VetOnIt clinical notes

Pyoderma and the allergic dog: what topical therapy is for

Dr. Jason Pieper on topical therapy in allergic dogs: barrier repair, staphylococcal overgrowth, and why routine topical antimicrobials deserve caution.

Updated · VetOnIt

Why atopic skin gets infected

Dogs with atopic dermatitis show marked overgrowth of staphylococci in the skin microbiome compared with healthy controls. [1]

Skin lipids have antimicrobial activity, so a deficient barrier predisposes allergic skin to infection as well as allergen penetration. [1]

What topical therapy is for

Topical therapy such as shampoos, sprays, mousses and topical fatty acids is used to rebuild the defective skin barrier and help prevent overgrowth. [1]

Routine topical antimicrobials such as chlorhexidine deserve caution, because frequent use affects the microbiome and may contribute to resistance over time. [1]

On-demand lecture

Everyday Dermatology: Practical Approaches to Feline Pruritus, Canine Atopy, Otitis & Pyoderma

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References

  1. Dr. Jason Pieper: Everyday Dermatology, Practical Approaches (lecture recording, Nov 15 2025) VetOnIt lecture transcriptLecture source retained by VetOnIt.
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