Lip Fold Dermatitis
Also Known As: Intertrigo — Skin fold pyoderma
Introduction
Lip fold dermatitis is a form of superficial pyoderma that occurs in the dog. As the name suggests, it most commonly occurs in the lip folds, but it may occur in any skin fold on the body. The infection occurs secondary to irritation and poor ventilation. Although the infection is most commonly caused by staphylococcus sp. but other bacteria and Malassezia pachydermatitis can also cause the condition.
Signalment
The condition is most commonly seen in dogs with large lip folds and excessive skin such as Bloodhounds, St Bernards, Springer Spaniels and Bulldogs.
Other factors such as trauma, irritations, dental disease, remote dermatitis and autoimmune disease can contribute to the condition.
Clinical Signs & Diagnosis
Clinical signs are limited to the affected facial folds. Infection is characteristically very odorous and the affected skin is normally erythematous, swollen and moist.
Diagnosis can be made based on the clinical presentation.
Treatment & Control
In acute cases, the area should be clipped and then cleaned thoroughly twice daily for two weeks. Concurrent treatment with topical glucacorticoids is often necessary.
Shampoos, gels or ointments with antimicrobial properties such as benzoyl peroxide can be used to control the condition. Long term management should include weight loss as this decreases the size of lip folds and if the problem is still not resolved by this point then surgery to remove excess skin and eliminate folds should be considered.
| Lip Fold Dermatitis Learning Resources | |
|---|---|
 Test your knowledge using flashcard type questions |
Veterinary Dentistry Q&A 18 |
References
Bond, Hendricks, Loeffler (2009) Veterinary Dermatology RVC Intergrated BVetMed Course, Royal Veterinary College
Lloyd, D (1996) Dealing with cutaneous staphylococcal infection in the dog In Practice 1996 18: 223-231
Merck & Co (2008) The Merck Veterinary Manual
Verstraete, F. J. M. (1998) Self-Assessment Colour Review - Veterinary Dentistry Manson