CHAPTER 15 BITING AND STINGING INSECTS 241
Toxins released into the skin cause acute inflammation and pain.
Hypersensitivity reactions can produce systemic symptoms including anaphylaxis
and death.
SIGNALMENT/HISTORY
Flea Bite Dermatitis and Hypersensitivity
FBD:
No age, sex, or breed predisposition
Related to presence of significant numbers of fleas.
FBH, dogs:
Age of onset usually between 3 and 5 years
FBH is more likely to develop (and/or develop more severely) with intermittent
(versus continuous) exposure to fleas.
FBH, cats: no age, breed, or sex predisposition.
Spider/Fly/Mosquito/Tick Bite Dermatitis and
Hypersensitivity/Hymenoptera
No age, breed, or sex predisposition except as related to exposure to insects.
CLINICAL FEATURES
Flea Bite Dermatitis and Hypersensitivity
FBD, dogs and cats:
Fleas may or may not be evident based on infestation severity and self-grooming
behavior
Mild papular dermatitis and mild hair barbering
Incisors may be worn down with chronic chewing on hair coat (Figure 15.3)
Anemia in young or debilitated animals
Tapeworm infestation
Flea feces.
FBH, dogs:
Significant pruritus of the caudal lumbosacral region (triangular patch), tail
folds, caudal thighs, and inguinum (Figures 15.4, 15.5)
Pyotraumatic dermatitis (acute moist dermatitis or “hot spot”) (Figure 15.6)
Pyotraumatic folliculitis (deep “hot spot”) of the head and neck in golden and
Labrador retrievers, and St Bernard dogs (Figure 15.7)
Fibropruritic nodules (Figure 15.8).
FBH, cats:
Papulocrustous dermatitis (miliary dermatitis): generalized or confined to the
dorsal lumbosacral region or the head and neck (Figures 15.9, 15.10)