Changes

**Control ectoparasites

**Control ectoparasites

**Diet trial and skin testing may be carried out to rule out food allergy and atopy

**Diet trial and skin testing may be carried out to rule out food allergy and atopy

**Antibiotics if there is evidence of a bacterial infection

**[[Antibiotics]] if there is evidence of a bacterial infection

**Corticosteroid therapy if the patient is refractory to the above. Treatment should be tapered gradually once a response is seen then discontinued once signs have completely disappeared.

**Corticosteroid therapy if the patient is refractory to the above. Treatment should be tapered gradually once a response is seen then discontinued once signs have completely disappeared.

**Chlorambucil may be useful in resistent cases

**Chlorambucil may be useful in resistent cases