June 20, 2014
ISU Hixson-Lied Small Animal Hospital
James O. Noxon, DVM, DACVIM; Professor and Associate Chair, Department of Veterinary Clinical Sciences, Iowa State University
Darren J. Berger, DVM, DACVD; Assistant Professor, Department of Veterinary Clinical Sciences, Iowa State University
CE Credits: Approved for 7 CEUs by the Iowa Board of Veterinary Examiners
There have been a lot of changes in the allergy world that have major impact on the diagnosis and management of atopic dermatitis and food allergy. Some of these changes involve our understanding of the pathogenesis of allergy and itch, and other changes involve newer therapeutic options to manage allergy and itch. In this seminar, we will bring you up to date on the current understanding of allergy and a view into the therapeutic options in dogs and cats. In addition, we will provide you with highlights of the current veterinary literature in dermatology and information presented at the annual North American Veterinary Dermatology Forum.
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Cost: $175 before June 13
$210 after June 13
Schedule/Descriptions of Sessions:
8:00 – 9:00 Registration/Coffee and snacks
9:00 – 9: 10 Welcome and introductions
9:10 – 9:55 Pathogenesis
of Atopic Dermatitis
The paradigm of atopic dermatitis has changed. We have a completely different view of the etiologies and pathogenesis of this disease than we had twenty, or even ten, years ago. In the past 1-2 years, there have been great studies that have contributed to our understanding of the pathogenesis of this condition in humans and animals. And guess what? This does significantly affect our approach to therapy. In this session, we will review the newer information about the pathogenesis of atopic disease.
9:55 – 10:45 Clinical Features
and Diagnosis of Atopy
Atopic dermatitis is an interesting disease that can show in dogs and cats with various clinical pictures. IN this session, we will reviews those different looks of atopic dermatitis and also discuss other critical clinical features of the disease, such as secondary infections. We will then explain our diagnostic approach to a patient with possible atopic dermatitis, including use of an anolog scale for pruritus to help you manage your patients.
10:45 – 11:00 Break
11:00 – 12:00 Therapeutic Management
of Atopic Dermatitis
There are a LOT of things to consider when putting together a therapeutic plan for an atopic patient. In this session we will 1) review the various medical options for therapy, 2) discuss concepts of supportive care and the use of medications as drug-sparing agents, and 3) discuss when these various drugs might be indicated in the many different clinical pictures of atopic dermatitis.
12:00- 1:00 Lunch (Provided)
1:00 – 1:45 pm Therapeutic Management of Atopic Dermatitis (continued)
This session will be a continuation of the first session on therapeutic management of atopy. We will discuss the latest and newest information on more recently introduced products to veterinary dermatology, such as Apoquel. In addition, we’ll discuss the “big picture” of managing atopic dermatitis in dogs and cats.
1:45-2:45 Allergy Testing and Immunotherapy (Hyposensitization)
Immunotherapy remains a mainstay of therapy for atopic patients. However, there are several interesting developments in this field and a LOT of misinformation. In this session, we’ll try to separate fact from fiction/speculation about allergy testing and the various types of immunotherapy. Specifically, we will talk about traditional immunotherapy, rush immunotherapy, sublingual immunotherapy, and the regionally-specific immunotherapy program.
2:45 – 3:00 Break
3:00 – 3:30 Allergy Testing and Immunotherapy (continued)
3:30 – 4:30 Clinical Features, Diagnosis and Management of Food Hypersensitivity
Food-related allergies remain complicated and difficult conditions to recognize and diagnose. We’ll discuss the clinical features, appropriate diagnostic tests, and our thoughts about managing food hypersensitivities. We’ll share the real data about the various tests and their sensitivity/specificity/accuracy so that you can understand if or when you should perform these tests and procedures.
4:30-5:15 Practical Clinical Updates from the North American Veterinary Dermatology Forum and the Current Literature
This session will include a series of short presentations about some interesting and relevant clinical studies recently completed in veterinary dermatology and reviews of interesting papers concerning small animal dermatology recently published in the veterinary literature.
5:15-5:30 Questions and follow-up discussion
What the attendee will take away
from this offering:
- Full understanding of the current state-of-knowledge on the pathogenesis of atopic dermatitis
- Ability to recognize clinical manifestations of atopic dermatitis
- Better understanding of the diagnostic procedures used in allergy and the ability to list strengths and limitations of each test/procedure
- Recognition of the four main therapeutic options for atopic dermatitis (including newer drugs recently released) and their positive attributes and limitations in a wide range of patients
- Ability to select the best therapeutic option for various patients, who present with different clinical pictures of allergy
- Understanding of adverse reactions to food: pathogenesis, clinical features, best practices for diagnosis, and the proper considerations for dietary trials