Full Chapter Small Animal Dermatology A Color Atlas and Therapeutic Guide 4Th Edition Keith A Hnilica PDF

Small Animal Dermatology: A Color
Atlas and Therapeutic Guide, 4th

Edition Keith A. Hnilica
Visit to download the full and correct content document:
https://textbookfull.com/product/small-animal-dermatology-a-color-atlas-and-therapeut
ic-guide-4th-edition-keith-a-hnilica/
More products digital (pdf, epub, mobi) instant
download maybe you interests ...
Small animal anesthesia and pain management: a color

handbook Ko
https://textbookfull.com/product/small-animal-anesthesia-and-
pain-management-a-color-handbook-ko/
Weinberg’s Color Atlas of Pediatric Dermatology Neil S.

Prose
https://textbookfull.com/product/weinbergs-color-atlas-of-
pediatric-dermatology-neil-s-prose/
Fitzpatrick's Color Atlas and Synopsis of Clinical

Dermatology, 8th Edition Klaus Wolff
https://textbookfull.com/product/fitzpatricks-color-atlas-and-
synopsis-of-clinical-dermatology-8th-edition-klaus-wolff/
Clinical Atlas of Small Animal Cytology and Hematology,

2nd Edition Burton
https://textbookfull.com/product/clinical-atlas-of-small-animal-
cytology-and-hematology-2nd-edition-burton/
Small animal medicine and metabolic disorders : self-
assessment color review Second Edition Ruaux
https://textbookfull.com/product/small-animal-medicine-and-
metabolic-disorders-self-assessment-color-review-second-edition-
ruaux/
Moriello's Small Animal Dermatology, Volume 1 -

Fundamental Cases and Concepts, Second Edition Darren
Berger
https://textbookfull.com/product/moriellos-small-animal-
dermatology-volume-1-fundamental-cases-and-concepts-second-
edition-darren-berger/
Human Anatomy: Color Atlas and Textbook John A. Gosling
https://textbookfull.com/product/human-anatomy-color-atlas-and-
textbook-john-a-gosling/
The Animal Atlas: A Pictorial Guide to the World's

Wildlife D.K. Publishing
https://textbookfull.com/product/the-animal-atlas-a-pictorial-
guide-to-the-worlds-wildlife-d-k-publishing/
Small Animal Dermatology - Blackwell's Five-Minute

Veterinary Consult Clinical Companion Karen Helton
Rhodes
https://textbookfull.com/product/small-animal-dermatology-
blackwells-five-minute-veterinary-consult-clinical-companion-
karen-helton-rhodes/
KEITH A. HNILICA
ADAM P. PATTERSON
EDITION 4
SMALLDERMATOLOGY
ANIMAL
A COLOR ATLAS AND THERAPEUTIC GUIDE
KEITH A. HNILICA, DVM, MS, MBA, DACVD

The Itch Clinic
Allergy, Dermatology, Otology
Knoxville, Tennessee
www.TheItchClinic.com www.itchnot.com
A DAM P. P ,
ATTERSON DVM, DACVD
Chief of Dermatology
College of Veterinary Medicine & Biological Sciences
Texas A&M University
College Station, Texas
3251 Riverport Lane
St. Louis, Missouri 63043
SMALL ANIMAL DERMATOLOGY: A COLOR ATLAS AND ISBN: 978-0-323-37651-8

THERAPEUTIC GUIDE, FOURTH EDITION
Copyright © 2017, by Elsevier Inc. All rights reserved.

Previous editions copyrighted 2011, 2006, and 2001.
Chapter 14 by Amy Leblanc is the work of US Government employee. Hence, chapter 14 is in public
domain.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system,
without permission in writing from the publisher. Details on how to seek permission, further
information about the Publisher’s permissions policies and our arrangements with organizations such
as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website:
www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
using such information or methods they should be mindful of their own safety and the safety of
others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their
own experience and knowledge of their patients, to make diagnoses, to determine dosages and the
best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Names: Hnilica, Keith A. | Patterson, Adam P.

Title: Small animal dermatology : a color atlas and therapeutic guide / Keith A. Hnilica,
Adam P. Patterson.
Description: Fourth edition. | St. Louis, Missouri : Elsevier, 2016. | Includes index.
Identifiers: LCCN 2016019464 | ISBN 9780323376518 (alk. paper)
Subjects: LCSH: Dogs—Diseases. | Cats—Diseases. | Veterinary dermatology.
Classification: LCC SF992.S55 M44 2016 | DDC 636.7/08965—dc23 LC record available at
https://lccn.loc.gov/2016019464
Content Stategy Director: Penny S. Rudolph

Associate Content Development Specialist: Laura Klein
Publishing Services Manager: Hemamalini Rajendrababu
Project Manager: Umarani Natarajan
Design Direction: Christian J. Bilbow
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1

Contributors
Cheryl Greenacre, DVM, DABVP (Avian Practice),

DABVP (Exotic Companion Mammal)
Professor
Department of Small Animal Clinical Sciences
College of Veterinary Medicine
University of Tennessee
Knoxvllle, Tennessee
Amy K. LeBlanc, DVM Diplomate ACVIM (Oncology)

Director, Comparative Oncology Program
Center for Cancer Research, National Cancer Institute
National Institutes of Health
Bethesda, Maryland
v
Favorite quotes from Keith’s children and Keith
Choose happiness and never be afraid of hard work.

Sara Mae H.
To have pursued your dreams and fail is better than to have never pursued your dreams at all.
Max T.
Promise me that you will not spend so much time treading water and trying to keep your head
above the waves that you forget, truly forget how much you have always loved to swim.
Tyler Knott Gregson
Sam T.
It’s not about the size of the dog in the fight, it’s about the size of the fight in the dog.
Mark Twain
Caleb M.
I’ve seen a look in a dog’s eyes, a quickly vanishing look of amazed contempt, and I am con-
vinced that basically that dogs think humans are nuts.
John Steinbeck
Caroline M.
Good works matter; DO GOOD WORKS!

Keith A. Hnilica
This book is dedicated to my patients and students. It is only possible because of my great
teachers and mentors who shared their knowledge, wisdom, and know-how—thank you Karen
Campbell, Jennifer Matousek, Carol Lichtensteiger, Linda Frank, Rod Rosychuk, Rosanna
Marsella, George Doering, Patrick Breen, John August, Joanne Mansell, and Mark Hitt. I
cannot thank Keith Hnilica enough for his training in the practical application of veterinary
dermatology because it has helped shape the way I approach and now teach; I am honored
you asked me to join you in this edition. To my parents, Pat and Laura—your love and support
have always been unwavering. And to Carly, my wife—I finally found you.
Only the lead mule gets to enjoy the change in scenery.

Granddaddy
Adam P. Patterson
Preface
From its conception, this textbook was designed to be a practi- Also new in the fourth edition are critical updates on MRS
cal color atlas that also included current treatments for each infections and new ground-breaking therapies for the treat-
disorder. Great effort has gone into making this book an easy- ment of allergy. We have expanded the useful pattern-based
to-use reference for practicing small animal veterinarians and approach concept with additional outlines, charts, and graph-
students alike. This atlas began as a companion text for Muller ics. A breed predilection list has been incorporated for fast
and Kirk’s Small Animal Dermatology; however, it has grown in reference, and disease topographies have been added for the
use and popularity and become a useful, stand-alone textbook most common diseases to simplify the diagnostic process.
in its own right. Expanded Author’s Notes were incorporated to provide a
New to this fourth edition is Dr. Adam P. Patterson, who contemporary feeling for the most important issues surround-
has provided a fresh and enhanced perspective to the science ing select disorders. The Author’s Notes are ultimately the
and skill of practical veterinary dermatology. opinion of the authors; however, the information has been
A key feature of this text is the relevant clinical images. collected from many sources over many years and reflects an
Numerous new images have been added to provide a useful endless pursuit of practical knowledge, which truly makes a
perspective of the most common lesions and patterns caused difference in the diagnosis and treatment of each disease.
by each disease. By reviewing all of the images for a given I hope you find the special efforts taken to provide a practi-
disease, the practitioner should acquire a working knowledge cal approach to veterinary dermatology useful.
of the most common presentations for that disease. Dermatol-
ogy relies heavily on the identification of patterns in the Keith A. Hnilica, DVM, MS, MBA, DACVD
patient’s signalment, history, lesion type, and pattern. The TheItchClinic.com
images in each disease section were selected not for their
extreme nature but rather because each image demonstrates a
common feature of the disease.
ix
Acknowledgments
Many thanks to those whose generosity made this book possible:

