No, this grand champion is, thankfully, not suffering from a rash!  She is International and American Champion S'Posan's Intoxikator, NA, NAJ, CGC. Photo by and courtesy of Sandy Roland, S'Posan's Cockers sandy@sposan.com.  Thank you, Sandy, for sharing this wonderful photo of  a fine lady of the cocker spaniel persuasion.  Read on to insure your own fine pal remains rash-free! P.S.  We've just got an update from Sandy.  Since this picture was taken, "Katy" has gone on to win her OA and OAJ titles.  Way to go, Champ! 
             
            Dear Dr. Baum 
            --
            
            My dog's got a really bad skin rash on his upper back and stomach. 
            We have given him antibiotics, and that helped, but a few months 
            after we stopped giving them to him, the same skin rash returned. We 
            tried changing his food and it makes no difference. What may I do to 
            help my little pooch? (3-4 yr old cocker Spaniel) :-( 
             
            Dear 
            :-( : 
            
            Well, you 
            certainly have the right breed to be afflicted with the kind of 
            dermatological problems that you described.  Cocker Spaniels, indeed 
            all the spaniel breeds, are prone to a variety of skin conditions 
            that ultimately manifest themselves as oily seborrheas.  This 
            condition typically presents as an oily, flakey coat punctuated with 
            multiple rashes which appear as raised red dots as well as circular 
            peeling lesions.  Very often there is a concurrent ear infection 
            present.   
            
            As you 
            learned, it is not too difficult to remedy the situation at hand, 
            but what is difficult is to control the tendency for constant 
            recurrence.  Some of these dogs may be hypothyroid (low functioning 
            of thyroid gland) and a simple blood test will determine if they 
            need thyroid supplementation.    
            
            In most situations, 
            the condition is triggered by allergies that initially inflame the 
            skin, causing increased flakiness and increased oil production by 
            the sebaceous glands.  The increased oiliness of the skin allows the 
            proliferation of the bacterial population which in turn causes 
            secondary pyoderma (infections in the skin- i.e. acne).  Treatment 
            is directed at clearing the secondary problem of the pyoderma with 
            antibiotics (Clindamycin is my favorite at this time), as well as 
            frequent bathing with shampoos to remove the excess oil (Benzyl 
            Peroxide).  At the same time, treatment for the allergy with 
            anti-inflammatory drugs (Triamcinolone or Prednisolone) should be 
            initiated.  Depending on the level of chronicity, it should take 
            anywhere from two to six weeks to clear up the problem.  
             
            
            
            
            Long-term therapy is aimed at controlling the inciting factors of 
            allergy by use of antihistamines or low doses of oral Prednisolone.  
            Frequent bathing with mild hypoallergenic shampoos as well as good 
            flea control is also essential.  The ultimate maintenance dose of 
            oral medication should always be the least amount that keeps the 
            problem under control.  Of course the dose can fluctuate due to 
            seasonal and environmental conditions such as increased pollen 
            counts and Santa Ana winds.  Maintaining these types of skin 
            problems is a lifelong commitment.  Good Luck!! 
            
            
             
            
            Next 
            week:  
              Surprise question! 
  
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