[Treatment options for canine atopic dermatitis]

Area of Science:

• Veterinary Dermatology
• Immunology

Context:

• Canine atopic dermatitis (CAD) is a common allergic skin disease in dogs.
• Management of CAD requires a multi-modal approach to control clinical signs and improve quality of life.

Purpose:

• To summarize evidence-based treatment options for canine atopic dermatitis.
• To provide guidance on managing severe cases and preventing recurrences.

Summary:

• For severe canine atopic dermatitis, treatments include topical or systemic glucocorticoids, calcineurin inhibitors (cyclosporine, tacrolimus), allergen-specific immunotherapy, flea control, dietary management, essential fatty acids, and shampoos.
• Long-term strategies to prevent recurrences involve allergen-specific immunotherapy, essential fatty acids, and antihistamines.
• Intermittent, low-dose glucocorticoid therapy can be beneficial in some cases, with essential fatty acids and antihistamines potentially reducing the required glucocorticoid dosage.

Impact:

• Provides a comprehensive overview of efficacious treatments for canine atopic dermatitis.
• Aids veterinarians in selecting appropriate therapies for dogs with atopic dermatitis.
• Highlights the importance of a multi-modal and long-term management strategy for canine atopic dermatitis.