Donna Angarano, John MacDonald, Anthony Yu, Gail Kunkle,
Michaela Austel, Craig Greene, Alice Wolfe, Karen Campbell,
Richard Malik, Linda Frank, Lynn Schmeitzel, Patricia White,
Dunbar Gram, Jim Noxon, Linda Messinger, Elizabeth Willis, Terese
DeManuelle, William Miller, Thomas Manning, Kimberly Boya-
nowski, Norma White-Weithers, Manon Paradis, Robert Dunstan,
Kelly Credille, Pauline Rakich, Charles Martin, Clay Calvert, Sherry
Sanderson, Mary Mahaffey, Sue McLaughlin, E. Roberson, Gary
Norsworthy, Michael Singer, Sandy Sargent, Alison Diesel, Amanda
Friedeck, John August, Cheryl Greenacre, Amy LeBlanc, and any
whom we mistakenly missed.
Thank you,
Keith A. Hnilica
Adam P. Patterson
xi
C H A P T E R || 1
Differential Diagnoses
■ Essential Questions ■ Papules
■ Ten Clinical Patterns ■ Miliary Dermatitis
■ What Are the Infections? ■ Plaques
■ Why Are They There? ■ Follicular Casts
■ Differentials Based on Body Region ■ Epidermal Collarettes
■ Diseases Primarily Limited to the Face ■ Comedones
■ Diseases of Nasal Depigmentation ■ Lichenification
■ Diseases with Oral Lesions ■ Inflammatory or Pruritic Alopecic Diseases
■ Ear Margin Dermatitis ■ Noninflammatory or Nonpruritic Alopecic Diseases
■ Nasodigital Hyperkeratosis ■ Cellulitis and Draining Lesions
■ Interdigital Pododermatitis ■ Nodular Diseases
■ Diseases of the Claw ■ Pruritic Diseases
■ Diseases of the Footpads ■ Seborrheic Diseases
■ Differentials Based on Primary and Secondary ■ Hyperpigmentation
Lesions ■ Hypopigmentation
■ Vesicular and Pustular Diseases ■ Breed Predispositions to Select Skin Conditions in
■ Erosive and Ulcerative Diseases Dog and Cats
Almost all dermatology patients have a primary or underlying After the origin of a patient’s dermatosis is known, it is a simple
disease that causes secondary infections. These infections must matter of therapeutic follow-through to resolve the problem.
be eliminated and prevented but will recur rapidly unless the Recognition of basic patterns allows a practical approach
primary disease is identified and controlled. to most of the common skin diseases.
Most skin cases seen in a veterinary practice can be success-
fully managed if two essential questions can be answered: Ten Clinical Patterns
(1) What are the secondary infections? and (2) Why are these What are the secondary infections? (always secondary)
secondary infections there? 1. Folliculitis: Folliculitis is the most common “pattern” of
disease mimicking other patterns. However, it is common
Essential Questions for it to be concurrent with other disease patterns (e.g.,
1. What are the infections? yeast dermatitis). The major differentials to consider for fol
■ Folliculitis liculitis are superficial staphylococcal pyoderma or bacterial
– Pyoderma folliculitis, demodicosis, and dermatophytosis. Pyoderma
– Demodex is the mostly likely cause in the dog, with demodicosis a
– Dermatophyte close second if not a concurrent factor. Juvenile-onset
■ Pododermatitis demodicosis may affect the patient in a symmetric fashion.
– Bacterial A good rule of thumb is to consider all dermatologic
– Yeast patients to have folliculitis until proven otherwise and
■ Otitis then search for predisposing underlying diseases (e.g.,
– Bacterial allergy, endocrinopathy, cornification disorder or defect).
– Yeast 2. Pododermatitis: Always scrape the dorsal pedal surface
■ Malassezia yeast dermatitis when it is alopecic because both demodicosis and allergic
2. Why are they there? skin disease may cause pododermatitis; steroids are not
■ Allergies appropriate for the former. Hemorrhagic bullae are mani-
– Atopy festations of deep pyoderma; therefore, they should be
– Food allergy cultured. A lesion on the paw pads is usually an indica-
– Scabies tion to biopsy. P3 digit amputation is rarely needed
■ Endocrinopathy to make a diagnosis of symmetric lupoid onychodystro-
– Hypothyroidism phy because the history with typical clinical findings is
– Cushing’s sufficient for a firm tentative diagnosis.
1
2 CHAPTER 1 ■ Differential Diagnoses
■ Single paw: trauma, foreign body, infection (e.g., bac- exfoliative dermatitis, plaques, nodules, depigmentation,
teria, yeast), localized demodicosis, cutaneous horn, +/- lesions affecting nonhaired skin, consider cutaneous
neoplasia, arteriovenous pedal fistula T-cell lymphoma (CTCL) and biopsy.
■ Multiple paws: infection (e.g., bacteria, yeast, hook- Distribution patterns and differential diagnoses for
worms, distemper, leishmaniasis), generalized demo pruritus:
dicosis, allergic skin disease, split paw pad disease, ■ Dorsum: pediculosis, cheyletiellosis, flea allergy der-
palmar or plantar interdigital comedones and follicu- matitis (FAD), +/- AD in terriers
lar cysts, autoimmune- or immune-mediated dermato- ■ Face, ears, paws, axillae, inguinum, and perineum: cuta-
sis (e.g., pemphigus foliaceus, vasculitis, symmetric neous adverse food reaction (CAFR), AD
lupoid onychodystrophy or onychomadesis), dermato- ■ Pinnal margins, elbows, hocks, and ventral trunk: sarcop-
myositis, metabolic dermatosis (e.g., hepatocutaneous tic mange
syndrome, zinc-responsive dermatosis, nasodigital ■ Rear or perineum: anal sacculitis, trichuriasis, FAD,
hyperkeratosis), and sometimes neoplasia (e.g., cuta- CAFR, AD, psychocutaneous disorder
neous lymphoma, subungual small cell carcinoma or ■ Sparsely haired body regions: allergic contact dermatitis
melanoma in heavily pigmented dogs) (rare)
3. Otitis: Because the ear is just an extension of the skin, 6. Nonpruritic alopecia (endocrine): Always exclude fol-
a good dermatologic examination of the skin may pro liculitis when confronted with alopecia (especially when
vide clues (other “patterns”) about potential causes of other typical lesions are present) because it is the most
ear disease. Resolution of otitis externa is achievable if common reason for it and often a resultant feature of
primary causes are identified and managed. Similarly, other diseases within the pattern of “nonpruritic sym-
otic cytology should be used on every case to initially metrical alopecia.” Consider an endocrinopathy as a
determine the infection(s) present, as well as monitor cause of recurring infection when pruritus resolves with
response to therapy during reexaminations. By and large, infection control. Exclude castration- or neuter-responsive
correctly administered topical antimicrobial treatments dermatosis, hypothyroidism, and hyperadrenocorticism
(volume and duration) are more effective for infected before considering alopecia X. Many alopecic conditions
canals than systemic therapy. Rigid palpable canals (ossi- have breed predilections, so consult a text for a listing of
fied) are usually beyond medical resolution and would these associations.
be better removed (total ear canal ablation and bulla ■ Endocrinopathy: hypothyroidism, hyperadrenocorti-
osteotomy). cism, sex hormone–related dermatoses
Is the pinna or canal affected? ■ Follicular dysplasias: color dilution alopecia, black hair
■ Pinnae: trauma, aural hematoma, sarcoptic mange, fly follicular alopecia, canine recurrent flank alopecia
bite or strike hypersensitivity, allergic skin or ear (CRFA), breed-related follicular alopecia
disease, ear margin seborrhea or dermatosis, vasculitis ■ Hair cycle arrest: Alopecia X, CRFA, defluxions, canine
or other autoimmune dermatoses, neoplasia pattern alopecia or baldness
■ Otitis externa: facets and differentials (chart below) 7. Autoimmune- or immune-mediated skin disease: Hepa-
4. Malassezia yeast dermatitis: The pattern is characteristic tocutaneous syndrome, zinc-responsive dermatosis, der-
of Malassezia yeast, but any chronic pruritic skin disorder matomyositis, eosinophilic dermatitis with edema (Well’s
may resemble it, including folliculitis (superficial pyo- syndrome), mucocutaneous pyoderma, and some forms
derma, demodicosis, dermatophytosis), ectoparasitism, of dermatophytosis may mimic this pattern of disease.
and allergic skin disease. Yeast dermatitis is often over- Skin biopsy is useful to correctly diagnose the disease so
looked as a cause of pruritic skin disease. The author’s a reasonable prognosis can be offered to the client and a
favorite way to find yeast is with the use of acetate tape treatment plan tailored to the patient can be developed
cytology. Just the finding of a single yeast from rep- (some autoimmune- or immune-mediated diseases do
resentative lesions is significant (yeast hypersensitivity?) not require systemic glucocorticoids).
and warrants topical or systemic (or both) treatment based Distribution patterns and differential diagnoses for
on the severity of pruritus. However, if cytology is “nega- autoimmune- or immune-mediated dermatoses:
tive” for yeast when confronted with this pattern, assume ■ Face, pinnae, or nasal planum: pemphigus foliaceus,
they are there, treat accordingly, and search for predispos- pemphigus erythematosus, discoid lupus erythemato-
ing underlying diseases (e.g., allergy, endocrinopathy, cor- sus, vasculitis, uveodermatologic syndrome, drug
nification defect). reaction, vitiligo
Why are they there? (the key to preventing relapse of ■ Oral cavity +/- other body areas: pemphigus vulgaris,
infections) subepidermal blistering dermatosis, systemic lupus
5. Pruritus (allergies, mites, fleas): When confronted with erythematosus, vasculitis, erythema multiforme, drug
pruritus, always exclude infection and parasites first! reaction
Many times pruritus is reassessed after controlling for ■ Pads and elsewhere on the body: basically any of the
microorganisms before determining the “next step.” aforementioned diseases
Atopic dermatitis (AD) is a clinical diagnosis based on 8. Keratinization defects: Exclude secondary reasons for a
the exclusion of other causes of pruritus; “allergy tests” scaling disorder before considering primary ones. Some
do not diagnosis it. If you see pruritic erythroderma, hereditary cornification defects are tardive, not being
So, What Is the Solution? 3
recognized until the dog is 2 to 5 years old. Follicular

casts are typical of a cornification defect.
What Are the Infections?
■ Primary scaling disorders: primary seborrhea (usually For every dermatitis case every time you evaluate the patient,
of spaniels and terriers), ichthyosis, Schnauzer ask yourself, “What are the infections?”
comedo syndrome, ear margin seborrhea or dermato- Unless you have microscopic vision, answering this ques-
sis, nasal parakeratosis of Labrador retrievers, tail tion will require the use of cytology. Unfortunately, most
gland hyperplasia, nasodigital hyperkeratosis general practices do not routinely perform skin and ear cytol-
■ Secondary scaling disorders: environmental, nutritional, ogy for dermatitis; instead they rely on the doctor’s best guess.
folliculitis, Malassezia dermatitis or otitis, ectoparasit- Sometimes this can be successful (even a broken clock is
ism, leishmaniasis, allergic skin disease, endocrinopa- correct twice a day); however, a more precise method is avail-
thy, follicular dysplasias, hair cycle arrest, sebaceous able. Use of diarrhea and the fecal examination as a compari-
adenitis, autoimmune- or immune-mediated derma- son and as a model for improvement works well because both
toses, metabolic dermatoses (e.g., hepatocutaneous skin cytology and fecal examinations involve the use of a
syndrome, zinc-responsive dermatosis, vitamin A– microscope, can easily identify the type of infection, and can
responsive dermatosis), neoplasia be performed by trained technical staff.
9. Lumps, bumps, and draining tracts: Wear gloves when ■ So why does your clinic perform fecal examinations?
confronted with this pattern of disease because some ■ When is a fecal examination performed (before the doc-
infectious agents are transmissible to people. Infectious tor’s examination or during)?

etiologies must be excluded when these lesions are ■ Who performs the fecal examination?
present. Acral lick dermatitis (lick granuloma) is a form ■ Does the clinic charge for the fecal examination?
of deep pyoderma; tissue culture (deep dermis with epi- The answers to these questions should be the same for skin
dermis removed) is helpful. cytology: The minimum dermatologic database (skin scrap-
■ Infectious inflammatory: bacterial, atypical bacterial, ings, impression smears, tape preps, and otic swabs).
mycobacterial, fungal, oomycete, parasite The practical solution for determining the best method
■ Noninfectious inflammatory: cyst, xanthoma, hygroma, by which to answer the question, “What are the infections?”
cutaneous histiocytosis, pyogranuloma or granuloma is to implement a minimum database infection screening
syndrome, sterile nodular panniculitis, perianal procedure to be performed by the technician before the veteri-
fistula narian examines the patient. Every dermatology patient should
■ Neoplasia: benign, malignant undergo otic cytology, skin cytology (an impression smear or
■ Mineral deposition: calcinosis circumscripta, calcinosis a tape prep), and a skin scrape at every examination (initially
cutis and at every recheck visit). The three-slide technique (Figure
10. Weirdopathies: Commonly, this pattern is an unusual 1-1) can be performed easily and interpreted by a technician
manifestation of an aforementioned “pattern” or is before the doctor completes an evaluation, which is exactly
formed by several overlapping ones. After “folliculitis” how diarrhea and fecal examinations are handled in most
has been excluded, skin biopsy (± culture) is usually clinics. Moving the cytologic evaluation to the beginning of
warranted when confronted with an “oddopathy.” Several the dermatology appointment and thereby empowering the
skin biopsies of representative lesions will help better technical staff to accomplish the evaluation optimizes the
categorize the disease process—infectious, allergic,
autoimmune- or immune-mediated, endocrine or fol
licular abnormality, cornification defect, congenital, or
neoplasia—assuming the proper technique is used and
the pathologist is provided a detailed history with clinical
findings. Ideally, a dermatopathologist should be sought.
Calcinosis cutis often appears as an oddopathy. A patient
with an oddopathy might be best examined by a
dermatologist.
So, What Is the Solution?

