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40 VETERINARY PRACTICE MAY 2014 DERMATOLOGY DISCOID LUPUS ERYTHEMATOSUS (DLE) DISCOID lupus erythematosus nose, pinnae and distal limbs are (also known as cutaneous lupus affected. Lesions may consist of the erythematosus) is considered to be following: an auto-immune n depigmentation disease and a and loss of DAVID GRANT benign form of cobblestone continues the series of systemic lupus appearance of nasal dermatology briefs erythematosus. planum; Although rare, it is n the nose may take on a blue colour followed later by – one of the more common auton erythema; immune skin diseases seen in practice and more cases are seen in n scaling; n crusts. the summer suggesting that UV light is a contributing factor in the pathogenesis. Main differential diagnoses n Pemphigus erythematosus Clinical features n Pemphigus foliaceus The nasal planum is the site most n Dermatomyositis commonly affected (Figure 1). More n Uveodermatologic syndrome. The rarely other parts of the body such as nasal planum lesions are very similar the lips, periocular skin, bridge of the but anterior uveitis develops with the skin lesions or soon after David Grant, MBE, BVetMed, CertSAD, n Nasal pyoderma FRCVS, graduated from the RVC in n Demodicosis 1968 and received his FRCVS by examination in 1978. He was hospital director at RSPCA Harmsworth for 25 years until his retirement from the RSPCA and is currently engaged in writing and lecturing internationally, mainly in veterinary dermatology. WEBINARS “More bespoke” approach to obesity ROYAL Canin is hosting a webinar to challenge vets to approach the problem of obesity in a more bespoke way. Starting at 8.30pm on Wednesday 7th May, the hour-long webinar will feature Alex German from the University of Liverpool’s Weight Management Clinic alongside Royal Canin’s veterinary support manager, Lee Danks. Alex will introduce a nine-point body condition score developed in conjunction with the company, which is modelled on more than 3,000 photos taken of dogs and cats with weight management issues. These images are brought together in a new software programme which is said to allow greater accuracy in recognising and then diagnosing obesity. Lee will then outline a new online weight management tool which has been created to boost client interaction, allowing pet owners to track and input Diagnosis n History n Physical examination n Rule out differentials n Histopathological examination. Interface dermatitis involving the dermo-epidermal junction. Apoptosis of the basal cells may be seen. Immunofluorescence or immunohistochemistry will in some cases demonstrate deposition of immunoglobulin or complement at the basement membrane zone. their pet’s weight at home once a diagnosis and treatment plan has been agreed, with information relayed to and from the practice. Vets and nurses interested in attending can register for the free webinar by visiting www.royalcanin.co.uk/targetweight. Two further cardiology sessions CEVA Animal Health is hosting two more free cardiology webinars On 14th May Anne French will discuss Monitoring heart failure patients, and on 4th June Chris Little will present interactive cardiology case studies. The interactive webinars will start at 8pm and last for 1.5 hours. To register, visit www.cardaliscpd.co.uk. Latest information on canine epilepsy VÉTOQUINOL is holding a free webinar at 7.30pm on 13th May on The latest in comparing treatment options for canine epilepsy. Treatment n Avoid sunlight as much as possible. n Systemic glucocorticoids. As DLE is a relatively benign disease glucocorticoids can be tried initially at a lower dose than is usual for auto-immune diseases. The dog in Figure 1 was in remission after three weeks of prednisolone at 0.5mg/kg and the dose was then tapered to an every Nasal planum of a six-year-old German other day dose of shepherd female dog. The nose has lost its 0.25mg/kg in conjunction cobblestone appearance. Note the blue with Cortavance spray appearance ventrally. Dorsally there is (Virbac). erythema, ulceration and crusts. n Topical glucocorticoids. Topical products are limited in efficacy Prognosis due to the dog licking them off. The The prognosis is good. Many dogs dog in Figure 1 tolerated Cortavance achieve remission on a short course of spray on an alternate day dose enabling glucocorticoids. Life-long intermittent the dose of prednisolone to be further treatment is usually necessary reduced. however. Possible sequelae include n Topical 0.1% tacrolimus has been permanent depigmentation and reported to be of benefit in some cases. scarring. There have been rare cases n Tetracycline-niacinamide in that have developed squamous cell combination with both given at a dose carcinoma. of 250mg three times daily for several Further reading months has also been advocated. Hnilica, K. A. (2011) Small Animal n Cyclosporine (Atopica, Novartis) Dermatology. A Color Atlas and Therapeutic 5mg/kg once daily is an option in Guide 3rd ed. pp248-250. Elsevier. severe cases that do not respond to Miller, W. H., Griffin, C. E. and Campbell, glucocorticoids or suffer unacceptable side effects. The drug is not licensed for K. L. (2013) In Muller and Kirk’s Small Animal Dermatology 7th ed. pp459-460. this disease and informed consent is Elsevier. necessary. This webinar will provide a detailed and balanced view on the latest information available on canine epilepsy, says the firm. The speaker will be Dr Luisa De Risio, European and RCVS recognised specialist in veterinary neurology who is head of neurology at the Animal Health Trust. To register go to www.epilepsytreatment.co.uk. Promoting foraging and enrichment LAFEBERVET is running a free, interactive webinar on “Avian foraging and enrichment” on 1st June “to learn about the importance of enrichment and its proper implementation”. The speaker, avian veterinarian Dr Scott Echols, will highlight the basic principles of enrichment and discuss methods to enrich the lives of captive animals, particularly birds. Details are on LafeberVet’s continuing education page on www.lafebervet.com/continuingeducation-2/. Registration opens in mid-May. BEVA launches online learning site THE British Equine Veterinary Association (BEVA) has launched a new online learning site “to help busy practitioners gain all their equine CPD in their own time and at their own pace”. The new site, ebeva.org, is the online home of BEVA education, providing a substantial library of presentations given by some of the leading experts in the equine veterinary world. Every month a new webinar will be added to the library and presentations from the BEVA congress will also be made available annually. All the sessions are available on demand, with the option of subscribing to an individual talk or a whole package. At the end of each presentation there is a CPD certificate to download. The webinars are free to BEVA members and there is a 50% discount for congress lectures. For full details or to register, go to ebeva.org.