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==Signalment==
==Signalment==
"Molly", a 10 year old, female, neutered Border Collie is presented for investigation of a skin complaint.
==History==
==History==
Molly's owner has brought her in because she is scratching, especially on her head. She is also shaking her head. The owner thought that Molly had a louse infestation and has treated her with louse powder from a pet store. Despite this, Molly's skin condition has got worse. The owner reports that his other dog's skin is normal. The owner has no skin lesions.
==Clinical Examination==
**Bilateral, periorbital alopecia
The vet performs a clinical exam and finds the following:
**Patches of alopecia and erythema laterally on both forelimbs, near the elbow
*The right pinna is alopecic and there is crusting around the ear margins.
*The right pinna is several centimeters thick and feels soft and fluctuant.
*There is bilateral, periorbital alopecia.
*There are patches of alopecia and erythema laterally on both forelimbs, near the elbows.
*Molly is obviously very pruritic
*No parasites are seen.
A close-up of the left elbow lesion is shown.
[[Image:Clinical Case 4 01.jpg|thumb|center|500px|(Courtesy of C. Antonczyk)]]
What would you do next?
*Click [[Clinical Case 4 - Page 2|here]] to see what the vet did.
[[Category:Lost]]