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What is bullous pemphigoid?

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This rare condition is an autoimmune disorder, meaning an abnormal immune response to a normal component of the body - in this case a protein in the skin. This results in blisters and ulcers in the skin and/or mouth. The disease is often severe, depending on how widespread are the affected areas.

This condition is very similar to bullous pemphigoid in people.

How is bullous pemphigoid inherited?
Inheritance is unknown.

What breeds are affected by bullous pemphigoid?
Collies (and possibly Doberman pinschers) are predisposed to develop this rare condition.

For many breeds and many disorders, the studies to determine the mode of inheritance or the frequency in the breed have not been carried out, or are inconclusive. We have listed breeds for which there is a consensus among those investigating in this field and among veterinary practitioners, that the condition is significant in this breed.

What does bullous pemphigoid mean to your dog & you?
The blisters that occur with this condition are very short-lived, so you and your veterinarian are more likely to see ulcers. These lesions are found in the mouth and skin, particularly  in the underarm and groin area. There may also be ulcerated areas around the nails or footpads. Your dog's skin may be itchy or painful, and it is common to develop a secondary bacterial infection (pyoderma). Dogs that are severely affected may lose their appetites, run a fever, or become depressed.

How is bullous pemphigoid diagnosed?
Your veterinarian will diagnose this condition based on physical examination of your dog, the history you provide, a skin biopsy, and immune testing. Other autoimmune or ulcerative skin disorders must be ruled out.

For the veterinarian: Cases with severe, widespread lesions are clinically indistinguishable from pemphigus vulgaris. Intact vesicles or bullae are suggestive of bullous pemphigoid.

How is bullous pemphigoid treated?
Mild cases can be treated with steroid creams or relatively low doses of glucocorticoids by mouth. More severe cases usually require a combination of medications, including high doses of glucocorticoids, to suppress the inappropriate immune response.  These drugs usually must be given for prolonged periods, possibly for life.  Your veterinarian will discuss with you potentially serious side effects of which you should be aware.

Because exposure to ultraviolet light can make the condition worse, it is wise to keep your dog out of direct sunlight from 10:00 to 3:00.

Breeding advice
Although the inheritance of this condition is unknown, it is preferable not to breed affected dogs.

FOR MORE INFORMATION ABOUT THIS DISORDER, PLEASE SEE YOUR VETERINARIAN.

Resources
Scott, D.W., Miller, W.H., Griffin, C.E. 1995. Immunologic Skin Diseases. In Muller and Kirk's Small Animal Dermatology. pp. 500-518. W.B. Saunders Co., Toronto.
Copyright © 1998 Canine Inherited Disorders Database. All rights reserved.Revised: July 23, 2001.
This database is a joint initiative of the Sir James Dunn Animal Welfare Centre at the Atlantic Veterinary College, University of Prince Edward Island, and the Canadian Veterinary Medical Association.
reprinted with kind permission from:-
 Alice Crook, DVM,Coordinator, Sir James Dunn Animal Welfare Centre, Atlantic Veterinary College,University of Prince Edward Island, 550 University Ave.Charlottetown, PEI C1A 4P3
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The above information is simply informational. It's intent is not to replace the advice of a veterinarian nor to assist you in making a diagnosis of your pet. Please consult with your own veterinarian for confirmation of any diagnosis. Your pets life may depend on it.