A vast majority of dogs with allergy or endocrine disease have
or will have a secondary bacterial or yeast infection. Yeast
dermatitis is the most commonly missed diagnosis in general
practice dermatology. Bacterial pyoderma is often identified
but is usually mistreated with too low doses of antibiotics
administered for too short a time. Otitis is now recognized
and treated better than it was in years past; however, treatment Skin scrape Skin cytology Ear cytology
for otitis that is based on actual documented organism types (cocci/yeast)
and relative counts on follow-up evaluations is a rare FIGURE 1-1 The Three-Slide Technique. Skin scrapes, cutaneous
occurrence. cytology, and otic swabs.
dermatology appointment and provides essential information

AUTHOR’S NOTE
in the most efficient manner.
When an owner brings a pet into the clinic for a small Could clinical dermatology really be this easy?
hairless spot, it would be appropriate to question the necessity Yes. Unfortunately, most of us were taught derma-
for an otic cytology even when there is no sign of otitis and tology from the perspective of a NASA engineer
when the hairless spot is the problem. However, the three- who is determined to address and eliminate every
slide technique is most helpful in these exact types of cases. If possible scenario regardless of how rare its occur-
focal pruritus occurs in a dog and the patient has a secondary rence. Based on any standard of logic, statistics, or
otitis (which the technician identified during the infection common sense, the most likely disease should be
screen), the veterinarian should more aggressively discuss this addressed first. It is illogical to perform diagnostic
and work up the patient for possible allergy. If the patient did tests or therapeutic trials for rare or unlikely dis-
not have otitis, the pruritus could be minimized in the hope eases as part of the initial dermatologic workup, yet
that it was a short-term problem that is likely to self-resolve. this is exactly how most veterinarians are taught to
Similarly, there is no excuse for mistreating a patient who diagnose atopy: “a diagnosis of exclusion.” If a
has demodicosis. Lesions caused by demodicosis can look patient is seasonally foot licking, the most likely
identical to folliculitis lesions caused by bacterial pyoderma diagnosis is atopy.
and dermatophytosis. Clinical appearance is not an acceptable
criterion for ruling in or ruling out demodicosis. When the
technician performs a skin scrape as part of the infection
screen, demodicosis can be identified and treated easily and
accurately. Optimizing owner understanding and compliance: Much of
the problem that veterinarians face when treating an aller-
gic patient is the pet owner’s lack of understanding and
Why Are They There? ability to adhere to long-term prevention and treatment
Infections are always secondary to a primary disease; however, protocols. There is great information available regarding
all too often, the patient is not evaluated or treated for the cognitive psychology that can optimize the human
primary disease for three main reasons: (1) only the secondary factors that limit successful outcomes. Here are some
infections are treated over and over again, (2) the nature of suggestions:
the allergy is confusing, and (3) cheap steroids that have 1. Have the pet owner complete a patient history form.
delayed repercussions are accessible. This allows the client to focus on the details of the skin
Why are the infections there? This question should be disease and symptoms and primes the client to listen
asked and answered for every dermatology patient if successful better and accept the diagnosis and information that
outcomes are to be achieved. will be provided by the veterinarian.
Most dermatology patients have allergy or endocrine 2. Try to avoid a rambling, stream-of-consciousness
disease. Through signalment, a good patient history, and rec- approach to the discussion of allergy. Many of us have
ognition of unique patterns of lesions, a prioritized differen- an “automatic” allergy spiel that only confuses the
tial list can be formulated quickly. client and dose not focus on the specific problems of
By knowing the most unique and frequent symptoms asso- the individual patient.
ciated with each allergic disease, an astute clinician can deter- 3. Use simplified charts and handouts to organize the
mine the most likely allergy with approximately 85% accuracy; diagnosis and treatment phases of the allergy educa-
this rate rivals many other diagnostic testing results for some tion discussion. These focus the educational message
of the most common assays. and improve the understanding of the client. Addition-
For example, a dog that is foot licking is likely atopic. If the ally, draw and write on these handouts and give
owner reports a seasonal pattern to the podopruritus, then you them to the client to review later. This increases accep-
have a reasonably accurate diagnosis—EASY. tance of the message and improves compliance with
Atopy: foot licking; seasonal; when pruritus first started, typi- therapy.
cally between 1 and 3 years of age 4. Organize the diagnostic testing and treatment options
Food allergy: perianal dermatitis (erythema, alopecia, licheni- into groups based on the severity of the patient and
fication); gastrointestinal disease; younger than 1 year old response to previous treatments (mild patients need a,
or older than 5 years of age when started; German breeds b, c; moderately severe patients need d, e, f; and severe
Flea allergy: dermatitis predominantly affecting the lumbar patients need g, h, i).
region (caudal to the last rib) 5. Assess the risk to the patient and family members
Scabies: positive pinnal-pedal reflex (ear scratch test) for methicillin-resistant Staphylococcus aureus (MRS)
Hypothyroidism: large-breed dog that is disproportionately infections. Families at risk for MRS contagion and zoo-
obese for food intake and has a poor hair coat with areas nosis must be willing to accept aggressive medical
of alopecia over areas of friction management to reduce the risk. All three species of
Cushing’s disease: patient with a long history of steroid MRS can be transmitted from dogs to people and from
abuse, or small-breed dog with polyphagia, polyuria (PU), people to dogs. If family members have a history of
and polydipsia (PD), and symmetrical alopecia MRS, consider aggressively monitoring the patient with
Why Are They There? 5
cultures because dogs can acquire MRS from humans. need the most aggressive diagnostic workup and treat-
If family members are immunosuppressed, monitor ments achievable to protect the entire family from con-
the patient for MRS pseudintermedius and MRS tagion and zoonosis. In these families, avoid the use of
schleiferi, which can be a source of contagious infection steroids or fluoroquinolone antibiotics, which can
to at-risk, immunosuppressed people. These patients increase the risk of MRS.
Text continued on p. 12
WHAT IS MAKING MY DOG SO ITCHY?

Evaluation Form
A thorough history can help us find the source of your dog’s itching more quickly.
Please answer the following questions to help guide the diagnostic process.
Date Pet owner name
Name of dog Age Breed Weight
PHYSICAL EVALUATION
Please check any that describe your dog and circle problem areas on the drawing.
Hair loss
Foul odor
Inflammation or redness
Itching/Scratching CIRCLE PROBLEM AREAS
(Itching, hair loss, lesions, etc.)
Otitis (ear infections)
Licking/Chewing
Skin lesions (sores)
Changes in skin (reddish brown stains, discolorations and/or areas that are thick and leathery)
Other
• Has your dog ever had ear problems? Yes No
• Does your dog have any chronic gastrointestinal signs like diarrhea or vomiting? Yes No
SEVERIT Y EVALUATION On a scale of 0 to 10 rank the severity of your dog’s symptoms.

SEVERITY OF CONDITION OVERALL
0 1 2 3 4 5 6 7 8 9 10
No symptoms Severe
SEVERITY OF SKIN LESIONS

0 1 2 3 4 5 6 7 8 9 10
No lesions Severe
SEVERITY OF SCRATCHING/LICKING/CHEWING
0 1 2 3 4 5 6 7 8 9 10
No signs Severe
ONSET AND SEASONALIT Y EVALUATION

• Yes No
<1 yr 1-3 yrs 4-7 yrs 7+ yrs
– If no, has it occurred around the same time of year each time? Yes No
– If no, approximate time of year symptoms occur.
• How long have the current symptoms been going on?
• Did the itch start gradually and over time become worse? Yes No
• Did the itch come on suddenly without warning? Yes No
• Simultaneous
PAR ASITE CONTROL

• Yes No
– If yes, what product(s)?
• What months do you administer the preventative?
• When was the last time you administered the parasite control?
FIGURE 1-2 Medical History and Information Forms (A–F) to be Filled Out by Owners. (Courtesy Novartis Animal Health US, Inc.)
Novartis Animal Health is now Elanco.
LIFE ST YLE EVALUATION

• Where does your dog live? ❑ Indoors ❑ Outdoors ❑ Both
– If outdoors, please describe environment:
• Are there other pets in your household? ❑ Yes ❑ No
– If yes, do these pets have the same symptoms? ❑ Yes ❑ No
– If these pets are cats, do they go outside? ❑ Yes ❑ No
• Do you board your dog, take him or her to obedience school, training or groomers? ❑ Yes ❑ No
– If yes, when was the last time you took your dog?
• Have you taken your dog on a trip to another location? ❑ Yes ❑ No
– If yes, please indicate when and location:
• Have you recently moved? ❑ Yes ❑ No
• Have you been to a new dog park or walking trail? ❑ Yes ❑ No
• Have you used any new shampoo or topical skin treatments recently? ❑ Yes ❑ No
• Are any humans in your household exhibiting signs? ❑ Yes ❑ No
DIETARY EVALUATION
• What pet food are you feeding?
• Do you feed the same food all the time or provide a variety? ❑ Always same ❑ Variety
• Have you changed his or her diet recently? ❑ Yes ❑ No
• Do you give your dog packaged treats? ❑ Yes ❑ No
• Do you feed your dog “human” food? ❑ Yes ❑ No
REL ATIONSHIP/BEHAVIORAL EVALUATION

Indicate if and how your dog’s itching has affected his/her behavior and relationship with you. (CIRCLE ALL APPROPRIATE ANSWERS)
SLEEPS THROUGH THE NIGHT
Always Usually Occasionally Never
ACTIVITY LEVEL
Inactive Much less active Somewhat less active No change
SOCIAL BEHAVIOR
Unsocial A lot less social Somewhat less social No change
RELATIONSHIP CHANGES
Fewer walks No longer sleeps in bed/same room Interacts less with family
PRIOR TREATMENTS
• Has your dog been treated for itching before? ❑ Yes ❑ No
• Indicate previous treatments administered to your dog: (CHECK ALL THAT APPLY)
❑ Steroids ❑ Shampoos ❑ Sprays ❑ Ointments ❑ Antibiotics ❑ Hypoallergenic food
❑ Essential fatty acids ❑ Antihistamines ❑ Immunotherapy
❑ Other (PLEASE SPECIFY)
Next Steps
Laboratory Testing:
Physical Exam:
Ear Swab–To identify any infections in the ear including yeast
A thorough physical evaluation and/or bacteria.
of your dog will help us
Skin Scrape/Hair Pluck–To detect scabies or demodex mites.
identify obvious problems and
conditions like parasites. Impression Smear/Tape Prep–To detect other parasites and
check for presence of yeast and/or bacteria.
©2008 Novartis Animal Health US, Inc. ATO080228A
FIGURE 1-2, cont’d Continued

DERMATOLOGY WORK-UP
SEVERITY OF ITCHING PET’S NAME:
1 2 3 4 5 6 7 8 9 10
Minor Severe
1 WHAT ARE THE INFECTIONS?

Perform 3-Slide Technique during the physical exam on multiple sites/lesions.
TM
Slide 1 Skin Scrape (hairplucks): Positive for / Negative

Slide 2 Ear Swab: Positive for / Negative
Slide 3 Tape Prep/Impression Smear: Positive for / Negative
Pyoderma Otitis (Cocci, Yeast, Pseudomonas)
Demodex Pododermatitis (Cocci, Yeast)
Dermatophytosis Yeast Dermatitis
2 COMMON ALLERGIC SIGNS1
A. LUMBAR DERMATITIS B. EAR-SCRATCH TEST

Flea Allergy: (very reliable pattern) Scabies: (1-2 are highly reliable)
1. Caudal 1/3 of body
2. Ear margin, distal legs, lateral elbow, ventrum
3. Multiple animals involved or humans affected 3. Variable responsive to steroids
4. Variable response to steroids
5. Fall and Spring are often worse but can 5. Skin Scrapes are often falsely negative
be year-round
C. PERIANAL DERMATITIS
S D. FFOOT LICKING
Food Allergy: (less common but
ut Atopic
A
Atop Dermatitis:
1-5 increase probability) (1-5 are highly reliable)
(1-
1. Perianal dermatitis 1. Started at
2. GI symptoms; more than 6 months – 3 years of age
ting,
3 BM/day, diarrhea, vomiting, 2. Front feet affected
3. Inner ear pinnae erythema
3. Less than 1 year or older than
5 years at onset 4. Lives indoors
4. Labradors and German Breeds may 5. Ruling out Scabies (ear margin
be predisposed dermatitis) and Flea Allergy
(lumbar dermatitis)
5. Variable response to steroids
6. Seasonal symptoms progressing
Hypothyroidism: (can mimic allergic dermatitis) to year-round
1. Recurrent infection may cause pruritus
2. Lethargy, weight gain, dry coat, hypotrichosis
3. Nonpruritic when infections are resolved
FIGURE 1-2, cont’d

