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Best Advice for Dogs with Skin Issues

I still need to publish a real post about Mr. Stix's full backstory, but this feels more pressing. For nearly 18 months, Mr. Stix's permanent nakey spot (from unknown injuries before he was rescued, including 15 fractures and this big patch of coat missing) has featured several inflamed, peeling areas. Initially I tried to fix it myself at home with things like aloe vera, vaseline, a veterinary ointment called animax that the shelter had give us while we fostered him most of 2019, etc. It's sort of a combination of steroids, antibacterial, and antifungal stuff. I took him to see our main veterinarian in spring 2020, when there was a 2-month wait to get into see a board-certified veterinary dermatologist. It has been quite a journey since then, and it's nowhere near over. Here's my best advice for dogs with skin issues.

Before I tell the ongoing saga with Mr. Stix's skin. Here is my best advice for dogs with skin problems.

See a board-certified veterinary dermatologist as soon as you can. Yes, your main veterinarian can probably help, but it's honestly best to go right to the top experts.

Agree to whatever skin scrapings / cytology the veterinary dermatologist recommends. This provides information about what types of secondary infections currently grow on your dog's damaged skin.

Do NOT assume every skin issue is allergies. It often is some sort of allergic process, but NOT always and assuming so (and acting accordingly may only delay real solutions and subject your dog to all kinds of quack advice and home remedies).

Buy the best quality fish oil and Vitamin E supplements you can afford, if it's recommended for your particular case of a dog with skin issues.

When necessary, agree to the skin biopsies (yes, like minor surgery) and have them reviewed by a veterinary pathologist that specializes in dogs with skin issues. The one we used is at Texas A&M.

Follow your veterinary dermatologist's advice and plans, and keep the faith. These dogs with skin problems often don't improve quickly. (I need to take my own advise. See below.)

Mr. Stix's Story as a Dog with Skin Problems

This is what Mr. Stix's nakey spot looks like when it's normal. Photo from May 2019 soon after his hip surgery. The bald patch is permanent. That's not the issue.

This is how bad the red / peeling areas got in mid-2020 when we saw our main veterinarian, who added a low-dose of oral Vitamin E and some topical too and told me to keep using the animax.

This is how it looked when Mr. Stix first saw the board-certified veterinary dermatologist in early August 2020, but the specialist had me STOP the animax and instead use a prescription anti-bacterial ointment (mupirocin) ... as well as add a better quality oral fish oil and continue both topical and oral Vitamin E (but at a higher dose twice a day). We knew from the skin scrapings / cytology they did onsite that Mr. Stix had a bacterial infection.

But, without the daily topical steroids (which long term are a bad idea), Mr. Stix's skin got much, much worse -- even breaking open and scabbing over.

Our veterinary dermatologist had recommended doing the skin biopsies right away in August 2020, and I *almost agreed to it then, but I was VERY worried about the cuts resulting in skin that would NOT heal. And, I figured it was at least worth a try to use the prescription antibiotic ointment and other supplements and stuff.

But, by around Thanksgiving, it was clear we had to do the biopsy. That photo is kind of gruesome, so you can see it here, if you want. I wish I had done the biopsy sooner. I feel like I wasted time from August through November.

Post-Biopsy Diagnosis

As I expected, despite all the know-it-alls trying to tell me it was an allergic issue, it turns out that Mr. Stix instead has an autoimmune condition called erythema multiforme. They believe it was triggered by the trauma of his earlier injuries. They don't think it is life-threatening. They don't think it will spread to other areas of his skin. Just the already damaged, permanent nakey spot.

With that information in hand, we updated the treatment plan to include a topical, non-steroidal anti-inflammatory ointment (tacrolimus -- often pricey, but we used a Good RX coupon at Costco to get the cost down). They use a version of this medication orally for people who have had various kinds of transplants. It's the smallest / safest option for treatment, and that's where we started.

I was so hopeful it would work at the once-daily application, but the skin still didn't heal completely.

So, in early 2021, we started applying it twice daily on the advice of our veterinary dermatologist.

But, it still hasn't healed completely. It often improves a lot and then comes roaring back, so we had another appointment to see the specialist last week. We had to try something new.

Enter the Big Immune-Suppressing Drug

Despite my concerns and form of veterinary PTSD about major immune suppression drugs (after our experiences with Lilly), I agreed last week to add oral cyclosporine, which is also a drug that people get after various transplants. Mr. Stix would need to take it daily for life.

It smells like it's made from skunk butts, so each gel-cap pill is individually packaged, and you keep them in the freezer because that can help with nausea it can cause (since it's recommended you give on an empty stomach).

I found some good info on this med, and our veterinary dermatologist assured me that it has been safely used in veterinary medicine for like 20+ years, etc.

The med only comes in doses of 25 mg, 50 mg, and 100 mg, and at his size Mr. Stix's ideal dose is around 88 mg once a day. So pop over to these guys went with 75 mg (25+50) to err on the lower side.

It takes like 3-7 days for the med to build up in the blood to therapeutic levels, but it takes more like 4-6 weeks to know if it's going to help the skin (or not).

We made it to day 4, then the barfing started.

Anxiety

I wish I could say that this is all going to be fine, but I just don't know. I feel like I just have to accept that the skin will never fully heal, even though seeing his raw spots up close while applying the topical med twice a day and topical Vitamin E once a day causes me so much angst and anxiety.

I supposed to check in with our veterinary dermatology team next week to confirm that Mr. Stix's weirdness and apparent suffering has improved.

