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How I Approach... Cutaneous Adverse Food Reactions in Dogs
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Introduction
Cutaneous adverse food reaction (AFR) is an important differential diagnosis for several common dermatological presentations in dogs. The most common cutaneous presentation of AFR mimics canine atopic dermatitis (CAD) and is thought to share a common pathogenesis. Other reported cutaneous signs of canine AFR include otitis externa, pruritus, urticaria, seborrhea, vasculitis, and onychodystrophy; concurrent gastrointestinal signs may or may not be present. [...]
Key Points
- Cutaneous adverse food reactions in dogs most commonly present with signs indistinguishable from canine atopic dermatitis.
- The feet, axillae, abdomen, and pinnae are most commonly affected.
- Additional presentations of cutaneous adverse food reactions include pruritus without lesions, otitis externa, recurrent bacterial folliculitis, seborrhea, and urticaria.
- A dietary restriction trial followed by a provocative dietary challenge remains the only accurate method of diagnosis.
- Any trial should be designed with reference to the dog’s dietary history; client education is critically important to encourage owner compliance.
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