2 PATTERN RECOGNITION
Flea Allergy Atopy Scabies
3
Food Allergy Yeast (Malassezia) Pyoderma (Bact)
TREAT THE ACUTE FLARES:
3 Cause Recommended Treatment

Bacterial Pyoderma
Yeast Infections
Otitis
Flea Infestation
Scabies Treatment
Steroid “Crisis” Therapy
Topical Short-Term Steroid
TREATMENT, CONTROL AND PREVENTION OF FUTURE FLARES:
Cause Recommended Treatment

Immunotherapy
4
Allergy Vaccine
Atopy
Atopica® (Cyclosporine
capsules, USP) MODIFIED
Thyroid Supplementation bid
AVOIDING THE TRIGGERS:
Cause Treatment Recommended Treatment

Bacteria Regular bath with an antimicrobial
Yeast shampoo. Wipe off affected areas (feet,
Pollens face, etc.) as often as possible
Otitis Routine Ear Treatment/cleaning
Flea and Intestinal Parasites Year-round Prevention
Food Triggers Restricted diet
House Dust Mites Dehumidify, replace dog bed,
anti-allergy spray (benzyl benzoate)
PROMOTE SKIN HEALTH AND RESTORE BARRIER FUNCTION:
Cause Recommended Treatment

Essential Fatty Acids
Antihistamines
Soothing, Leave on
Conditioner
RECHECK APPOINTMENT: ________________________________________________

1
Source: Keith Hnilica, DVM, MS, DACVD.
2
Source: R.S. Mueller DipACVD, FACVSc, S.V. Bettenay BVSc, FACVSc, and M.Shipstone BVSc, DipACVD, FACVSc: Value of the pinnal-pedal
The Veterinary Record, Vol 148, Issue 20, 621-623.
3
Source: The ACVD task force on canine atopic dermatitis (XIV): clinical manifestations of canine atopic dermatitis, 2001.
4
© 2011 Novartis Animal Health US, Inc. 3-Slide Technique is a trademark of Novartis AG. ATO110020A
FIGURE 1-2, cont’d Continued

HOW ITCHY IS YOUR DOG?

DAILY ITCH REPORT CARD
Keep track of how itchy your dog is for the next 30 PET’S NAME:
days. Measure the severity of itch on a scale of 1-10,
PET OWNER:
1 being mild and 10 being the most severe. Bring this
report card back on your next visit. START DATE:
SEVERITY OF ITCHING
DAY 1 1
Minor
2 3 4 5 6 7 8 9 10
Severe
DAY 2 1 2 3 4 5 6 7 8 9 10
DAY 3 1 2 3 4 5 6 7 8 9 10
DAY 4 1 2 3 4 5 6 7 8 9 10
DAY 5 1 2 3 4 5 6 7 8 9 10
DAY 6 1 2 3 4 5 6 7 8 9 10
DAY 7 1 2 3 4 5 6 7 8 9 10
DAY 8 1 2 3 4 5 6 7 8 9 10
DAY 9 1 2 3 4 5 6 7 8 9 10
DAY 10 1 2 3 4 5 6 7 8 9 10
DAY 11 1 2 3 4 5 6 7 8 9 10
DAY 12 1 2 3 4 5 6 7 8 9 10
DAY 13 1 2 3 4 5 6 7 8 9 10
DAY 14 1 2 3 4 5 6 7 8 9 10
DAY 15 1 2 3 4 5 6 7 8 9 10

SEVERITY OF ITCHING
DAY 16 1
Minor
2 3 4 5 6 7 8 9 10
Severe
DAY 17 1 2 3 4 5 6 7 8 9 10
DAY 18 1 2 3 4 5 6 7 8 9 10
DAY 19 1 2 3 4 5 6 7 8 9 10
DAY 20 1 2 3 4 5 6 7 8 9 10
DAY 21 1 2 3 4 5 6 7 8 9 10
DAY 22 1 2 3 4 5 6 7 8 9 10
DAY 23 1 2 3 4 5 6 7 8 9 10
DAY 24 1 2 3 4 5 6 7 8 9 10
DAY 25 1 2 3 4 5 6 7 8 9 10
DAY 26 1 2 3 4 5 6 7 8 9 10
DAY 27 1 2 3 4 5 6 7 8 9 10
DAY 28 1 2 3 4 5 6 7 8 9 10
DAY 29 1 2 3 4 5 6 7 8 9 10
DAY 30 1 2 3 4 5 6 7 8 9 10
© 2010 Novartis Animal Health US, Inc. ATO100022A

Differentials Based on Body Region
Diseases Primarily Limited to the Face

Dogs
Mucocutaneous pyoderma
Nasal pyoderma
Chin pyoderma
Eosinophilic furunculosis of the face
Pemphigus erythematosus
Pemphigus foliaceus
Discoid lupus erythematosus
Uveodermatologic syndrome
Juvenile cellulitis
Nasal depigmentation
(Early) Familial canine dermatomyositis
FIGURE 1-4 Nasal Depigmentation.
Cats
Discoid lupus erythematosus Diseases with Oral Lesions
Feline acne
Mosquito bite hypersensitivity Dogs
Idiopathic facial dermatitis of Persian cats Candidiasis
Indolent ulcer Pemphigus vulgaris
Feline herpes or rhinotracheitis virus dermatitis Bullous pemphigoid
Feline solar dermatosis Systemic lupus erythematosus
Vesicular cutaneous lupus erythematosus
Eosinophilic granuloma
Cutaneous drug reaction
Vasculitis
Erythema multiforme or toxic epidermal necrolysis
Contact dermatitis
Epitheliotropic lymphoma
Melanoma
Squamous cell carcinoma
Cats
Indolent ulcers
Eosinophilic granuloma
Pemphigus vulgaris
FIGURE 1-3 Facial Dermatitis. Bullous pemphigoid
Systemic lupus erythematosus
Diseases of Nasal Depigmentation Contact dermatitis
Dogs Vasculitis
Contact dermatitis Squamous cell carcinoma
Pemphigus erythematosus Epitheliotropic lymphoma
Pemphigus foliaceus
Pemphigus vulgaris
Bullous pemphigoid
Discoid lupus erythematosus
Uveodermatologic syndrome
Vitiligo
Neoplasia (cutaneous lymphoma)
Differentials Based on Body Region 13
FIGURE 1-5 Oral Lesions. FIGURE 1-6 Ear Margin Dermatitis.
Ear Margin Dermatitis Nasodigital Hyperkeratosis

Dogs Dogs
Canine leproid granuloma syndrome Canine distemper
Scabies Leishmaniasis
Fly bite dermatitis Zinc-responsive dermatosis
Ear margin dermatitis Hepatocutaneous syndrome
Vasculitis Idiopathic nasodigital hyperkeratosis
Pemphigus erythematosus Hereditary nasal parakeratosis of Labrador retrievers
Pemphigus foliaceus Familial footpad hyperkeratosis
Pemphigus vulgaris Pemphigus foliaceus
Bullous pemphigoid Systemic lupus erythematosus
Discoid lupus erythematosus Cutaneous horn
Drug reactions
Solar dermatitis
Cats
Atopy
Food allergy
Mosquito bite hypersensitivity
Eosinophilic plaque
Feline scabies
Vasculitis
Pemphigus foliaceus
Pemphigus vulgaris FIGURE 1-7 Nasal Keratosis.
Bullous pemphigoid
Systemic lupus erythematosus Interdigital Pododermatitis
Drug reactions
Solar dermatitis
Dogs
Squamous cell carcinoma Bacterial infections
Malassezia
Dermatophytosis
Demodicosis
Trombiculiasis
Hookworm dermatitis
Pelodera dermatitis
Atopy
Food hypersensitivity
Contact dermatitis
Interdigital pyogranuloma
Neoplastic tumor
Differentials Based on Body Region—cont’d
Cats Diseases of the Footpads

Bacterial infections
Dermatophytosis Dogs
Malassezia Contact dermatitis
Trombiculiasis Canine distemper
Neoplastic tumor Leishmaniasis
Pemphigus foliaceus
Pemphigus vulgaris
Bullous pemphigoid
Vasculitis
Hepatocutaneous syndrome
Familial footpad hyperkeratosis
Idiopathic nasodigital hyperkeratosis
Zinc-responsive dermatosis
Cutaneous horn
Cats
Plasma cell pododermatitis
Mosquito bite hypersensitivity
FIGURE 1-8 Interdigital Pododermatitis. Contact dermatitis
Pemphigus foliaceus
Diseases of the Claw Pemphigus vulgaris
Bullous pemphigoid
Dogs Systemic lupus erythematosus
Trauma Vasculitis
Bacterial infections Hepatocutaneous syndrome
Dermatophytosis
Leishmaniasis Cutaneous Horn
Vasculitis
Symmetrical lupoid onychodystrophy
Melanoma
Cats
Trauma
Bacterial infections
Dermatophytosis
Vasculitis
Pemphigus foliaceus
FIGURE 1-10 Diseases of the Footpads.
FIGURE 1-9 Diseases of the Claw.

Differentials Based on Primary and Secondary Lesions 15
Differentials Based on Primary and Secondary Lesions
Vesicular and Pustular Diseases Erosive and Ulcerative Diseases

(Uncommon but specific lesions associated with folliculitis or (Uncommon and nonspecific lesions often subsequent to a
autoimmune skin diseases) vesicle or pustule usually caused by infection or autoimmune
skin diseases)
Dogs
Chin pyoderma Dogs
Superficial pyoderma Mucocutaneous pyoderma
Impetigo Pyotraumatic dermatitis
Dermatophytosis Deep pyoderma
Contact dermatitis Candidiasis
Pemphigus foliaceus Protothecosis
Pemphigus erythematosus Blastomycosis
Pemphigus vulgaris Cryptococcosis
Bullous pemphigoid Fly bite dermatitis
Systemic lupus erythematosus Rocky Mountain spotted fever (RMSF)
Vesicular cutaneous lupus erythematosus Cutaneous leishmaniasis
Cutaneous drug reaction Neosporosis
Epidermolysis bullosa Pemphigus vulgaris
Canine familial dermatomyositis Bullous pemphigoid
Subcorneal pustular dermatosis Systemic lupus erythematosus
Sterile eosinophilic pustulosis Vesicular cutaneous lupus erythematosus
Vasculitis
Cats Erythema multiforme or toxic epidermal necrolysis
Superficial pyoderma Cutaneous drug reaction
Impetigo Epidermolysis bullosa
Dermatophytosis Canine familial dermatomyositis
Contact dermatitis Perianal fistulae
Pemphigus foliaceus Neoplasia
Pemphigus vulgaris Cats
Cutaneous drug reaction Pyotraumatic dermatitis
Epidermolysis bullosa Candidiasis
Sporotrichosis
Blastomycosis
Feline calicivirus
Feline rhinotracheitis virus
Cutaneous leishmaniasis
Neosporosis
Pemphigus vulgaris
Vasculitis
Epidermolysis bullosa
Eosinophilic plaque
Indolent ulcer
Plasma cell podermatitis
Idiopathic ulcerative dermatosis
Feline solar dermatosis
FIGURE 1-11 Vesicle Pustule. Neoplasia
Differentials Based on Primary and Secondary Lesions—cont’d
Trombiculiasis
Pediculosis
Feline immunodeficiency virus (FIV) infection
Atopy
Flea allergy dermatitis
Contact dermatitis
Pemphigus foliaceus
Pemphigus vulgaris
Early neoplasia
FIGURE 1-12 Ulcer Erosion.
Miliary Dermatitis
Papules
(Nonspecific lesions caused by a cellular infiltrate)
Cats
Superficial pyoderma
Dogs Dermatophytosis
Demodicosis
Chin pyoderma
Cheyletiellosis
Ear mites
Impetigo
Atopy
Dermatophytosis
Canine scabies
Cheyletiellosis
Pemphigus foliaceus
Ear mites
Lupus
Trombiculiasis
Pediculosis
FIV infection
Atopy
Flea allergy
Food allergy
Contact dermatitis
Pemphigus foliaceus
Pemphigus vulgaris
Bullous pemphigoid
Canine familial dermatomyositis
Subcorneal pustular dermatosis
Sterile eosinophilic pustulosis
Calcinosis cutis
FIGURE 1-13 Miliary Dermatitis.
Early neoplasia
Plaques
Cats (Larger lesions that usually are formed by numerous papules
Superficial pyoderma that coalesce)
Dermatophytosis
Demodicosis Dogs
Canine scabies Dermatophytosis
Cheyletiellosis Contact dermatitis
Ear mites Cutaneous drug reaction
Calcinosis cutis
Early neoplasia
Cats
Dermatophytosis
Demodicosis
Cheyletiellosis
Ear mites
Trombiculiasis
FIV infection
Contact dermatitis
FIGURE 1-16 Follicular Cast.
Epidermal Collarettes
(Specific lesions that develop subsequent to a pustule or
vesicle; most often found in association with folliculitis)
Dogs
Impetigo
Demodicosis
Dermatophytosis
Pemphigus foliaceus
FIGURE 1-14 Plaque.
Follicular Casts
(Specific lesions often associated with primary keratinization
defects)
Dogs
Primary seborrhea
Vitamin A–responsive dermatosis
Sebaceous adenitis
FIGURE 1-17 Epidermal Collarette.
Comedones
(Specific lesions that are caused by plugging of the hair
follicles)
Dogs
Chin pyoderma
Demodicosis
Dermatophytosis
Canine hyperadrenocorticism
Schnauzer comedone syndrome
Vitamin A–responsive dermatosis
Hairless breeds
Color dilution alopecia
FIGURE 1-15 Excoriation. Follicular dysplasias
Cats Inflammatory or Pruritic

