268 DISEASES/DISORDERS
Systemic corticosteroids: prednisolone (0.25–0.5 mg/kg PO q24h for 3–5 days; then
q48h for 2 weeks; then twice weekly as needed).
Topical corticosteroids for focal lesions.
Topical NSAID: no reported efficacy.
Antihistamine: no reported efficacy.
Cyclosporine: may be effective – possibly by better management of underlying atopic
dermatitis.
Pentoxifylline 10 mg/kg PO q8–12h initially; may be reduced to q24h to maintain.
May lose effect over time. May cause gastrointestinal upset or CNS excitement.
Fig. 16.1.Contact dermatitis from exposure to plants.
Fig. 16.2.Multiple footpad epidermal sloughing from contact with an environmental cleanser (irritant
reaction).