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| =====Nutritional/metabolic/debilitation/toxicosis===== | | =====Nutritional/metabolic/debilitation/toxicosis===== |
| Iodism, plant toxicoses, selenium, anhidrosis, starvation, chronic hepatic/renal disease | | Iodism, plant toxicoses, selenium, anhidrosis, starvation, chronic hepatic/renal disease |
| + | |
| + | ==Clinical signs== |
| + | The signs can be '''obvious or subtle''', depending on the disease. Congenital hair loss is often symmetrical and not accompanied by any inflammatory changes. |
| + | |
| + | In acquired alopecia, the clinical signs are influenced by the cause. The alopecia can be '''localised, multifocal, symmetric or generalised'''. |
| + | |
| + | Inflammatory changes such as: '''lichenification, hyperpigmentation, erythema, scaling and pruritus''' are common. Some causes of alopecia predispose animals to developing '''secondary skin diseases''' such as bacterial pyoderma or seborrhoea. |
| + | |
| + | In '''endocrine disorders''', the pattern of loss is symmetrical, often in wear areas first, and pruritus is not generally present. |
| + | |
| + | ==Diagnostic tests== |
| + | A thorough history and physical examination are very important. |
| + | |
| + | '''Key points in the history''': breed (any congenital predispositions), duration and progression of lesions, presence of pruritus, evidence of contagion, other non-dermatological problems. |
| + | |
| + | On '''physical examination''': the type and distribution of lesions should be noted. |
| + | |
| + | '''Hairs''' should be examined to determine if they are being shed from the follicle or broken off, which suggests pruritus. |
| + | |
| + | Diagnostic tests: |
| + | |
| + | '''Skin scrapings''': for ectoparasites (especially ''Demodex'') |
| + | |
| + | '''Hair brushings''': for fleas, mites, lice |
| + | |
| + | '''Tape strips''' for bacterial or yeast infections |
| + | |
| + | '''Fungal culture''' for evidence of ringworm |
| + | |
| + | '''Skin biopsy''': if the other tests are normal. The hair follicles and structures can be examined and any inflammatory patterns can be noted. |
| + | |
| + | '''Haematology and biochemistry''' are helpful in the diagnosis of endocrinopathies, and specific '''endocrine function tests''' should be performed if such a disease is suspected. |
| + | |
| + | ==Treatment== |
| + | This will depend on the underlying cause of the alopecia. |
| | | |
| ==References== | | ==References== |
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| [[Category:To Do - Helen]] | | [[Category:To Do - Helen]] |
| + | [[Category:To Do - Review]] |
| | | |
| [[Category:Integumentary System - Developmental Pathology]] | | [[Category:Integumentary System - Developmental Pathology]] |