Demodectic Mange
by Jennie Bullock
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Demodectic mange is the result
of Demodex canis, a microscopic mite multiplying out of control.
Most dogs have demodex mites on their skin in small numbers. These
mites are acquired by puppies shortly after birth, from their mother.
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The causative factors as to
why some dogs develope demodectic mange while other dogs do not is not
fully understood. The tendancy to be suseptible to demodectic mange
appears to be hereditary. It is known that dogs with demodectic mange
have an immune system defect. It is this defect that appears to be
inherited, making the pup unable to keep the demodex mites under control.
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Demodectic mange occurs in one
of two forms. The first form is the localized form.
This form most often appears in dogs under 1 year of age. The first
sign is a thinning of hair around the eyelids, the lips, the corners of
the mouth and the front legs. The dog has a moth-eaten appearance.
The patches of hair loss can progress into circles of approximately one
inch in diameter (occasionally confused with ringworm). Mite removal/reduction
normally consists of cleansing shampoos, antibiotic therapy, and immune
stimulants. Not all young animals that experience demodicosis are
immunologically impaired for life. A significant percentage will
"self cure" as their immune system matures. This maturity normally
takes place between the ages of 8 months and 3 years, depending on the
breed of dog.
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During treatment it is critical
that the dog is making continuous improvement. If the animal has
5 or more patches, or is not showing a marked improvement; the demodex
could be progressing into the generalized form.
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The generalized form is the
second presentation type of this condition. Generalized demodex can
begin as a localized case or can present itself as a sudden onset.
Numerous patches appear on the head, legs, and trunk. These patches
continuously spread developing into large areas of hair loss. The
hair follicles become congested with debris and mites. The breakdown
of the skin leads to the formation of sores, with crusting and draining
sinus tracts.
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Treatment of dogs experiencing
generalized demodex can be very prolonged. The reponse to treatment
is slow and often requires frequent changes in the medication. In
spite of the number of mite removal dips, topical ointments and antibiotics
availale a cure is not always possible. Generalized demodectic mange
must be treated under veterinary supervision.
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Older dogs that develop demodectic
mange (in either form) should be screened for underlying causative factors
in immune system dysfunction. Diseases such as diabetes, cancer or
Cushing's disease can all impact therapy.
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Dogs treated for generalized
demodectic mange should be neutered.
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