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SPOT-ON SKIN LIPID COMPLEX
AS AN ADJUNCT THERAPY IN
DOGS WITH ATOPIC DERMATITIS
AN OPEN PILOT STUDY


 Elin Põldemaa
 2011
OUTLINE
 Introduction
 Methods
 Results
 Conclusions
 Refrences
INTRODUCTION



 Atopic dermatitis (AD) is a common allergic skin
  disease in both people and dogs
 The treatment of dogs with AD is complex and lifelong

 The aim of this study was to evaluate the clinical
  benefits of topical Spot-On Skin Lipid Complex (SLC)
  in the treatment of dogs with chronic AD
 The study took place in Fujimura Animal Allergy
  Hospital, Japan, from September 2009 to December
  2009
METHODS

 The investigators recruited 8 dogs from their hospital
  with a diagnosis of chronic AD and persistent pruritus
  despite therapy.
 The dogs were treated with SLC topically as adjunct
  therapy for 12 weeks.
 A topical SLC product containing ceramides,
  cholesterol and free fatty acids was applied at a dose
  of 2 mL twice weekly, by applying several drops on the
  head, inter scapular area, and directly on lesion sites
RESULTS
 After 6 weeks of SLC treatment, a substantial
  improvment in the dogs condition occured
 It was caused by the reduction in the erythema
  (36.2%, p<0,005), excoriation (39,9%, p<0,05) and
  alopecia subscores (19.9%, p<0,05).
 There were no markable advances in the treatment
  of lichenification as the decrease rate was
  statistically unimportant.

   For the evaluation of the efficency of SLC therapy, the third version of
    the Canine Atopic Dermatitis Extent and Severity Index (CADESI-03)
    modification was used
Clinical
characteristics
of Dog 5 at
start of the
treatment (D0)
6 weeks
after D0
12 weeks
after
treatment
The dog was
treated
continuously after
the completion of
the trial. Clinical
symptoms
improved 18
weeks after D0.
CONCLUSIONS
       The results of this study suggest that topical SLC
application is beneficial when used in the management of
canine AD.
 Topical lipid applications are not effective as
  monotherapy but as an adjunct therapy they may bring
  new hope in the treatment of canine AD
 Although the findings are encouraging, double-blinded
  placebo-controlled or cross-over studies are needed to
  confirm the results.
 The drug-sparing effects of SLC applications also
  deserve further investigation
REFRENCES
“Spot-On Skin Lipid Complex as an Adjunct Therapy
in Dogs with Atopic Dermatitis: An Open Pilot Study“
Masato Fujimura, Yoshinobu Nakatsuji, Subaru
Fujiwara, Christophe Rème and Hugues Gatto
Veterinary Medicine International, Volume 2011

http://www.hindawi.com/journals/vmi/2011/281846/
THANK YOU FOR YOUR ATTENTION!

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Spot on skin lipid complex as an adjunct therapy in dogs with AD

  • 1. SPOT-ON SKIN LIPID COMPLEX AS AN ADJUNCT THERAPY IN DOGS WITH ATOPIC DERMATITIS AN OPEN PILOT STUDY Elin Põldemaa 2011
  • 2. OUTLINE  Introduction  Methods  Results  Conclusions  Refrences
  • 3. INTRODUCTION  Atopic dermatitis (AD) is a common allergic skin disease in both people and dogs  The treatment of dogs with AD is complex and lifelong  The aim of this study was to evaluate the clinical benefits of topical Spot-On Skin Lipid Complex (SLC) in the treatment of dogs with chronic AD  The study took place in Fujimura Animal Allergy Hospital, Japan, from September 2009 to December 2009
  • 4. METHODS  The investigators recruited 8 dogs from their hospital with a diagnosis of chronic AD and persistent pruritus despite therapy.  The dogs were treated with SLC topically as adjunct therapy for 12 weeks.  A topical SLC product containing ceramides, cholesterol and free fatty acids was applied at a dose of 2 mL twice weekly, by applying several drops on the head, inter scapular area, and directly on lesion sites
  • 5. RESULTS  After 6 weeks of SLC treatment, a substantial improvment in the dogs condition occured  It was caused by the reduction in the erythema (36.2%, p<0,005), excoriation (39,9%, p<0,05) and alopecia subscores (19.9%, p<0,05).  There were no markable advances in the treatment of lichenification as the decrease rate was statistically unimportant.  For the evaluation of the efficency of SLC therapy, the third version of the Canine Atopic Dermatitis Extent and Severity Index (CADESI-03) modification was used
  • 6. Clinical characteristics of Dog 5 at start of the treatment (D0)
  • 9. The dog was treated continuously after the completion of the trial. Clinical symptoms improved 18 weeks after D0.
  • 10. CONCLUSIONS The results of this study suggest that topical SLC application is beneficial when used in the management of canine AD.  Topical lipid applications are not effective as monotherapy but as an adjunct therapy they may bring new hope in the treatment of canine AD  Although the findings are encouraging, double-blinded placebo-controlled or cross-over studies are needed to confirm the results.  The drug-sparing effects of SLC applications also deserve further investigation
  • 11. REFRENCES “Spot-On Skin Lipid Complex as an Adjunct Therapy in Dogs with Atopic Dermatitis: An Open Pilot Study“ Masato Fujimura, Yoshinobu Nakatsuji, Subaru Fujiwara, Christophe Rème and Hugues Gatto Veterinary Medicine International, Volume 2011 http://www.hindawi.com/journals/vmi/2011/281846/
  • 12. THANK YOU FOR YOUR ATTENTION!