Feline acne Alopecic Diseases
(Nonspecific lesions caused by any inflammatory dermatitis)
Dogs
Mucocutaneous pyoderma
Pyotraumatic dermatitis
Malasseziasis
Canine scabies
Cheyletiellosis
Ear mites
Trombiculiasis
Pediculosis
Hookworm dermatitis
Pelodera dermatitis
Atopy
FIGURE 1-18 Comedone.
Contact dermatitis
Pemphigus foliaceus
Acral lick dermatitis
Lichenification Subcorneal pustular dermatosis
(Characteristic lesion of yeast dermatitis in dogs but can also Sterile eosinophilic pustulosis
be caused by chronic inflammatory disease) Hepatocutaneous syndrome
Dogs Cats
Malasseziasis Superficial pyoderma
Chronic inflammation Pyotraumatic dermatitis
Parasitic infections Malasseziasis
Hypersensitivities Feline scabies
Keratinization diseases Cheyletiellosis
Ear mites
Trombiculiasis
Pediculosis
Atopy
Contact dermatitis
Idiopathic facial dermatitis of Persian cats
Psychogenic alopecia
Feline lymphocytic mural folliculitis
Eosinophilic plaque
Idiopathic ulcerative dermatosis
Feline paraneoplastic alopecia
FIGURE 1-19 Lichenification.

FIGURE 1-20 Inflammatory Alopecia.
FIGURE 1-21 Noninflammatory Alopecia.

Noninflammatory or Nonpruritic
Alopecic Diseases Cellulitis and Draining Lesions
(Relatively specific lesions associated with endocrine disease (Nonspecific lesions caused by severe cellular infiltrates;
or follicular dysplasia) usually associated with infection or neoplasia)
Dogs Dogs
Hyperadrenocorticism Deep pyoderma
Hypothyroidism Actinomycosis
Sex hormone imbalance Nocardiosis
Alopecia X Opportunistic mycobacteriosis
Recurrent flank alopecia Tuberculosis
Congenital hypotrichosis Pythiosis
Color dilution alopecia Lagenidiosis
Black hair follicular dysplasia Zygomycosis
Canine pattern baldness Blastomycosis
Idiopathic bald thigh syndrome of greyhounds Coccidiomycosis
Anagen and telogen defluxion Juvenile cellulitis
Postclipping alopecia Blepharitis
Traction alopecia Perianal fistulae
Injection reaction
Alopecia areata Cats
Subcutaneous abscess
Cats Actinomycosis
Allergic alopecia L-form infection
Hyperadrenocorticism Nocardiosis
Congenital hypotrichosis Opportunistic mycobacteriosis
Feline preauricular and pinnal alopecia Tuberculosis
Anagen and telogen defluxion Plague
Injection reaction Phaeohyphomycosis
Alopecia areata Pythiosis
Feline lymphocytic mural folliculitis Lagenidiosis
Sporotrichosis
Zygomycosis
Blastomycosis
Coccidiomycosis
Blepharitis
Anal sac disease
Canine solar dermatosis

Neoplastic tumors
Nodular dermatofibrosis
Fibropruritic nodule
Collagenous nevus
Follicular cyst–intraepidermal inclusion cyst
Calcinosis circumscripta
Cats
Botryomycosis
Actinomycosis
Nocardiosis
Opportunistic mycobacteriosis
Subcutaneous abscess
Feline leprosy
FIGURE 1-22 Cellulitis. Plague
Tuberculosis
Nodular Diseases Dermatophytosis
Eumycotic mycetoma
(Nonspecific lesions caused by any cellular infiltrate; most
Phaeohyphomycosis
often associated with neoplasia or infection)
Protothecosis
Pythiosis
Dogs Lagenidiosis
Botryomycosis Sporotrichosis
Actinomycosis Zygomycosis
Nocardiosis Blastomycosis
Opportunistic mycobacteriosis Coccidiomycosis
Subcutaneous abscess Cryptococcosis
Tuberculosis Histoplasmosis
Canine leproid granuloma syndrome Cuterebra
Dermatophytosis Dracunculiasis
Eumycotic mycetoma Feline cowpox
Phaeohyphomycosis Viral papillomatosis
Protothecosis Leishmaniasis
Pythiosis Cutaneous neosporosis
Lagenidiosis Sterile nodular panniculitis
Sporotrichosis Eosinophilic granuloma
Zygomycosis Neoplastic tumors
Blastomycosis Follicular cyst–intraepidermal inclusion cyst
Coccidiomycosis
Histoplasmosis
Cuterebra
Dracunculiasis
Viral papillomatosis
Leishmaniasis
Cutaneous neosporosis
Cutaneous vesicular lupus erythematosus
Sterile nodular panniculitis
Idiopathic sterile granuloma and pyogranuloma
Tail gland hyperplasia
Acral lick dermatitis
Callus
Hygroma
Eosinophilic granuloma FIGURE 1-23 Nodules.
Pruritic Diseases
(Nonspecific symptoms caused by any inflammatory dermati-
tis; some diseases have characteristic patterns that are more
clinically relevant)
Dogs
Malasseziasis
Canine scabies
Cheyletiellosis
Ear mites
Trombiculiasis
Pediculosis
Hookworm dermatitis
Pelodera dermatitis
Atopy FIGURE 1-24 Pruritus.
Contact dermatitis Seborrheic Diseases
Pemphigus foliaceus (Nonspecific lesions that usually are secondary to a primary
Acral lick dermatitis dermatologic disease but can be caused by a primary keratini-
Subcorneal pustular dermatosis zation defect)
Sterile eosinophilic pustulosis
Hepatocutaneous syndrome Dogs
Cutaneous lymphoma
Malasseziasis
Cats Dermatophytosis
Superficial pyoderma Demodicosis
Malasseziasis Canine scabies
Feline scabies Cheyletiellosis
Cheyletiellosis Pediculosis
Ear mites Leishmaniasis
Trombiculiasis Food hypersensitivity
Pediculosis Pemphigus foliaceus
Atopy Pemphigus erythematosus
Food hypersensitivity Systemic lupus erythematosus
Flea allergy dermatitis Cutaneous drug reaction
Contact dermatitis Hyperadrenocorticism
Idiopathic facial dermatitis of Persian cats Hypothyroidism
Psychogenic alopecia Sex hormone imbalances
Feline lymphocytic mural folliculitis Canine primary seborrhea
Eosinophilic plaque Vitamin A–responsive dermatosis
Idiopathic ulcerative dermatosis Ichthyosis
Feline paraneoplastic alopecia Epidermal dysplasia of West Highland white terriers
Hepatocutaneous syndrome Sebaceous adenitis
Tail gland hyperplasia
Zinc-responsive dermatosis
Canine ear margin seborrhea
Neoplasia
Another random document with
no related content on Scribd:
To obey the behests of the democratic caucus of this body, whose
leadership on this floor, whose representative national authority—
the one here and the other elsewhere—have championed the cause of
the Bourbon-funder party in Virginia, would be an obsequious
surrender of our State policy and self-condemnation of our
independent action.
The desire of our people for cordial relations with all sections of a
common country and the people of all the States of the Union, their
devotion to popular education, their efforts for the free enjoyment of
a priceless suffrage and an honest count of ballots, their
determination to make Virginia, in the public belief, a desirable
home for all men, wherever their birthplace, whatever their opinions,
and to open her fields and her mines to enterprise and capital, and to
stay the retrograde movement of years, so as to bring her back from
the fifteenth in grade to her original position among the first in the
sisterhood of States, forbid that my action here should be controlled
or influenced by a caucus whose party has waged war upon my
constituency and where party success is held paramount to what I
conceive to be the interests of Virginia and the welfare of the whole
country.
The readjusters of Virginia have no feeling of hostility, no words of
unkindness for the colored man. His freedom has come, and whether
by purpose or by accident, thank God, that among other issues which
so long distracted our country and restrained its growth, was
concluded, and I trust forever, by the results of the sanguinary
struggle between the sections.
I have faith, and it is my earnest hope, that the march of an
enlightened civilization and the progress of human freedom will
proceed until God’s great family shall everywhere enjoy the products
of their own labor and the blessings of civil, political, and religious
liberty.
The colored man was loyal to Virginia in all the days of conflict and
devastation which came of the heroic struggle in the war of sections
that made her fields historic. By no act of his was either the clash of
arms provoked or freedom secured. He did not solve his duty by
consideration of self-interest.
Speech of Hon. Justin S. Morrill, of Vermont,
(Author of the Tariff Bill of 1861), delivered in the Senate of the

