A 5-year-lold Cavalier King Charles X has skin infections for 3 years Pt 1
Channel: Dr David Sing
Date: 2016-05-18

Wed May 18, 2016. 

This Cavalier King Charles X,  5 years old has rashes around the neck area, crusts on elbows and hocks and hocks. Painful ear infections. UVL shows fluroescence on crusts of legs and paws.

The owner has consulted 2 vets in 2015 and 2016. Steroids, antibiotics, anti-fungal and shampoos were prescribed and the owner had a big plastic box filled with medication. The owner was referred to me as the dog still has skin disease. 

It is hard to diagnose what is the cause at this stage. Skin scraping showed negative for demodex. UVL+ve fluorescence on leg crusts and body indicating ringworm. 

The dog is clipped and treated for ringworm and other bacterial infections.  

In 2015, the owner surfed the net and saw "special interest in skin disease" advert by a Singapore vet. So she consulted this vet thinking she is a dog skin specialist. She realised that "special interest" does not equate to "specialist". 

Skin diseases could also be caused by allergies complicated by ringworm and other infections. It takes time to treat the dog.