Atopic dermatitis is a common pruritic and inflammatory dermatosis with genetic background and specific clinical manifestations. The present study was carried out with the aim of improving the knowledge and integration of the treatment protocols of veterinarians in Iran.
The current research is a review based on the based on the task force for the treatment of canine atopic dermatitis (International Committee of Allergic Diseases of Animals) and a summary of the author's researches in the field of dermatology.
The treatment of acute flares of canine atopic dermatitis should involve three parts;
1- To search for and then to eliminate the causes and/or aggravating allergens such as plant pollen allergens, house dust mites (dermatophagoides), pyoderma and/or Malassezia dermatitis.
2- Antimicrobial treatment and improvement of skin and hair health, such as bathing with mild shampoos.
3- To control pruritus and skin lesions with interventions that include topical and oral glucocorticoids, oral Oclacitinib, and injectable recombinant interferons.
4- Immunotherapy using specific allergens and prophylactic administration of topical glucocorticoids are the only interventions that may prevent or delay the recurrence of dermatitis.
There is no conclusive evidence to prove the efficacy of:
1- Antihistamines in the treatment of atopic dermatitis in dogs
2- Administration of oral essential fatty acids due to the long time required for any effective effect.
The treatment of acute flares of atopic dermatitis is multifaceted, and in order to achieve the optimal therapeutic effect, therapeutic interventions must be combined. Before designing a treatment plan, it is necessary to consider the quality of life of dogs and their owners, as well as the preference of the owner's opinion.
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