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[[Image:Small Animal Dermatology Q&A 14.jpg|centre|500px]]<br>
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'''A chocolate Labrador retriever puppy was presented for the acute onset of facial swelling, depression, and anorexia. Upon physical examination, the puppy was found to be febrile and have generalized lymphadenopathy.'''

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<FlashCard questions="3">
|q1=This is a classic presentation of what disease?
|a1=
Canine juvenile cellulitis or puppy strangles. <br><br>
This is an inflammatory granulomatous and pustular skin disease that affects the face, pinnae, and lymph nodes of puppies. The cause is unknown.
|l1=
|q2=What diagnostic tests are indicated, and what is the treatment of choice?
|a2=
The clinical signs can present as deep pyoderma or severe pustular dermatitis. The primary differential diagnoses are
*demodicosis,
*bacterial pyoderma, and
*drug reactions. <br>
Skin scrapings are needed to rule out demodicosis. Impression smears should be obtained to determine if there is a concurrent bacterial infection. Although not necessary for diagnosis, skin biopsy findings are consistent with granulomatous panniculitis. <br><br>
Glucocorticoids are the treatement of choice for this disease. Early and aggressive treatment is needed because this disease can be life threatening and can cause severe scarring.
*Prednisone or prednisolone (2 mg/kg PO q24h) is administered until the lesions resolve (10–21 days).
*After the lesions resolve, the dose of prednisone should be gradually decreased and tapered over a 30 day period.
*If glucocorticoids are discontinued too rapidly, relapse will occur.
*Topical therapy with warm antibacterial soaks may be used to remove debris and exudates.
|l2=
|q3=What are the less common presentations of this disease?
|a3=
This disease can develop in older dogs (>6 months age) as periocular granulomatous dermatitis. Puppies may also develop nodular panniculitis alone or with classic lesions.
|l3=
</FlashCard>

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