Section 1: The Basic Tools
Chapter 1
Terminology and Glossary
Chapter 2
Lesions
Chapter 3
Investigation and Diagnosis
3.1 History
3.2 Clinical examination
3.3 Examination for ectoparasites
3.4 Cytology
3.5 Skin biopsies
3.6 Fungal examination
3.7 Examinations for bacteria and yeasts
3.8 Allergy testing
3.9 Tests for endocrine disease
Section 2: Problem-Orientated Approach
Chapter 4
The Pruritic Patient
4.1 Causes of pruritus
4.2 The pruritic dog
4.3 The more mature patient
4.4 The pruritic cat
4.5 Clinical approach to the pruritic cat
Chapter 5
The Scaling Patient
5.1 Mild scaling
5.2 Primary scaling problems
5.3 Secondary scaling problems
5.4 The most common cause of scaling conditions are parasites
5.5 Localisation of scaling disorders
5.6 Dermatophytosis
5.7 Bacterial and yeast infections
5.8 Systemic disease
5.9 Endocrine disease
5.10 Mild scaling
5.11 And non-responsive scaling dermatoses or those with an unusual presentation where scaling is the most prominent clinical sign
5.12 Immune-mediated disease
5.13 Primary genetic scaling disorders
5.14 Hypersensitivity dermatitis
5.15 Treatment of scaling disorders
Chapter 6
The Alopecic Patient
6.1 Congenital or acquired hairloss
6.2 Pattern alopecias
6.3 Traumatic hairloss
6.4 Inflammatory hairloss
6.5 Screen for alopecia due to systemic disease
6.6 Paraneoplastic alopecia
6.7 Endocrine alopecia
6.8 Biopsy
6.9 Non-endocrine alopecias
6.10 Long-term palliative treatment is usually necessary in alopecic skin conditions to address secondary complications
Chapter 7
Management of Diseases Presenting with Spots (Papules, Pustules, Vesicles and Bullae)
7.1 Young animals
7.2 Severe/recurrent or persistent lesions
7.3 Investigation of papular disease
7.4 Investigation of vesicular disease
7.5 Investigation of pustular disease
7.6 Folliculitis
Chapter 8
Approach to Changes in Pigmentation
8.1 Changes in pigmentation may be generalised or may be localised in specific patterns
8.2 Secondary changes in pigmentation should be differentiated from primary changes
8.3 Generalised hyperpigmentation may occur in some endocrine and non-endocrine conditions
8.4 Pigmentary change may be benign and/or transient
8.5 Loss of pigmentation of the skin
8.6 Reddening of the skin
8.7 Increase in pigmentation
8.8 Loss of pigmentation of hair coat
8.9 Early histopathological examination is essential
8.10 Some lesions cannot always be definitively diagnosed on biopsy
Chapter 9
Management of Raised and Ulcerative Skin Lesions
9.1 Papular pustular and vesicular disease
9.2 Eosinophilic granuloma complex
9.3 Cytology or histopathology
9.4 Treatment of neoplastic disease
9.5 Raised lesions due to micro-organisms
9.6 Definitive diagnosis reached
9.7 Chronic inflammatory and bacteria/fungal lesions
Section 3: Aetiological Approach
Chapter 10
Diseases Caused by Ectoparasites
10.1 Dog
10.2 Cats
10.3 Rabbit
10.4 Guinea pigs
10.5 Other mites and lice of rabbits, mice and gerbils
Chapter 11
Skin Disease Caused by Micro-organisms
11.1 Bacterial infections
11.2 Fungal infections
11.3 Malassezia dermatitis
11.4 Skin diseases caused by viruses
Chapter 12
Hypersensitivity Dermatitis
12.1 Parasitic hypersensitivity
12.2 Atopic dermatitis
12.3 Adverse cutaneous reaction to food
12.4 Insect bite hypersensitivity
12.5 Bacterial, fungal and yeast hypersensitivity
Chapter 13
Management of Immune-Mediated Disease
13.1 Types of immune-mediated disease
13.2 The management of immune-mediated disease
13.3 Specific diseases
Chapter 14
Endocrine Disease
14.1 Hyperadrenocorticism
14.2 Management of hypothyroidism
14.3 Less common endocrine diseases with a primary effect on the skin
14.4 Common endocrine diseases that have a secondary effect on the skin
14.5 Rare endocrine problems
Chapter 15
Disorders of the Pilosebaceous Unit (Hair Follicle Disorders)
15.1 Primary hair follicle dysplasias
15.2 Secondary hair follicle dysplasias
Chapter 16
Neoplastic Skin Disease
16.1 Primary skin masses
16.2 Common types of skin neoplasia
16.3 Generalised skin neoplasia
16.4 Metastatic skin neoplasia
16.5 Paraneoplastic syndromes
Chapter 17
Other Skin Diseases
17.1 Metabolic disease
17.2 Nutritional disease
17.3 Environmental causes
17.4 Psychogenic dermatoses
17.5 Dermatoses of neurological origin
Section 4: Anatomically Localised Skin Disease
Chapter 18
The Foot
18.1 Management of claw disease
18.2 Management of footpad disease
18.3 Pododermatitis
Chapter 19
Skin Disease Affecting the Perianal Region
19.1 Management of perianal skin disease
Chapter 20
Ear Disease
20.1 Management of pinnal disease
20.2 Management of acute otitis externa
20.3 Management of chronic or recurrent otitis externa
Chapter 21
Periocular Skin Disease
21.1 Management of periocular disease
Chapter 22
Dermatoses Affecting the Muzzle
22.1 Management of the haired skin of the muzzle
22.2 Management of diseases affecting the nasal planum
Chapter 23
Management of Facial Lesions
Chapter 24
Management of Skin Disease Affecting the Legs
Chapter 25
Management of Diseases Affecting Mainly the Trunk and Dorsum
Section 5: Treatment of Skin Diseases
Chapter 26
Treatment of Primary Skin Disease
26.1 Ectoparasiticides
26.2 Treatment of diseases caused by micro-organisms
26.3 Treatment of hypersensitivity dermatitis
26.4 Treatment of immune-mediated disease
26.5 Treatment of endocrine disease
26.6 Treatments for hair follicle disorders and keratinisation defects (primary scaling disorders, primary seborrhoea)
26.7 Chemotherapeutic agents commonly used in skin neoplasia
Chapter 27
Treatment of Presenting Signs
27.1 Management of pruritus
27.2 Methods of controlling pruritus
27.3 Bacterial and yeast infections
Chapter 28
Use and Abuse of Glucocorticoids
28.1 Indications
28.2 Dose and formulation
28.3 Steroid sparing measures
28.4 Side-effects
28.5 Contraindications
Chapter 29
Topical Treatments
29.1 Use of topical preparations
29.2 Inappropriate use of topical products can be harmful
29.3 Formulations of topical treatments
29.4 Creams and ointments
29.5 Washes and rinses
29.6 Sprays, spot-ons and line-ons
29.7 Aural preparations
Appendix 1
History Form
Owner’s summary
Appendix 2
Clinical Examination
Dermatological examination
Description of lesions
Appendix 3
Testing Food Intolerance
Appendix 4
Advice on the Use of Medicinal Products
Appendix 5
Safe Use of Glucocorticoids
Appendix 6
Side-Effects Seen When Steroids are Given
Owner handout
Index