Professional Documents
Culture Documents
Dr.Kedar Karki
A. General Considerations:
a. Atopy/food allergy.
b. Endocrinopathies.
c. Ectoparasites.
B. Etiology:
C. Clinical Signs:
1
often extremely pruritic and, they do not lick at their feet but, they chew at
them!
D. Diagnosis:
1. Cytologic examination is the most useful and readily available diagnostic tool.
c. All material is transferred to a glass slide, heat fixed (but not if cellophane
tape has been used), and stained with new methylene blue or Diff Quick
for cytologic examination.
d. Examine your glass slide under oil immersion. If cellophane tape prep has
been used, put first a drop of oil on the glass slide then the tape, and again
apply another drop of immersion oil on the tape surface.
e. Find budding yeast often associated with squamous cells.
3. Skin biopsy.
2
E. Treatment:
1. Topical shampoos:
d. Dermazole shampoo
2. It is not degreasing.
2. Systemic therapy:
3
c. In occasions when only the feet or a focal area is affected, you can use
topical creams or ointments containing antifungal agents (such as
clotrimazole, miconazole). I like to use Otomax (contains clotrimazole,
gentamicin and betamethasone valerate) in between the digits and in
between the footpads to manage malassezia pododermatitis.