United Stales, December 8, 1881, on the Bill to Appoint a Tariff
Commission.
The Senate, being as in Committee of the Whole, and having under
consideration the bill (S. No. 22) to provide for the appointment of a
commission to investigate the question of the tariff and internal
revenue laws—
Mr. Morrill said: I have brought this subject to the early
attention of the Senate because, if early legislative action on the tariff
is to be had, obviously the measure proposed by Senator Eaton and
passed at the last session of the Senate is a wise and indispensable
preliminary, which cannot be started too soon. The essential
information needed concerns important interests, vast in number
and overspreading every nook and corner of our country; and when
made available by the ingathering and collocation of all the related
facts, will secure the earliest attention of Congress, as well as the
trust and confidence of the country, and save the appropriate
committees of both Houses weeks and months of irksome labor—
possibly save them also from some blunders and from final defeat.
An enlargement of the free list, essential reductions and
readjustments of rates, are to be fully considered, and some errors of
conflicting codifications corrected.
If a general revision of the Bible seems to have been called for, it is
hardly to be wondered at that some revision of our revenue laws
should be invited. But changes in the framework of a law that has
had more of stability than any other of its kind in our history, and
from which an unexampled growth of varied industries has risen up,
should be made with much circumspection, after deliberate
consideration, by just and friendly hands, and not by ill-informed
and reckless revolutionists. When our recent great army was
disbanded, war taxes were also largely dismissed, and we have now,
and certainly shall have hereafter, no unlimited margin for slashing
experiments.
THE TARIFF OF 1861.
The tariff act of 1861, which, by a nickname given by baffled

opponents as an echo to a name so humble as my own, it was
perhaps hoped to render odious, was yet approved by a democratic
President and gave to Mr. Buchanan a much needed opportunity to
perform at last one official act approved by the people.
If I refer to this measure, it will not be egotistically nor to shirk
responsibility, but only in defense of those who aided its passage—
such as the never-to-be-forgotten Henry Winter Davis, Thad.
Stevens, and, William A. Howard, and, let me add, the names of
Fessenden and Crittenden—and, without the parliamentary skill of
one (Mr. Sherman) now a member of this body, its success would
not have been made certain.
And yet this so-called “Morrill tariff,” hooted at as a “Chinese wall”
that was to shut out both commerce and revenue, notwithstanding
amendments subsequently piled and patched upon it at every fresh
demand during the war, but retaining its vertebræ and all of its
specific characteristics, has been as a financial measure an
unprecedented success in spite of its supposed patronymical
incumbrance. Transforming ad valorem duties into specific, then
averaging but 25 per cent. upon the invoice values, imposing much
higher rates upon luxuries than upon necessaries, and introducing
compound duties[86] upon woolens, justly compensatory for the
duties on wool, it has secured all the revenue anticipated, or
$198,159,676 in 1881 against $53,187,511 in 1860, and our total
trade, exports and imports, in 1860, of $687,192,176, appears to have
expanded in 1880 to $1,613,770,633, with a grand excess of exports
in our favor of $167,683,912, and an excess in 1881 of $259,726,254,
while it was $20,040,062 against us in 1860. A great reduction of the
public debt has followed, and the interest charged has fallen from
$143,781,591 in 1867 to about $60,500,000 at the present time.
If such a result is not a practical demonstration of healthy intrinsic
merits, when both revenue and commerce increase in a much greater
ratio than population, what is it? Our imports in the past two years
have been further brilliantly embellished by $167,060,041 of gold
and silver coin and bullion, while retaining in addition all of our own
immense domestic productions; and it was this only which enabled
us to resume and to maintain specie payments. Let the contrast of
1860 be also borne in mind, when the excess of our exports of gold
and silver was $57,996,004.
As a protective measure this tariff, with all its increasing
amendments, has proven more satisfactory to the people and to
various industries of the country than any other on record. The jury
of the country has so recorded its verdict. Agriculture has made
immense strides forward. The recent exports of food products,
though never larger, is not equal by twenty-fold to home
consumption, and prices are every where more remunerative,
agricultural products being higher and manufactures lower. Of
wheat, corn, and oats there was produced 1,184,540,849 bushels in
1860, but in 1880 the crop had swelled to 2,622,200,039 bushels, or
had much more than doubled. Since 1860 lands in many of the
Western States have risen from 100 to 175 per cent. The production
of rice, during the same time, rose from 11,000,000 pounds to
117,000,000. The fires of the tall chimneys have every where been
lighted up; and while we made only 987,559 tons of pig iron in 1860,
in 1880 we made 4,295,414 tons; and of railroad iron the increase
was from 235,107 tons to 1,461,837 tons. In twenty years the
production of salt rose from 12,717,200 bushels to 29,800,298
bushels. No previous crop of cotton equalled the 4,861,000 bales of
1860; but the crop of 1880 was larger, and that of 1881 is reported at
6,606,000 bales. The yield of cotton from 1865 to 1881 shows an
increase over the fifteen years from 1845 to 1861 of 14,029,000 bales,
or almost an average gain of a million bales a year.
The giant water-wheels have revolved more briskly, showing the
manufacture of 1,797,000 bales of cotton in 1880 against only
979,000 bales in 1860, and this brought up the price of raw cotton to
higher figures than in 1860. Thirteen States and one Territory
produced cotton, but its manufacture spreads over thirty States and
one Territory. The census of cotton manufacture shows:
1860. 1880.
Capital invested $98,585,269 $207,781,868
Number of operatives 122,028 175,187
Wages paid $23,940,108 $41,921,106
Value of productions 115,681,774 192,773,960
It will be found that a larger amount of capital has been invested in
cotton mills than in woolen, and that the increase of productions has
been large and healthy, a very handsome proportion of which is to be
credited to Southern States. Goods of many descriptions have also
been cheapened in price. Standard prints or calicoes which sold in
1860 for nine and one-half cents per yard now sell for six and one-
half cents.
The census returns of woolen manufactures show the following
astonishing results:
Census of 1880. Census of 1860.
Males employed 74,367 24,841
Females employed 65,261 16,519
Capital invested $155,454,105 $30,862,654
Wages paid 47,115,614 9,808,254
Value raw material consumed 162,609,436 36,586,887
Value of annual product 265,684,796 61,895,217
Importations of woolens 33,613,897 37,876,945
Annual product’n of wool lbs 264,500,000 60,511,343
It thus appears, that while the number of hands employed is three
times and a half larger than in 1860, the wages paid is about five
times larger and the capital is five times greater. The annual
productions have been more than quadrupled, and the aggregate
importations have fallen off four millions. With these results in our
front, protection on wool and woolens will be likely to withstand the
hand-grenades of all free-trade besiegers.
In New England and some other States sheep husbandry has fallen
off, and in some places it has been replaced by the dairy business;
but in other States the wool-clip has largely increased, especially has
the weight of the fleece increased. The number of sheep has
increased about 80 per cent. and the weight of wool over 400 per
cent. The discovery that the fine long merino wools, known as the
American merino, are in fact the best of combing wools and now
used in many styles of dress goods has added greatly to their demand
and value. Many kinds of woolen goods can be had at a less price
than twenty years ago. Cashmeres that then brought forty-six cents
per yard brought only thirty-eight and one-fourth cents in 1880, and
muslin de laines dropped from twenty cents to fifteen, showing that
the tariff did not make them dearer, but that American competition
caused a reduction of prices.
The length of our railroads has been trebled, rising from 31,185
miles in 1860 to 94,000 miles in 1881, and possibly to one-half of all
in the world. For commercial purposes the wide area of our country
has been compressed within narrow limits, and transportation in
time and expense, from New York to Kansas, or from Chicago to
Baltimore, is now less formidable than it was from Albany or
Pittsburgh to Philadelphia prior to the era of railroads. The most
distant States reach the same markets, and are no longer neighbors-
in-law, but sister States. The cost of eastern or western bound freight
is less than one-third of former rates. Workingmen, including every
ship-load of emigrants, have found acceptable employment. Our
aggregate wealth in 1860 was $19,089,156,289, but is estimated to
have advanced in 1880 to over forty billions. Further examination
will show that the United States are steadily increasing in wealth,
and increasing, too, much more rapidly than free-trade England,
notwithstanding all her early advantages of practical experience and
her supremacy in accumulated capital. The increase of wealth in
France is twice as rapid as in England, but in the United States it is
more rapid than even in France.
These are monumental facts, and they can no more be blinked out
of sight than the Alleghanies or the Rocky Mountains. They belong to
our country, and sufficiently illustrate its progress and vindicate the
tariff of 1861. If the facts cannot be denied, the argument remains
irrefutable. If royal “cowboys” who attempted to whistle down
American independence one hundred years ago ingloriously failed,
so it may be hoped will fail royal trumpeters of free-trade who seem
to take sides against the United States in all commercial contests for
industrial independence.
Among the branches of manufactures absolutely waked into life by
the tariff of 1861, and which then had no place above zero, may be
named crockery and china ware. The number of white-ware factories
is now fifty-three, with forty decorating establishments; and the
products, amounting to several millions, are sold at prices 25 to 50
per cent. below the prevailing prices of twenty years ago. Clay and
kaolin equal to the best in China have been found east, west, and
south in such abundance as to promise a large extension of American
enterprise, not only in the ordinary but in the highest branches of
ceramic art. Steel may also here claim its birth. No more of all sorts
than 11,838 tons were made in 1860, but 1,397,015 tons were made
in 1880. Those who objected to a duty on steel have found they were
biting something more than a file. Silks in 1860, hardly unwound
from the cocoon, were creeping along with only a small showing of
sewing-silk and a few trimmings, but now this industry rises to
national importance, furnishing apt employment to many thousand
women as well as to men; and the annual products, sharply
competing with even the Bonnét silks of Lyons, amount to the round
sum of $34,500,000. Notwithstanding the exceptionally heavy
duties, I am assured that silk goods in general are sold for 25 per
cent. less than they were twenty years ago.
Plate-glass is another notable manufacture, requiring great
scientific and mechanical skill and large capital, whose origin bears
date since the tariff of 1861. It is made in Missouri and in Indiana,
and to a small extent in Kentucky and Massachusetts; but in Indiana
it is made of the purest and best quality by an establishment which,
after surmounting many perils, has now few equals in the magnitude
or perfection of its productions, whether on this or the other side of
the Atlantic, and richly merits not only the favor but the patronage of
the Government itself. Copper is another industry upon which a
specific duty was imposed in 1861, which has had a rapid growth,
and now makes a large contribution to our mineral wealth. The
amount produced in 1860 was less than one-fifth of the present
production, and valued at $2,288,182; while in 1880 the production
rose to the value of $8,849,961. The capital invested increased from
$8,525,500 to $31,675,096. In 1860 the United States Mint paid
from twenty-three and one-half to twenty-five cents per pound for
copper; but has obtained it the present year under a protective tariff
as low as seventeen cents. Like our mines of inexhaustible coal and
iron, copper is found in many States, some of it superior to any in the
world, and for special uses is constantly sought after by foreign
governments.
Many American productions sustain the character they have won
by being the best in the world. Our carpenters and joiners could not
be hired to handle any other than American tools; and there are no
foreign agricultural implements, from a spade to a reaper, that an
American farmer would accept as a gift. There is no saddlery
hardware nor house-furnishing, equal in quality and style to
American. Watches and jewelry and the electric gold and silver
plated ware of American workmanship as to quality have the
foremost place in the marts of the world. The superiority of our
staple cotton goods is indisputable, as is proven by the tribute of
frequent counterfeits displayed abroad. The city of Philadelphia
alone makes many better carpets and more in quantity than the
whole of Great Britain. These are noble achievements, which should
neither be obscured nor lost by the sinister handling and industrious
vituperation of free-trade monographists.
The vast array of important and useful inventions recorded in our
Patent Office, and in use the world over, shows that it is hardly
arrogance for us to accept the compliment of Mr. Cobden and claim
that the natural mechanical genius of average Americans will soon
appear as much superior to that of Englishmen as was that of
Englishmen one hundred years ago to that of the Dutch.
THE TARIFF SHIELDED US IN 1873.
If we had been under the banner of free trade in 1873, when the
widespread financial storm struck our sails, what would have been
our fate? Is it not apparent that our people would have been stranded
on a lee shore, and that the general over-production and excess of
unsold merchandise everywhere abroad would have come without
hindrance, with the swiftness of the winds, to find a market here at
any price? As it was the gloom and suffering here were very great,
but American workingmen found some shelter in their home
markets, and their recovery from the shock was much earlier assured
than that of those who in addition to their own calamities had also to
bear the pressure of the hard times of other nations.
In six years, ending June 30, 1881, our exports of merchandise
exceeded imports by over $1,175,000,000—a large sum in itself,
largely increasing our stock of gold, filling the pockets of the people
with more than two hundred and fifty millions not found in the
Treasury or banks, making the return to specie payments easy, and
arresting the painful drain of interest so long paid abroad. It is also a
very conclusive refutation of the wild free-trade chimeras that
exports are dependent upon imports, and that comparatively high
duties are invariably less productive of revenue than low duties. The
pertinent question arises, Shall we not in the main hold fast to the
blessings we have? As Americans we must reject free trade. To use
some words of Burke upon another subject: “If it be a panacea we do
not want it. We know the consequences of unnecessary physic. If it
be a plague, it is such a plague that the precautions of the most
severe quarantine ought to be established against it.”
FREE-TRADE PROSPERITY ON THE WANE.
It gives me no pleasure to notice retrograde steps in the prosperity

