They share a common resemblance with Japanese Spitz, Danish Spitz, Volpino Italiano, German Spitz and Samoyed. It is not uncommon for German Spitz breeders to incorporate imported American Eskimo bloodlines into their breeding program to broaden the gene pool, and vice versa. None of these problems are common and the breed is generally very healthy. In addition to the rarer problems mentioned, the breed can have a tendency towards allergies and most commonly, tear-staining. This breed also is known in some cases to have dental issues.