Management of canine atopic dermatitis

Abstract

Canine atopic dermatitis can present in two different ways — acute versus chronic — which require different treatment. When dealing with an acute flare, it is important to try and identify and eliminate the trigger and then provide fast-acting topical and/or systemic treatment. The treatment of chronic atopic dermatitis differs as it includes identification of flare factors, treatment of pruritus and prevention strategies. For long-term treatment of pruritus, there are currently four licenced prescription options available: oral glucocorticoids, oral ciclosporin, oral oclacitinib and injectable lokivetmab. The key prevention strategy for canine atopic dermatitis is allergen-specific immunotherapy and it is currently the only treatment that may induce complete remission of clinical signs. Alongside treatment for cases of canine atopic dermatitis, it is important to effectively communicate with clients in order to achieve compliance and medical adherence.