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Moist eczema (pyotraumatic dermatitis) in a dog – II

A Labrador had a 6 cm2 moist eczema lesion on the cheek. The area was shaved, cleaned, dried, sprinkled with SertaSil and left uncovered. 4 hours later, maceration and spreading had stopped. 12 hours later, edges were showing clear signs of healing and the wound was dry. SertaSil was re-applied and left un-dressed. After additional 12 hours, SertaSil was added in a few places where it had fallen off. The wound was checked every 12 hours, but no further action was required. During the following days the crust started falling off in small pieces/flakes leaving completely healed skin underneath.

Responsible: Alf Laebro, vet & partner; and Signe L. Dideriksen, vet, Centrum Small Animal Hospital, Denmark.

Detailed description:

A 10 and a half years old Labrador Retriever bitch presented a 6 cm2 (2x3cm) lesion of moist eczema on the right cheek. The area was shaved well beyond the margins of the lesion, washed with hydrogen peroxide, dried, sprinkled with SertaSil and left uncovered. 4 hours later, the maceration and spreading had stopped, and, as the area was still dry, the wound was left alone except for a couple of small dots of the wound, which were no longer white from powder; these were sprinkled with a little extra SertaSil.

12 hours after first application of SertaSil, the edges were showing clear signs of healing and the wound was dry and covered with a thin, soft, bendable sort of crust. Under the “crust” no bacterial growth was taking place. Again, the wound was covered with SertaSil and left un-dressed.

After additional 12 hours, healing was clearly in progress. A little SertaSil was added in a few places where the wound was not white from SertaSil powder or covered with the thin, bendable “crust”.

The wound was checked every 12 hours, but no further action was required. During the following days the crust started falling off in small pieces/flakes leaving completely healed skin underneath, eventually leaving a fully closed wound where only the hair was yet to grow back.

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