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Mein Hund kratzt si= ch – was nun?

Einleitung<= /font>

Juckreiz

Auslösende Faktoren=

Juckreizschwelle

Hautentzündungen

Flöhe

Sarkoptesräude – „K= rätze“

Sarkoptesräude<= /b>

Grabmilben<= /font>

Grabmilben<= /font>

Demodikose<= /font>

Nagemilben<= /font>

  Herbstgrasmilben

Bakterielle Hautinf= ektion

Bakterielle Hautinf= ektion

Hefepilze - Malasse= zien

Hefepilze

Hautpilze

Allergien

Allergien

Allergien

Allergie-Diagnostik=

Hauttest (Intrakuta= ntest)

Therapieansätze bei Atopie

Desensibilisierung<= /a>

Kortisontherapie

Alternativen zum Ko= rtison

Alternativen zum Ko= rtison

Äusserliche Behandl= ung

Zusammenfassung=

Atopie: Vorher - Na= chher

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Mein Hund kratzt si= ch – was nun?
Claudia S. Nett-Mettler, Dr. = med. vet.
Diplomate ACVD
vetderm.ch – Dermatologie und Allergologie für Tiere
c/o Kleintierklinik Rigiplatz=
Hünenbergerstrasse 4/6=
6330 Cham
www.vetderm.ch

Einleitung<= /font>
Jeder 4. Patient hat Hautprob= leme
Juckreiz (Kratzen) als häufig= ster Grund
Juckreiz/Hautproblem ist offe= nsichtlich
Viele Ursachen
Diagnose nicht immer einfach<= /font>
Allergien gewinnen an Bedeutu= ng

Juckreiz
Definition
Eine unangenehme Wahrnehmung = der Haut, welche das Bedürfnis zu kratzen auslöst
Symptome
Kratzen, Lecken, Beissen, Rei= ben, Scheuern, Nagen

Auslösende Faktoren=

Juckreizschwelle

Hautentzündungen
Parasiten
Flöhe
Milben
Läuse
Hautinfektionen
Eigen- und Fremdflora<= /td>
Bakterien
Hefenpilze
Dermatophyten
Allergien

Flöhe
Einfach zu erkennen
Adulte Flöhe auf dem Tier
Flohkamm
Flohkot
Flohbissallergie
Flohstiche beim Menschen

Sarkoptesräude – „K= rätze“
Ausgeprägter Juckreiz<= /td>
Oft junge Hunde
Krusten und Schuppen
Ansteckend für Mensch & T= ier

Sarkoptesräude<= /b>

Grabmilben<= /font>
Haarverlust bis eitrige Haute= ntzündung
Demodex-Milbe lebt im Haarbal= g
Übertragung von Mutter auf sä= ugende Welpen
Diagnose
Hautgeschabsel
Haaruntersuchung

Grabmilben<= /font>
Demodikose
2 Formen
Junghunde
Erbdefekt
Erwachsene Hunde
Unterfunktion d. Immunsystems=
Nicht ansteckend

Demodikose<= /font>

Nagemilben<= /font>
„Wandernde Schuppen“
Hund, Katze, Kaninchen=
Mensch
Gruppierte „rote Bibeli“

  Herbstgrasmilben
Orange Larven in Gruppen
Pfoten, Beine, Gesicht=
Hund
Katze
Mensch
Saisonal
Blutsaugend

Bakterielle Hautinf= ektion
Infektion durch eigene Hautfl= ora
Einteilung je nach Tiefe
„Hotspot“
Haarschaft-Infektion
Haarbalg-Infektion
Sekundäres Problem
aUrsache suchen

Bakterielle Hautinf= ektion

Hefepilze - Malasse= zien
Bestandteil der normalen Haut= flora
 Mensch, Hund, Katze, Pferd
Vermehrung h
Geschädigte Hautbarriere
Wärme
Feuchtigkeit
Sekundäres Problem
a Ursache suchen

Hefepilze

Hautpilze

Allergien
Häufigste Ursache für Juckrei= z
Allergie:
Überfunktion des Immunsystems=
Reaktion auf harmlose Umwelts= toffe
(Allergene)
Ausbruch mit 1-3 Jahren

Allergien
4 Allergien
Flohbissallergie
Futtermittelallergie
Atopische Dermatitis
Pollenallergie
Milbenallergie
Schimmelpilzallergie
(Kontaktallergie)

Allergien
Klinisch schwer unterscheidba= r
Flohbissallergie
Rücken, Hinterbeine
Futter-Allergie
Magen-Darmprobleme
Sehr junge oder alte Hunde
Atopie
Saisonal, falls Pollenallergi= e
Alter: 1-3 jährig

Allergie-Diagnostik=
Flohbissallergie
„Flohferien“ für 6 Wochen
Futtermittelallergie
Strikte Ausschlussdiät=
Provokationstest
Atopische Dermatitis
Hauttest
Bluttest

Hauttest (Intrakuta= ntest)

Therapieansätze bei Atopie
Juckreiz unter Schwelle senke= n
Spezifisch und/oder symptomat= isch
Desensibilisierung
Tabletten/Spritzen
Äusserliche Behandlung=
Shampoos
Sprays
Lotions
Salben

Desensibilisierung<= /a>
„Allergieimpfung“
Normalisiert Immunantwort
70-80% Erfolgschance
4-12 Monate bis Ansprechen
Lebenslange Therapie
Vorteile
Behandlung der Ursache=
Nebenwirkungen vernachlässigb= ar

Kortisontherapie
Vorteile
Schnell wirksam
Stillt Juckreiz
Hemmt Entzündung
85% Erfolg
Spritzen/Tabletten
Sehr billig
Nachteile
Hunger
Stoffwechsel i
Verfettung
Bewegungsunlust
Wasseraufnahme h
Harnabsatz h
Diabetes
Blasenentzündung
Haarausfall
Hautinfektionen

Alternativen zum Ko= rtison
Antihistaminika
Blockieren Bindungsstelle für Botenstoffe
Wirksamkeit 20% - 30%<= /td>
Fettsäuren
Fischöl und -kapseln
Entzündungshemmend
Wirkung in 10-20%
Verbessert Wirkung von Antihi= staminika

Alternativen zum Ko= rtison
Cyclosporin (Atopica®)
Aus Transplantationsmedizin
85% Erfolgschance
Wenige Nebenwirkungen<= /td>
Erbrechen, Durchfall
Haarwachstum h
Zahnfleischwucherung<= /td>
Extrem teuer
20kg Hund =3D 3000-4000.-/Jah= r !

Äusserliche Behandl= ung
Shampoos und Sprays
Shampoo-Behandlung
Abwaschen von Allergenen
Kurze Wirkungsdauer
10 Min einwirken lassen
Sprays und Lotions
Imprägnierte Tücher
Salben

Zusammenfassung=
Diverse Hauterkrankungen mit = Juckreiz
Systematische Abklärung
Allergie nicht heilbar, aber kontrollierbar
Kortison als „Notfallmedikame= nt“
Therapie NIE schlimmer als Kr= ankheit

Atopie: Vorher - Na= chher

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vetderm.ch =
Dermatologie und Allergologie= für Tiere
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vetderm.ch =
Dermatologie und Allergologie= für Tiere
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= =
Mein Hund kratzt sich –
was nun?
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