Small Animal Dermatology, 3rd edition

(Tina Sui) #1

CHAPTER 40 PODODERMATITIS AND CLAW DISORDERS 591


Onychomycosis


 Dogs:Trichophyton mentagrophytes– usually generalized (Figure 40.21).


 Cats:Microsporum canis.


Onychorrhexis


 Idiopathic: especially in dachshunds; multiple nails.


 Trauma.


 Infection: dermatophytosis.


 Parasites:Leishmania.


Onychomadesis


 Trauma.


 Infection.


 Immune mediated: pemphigus, bullous pemphigoid, lupus erythematosus, drug


eruption, symmetric lupoid onychodystrophy.


 Vascular insufficiency: vasculitis, cold agglutinin disease.


 Neoplasia: subungual squamous cell carcinoma, melanoma, eccrine carcinoma,


osteosarcoma, subungual keratoacanthoma, inverted squamous papilloma (Figure
40.22).

 Idiopathic.


Claw Dystrophy


 Acromegaly.


 Feline hyperthyroidism.


 Zinc-responsive dermatosis.


 Congenital malformations.


DIFFERENTIAL DIAGNOSIS


 Classification based on clinical presentation.


 Interdigital erythema with pruritus:
Atopic dermatitis
Food hypersensitivity
Demodicosis
Bacterial overgrowth.


 Nonpruritic alopecia of the foot:
Demodicosis
Bacterial overgrowth
Dermatophytosis (Figure 40.23)
Ischemic folliculopathy (dermatomyositis, postvaccination).

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