|
DEMODECTIC
AND SCARCOPTIC MANGE
Bryan,
I hate to contradict you here but in fact "red mange"
is indeed the same thing as Demodectic
mange. The condition in this particular situation is
caused by the mite Demodex canis. "Red
Mange" is merely the layman's term for describing this
condition. It is called "red mange" because
the affected animal's skin often has a reddish appearance.
The other type of mange that is
commonly seen in dogs is called Sarcoptic Mange and
is caused by the mite Sarcoptes scabei
var. canis. Sarcoptic mange is highly contagious while
"red mange" or demodectic mange is NOT
but is in fact as you pointed out hereditary. The layman's
term for Sarcoptic mange is "summer
mange".
Other distinctions between the two is that Sarcoptic
mange is often very pruritic (means itching)
and affected animals will scratch excessively while
Demodectic or "red mange" is rarely pruritic.
The sarcoptic mites actually burrow into the dogs skin
and thus the reason for the pruritis, while
the demodectic mites merely fill up the hair follicles
causing a folliculitis and that in turn causes the
hair to fall out.
The demodectic mites are actually "passed" to the pups
after they are born. All dogs have
demodectic mites on their bodies. Demodectic mites are
considered to be part of the normal "flora
and fauna" of a dog's skin. As you pointed out in a
normal dog the immune system, when
functioning properly, will keep the mites in low enough
numbers that no alopecia (means hair loss)
will develop. However in dogs that are affected by red
mange there is a hereditary defect in their
immune systems (believed to be a specific "T" lymphocyte
defect) that keeps the immune system
from functioning properly and keeping the mite population
under control. Dogs which are affected by
red mange due to this defect in their immune systems
will never "outgrow" it and will have to be
treated on a regular basis to keep the condition under
control.
Now there is some validity in your statement that some
dogs will "outgrow" red mange. I believe
this can easily be explained if one understands the
disease process and realizes the
immunosuppressive effects of "stress". Stress is immunosuppressive
(basically means that it
keeps the immune system from functioning properly or
at a lower than normal level). Stress comes
in many forms, temperature, changes in environment (ie.
puppy goes to a new home), weaning,
teething, regular training of young dogs, poor nutrition,
etc. All of these "stresses" can have a
negative impact on the dog or puppy and be immunosuppressive.
In some cases if a puppy is
undergoing a period of stress it can indeed have a minor
case or what we call a "regional or
localized" case of red mange. Many times when the stress
is removed or is overcome the immune
system will recover and the dog will "spontaneously
cure".
The major difference when treating and defining cases
of red mange is whether or not the condition
is regional or localized (means confined to one area
of the body, ie. say on the head or one foot) or
if the condition is generalized (means the condition
is widespread and found in multiple locations of
the body). Generally speaking, some cases of regional
or localized red mange may indeed be due
to some type of stress and can in fact "spontaneously
cure". This is significant because in these
cases the hereditary defect in the dog's immune system
may not be present and the dog may in
fact be used later in life for breeding purposes. But
if the dog has a case of generalized red mange
this is most often due to the fact that the hereditary
defect is indeed present and the dog should be
neutered and not used for breeding. Now, I would always
recommend that you consult your regular
veterinarian when deciding whether or not to breed a
dog that has had "red mange" and follow their
advice. I have made the previous statements based on
my treating and seeing cases of red mange
and there is no hard and fast rule about whether or
not a particular animal that has had red mange
should or should not be used for breeding purposes.
In my practice we make this recommendation
on a case by case basis and I would always recommend
you seek the attending or regular
veterinarian's advice.
It should also that some cases of regional or localized
red mange that will spontaneously cure can
be seen in adult dogs. I have seen this a few times
in female dogs right after they have gone
through a "heat cycle". My explanation for this is that
when a female dog is going through a heat
cycle the predominant hormone is estrogen. We know that
estrogen is immunosuppressive and in
some females I believe it is possible that they may
in fact develop a small area of alopecia due to a
case of localized demodicosis caused by the immunosuppresive
effects of estrogen on their
immune system.
DR.J |