Is my dog's red, rough chest wound related to Apoquel or mange?

Based on the redness, crustiness and loss of pigment on the nose and eyelids, I would worry about him possibly having an auto-immune disease such as lupus or pemphigus. These diseases commonly affect the eyelids and nose in this way. Only a skin biopsy can definitively diagnose these conditions. It is also possible that there is a secondary infection. I would recommend having a skin cytology and a culture and sensitivity done. This means that the vet will take a superficial sample of those areas and look for bacteria. It will then be cultured to see what kind of bacteria is it and the sensitivity shows you what kind of antibiotic it is sensitive to. If there is an infection, it is best to clear that up prior to doing a biopsy as infection can make it hard to see the primary cause. Even though he doesn't seem to be responding to Apoquel, it could still be allergies. Most dogs I have treated with Apoquel have done very well, but there have been some dogs who don't improve in their allergy symptoms. I hope this helps and that he gets better soon!

Thank you for using Petco Pet Education Center, formerly Petcoach! I can see a lot of redness and bumps on Millie's skin, which can be indicative of a skin infection (bacterial or fungal) or skin mites. Unfortunately, dogs with skin allergies can easily develop infections. The reason for this is that with the chronic scratching, the natural barrier of the skin is compromised, allowing bacteria to enter. Millie may need antibiotics or a medicated shampoo to clear up the infection, so she does need to see a vet. I recommend showing your vet these photos, especially if Millie doesn't like being examined. You can also try an omega-3 supplement for her along with Apoquel to keep her skin healthy.

This lesion looks more like a wound or perhaps a bite that became infected. I would clean the area with a mild soap, apply a topical antibiotic ointment, and if she is rubbing/scratching put an e-collar on her and make an appointment for her vet to check the area out. It may need to be flushed or debriefed, and she may need antibiotics. Until it is healed, limit her time outdoors alone as wounds like this in summer can attract flies and lead to maggots.

That does look really red! More than likely, it is caused by his allergies. The Apoquel is a great allergy medicine that seems to work very well but he may need an additional medicine to try and get this flare up under control. He might need an antihistamine for a little bit so you could call your vet and see if he/she would prescribe an anti-histamine. If there is any evidence of infection than he might also need an antibiotic to treat. You could also soak his paw in a warm Epsom salt solution and see if that helps with the redness and itching. Using Mal-A-Ket wipes may also help.

Thank you for using Petco Pet Education Center, formerly Petcoach. I would recommend a veterinary visit for Milo to determine the cause of the wounds and/or culture the area. Milo may need systemic antibiotics, topical medication or a combination. If he has been on antibiotics, it may be a resistant organism that needs different medication. Or in some cases skin lesions can be causes by cancer, fungal organisms or autoimmune disorders and will not be responsive to antibiotic therapy. I hopw Milo is better soon.

This is probably due to a severe allergy, although it could also be fleas or mites. First of all, in order to rule out skin parasites, you will need to treat her with a high quality flea treatment (e.g. advantage), then get her to the vet to perform a skin scrape - this might reveal an infection or a mite infestation. If all of those came back negative, the next step is to treat the allergy symptomatically and try discovering the cause of the allergy. Some medications can be given by the vet in order to repair the skin lesions (steroids and antibiotics). simultaneously you should start her on a prescription hypoallergenic diet for at least 2 months. Hopefully you will see some results after all this, if not you and your vet should consider putting her on a long term allergy treatment (Atopica or Apoquel).

I am sorry to hear about poor Dixie. Her skin looks quite irritated and itchy from the photo. Mange would definitely be a top suspect on my list of possible causes for her condition. We would also worry about severe allergies with secondary bacterial infection or yeast infection of the skin, allergic reaction to a drug or chemical, immune mediated disease, or in older dogs we may worry about types of cancer affecting the skin. I would recommend a visit to the vet as soon as possible. The vet will likely want to do a skin scrape to check for mites. They may recommend a cytology to look for bacteria and yeast. Treatment will depend on the underlying cause of the condition and may include oral antibiotic or antifungals, antihistamines or steroids, or medications to treat mites (these may include injectable or oral ivermectin or some newer prescription flea preventative products that are being used to treat mange).