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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Vet
Satisfied Customers: 61879
Experience:  University of California at Davis graduate veterinarian with 48 years of experience.
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My dog has a sore on his cheek that I thought was caused by

Customer Question

Hi my dog has a sore on his cheek that I thought was caused by a grass allergy but its swollen around the area and he has a rash on his skin that's lumpy
JA: I'll do all I can to help. What is your dog's name and age?
Customer: Winston and he's 6
JA: Is there anything else the Vet should know before I connect you? Rest assured that they'll be able to help you.
Customer: He is 6 and is called Winston
Submitted: 17 days ago.
Category: Vet
Expert:  Dr. Michael Salkin replied 17 days ago.

Dr. Michael Salkin is typing. Please be patient.

Expert:  Dr. Michael Salkin replied 17 days ago.

I'm sorry to hear about this with Winston. Can you upload photos of representative skin to our conversation? You can upload photos by texting them, or by using the paperclip or add file icons above your message box...if you can see those icons on your device. You can also use an external app such as dropbox or navigate to justanswer.com/help/using-justanswer and scroll down to "other".

Customer: replied 17 days ago.
I have also found this lump on his paw
Expert:  Dr. Michael Salkin replied 17 days ago.

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

Expert:  Dr. Michael Salkin replied 17 days ago.

The paw lump needs to be needle aspirated and the aspirate examined microscopically. It can indicate tumor, cyst, abscess, seroma (serum-filled), or hematoma (blood-filled).

The cheek lesion appears to represent pyotraumatic dermatitis ("hot spot) caused by his excessive scratching at the area most often caused by th4e pruritis (itchiness) of atopy or food intolerance. The area needs to be clipped and cleaned, a combination steroid-antibiotic spray applied, and an oral steroid +/- antibiotic prescribed by Winston's vet.

Atopy is more common than food intolerance. It's usually initially addressed with a steroid such as prednisolone. In some dogs, an over the counter antihistamine such as chlorpheniramine (Chlor-Trimeton, generics) dosed at 0.1-0.25 mg per pound of bodyweight every 8-12 hours or diphenhydramine (Benadryl, generics) dosed at 1-2 mg per pound of bodyweight every 8-12 hours (maximum dose of 50 mg at any one time) daily may be effective but is unreliable. Oral oclacitinib (Apoquel) and injectable Cytopoint are additional immunomodulary drugs to consider. Cyclosporin - a chemotherapeutic agent - is another consideration particularly when a steroid is contraindicated by concurrent disease or unacceptable adverse effects. Atopy usually causes diffuse pruritis - all body areas can be affected.

Please respond with additional questions and concerns if you wish.

Customer: replied 17 days ago.
OK his skin has a red lumpy rash aswell
Expert:  Dr. Michael Salkin replied 17 days ago.

Are you referring to the pyotraumatic dermatitis on his cheek that I discussed above?

Customer: replied 17 days ago.
No
Expert:  Dr. Michael Salkin replied 17 days ago.

Please upload a photo of the red lumpy rash, please.

Customer: replied 17 days ago.
File attached (TMLMQ12)
Expert:  Dr. Michael Salkin replied 17 days ago.

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

Expert:  Dr. Michael Salkin replied 17 days ago.

I regret that I don't see a red lumpy rash in that photo. Make sure that his vet takes a look at that area when attending to the hot spot.

Customer: replied 17 days ago.
Okay Thank-you for your help
Expert:  Dr. Michael Salkin replied 17 days ago.

You're quite welcome. I can't set a follow up in this venue and so please return to this conversation with an update at your convenience. . I can't set a follow up in this venue and so please return to our conversation with an update at your convenience.