of Great Britain; and, if some evidence of this sort is brought out, like
that of the five thousand houses now marked “To let” in Sheffield
and ten thousand in Birmingham, it will have no other purpose than
to show that free trade has failed to secure the promised supremacy
to English manufactures. The avowal of Mr. Gladstone that the
additional penny to the income tax produces less revenue than
formerly indicates a positive decrease of wealth; and the steady
diminution of British exports since 1873, amounting in 1880 to one
hundred and sixty million dollars, with a diminution in the total of
exports and imports of two hundred and fifty million dollars, is more
conclusive proof as well of British decadence as of the advancement
of other nations.
COMMERCIAL PROTECTION.
The sum of our annual support bestowed upon the Navy, like that
upon the Army, may be too close-fisted and disproportionate to our
extended ocean boundaries, and to the value of American commerce
afloat; yet whatever has been granted has been designed almost
exclusively for the protection of our foreign commerce, and amounts
in the aggregate to untold millions. Manufacturers do not complain
that this is a needless and excessive favor to importers; and why,
then, should importers object to some protection to a much larger
amount of capital, and to far greater numbers embarked certainly in
an equally laudable enterprise at home?
THE FREE-TRADE PROPAGANDISTS OF ENGLAND.
For the last thirty-five years England has been making

extraordinary efforts, political, industrial, legislative, diplomatic,
social, and literary, all combined, to persuade mankind to follow her
example of reversing that policy of protection, supreme in her
Augustan age, or from Queen Anne down throughout the Georgian
era, and the policy maintained by Chatham, by the younger Pitt, and
by Canning with an energy that created and sustained the most
varied and extensive workshops of the world. Already mistress of the
ocean and abounding in wealth, the sea-girt Island aspired to a
world-wide monopoly of trade. Penetrated with this later free-trade
ambition, and not infrequently accused of trying to make all England
tributary to Manchester, and all the rest of the world tributary to
England, the eloquent Mr. Bright, who grandly rejected any idea of a
new nation in America, resorts even to the infelicitous language of
passion when he denounces his opponents, as he does, by declaring
that any looking toward protective legislation anywhere in the world
is proof either of “congenital depravity or defect of judgment.” Let us
be thankful it is no worse, for what would have happened if the
wrathful Englishman had said “total depravity?”
The repeal of the corn laws was not for the benefit of foreign
nations, but solely for the benefit of Englishmen.
First. It was their belief that their skill and great capital gave them
that superiority which would secure them against all competition
except that arising from cheaper food.
Second. The cheaper-fed workmen of Germany, France, and
America presented the only competition not to be resisted, and it had
to be at once squarely met. Protection was abandoned, and
abandoned possibly forever, but abandoned because the laboring
British population had become too great and too hungry, with over a
million and a half of paupers, when measured by the supply of home-
grown food. Some of the little Benjamins must go to Egypt for corn.
Starving men do little work, but occasionally do too much. The sole
conditions to the continuance of the dense population and the grand
scale of British manufactures in competition with modern nations
appeared to be parsimony and privation, or lower-priced bread and
lowest-priced labor. With these partially secured there came a season
of temporary relief, but, unfortunately, with no increase of wages. It
was barely success at the cost of an alliance with the discontent of
underpaid workmen, with strikes and organized expatriation. Free
trade, it is found, grinds labor to the bone, and forces it to fly, with
muscles and machinery, to more inviting fields.
British agriculture, long depressed and chronically exposed to bad
harvests, is now threatened with ruin by foreign competition, and
British manufactures also seem almost as destitute of sunshine as
their agriculture, though still owning a reluctant allegiance to the
laws of the universe and to the exact science of the garrulous Bonamy
Price. Lord Derby, in a late speech to the Lancashire farmers,
recommended that some of the farmers should emigrate—five
millions, I believe, he proposed—and those who might remain, said
he, will then be able to farm on better terms.
True enough; but what a cold, sunless, and desperate remedy is
that! If not Roman decimation, at least a sentence of banishment,
crushing out the sweetest affections planted in human hearts, their
love for their birthplaces, the homes of their fathers! But if these ill-
fated men have barely supported life by the pittances daily earned, by
what means, at whose cost, can they be transported to better and
more welcome homes? The advice of Lord Derby is like that of the
children of Marie Antoinette when the populace of Paris were
clamoring for bread. Said the children: “Why don’t they buy cake?”
Equally “child-like and bland” is Lord Derby. It would seem, when
over 40 per cent. of their yearly imports must be of food, that the
British Islands are too small for the foundations of the empire. The
grand pyramid stands upon its apex reversed.
English statesmen have not forgotten the reservation of Sir Robert
Peel, the author of the free-trade bill in 1846: “I reserve to myself,”
said he, “distinctly and unequivocally the right of adapting my
conduct to the exigencies of the moment and to the wants of the
country;” and that is all protectionists ever claim to do.
Already Sir Stafford Northcote, the leader of the Tory opposition in
the House of Commons, is on the fence, and only ventures to favor
“universal free trade.” That is surely a horse of another color, not
Wellington’s “Copenhagen,” but more like Sancho Panza’s “Dapple.”
The recent reaction or change in many organs of British opinion
shows that this right of adaptation to the exigencies of the moment is
neither surrendered nor obsolete. Let me cite an extract from an
influential paper, called the Observer:
There is no obligation upon us to incur industrial martyrdom for
the sake of propagating free-trade principles, even supposing their
truth to be as self-evident as we fondly imagined. Moreover, to speak
the honest truth, we are beginning to doubt how far the creed to
which we pinned our faith is so self-evident as we originally
conceived. If we can persuade other nations to follow our example,
then free trade is unquestionably the best thing for England. It does
not follow, however, that it is the best thing for us, if we are to be left
the sole adherents of free trade in the midst of a community of
nations devoted to protection.
The Observer does not say, as will be seen, that it is best for other
nations, but only, if they will follow her example, “unquestionably
the best thing for England;” and that will not be disputed.
Other nations, however, seem to prefer to profit by the earlier
English example, displayed for seventy years after Smith’s Wealth of
Nations appeared, and free trade, like the favorite English plum-
pudding, is now called for by nobody but themselves, and is getting
so cold as to be unpalatable even at home. Yet it is proposed by the
amateur statesmen of our urban free-trade clubs, guiltless of any
drop of perspiration in the paths of industry, to arrest American
development by copying this foreign example, and thus bring our
home labor and all of its rewards down to the European and Asiatic
level. Nevertheless, I have faith that we shall abide in the track of the
principles and politics which elevate and give character to American
citizens, surrounding them with the daily presence and beauty of the
useful arts, which so largely add to the power and dignity of any
people in the great family of nations. To limit the industrial forces of
an active, inventive, and ingenious people to agriculture alone,
excluding manufactures and the mechanic arts, would be little better
than in time of war to restrict an army to infantry alone, to the
exclusion of cavalry and artillery. Great battles are not often so won.
A diversity of pursuits makes a great nation possible in peace, and
greater in war. General competence, habits of self-reliance, and
higher culture are thus more surely obtained. The improvement in
one occupation is contagious, and spreads to all others. Philosophy,
politics, and liberty all go up higher, and the happiness and dignity of
mankind are promoted.
It is an axiom of British free-trade economy that for any branch of
manufactures to rest on safe foundations it is indispensable that both
the raw material and the skilled labor required should be indigenous.
This seems to be a rule intended to fence out of the field all nations
where either the raw material or the skilled labor called for is not
native and abundant; but, if applied where the raw material is not
indigenous, the British Islands would be stripped of a great share of
their industry. Nor can any nation claim a class of men as born with a
monopoly of skilled endowments; these, at any rate, are not
“congenital,” and trades must be taught by long apprenticeships; but
raw materials are usually planted by nature, and climate and soil fix
and determine inflexible boundaries. Cotton is not indigenous in the
British Islands, though their accomplished cotton manufactures have
made it the leading article of commerce, leading their national
policy. Hemp and silk, also, are the products of other lands. Having
no timber or lumber good enough for ships, it is all brought, like
their royal timber, from any place in the world but home. The steel
used at Sheffield for cutlery is made from iron imported from
Sweden and Norway; and no fine or merino wool consumed is of
home growth. Not a little of the best machinery now alive in England
had its birth on this side of the Atlantic, and must be credited to
American genius.
The title of the British Islands to all the raw material, and to
exclusive and hereditary mechanical skill among men, is widely
contested, and the world will not fold its arms unresistingly to any
such pretentious domination. The power of steam, though
marvelously developed by English cleverness, is an auxiliary force
belonging of right to the whole human race, as much as gravity or
electricity, wherever its service may be called for, and its abode can
no more be exclusively monopolized than that of the Promethean fire
stolen from Heaven.
The first steam-engine is supposed to have been employed at
Manchester in 1790, where there are now, it is stated, in daily use
within a circuit of ten miles more than fifty thousand boilers, yielding
a total force equal to the power of one million horses, and the
combined steam-power of Great Britain is represented to be equal to
the manual labor of twice the number of males living on the globe.
We greatly admire the prodigious enterprise of Great Britain, and it
would be strange if, with our immensely greater coal-fields, it should
let Americans sleep.
THE THEORY.
Free trade, as a theory, unembarrassed by contact with practical

affairs, and divorced from any idea of supplying other equal and
legitimate sources of revenue for the support of governments,
appears wonderfully simple and seductive. Tearing down custom-
houses, as a knock-down argument, is held to be scientific, but it is
not conclusive. Some schoolmen, innocent of earning even a coat or a
pair of shoes by the sweat of the brow, and sage without experience,
adopt the theory because it is an article of faith—saving without
works—with a ready-made catechism in imported text-books, and
requires no comprehensive investigation of the multiform and ever-
varying facts and exigencies in national affairs; but when the theory
comes to be practically applied alike to all times, places and
conditions of men, it obviously becomes political quackery, as
untenable and preposterous as it would be to insist upon clothing all
mankind in garments of the same material, in summer or winter, and
of equal cut and dimensions, whether for big men or little, on the
Danube or on the Mississippi. But however free trade comes to
America, it comes as a strait-jacket, and whether new or second-
hand, it is equally a misfit and unacceptable.
The affairs of communities are subject to endless differences from
age to age and year to year, and governments that do not recognize
these differences are either stupid or tyrannical, and deserve to be
superseded or overthrown. In 1816 the sound policy of England, as
Lord Brougham declared, was to stifle “in the cradle those infant
manufactures in the United States which the war had forced into
existence.” In 1824 the policy, according to Huskisson, was “an
extension of the principle of reducing duties just so far as was
consistent with complete protection of British industry.” In 1846
duties upon most foreign manufactures had almost ceased to yield
any revenue, and Sir Robert Peel was forced to listen to the cry for
cheap bread, though he was teased almost to the fighting point by the
fertile, bitter, and matchless sarcasms of Disraeli, who also said:
“The time will come when the working classes of England will come
to you on bended knees and pray you to undo your present
legislation.”
At this moment important changes of public opinion seem to be
going on abroad, and the ponderous octavos of Malthus, Ricardo,
McCulloch, and Mill may have some repose. What may have been
found expedient yesterday may be fraught with mischief to-day, and
he that has no distrust of an inflexible free-trade hobby will turn out
to be, unwittingly perhaps, as has been well said, “a friend of every
other country but his own,” and find at last that he has rejected the
solid school of experience only to get astride of an imported catch-
word, vainly imagining he is bottomed on a scientific and universal
principle. Daniel Webster declared, “I give up what is called the
science of political economy. There is no such science. There are no
rules on these subjects so fixed and invariable that their aggregate
constitutes a science.”
PRACTICE VERSUS THEORY.
But English free trade does not mean free trade in such articles as
the poor require and must have, like tea and coffee, nor in tobacco,
wines and spirituous liquors. These articles they reserve for
merciless exactions, all specific, yielding a hundred millions of
revenue, and at three times the rate we levy on spirits and more than
five times the rate we levy on tobacco! This is the sly part of the
entertainment to which we are invited by free-traders.
In 1880 Great Britain, upon tobacco and cigars, mainly from the
United States, valued at $6,586,520, collected $43,955,670 duties, or
nearly two-thirds as much as we collect from our entire importations
of merchandise from Great Britain.
After all, is it not rather conspicuous hypocrisy for England to
disclaim all protection, so long as she imposes twenty-nine cents per
pound more upon manufactured tobacco than upon
unmanufactured, and double the rate upon manufactured cocoa of
that upon the raw? American locomotives are supposed to have great
merit, and the foreign demand for them is not unknown, but the use
of any save English locomotives upon English railroads is prohibited.
Is there any higher protection than prohibition? And have not her
sugar refiners lived upon the difference of the rates imposed upon
raw and refined sugars? On this side of the Atlantic such legislation
would be called protection.
WHAT THEY MEAN.
One of the cardinal principles of British free-traders is, “Buy where

