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Food trials are often used during the course of a work-up for atopic dermatitis to eliminate food allergy as a cause of pruritus. Many atopic animals non-specifically improve during food trials on prescription hypoallergenic diets, which may be attributable to several of their components. The inclusion of zinc and long-chain omega essential fatty acids is thought to reduce inflammation, and substances such as inositol, choline, histidine, pantothenate and nicotinamide may help improve epidermal lipid barrier<sup>4</sup>.
 
Food trials are often used during the course of a work-up for atopic dermatitis to eliminate food allergy as a cause of pruritus. Many atopic animals non-specifically improve during food trials on prescription hypoallergenic diets, which may be attributable to several of their components. The inclusion of zinc and long-chain omega essential fatty acids is thought to reduce inflammation, and substances such as inositol, choline, histidine, pantothenate and nicotinamide may help improve epidermal lipid barrier<sup>4</sup>.
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====Topical therapy====
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The use of topical shampoos and washes can also be beneficial. As well as physically removing allergens from the skin and coat, moisturising shampoos can hydrate the skin and improve the lipid barrier. Colloidal oatmeal may also have a direct antipruritic action<sup>4</sup>. Anti-microbial or anti-scaling shampoos, and ear cleaners can prove useful in certain cases depending on presentation.
Topical therapy has a number of benefits although
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it is time-consuming. Physical removal of allergens
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is likely to be helpful. Hydration can be prolonged
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by using moisturizing shampoos and conditioners.
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These can also improve the skin lipid barrier.
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Colloidal oatmeal may also have a direct antipruritic
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action. Virbac’s Allermyl® range contains
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linoleic acid (improves the skin lipid barrier),
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vitamin E and mono-oligosaccharides (may reduce
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TNF-α production and prevent microbial adherence)
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and piroctone olamine (modulates the skin flora).
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Chitosanides and microspherulites help prolong
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retention and activity on the skin and coat. Other
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topical products that may be helpful in individual
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cases include ear cleaners and anti-microbial or
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anti-scaling shampoos. The exact balance of
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desired effects varies between individuals, so be
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prepared to try different products and/or alternate
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between antimicrobial and emollient shampoos.
      
====Essential fatty acids (EFA)====
 
====Essential fatty acids (EFA)====
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