It took a lot of convincing to get Mr. Champion of My Heart to agree to try the cyclosporine, so even if the specialist comes back and recommends maybe a lower dose, I doubt we'll want to risk it ... because Mr. Stix sure seemed to be having some neurologist issues to me, and after the Lilly situation, I just cannot do that again.

He is only 3 years old. I don't want to make anything worse. It honestly felt like I'd poisoned him.

The good news is that most of the time his skin doesn't seem to hurt or itch or anything -- though I do have pain meds, if he needs them. It mostly just looks bad, and he has to wear a no-lick collar for about 20 minutes after I apply his meds so that he doesn't lick it off.

His nakey spot is prone to sunburn anyway, and the topical tacrolimus increases the risk of burning, so I used his earlier sun-reflecting coat (which started to look ragged) as a pattern and sewed him a new / light sun protection coat. He looks very cute in it.

https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/

Pet Care Tips Specifically For Dog Owners.

Raising a dog is a big undertaking and long term commitment. The responsibilities that come along with owning a pet are numerous, however so are the rewards. dogs with long legs aims to provide you with a few useful tips to help you with the different aspects of owning and caring for a dog.

Avoid insisting that your dog socialize nicely with every other passing dog. Experts recommend that your dog be able to tolerate introductions through sniffing and eying with another animal, but say forcing the issue can create problems. Accept your dog's lead when meeting and greeting other animals and allow for natural interaction.

If your dog gets lost, it is very unlikely that you will see him again unless he has proper identification. Tags can come off, so the best option is a microchip. It is quick to put in your dog, and it causes minimal discomfort. Simply register the chip ID after it is put in, and your pet will always have his identification with him.

When preparing to groom your pet, start the session off on the right foot by helping your dog relax. Spend a few minutes simply petting him, starting with the head and then rubbing the back, paws, belly and even tail. Once you feel your dog is happy and content, begin grooming him.

When training your puppy or dog, keep the sessions short! Experts say that a dog has the attention span of a small child, sometimes less, and that longer sessions will actually cause him to forget everything you've learned together. Use positive reinforcement and limit your training sessions to no more than 15 minutes.

Be sure to praise your dog thoroughly any time it behaves correctly, such as sitting when it is time to put their leash on. Let a dog know that their behavior is what you wish to see. It also reinforces the idea that they will receive attention if they behave as you want them to.

If you notice your dog gets dry skin in the winter, you probably need to brush him or her more often. Doing so will get rid of old fur and help get their oil glands working properly. Try brushing once in the morning and once in the evening to see if it makes a difference for your pet.

Always make sure your dog has fresh water available. Water is essential for the health of a dog. He can easily become dehydrated without it or look for unsafe water sources, such as puddles or contaminated ponds. Making sure your dog always has water is an easy way to keep him happy and safe.

Make sure that your dog is not kept outside your home all day long. Yes, people do this too often, but dogs require interactions with people and other dogs for their well-being. When your dog is the only one you have, leaving him alone will make him sad. It's especially important that your dog be inside if the weather outside is nasty.

Respect your pet. When out on a walk, do not force your dog to interact with other people or animals if he does not want to. There is a reason why your dog may not want to get too close, and it is important that you listen to him. If you try and make him interact, your dog may begin to act out over time.

Never judge a dog's health simply by how cold or wet its nose is. A cold and wet nose could be due to many reasons, and it does not preclude illness. Judge your dog's health by energy levels, appetite and demeanor. These are the best ways to know how the dog is. If you need to take a temperature, you can do so rectally.

You shouldn't use a chilly, wet nose to gauge your pet's health. There are many reasons for your dog's nose to be cold and wet even if the dog is sick. The overall amount of energy your dog has, its eating habits, and its general behavior are what you should watch. These are better signs of how your dog is feeling. Their temperature can be checked via their rectum.

Brush your dog's teeth every week. Use a child's toothbrush that is soft, some nylon pantyhose over your finger, or a gauze pad. Don't use regular toothpaste. Instead, try using a baking soda and water paste or toothpaste made for dogs. Clean their teeth one to two times a week.

It is essential that you get your dog vaccinated. Vaccinations will protect your dog from different types of illness and diseases. Most vaccinations are done at your dogs yearly check-up. Your vet can explain what each vaccination is for. The rabies vaccine is required by law in many different states.

Keep your dog safe from dangerous chemicals. Similar to kids, cleaning chemicals and any car maintenance substances are harmful to them. These substances are poisonous, so if a dog gets any on them or ingests any, they could get burned, become very sick, or die. Store your hazardous chemicals in a place that your dog can't get to, or keep them in a closed area using a child-proof lock.

Be sure to keep your dog's nails clipped in order to prevent injury. This can occur both from the dog scratching itself or also from having its nails get caught in things such as carpet. In order to be sure you are cutting the nails correctly, be sure to check with the veterinarian or groomer.

Be thoughtful about breeding your dog. Repeated breeding of a female can evetually lead to severe health problems for both the dog and the puppies that is born from her. If you plan to breed be sure to do your research first so that you can be sure that you are doing the right thing for your animals.

Dogs will need veterinarian check ups twice a year when they become old. Dogs can age quickly over the course of a year, and older dogs will need more vet examinations in order to catch any changes their bodies may be going through. Additional tests, such as blood, urine, and ultrasound may be needed.


Having a dog isn't all fun and games. You have to give yourself some time to really think about what you're doing, and to act accordingly. You can use the tips here to help you to know what you need to do. You can always have a happy dog, if you take the time to give it a little thought.

As a devoted person who reads about Pets, I think sharing that piece of content was essential. Feel free to take a moment to distribute this entry if you appreciated it. Thank you for going through it.