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Sunny D has had demodex mange around his eye. THey prescribed Goodwinal cream and it cleared up. It is really NOT a big deal! :) It can come back, but is treatable. |
Information about demodex.... Demodectic Mange From that site: Demodectic mange, also called "demodicosis," is caused by a microscopic mite of the Demodex genus. Three species of Demodex mites have been identified in dogs: Demodex canis, Demodex gatoi, and Demodex injai. The most common mite of demodectic mange is Demodex canis. All dogs raised normally by their mothers possess this mite as mites are transferred from mother to pup via cuddling during the first few days of life. Most dogs live in harmony with their mites, never suffering any consequences from being parasitized. If, however, conditions change to upset the natural equilibrium (such as some kind of suppression of the dog's immune system), the Demodex mites may "gain the upper hand." The mites proliferate and can cause serious skin disease. |
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What did the specialist do to determine it is mites? A scraping or culture? |
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Sounds logical to me -- identifying them under a microscope only takes seconds. |
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Honestly, I am stunned that your vet did not diagnose it. I thought it might be that when I saw the picture, but since he diagnosed blepharitis I assumed he had ruled out mange. To pay for a specialist for such a diagnosis is sad imo. |
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Forgot to tell you guys all the tests that were performed. -Shirmer tear test which came out to 20 mm/60s and 15mm/60s -Fluorescein Stain (negative) -Tonometry 22mmHg and 20mmHg -And of course skin scraping Under medications it says Ivermectin...I guess that is what my vet will be giving Teddy. |
That is a lot of money to diagnose mange. Very frustrating. Look at this way, you have peace of mind knowing Teddy's eyes are perfect. That is priceless, and I know you feel that way. |
Wow I'm glad you finally have a diagnosis! I might have to have my vet do a scraping and see if it's that form of mange.. I'm glad it's treatable! Whew! I'm sorry it took so long to get a diagnosis. I know it's frustrating. Good luck to you and your baby. I'm thinking of you both. |
Does he have just this one area (around the eyes) that looks off or are there other areas also? One area (localized) is much better. Dogs have mites. His immune system must have been or be down to allow them to take over. Is his recent blood work all good? Ivermectin is pretty normal for demodex treatment. When we thought E may have them (tests were negative), her vet was going to put her on an immune booster also. Could be much worse, but the question is why is his immune system down... It is sad that a specialist was needed for this. A skin scraping is like a 20 dollar, 5 minute thing at a regular vet's office. |
Thank you :) I really appreciate it!! Quote:
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I am worried if he might have mites in his ears too? Should I ask my vet to check just in case??? Quote:
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Ear mites and demodex are different. You might see some abnormalities on his ear flaps. It's probably just an isolated thing. You should start seeing skin changes if they are all over (they like to hang out between toes too). |
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What do you guys think about this? Treatment is not necessary or recommended for localized demodicosis but there are treatment options for people who simply cannot feel right about doing nothing. Goodwinol ointment, an insecticide, may be used daily to control localized demodicosis. Antibacterial gels are also used against localized demodicosis and associated skin infections. It is important to note that rubbing a creme or ointment on a demodicosis lesion can cause reddening of the lesion making it appear to get worse. It is also possible for rubbing the medication on the area to break off the weaker hairs at the margin of the lesion causing the lesion to appear to get bigger. Neither of these situations truly represents exacerbation of the disease. Resolution of a localized demodicosis lesion should be at least partially apparent after one month though total resolution can take up to three months. Approximately 10% of localized demodicosis cases will progress to generalized demodicosis. Enlarged lymph nodes are a bad sign -- often foretelling generalized mange. Localized demodicosis is almost exclusively a "puppyhood" disease. When a puppy develops localized demodicosis the chance of the condition resolving is 90% unless there is a family history of demodicosis in related dogs. In this case, chance of spontaneous resolution drops to 50%. Occasionally an adult dog develops localized demodicosis. We currently do not have good understanding of the prognosis or significance of this condition in an adult dog. |
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As I said, Sunny D had it and my vet prescribed Goodwinol cream. She said that is all that is needed for one localized area. She preferred that over a systemic treatment. It cleared up in about 3 weeks and he has not had an outbreak since. |
BTW, when E was having hair loss issues (still does actually) it was her nose and her ears, so in her case it appeared ot be spreading. OP - the protocol (of no treatment) you posted would really be something to talk to your vet about. If my adult had demodex, I would not do nothing.. I'd be concerned about spreading, so my vet would deciding what the best option was for treatment. |
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You might not need to if it can be controlled with something topical. Since Ivermectin and Interceptor (milbemycin) are totally different drugs, there shouldn't be a problem even if your vet does decide to use it. |
I swore I posted this, but cannot find it: Ask your vet about the goodwinol cream. It is not a systemic treatment. |
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Ivermectin (Heartgard, Iverhart), milbemycin (Interceptor, Sentinel), selamectin (Revolution), and moxidectin (Advantage Multi) are all heartworm preventatives. They just are different from each other. I think you can use milbemycin for demodex, but if going with one of these drugs, ivermectin is very common. Pups needs heartworm meds. So if ivermectin caused a problem, then another should be tried. |
I was just handed over the Ivermectin by the receptionist. The vet was apparently too busy to see me. :rolleyes: |
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