A lick granuloma , also known as acral lick dermatitis , is the most common skin disorder found in dogs, but also in cats. In dogs, it is usually the result of a dog's urge to lick the bottom of one of its legs.
Lesions can initially be red, swollen, irritated, and bleeding, similar to hot spots (wet eczema). Licking the incessant lesions in the animal eventually results in a thickened, hard, oval, oval plaque, which is a granuloma.
The main causes of benign granulomas appear to be psychological, associated with stress, anxiety, separation anxiety, boredom, or compulsive disorder. Granuloma jelly is especially noticeable in active dogs that are left alone for long periods of time. One theory is that excessive licking causes the release of endorphins, which relieves pain and makes animals feel temporarily excited; The effect then causes an addiction to licking.
Other triggers include itchy skin, painful conditions caused by trauma to the skin, arthritis, neuralgia, and peripheral neuropathy. Bacterial or fungal infections of the skin can also trigger itching, such as skin mites, allergies, reactions to environmental irritants or toxins, hyperthyroidism, and certain types of cancer.
Treatment of the main cause, if known, is very important. In psychogenic cases, psychological factors must be identified and addressed, such as allowed to be all day long, limited, and changed in the household.
Video Lick granuloma
Symptoms
Lick granulomas are a form of self-trauma and skin disorders in which most often dogs, but also cats, continue licking small areas of their bodies until they become raw and inflamed. The most common areas affected are the lower (distal) legs of them, such as the carpus (wrist), or sometimes other parts of their body like the base of their tails.
Lesions can initially be red, glossy, swollen, hairy, irritated, and bleeding, similar to hot spots (wet eczema). Finally came the hard forms of plaque.
Maps Lick granuloma
Cause
A common cause of benign granulomas appears to be psychological, related to stress, anxiety, separation anxiety, boredom, or compulsive disorder. Granuloma jelly is especially noticeable in large active dogs that are left alone for long periods of time. It is often regarded as a form of obsessive-compulsive disorder of dogs.
But other less common causes include bacterial or fungal infections, trauma that causes nerve damage, allergies, or joint disease. Hot spots can also cause granuloma jilat formation.
Many large breeds seem to tend, as well as golden retrievers and other bird dogs. Most dogs with conditions more than five years. Seventy percent of the time it happened to one of the dog's left leg. The problem of arthritis and mobility in older dogs gives them more time to lick and take care of themselves.
The frequent formation of granuloma licking in the same area due to continuous licking will cause hardening, unfeeling formation, hair loss (hair can stop growing again), and hyperpigmentation into the area. This condition becomes a vicious cycle - skin erosion from licking leads to pain and itching, which causes more licks. Lick granulomas sometimes become infected by bacteria, causing an abscess or fistula area (furunkel).
Treatment
Primary cause
Treatment of the main cause, if known, is very important.
In psychogenic cases, dealing with psychological factors is the most important. Factors should be identified as being left all day, limited, and changed in the household. Correction of these causes may include increased roads, avoiding confinement, and more home interaction. Some veterinarians have proposed that diet can affect compulsive behavior in dogs.
Drugs can be used until behavior modification has time to apply. The most commonly used antidepressants, including doxepin, amitriptyline, fluoxetine, and clomipramine. If psychological factors are not corrected, pets will usually recur after medication is stopped. Endorphin blockers such as naltrexone can be used to reduce licking addiction, or substitute endorphins such as hydrocodone may decrease the urge to lick.
Animals should be tested for allergies, and treated well if positive (fatty acids, antihistamines, hypoallergenic diet, etc.). It may also be necessary to check thyroid levels, because hypothyroidism appears to play a role in some cases, especially in black Labrador retardation; Thyroid drugs will often solve the problem if it is due to hypothyroidism.
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Lesions should also be treated.
Class 4 infusion laser treatments have been used with great success, although it may take some care to achieve the desired results.
Licking can be prevented by the use of Elizabethan collars, battery-enhanced wrappers, bandages, anti-lick ointment (which tastes uncomfortable), and anti-junk strip (which is not good or just provides a barrier). It is important to catch the lesions early and keep animals from licking them to reduce inflammation and develop habits. Topical drugs such as corticosteroids or DMSO may be effective if used early.
Small lesions may be injected with triamcinolone or methylprednisolone. Oral antibiotics are used to control infection. Surgery can be done to remove all lesions, but there is a risk of self-circumcision to the area afterwards. Other potential treatments include cryosurgery, laser surgery, radiation therapy, and acupuncture. It is important to note that many dogs will lick other legs, other areas in the same leg, or elsewhere, creating new luminescent granulomas, if they are prevented from licking the original while healing.
Success rate
Overall, granuloma jelly is very difficult to treat, with controls only achievable in about 65 percent of cases. Some animals will continue to lick in the area even if using anti-jilat or spray ointment to block them, for example.
Dog slaves are often affected
References
Source of the article : Wikipedia
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