food allergen. Food intolerance can arise at any age and even after our patient has been eating the same food for quite some time.

Has the use of cyclosporin (Atopica) been mentioned to you? This immunosuppressive can take the place of steroids when addressing atopic patients. Side effects are far less with cyclosporin and it can be administered long-term if need be.

Please respond with additional information and further questions or concerns if you wish.

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