マラセチア皮膚炎の原因や治療は?犬の皮膚病その2

病態

マラセチアとは元々ヒトや動物の皮膚や外耳道表面に生息する微生物叢の1種です。

これが異常に増殖する事で皮膚炎を起こすと考えられています。

悪化因子として犬アトピー性皮膚炎や、皮膚のシワや温度・湿度などの環境の影響も考えられています。

好発犬種としては、ウエスト・ハイランド・ホワイト。テリア、シー・ズー、アメリカン・コッカー・スパニエル、プードル、柴などがいます。

症状としては、皮膚の赤みや痒み、ベタつきが多いです。

診断基準としては明確なものはありませんが

・臨床症状
・皮膚検査で菌体が複数検出される
・抗真菌薬治療での症状改善

などがあてはまれば、可能性が高いです。

治療

1、シャンプー療法
薬用シャンプーをまめに洗ってもらいます。

頻度は、その子の状態によって週3回洗ってもらう場合もあります。

シャンプー後は乾燥しやすいため、保湿剤をしっかり使ってもらいます。

2、消毒薬・抗真菌薬外用

3、抗真菌薬の内服
症状改善後もしばらく飲む場合が多いです。

4、炎症の緩和

5、基礎疾患の治療
基礎疾患としては、アトピー性皮膚炎や脂漏症、甲状腺機能低下症などがある。

予後

常在菌なのでマラセチアのコントロールができると予後は良いですが、再発や慢性化しやすい病気なので、付き合っていく場合も多いです。

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