The dermatology diagnostic dilemma: Is food or environment to blame?

Presented by Stephen Waisglass, BSc, DVM, CerSAD, Dipl. ACVD

Continuing education questionnaire

CE credit: 1

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Questions

1. Which of the following statements concerning the diagnosis of cutaneous adverse food reactions (CAFR) in dogs and cats is TRUE? *

Some patients with adverse food reactions will not improve when fed hydrolyzed hypoallergenic diets.

Saliva testing for food has been validated as a simple and accurate way of diagnosing cutaneous adverse food reactions in dogs, but not in cats.

Serum testing for food has been validated as an accurate way of diagnosing cutaneous adverse food reactions in dogs and cats.

Small amounts of previously-fed treats and snacks (less than 10% of the daily intake) can be continued as long as most diet components are changed.

2. True or false? Food allergies in dogs can be distinguished from environmental allergies based on the affected sites: dogs with food allergies are affected at the ears, backside and paws, while environmental allergies do not affect those sites. *

True

False

3. The prevalence of adverse food reactions in dogs with allergic skin disease is approximately: *

20%

40%

60%

80%

4. True or false? All dogs and cats with adverse food reactions will exhibit clinical signs before 5 years of age. *

True

False

5. Which of the following is COMMON in a pet with environmental allergies? *

Poor response to corticosteroids

Chronic or recurrent yeast and/or bacterial skin infections

Age of onset > 8 years

Affected ear margins, sparing the centre of the pinnae

6. True or false? Dogs with adverse food reactions may present with otitis externa as the only clinical sign. *

True

False

7. To diagnose adverse food reactions with more than 90% accuracy, elimination diets should last at least: *

16 weeks

4 weeks

8 weeks

20 weeks

8. True or false? Cytopoint or Apoquel have a place when conducting a food trial if the timing of treatment is well controlled. *

True

False

9. Which of the following is NOT a hypersensitivity reaction pattern in the cat? *

Eosinophilic granuloma of the soft palate

Miliary dermatitis

Sebaceous adenitis

Indolent ulcer

10. Which of the following is TRUE about Apoquel and Cytopoint? *

Cytopoint has been used successfully (off label) in the treatment of allergic skin disease in cats.

Apoquel should not be used in patients under the age of 12 months.

Cytopoint should not be used in patients with a body weight of less than 3 Kg.

Apoquel is basically Cytopoint, but in a pill format.