you can buy cheapest, and sell where you can sell dearest,” and that
is precisely what they mean. They expect to buy of us cheapest and
sell to us dearest. It is the only logical outcome of the whole policy.
We are to be the victims of sharpers, whether we sell or buy. One-
half of this resounding phrase, “buy where you can buy cheapest,”
often appears to touch the pocket nerve of those who, having nothing
to sell, derive their income from capital, or from a fixed salary, and
they forget that their capital or their salary might have been much
smaller had it not been for the greater prosperity and compensation
which protection has given to labor and to all business enterprises.
Some part of this class are accustomed to make periodical journeys
through foreign lands, and as they often bring home more or less of
esthetic rarities, they feel aggrieved that such expensive luxuries,
which, if cheap and common, would have had no attractions for
them, often happen to be among the very tidbits upon which it is the
fitting policy of a republican form of government to levy revenue.
The tax falls upon those able to pay. No country on the globe sends
out so many foreign travelers with a spendable surplus, as the United
States, or that scatter their money more generously, not to say
extravagantly. English reciprocity in pleasure travel, however, like
their often proposed commercial reciprocity, is comparatively jug-
handled. They come singly; we go in droves and caravans.
AMERICA VINDICATED BY THOSE WHO COME TO STAY.
But if foreign countries send comparatively an unequal number of

visitors tending to reimburse the abounding expenditures of
Americans abroad, they do send us a far more numerous if not
valuable company who come to stay, bringing both fortunes and
affections, and adding, as they have added within the past two years,
over a million and a quarter of brave hearts and willing hands to the
productive forces of the country. Their tracks are all one way. None
go back and none come here as drones, for such stay away to absorb
honey already stored; but the “tenth legions,” so to say, of all the
conscripted armies of Europe, in health and fit for any service, are
rushing to our shore on the “waves of the Atlantic, three thousand
miles long,” as volunteers for life. Were we to drop protection this
western exodus would cease and the emigrants now here would be
relegated to the same scale of wages from which they so anxiously
attempted to escape.
These facts are pregnant arguments annually reproduced,
upholding the American policy of protection, and show that those
who expect to earn their living—tempted, it is true, by the highest
rewards, and tempted by free schools for their children—know where
to find the largest opportunities for the comforts of life, for
happiness and intellectual progress; and know also that America is
not and never intends to be a transatlantic Ireland nor an
agricultural back lot of Europe.
COMMERCIAL RULES NOT A SCIENCE.
We have some worthy literary professors of free trade and some

hacks who know their master’s crib “of quick conception and easy
delivery,” as John Randolph would have described them, who,
having determined that the sun shall hereafter rise in the west,
assume for their doctrines, like their English masters, the basis of
absolute science, which they insist shall be everywhere accepted,
regardless of all conditions, wants, or circumstances, as the latest
revelation of economic truth; but free trade fails, shamefully fails, to
stand the admitted tests of an exact science, as its results must ever
be both an inconsistent quantity and incapable of prediction. It
yields to the condition of nations and of the seasons, to war, to time,
and constantly yields to facts. The blackboard compels universal
assent to mathematics, and the laboratory offers the same service to
chemistry; but any test or analysis of free trade yields nothing but
polemical vagaries, and it may appropriately be consigned to the
witches’ cauldron with—
Eye of newt, and toe of frog,
Wool of bat, and tongue of dog.
· · · · ·
Mingle, mingle, mingle,

You that mingle may.
Queerly enough some of the parties referred to, denounce the tariff
men as but “half-educated,” while, perhaps, properly demanding
themselves exclusive copyright protection for all of their own literary
productions, whether ephemeral or abiding. It is right, they seem to
think, to protect brains—and of these they claim the monopoly—but
monstrous to protect muscles; right to protect the pen, but not the
hoe nor the hammer.
Free trade would almost seem to be an aristocratic disease from
which workingmen are exempt, and those that catch it are as proud
of it as they would be of the gout—another aristocratic distinction.
It might be more modest for these “nebulous professors” of
political economy to agree among themselves how to define and
locate the leading idea of their “dismal science” whether in the value
in exchange or value in use, in profits of capital or wages, whether in
the desire for wealth or aversion to labor, or in the creation,
accumulation, distribution and consumption of wealth, and whether
rent is the recompense for the work of nature or the consequence of a
monopoly of property, before they ask a doubting world to accept the
flickering and much disputed theory of free trade as an infallible
truth about which they have themselves never ceased to wrangle. The
weight of nations against it is as forty to one. It may be safe to say
that when sea-serpents, mermaids, and centaurs find a place in
natural history, free trade will obtain recognition as a science; but till
then it must go uncrowned, wearing no august title, and be content
with the thick-and-thin championship of the “Cobden Club.”
THE BRITISH POLICY EVERYWHERE REJECTED.
All of the principal British colonies from the rising to the setting of
the sun—India alone possibly excepted—are in open and successful
revolt against the application of the free-trade tyranny of their
mother country, and European States not only refuse to copy the
loudly-heralded example, but they are retreating from it as though it
were charged with dynamite. Even the London Times, the great
“thunderer” of public opinion in Great Britain, does not refrain from
giving a stunning blow to free trade when it indicates that it has
proved a blunder, and reminds the world that it predicted it would so
prove at the start. The ceremony of free trade, with only one party
responding solitary and alone, turns out as dull and disconsolate as
that of a wedding without a bride. The honeymoon of buying cheap
and selling dear appears indefinitely postponed.
There does not seem to be any party coming to rescue England
from her isolated predicament. Bismarck, while aiming to take care
of the interests of his own country, as do all ministers, on this
question perhaps represents the attitude of the greater part of the
far-sighted statesmen of Europe, and he, in one of his recent
parliamentary speeches, declared:
Without being a passionate protectionist, I am as a financier,
however, a passionate imposer of duties, from the conviction that the
taxes, the duties levied at the frontier, are almost exclusively borne
by the foreigner, especially for manufactured articles, and that they
have always an advantageous, retrospective, protectionist action.
Practically the nations of continental Europe acquiesce in this
opinion, and are a unit in their flat refusal of British free trade. They
prefer the example of America. Before self-confident men pronounce
the whole world of tariff men, at home and abroad, “half-educated or
half-witted,” they would do well to see to it that the stupidity is not
nearer home, or that they have not themselves cut adrift from the
logic of their own brains, only to be wofully imposed upon by free-
trade quackery, which treats man as a mere fact, no more important
than any other fact, and ranks labor only as a commodity to be
bought and sold in the cheapest or dearest markets.
So long as statesmen are expected to study the prosperity and
advancement of the people for whose government and guidance they
are made responsible, so long free-trade theories must be postponed
to that Utopian era when the health, strength and skill, capital and
labor of the whole human race shall be reduced or elevated to an
entire equality, and when each individual shall dwell in an equal

Full Chapter Small Animal Dermatology A Color Atlas and Therapeutic Guide 4Th Edition Keith A Hnilica PDF

Uploaded by

Copyright:

Available Formats

You might also like

Full Chapter Small Animal Dermatology A Color Atlas and Therapeutic Guide 4Th Edition Keith A Hnilica PDF

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Full Chapter Small Animal Dermatology A Color Atlas and Therapeutic Guide 4Th Edition Keith A Hnilica PDF

Uploaded by

Copyright:

Available Formats

Small Animal Dermatology: A Color

Atlas and Therapeutic Guide, 4th

Small animal anesthesia and pain management: a color

Weinberg’s Color Atlas of Pediatric Dermatology Neil S.

Fitzpatrick's Color Atlas and Synopsis of Clinical

Clinical Atlas of Small Animal Cytology and Hematology,

Moriello's Small Animal Dermatology, Volume 1 -

Human Anatomy: Color Atlas and Textbook John A. Gosling

The Animal Atlas: A Pictorial Guide to the World's

Small Animal Dermatology - Blackwell's Five-Minute

KEITH A. HNILICA, DVM, MS, MBA, DACVD

SMALL ANIMAL DERMATOLOGY: A COLOR ATLAS AND ISBN: 978-0-323-37651-8

Copyright © 2017, by Elsevier Inc. All rights reserved.

Library of Congress Cataloging-in-Publication Data

Names: Hnilica, Keith A. | Patterson, Adam P.

Content Stategy Director: Penny S. Rudolph

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Cheryl Greenacre, DVM, DABVP (Avian Practice),

Amy K. LeBlanc, DVM Diplomate ACVIM (Oncology)

Choose happiness and never be afraid of hard work.

Good works matter; DO GOOD WORKS!

Only the lead mule gets to enjoy the change in scenery.

Many thanks to those whose generosity made this book possible:

recognized until the dog is 2 to 5 years old. Follicular

infectious agents are transmissible to people. Infectious tor’s examination or during)?

So, What Is the Solution?

dermatology appointment and provides essential information

WHAT IS MAKING MY DOG SO ITCHY?

SEVERIT Y EVALUATION On a scale of 0 to 10 rank the severity of your dog’s symptoms.

SEVERITY OF SKIN LESIONS

ONSET AND SEASONALIT Y EVALUATION

PAR ASITE CONTROL

LIFE ST YLE EVALUATION

REL ATIONSHIP/BEHAVIORAL EVALUATION

©2008 Novartis Animal Health US, Inc. ATO080228A

FIGURE 1-2, cont’d Continued

1 WHAT ARE THE INFECTIONS?

Slide 1 Skin Scrape (hairplucks): Positive for / Negative

2 COMMON ALLERGIC SIGNS1

A. LUMBAR DERMATITIS B. EAR-SCRATCH TEST

FIGURE 1-2, cont’d

TREAT THE ACUTE FLARES:

3 Cause Recommended Treatment

TREATMENT, CONTROL AND PREVENTION OF FUTURE FLARES:

Cause Recommended Treatment

AVOIDING THE TRIGGERS:

Cause Treatment Recommended Treatment

PROMOTE SKIN HEALTH AND RESTORE BARRIER FUNCTION:

Cause Recommended Treatment

RECHECK APPOINTMENT: ________________________________________________

FIGURE 1-2, cont’d Continued

HOW ITCHY IS YOUR DOG?

FIGURE 1-2, cont’d

© 2010 Novartis Animal Health US, Inc. ATO100022A

FIGURE 1-2, cont’d

Differentials Based on Body Region

Diseases Primarily Limited to the Face

FIGURE 1-5 Oral Lesions. FIGURE 1-6 Ear Margin Dermatitis.

Differentials Based on Primary and Secondary Lesions—cont’d

Differentials Based on Primary and Secondary Lesions—cont’d

Differentials Based on Primary and Secondary Lesions—cont’d