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Care of your dog - Mites

For centuries, "mange" was a word used to describe almost all skin diseases of dogs. A "mangy dog" was accepted as being a miserable, run-down and scrawny animal.

Today, however, mange is known to be a specific skin disease due to invasion of the skin by tiny parasites called mites. There are two common types of mites which cause mange: demodectic and sarcoptic mange. The two manges are quite different.


Demodectic mange

Demodex mite

This is caused by the mite Demodex canis, and is the more common form of mange. Most healthy dogs have this mite present in small numbers as a normal inhabitant of their skin and it causes no problems. Only when these mites multiply and populate the skin in their thousands do they cause trouble. Most dogs do not "catch" demodectic mange - it develops from mites already present.
Demodectic mange can progress from a simple skin condition to a severe problem if there is a failure of the dog's immune system to prevent spreading. This may occur in a debilitated dog or a dog suffering from another generalised disease such as distemper or infectious hepatitis.

At what age are dogs affected?
The disease occurs typically in young dogs less than 12 months of age, however, exceptions do occur.

Signs and diagnosis:
There are two distinct types of demodectic mange: firstly there is a mild form localised to only a few sites, usually around the head (especially the eyelids, corners of the mouth and under the jaw) and forelegs. Patches of hair loss are seen. There may be a slight itching, but often the dog is not concerned. Usually only one to five patches are present. The second type is a severe form, where hair loss is widespread over the body, and is called "generalised" demodectic mange. This form is a serious problem and may be incurable in some dogs. When the resistance of the host dog falls, demodex mites may breed to produce tens of thousands of offspring. Frequently the skin becomes secondarily infected with bacteria, and pustules (swollen pus-filled pimples) develop. These may be itchy, causing further damage when the dog scratches itself.
Diagnosis of demodectic mange is made by a vet taking skin scrapings and observing large numbers of mites when the sample is viewed under a microscope.

Treatment:
Mild cases mostly clear up by themselves in about a month. For this reason, many different treatments have been claimed to produce a cure, but preparations containing benzyl benzoate, malathion, lindane and rotenone seem to be most effective. Treatment of generalised mange must be supervised by a vet, since these drugs are toxic. In severe cases, treatment is prolonged and may be unsuccessful. However, many dogs improve with age and the problem may resolve once the dog is sexually mature.

Distribution of demodectic mange:

Distribution of Demodex

Sarcoptic mange

Sarcoptes mite

Scabies is a mange caused by a mite called Sarcoptes scabei. This mange is very different to demodectic mange.

Diagnosis and distribution:
Dogs of any age may be infected. The areas most commonly involved are the ears (especially the edges of the ears) and the elbows, although any area of the body may be affected. These areas become red and itchy. Hair usually falls out and the skin becomes flaky and sometimes crusty. The dog develops an intense itch and will rub and scratch vigorously at the affected areas.

Distribution of Sarcoptes

Who can catch scabies?
Scabies is highly contagious to other dogs and may even infect owners if they are in close contact with their dog.

Treatment:
Treatment is always necessary. Scabies will not get better by itself and the intense itching causes dogs to mutilate their skin. Dips such as malathion, ronnel or lime sulphur can be applied weekly until the skin clears up. This may take a month or more. Ointments containing benzyl benzoate, sulphur and other drugs which kill mites are available from vets and some pharmacies. These can be used if only small areas are affected. Spot-on preparations, such as Revolution, can also be used.


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