Atopy is the second most common allergic skin disorder in dogs, and is a genetically inherited disease.
What is atopy?
Atopic dogs are allergic to substances (allergens) in the environment that are inhaled or absorbed through the skin. House dust mites are the main offender leading to a non-seasonal dermatitis, although the severity of the signs may vary with changes in the environmental allergenic load.
More rarely, pollen allergies (which can be caused by trees, weeds and grasses) are involved, which may typically lead to a seasonal dermatitis.
Signs of atopy
Affected dogs are often extremely itchy (pruritic), especially around the face, belly, armpits, lower legs and feet. Scratching of the trunk, rubbing of the face (around the lips, chin, ears and so on) and chewing of the feet are frequently seen. The intense itching can make dogs irritable and less tolerant of being handled.
Did you know?
It is estimated that around 10 per cent of dogs suffer from atopic dermatitis and the first signs usually occur between six months and three years of age.
Which dogs are affected?
Although it is seen in all breeds of dogs, including mixed-breed dogs, there is a greater than expected incidence in:
The mode of inheritance is not known but it is considered best not to breed affected dogs, their parents, and preferably their siblings as well.
Diagnosis and identifying allergens
Atopy can be diagnosed by a blood or skin test. Determining which allergen(s) is or are a problem for your dog can help you to avoid or at least reduce exposure to it.
House dust mites
Dogs with an allergy to house dust mites may benefit from spending more time outside and/or in rooms with little house dust.
Pollens
If pollens are the problem, then keeping the dog inside when grasses and trees are flowering or removal of certain plants may be helpful in the management of the symptoms.
Treatment and management
Atopic dermatitis cannot usually be cured, but can be controlled to improve the dog’s quality of life. Treatment involves a combination of therapies and usually includes cortisone, which blocks the allergic reaction in most cases, and antihistamines.
A drug specifically developed for the treatment of canine atopic dermatitis is also available. It contains cyclosporin, a natural product extracted from a fungus, which acts as a selective immunomodulator and has been proven to be as effective as corticosteroids in reducing pruritis and skin lesions without the side-effects. Antibiotics are also sometimes required to treat secondary bacterial infections.
Medicated shampoos and supplements
Medicated shampoos can be helpful, especially those that are soap or detergent-free and therefore do not strip the natural oils from the coat. There are some soothing shampoos available containing oatmeal and aloe vera, and also leave-on conditioners that help reduce skin inflammation. Fatty acid supplementation can also be beneficial.
Immunotherapy
Immunotherapy is another important tool in combating allergies. After intradermal skin testing has been performed, a veterinary dermatologist can develop hyposensitisation vaccines to the allergen(s) identified. These are especially indicated in severe, year-round cases or where dogs suffer undesirable side-effects to medical therapy.
Complementary therapies, including acupuncture, can also help alleviate allergy symptoms and reduce reliance on traditional medicines in some cases.