Dermatology Cases

History: 3 month history of patches of crusting skin lesions on the neck progressing to mane and chest. Initial treatment by the owner with betadine scrub seemed to help, but within 2-3 weeks the lesions spread throughout the neck area and the mane appeared to be flaky as well. Treatment was changed to chlorhexidine shampoo, but lesions continued to progress. Treatment with trimethoprim/sulfamethoxazole (960 mg) 16 tablets orally q 12 hours for 7 days did not result in improvement. After a treatment with 6 mg of dexamethasone IV for 2 consecutive days the lesions dried up and reduced in size. A week prior to presentation the referring veterinarian had found cocci shaped bacteria on direct skin impression cytology and restarted the TMS treatment. At presentation no improvement had been noticed. […]