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Can Trauma Trigger Demodectic Mange in an Older Dog?

Reader Question
12 year old Sheltie hit by car. He was able to run away from accident. I did not take him through aggressive testing, instead choose to medicate and keep him comfortable. He amazingly has done well. Good appetite and normal GI and urinary systems. Extensive bruising to back and hip. Able to take short walks. Four to 5 weeks later noticed severe hair loss on mid back to tail. It has spread to hips/buttocks. Both undercoat and top coat involvement. No itching. Dog appears happy. Lots of white patches and pink areas where hair loss had occurred. Also there is lots of crusty skin underneath the hair that is still attached. Afraid to comb. Skin is sensitive and he does not like his back touched. I am wondering if bruising and possible hemotomas could have played a part. The alopecia is starting to move down his sides. He has one dose of Ivermectin. Supposed to give next dose next week. Will this gaurd against ticks. Lots of them in our area. Any advice? Should I start him on a preventive antibiotic? Would you like pictures? I think the case is severe and could be of help to others. I appreciate your service.


Answer from Our Team

We're glad your Sheltie survived his accident. Severe bruising and the stress of injury and recovery could play a part, but hair loss after trauma has several possible causes. Badly bruised skin can sometimes lose its blood supply and later crust, peel and lose hair. Demodectic mange can also appear when illness or stress weakens the immune system, and in a 12-year-old dog, new mange is often a sign of an underlying condition such as hypothyroidism, Cushing's disease or cancer. Your vet can tell these apart with a skin scraping and an exam, and may suggest blood tests.

One important caution: Shelties are one of the breeds that can carry the MDR1 gene mutation, which makes ivermectin potentially dangerous. Please check with your vet before the next dose and ask about MDR1 testing or a safer alternative. Ivermectin also isn't a tick preventive, so ask your vet for a tick product that's safe for him.

Please don't start antibiotics on your own, and have his tender back checked too. Crusted, tender skin needs a vet's exam so the right treatment can be chosen. Read more about demodectic mange in adult dogs.

This is general information, not a diagnosis. Please follow your own vet's advice.

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