A 2-year-old female spayed pug has been very itchy for many months
Channel: Dr David Sing
Date: 2016-07-18

Sunday Jul 17, 2016

After several months of steroids (prednisolone), steroid spray and anti-histamine as advised by Vet 1, the young spayed female pug still shows urticaria (skin swellings) and some itchiness in the armpits, inguinal area, very itchy paws x 4, ear pinnae red, back of tail and anal area. The cause is atopic dermatitis. What is the cause and what to do?

An allergy blood test is done. A food trial is being done for the next 3 months as the owner had not persevered in this trial. I advised mixing 5% of the new food to the old food daily until the pug eats 100%. No more crocodile meat and sweet potatoes or shampoos and dog treats. 

Itchiness is said to be worse after spaying. 

A review 2 weeks later on Jul 24, 2016 shows that the pug has generalised ringworm but urticarial lumps are still seen on the skin. The owner had stopped prednisolone medication. Anti-fungal medication is given and another review will be done in one month's time.