460 DISEASES/DISORDERS
Exercise intolerance
Severe weight loss and anorexia
Emaciation/chronic wasting
Polymyositis and muscle atrophy
Diarrhea, vomiting
Epistaxis and melena
Renal failure (polyuria, polydipsia, vomiting)
Neuralgia
Lameness due to polyarthritis, osteolytic lesions, and proliferative periostitis
Pyrexia
Splenomegaly
Ocular disease (blepharitis, conjunctivitis, anterior uveitis, retinitis, keratocon-
junctivitis sicca).
Cutaneous:
Exfoliative dermatitis: may be localized, regional, generalized; symmetric or
asymmetric; may be similar to pemphigus foliaceus (Figures 30.1, 30.2)
Ulcerative dermatitis: erosions leading to indolent ulcers; solitary or multiple;
pinnae, nasal planum, mucocutaneous junctions, pressure points, and footpads
(Figure 30.3)
Nodular dermatitis: solitary or multiple; often nonulcerated; more common in
boxers; nodules located at areas of parasite inoculation may be painful (Fig-
ure 30.4)
Pustular dermatitis, often pruritic: small pustules leading to collarettes; most
often on glabrous skin
Papular dermatitis: nonpainful and nonpruritic, discrete to coalescing papules;
most often on glabrous skin
Regional (especially facial) alopecia
Cutaneous depigmentation
Nasodigital hyperkeratosis
Onychogryphosis: hypertrophy and abnormal curvature of claws
Lesions are typically nonpruritic unless secondarily infected
Secondary dermatoses including bacterial folliculitis and demodicosis may
develop.
DIFFERENTIAL DIAGNOSIS
Visceral:
Mycoses (blastomycosis, histoplasmosis)
Systemic lupus erythematosus
Ehrlichiosis
Anaplasmosis
Rickettsiosis
Bartonellosis
Babesiosis