Identification and Treatment of Acral Lick Granulomas – Acral Sores

This is an acral lick granuloma except it’s not acral ha ha ha ha  this one’s on the hind foot, but it’s in a very typical location. An acral granuloma is a patch of scar tissue that a dog won’t allow to heal. So they lick it because it tingles, according to people who have them. Sometimes they lick them out of anxiety, out of habit, and our of boredom. However they’ve also found that antibiotics can help heal the skin, but the problem is that when you stop the antimicrobial, the lesions come back. So, many of the dogs often live in cone-collars.

There is a way to heal these faster dripping insulin (straight up) onto the lesions and wrapping the foot in Press-n-Seal and a wrap to keep the insulin against the skin, and keeping the insulin from drying out. Healing rates double. But you still have to keep the dog from licking the lesions. That’s the basis of all success.

I’ve removed these lesions in the past, and wasted money with the formation of a new one at the surgery site, so don’t bother.

I’ve injected steroids under these, and it helps. But they only heal halfway and then regress. Don’t bother.

I’ve frozen these lesions and that ruins the skin, sets the granulomatous tissue back, numbs the lesion but as soon as the lesion heals from the iatrogenic frostbite, the dog’s back to it. It never is actually better, it’s just ‘a lesion’ of a different type for a week.

Wraps are good. Cone collars are good. Antibiotics are good. Insulin topical under Press-n-Seal is good. You can even emulsify the insulin into NeoSporin (keep refrigerated after) to make the insulin “stay on” longer.

Anti-anxiety medications are making a break into management of the acral lick granulomas. Elavil, Amitryptilline, Prozac, even CBD/THC are often effective. Even if anxiety and habit are only HALF the problem, it’s worth a try. Not very expensive.

And according to the article I’ve attached to this post, they’re having some luck with red lasers, which cause activation of healing components in the skin. A mitochondria is ‘activated’ by ‘sunlight’ and even moreso by artificial wavelengths, for example 600-700nm. Near infrared. So they’re using light-therapy and getting some healing.

I think the best approach would be something like Fluoxetine or Clomicalm, PLUS an antibiotic (to be on the safe side) and a cone collar.  The topical of choice would be Cetafil  cleanser wipes and then light-therapy as mentioned above.

Side note: I’ve seen Claro used on these lesions, it’s less-than-fabulous.

Doc Johnson

Lick granuloma – Wikipedia

 

Enter your email address for a free PDF of this article including its images.

Enter your Email Address

My Favorite Amazon Recommendations

Items and content will not show in "Reader View" check your browser.

This is The LCD Screen Scope
We Did The Tutorial With. I did a twenty page tutorial (Here's the tutorial) with video, audio, images and even little parasite movies to show you how to use a microscope. 

This Filter is Good For BIG Dirty Tanks
I've been wrestling with water quality with the turtles. The sponges work GREAT, but in THOSE turtle systems where they eat MICE the poops are bulky. This filter can handle it. In "Tortu's" tank, it's got an 800 gph pump and it rocks. 

PraziPro for Flukes
They nailed it. Figured out the solubility and worked out the dosing. It works. 

Buy Some Good Koi?
No, this isn't really for the 'high end' collector y'all. But for someone who isn't near a decent garden center, here are "good-to-quite-good" Koi you will like at a very good price. I know these guys personally.

Best Food, Ever
It's made for (and I discovered it for) my Blood Parrots but the small size, intense color enhancers and excellent formulation make it superb young-Koi food. Oh, and it's AMAZING on color-cichlids like Flowerhorn and Blood Parrots. 

Pro Air 60 Aerator is a VERY high output air pump pushing my whole fish room (17+ drops), and I have one at home driving everything there, and I have one as a back up. 

Formalin Malachite (Not dilute)
There are formalin malachite preparations at 10%, 22% and 37%. There's economy in the concentrates. Hard to get Prime shipping because air transport is curtailed. This is a good value on 32 ounces. 

Topical For Koi and Pond Fish Ulcers
I like 7% tincture of iodine because it stains but it's hard to hurt anything with it. Used with a WOVEN gauze, this works well to clean and disinfect a wound. Only use ONCE. Do not 'repeatedly' scrub wounds. 

Confectioner's Glaze 
Is the way to bind a medication to fish food. Gone are the days of paste food and oil. The write up is done, it's RIGHT HERE.

Koi Health & Disease
Hopefully this link takes you to the newest edition by PRIME to get it to your house the fastest. 

I have over ten of these Titanium Heaters in my fish room and at home. They're a paradigm shift in aquarium heating. They're titanium and 400W for under $30! Whaaaaaaaaat?

CyroPro by Hikari is safe and easy for Anchor Worms and Fish Lice.

Whatever heaters you use, back yourself up with a temperature controller, it'll turn on, and off your heaters. If your heater seizes "on" at least the thermostat will stop a tragedy. 

LifeGuard by Tetra is a tablet version of a tame 'chloramine-t' or 'halamid' compound that's easy to get and good on bacterial infections, in baths. 

Antimicrobial
If you're making medicated feed for a larger group of fish, this will come in handy. Dosing is available in the site. 

For me, filtration-of-choice
For aquariums, even small Koi holding facilities or small ponds. These sponge filters are cheap, easy to clean, and they clear hazes very well when used with some Accuclear or similar.

Rubber sided, round, nettable tanks
Make great hospital or quarantine facilities. They SHOULD cost about $200-300 depending on size, but this, lower quality unit (while panned in some reviews) may be good. Don't overfill and make sure it's propped up.

1200 Watt heater, on a thermostat held securely above the waterline, works GREAT as a large tank heater. That's all I'll say because there's risk of electrocution and all that. But then, even in a bucket you could get killed. Sound like fun?
I have several of these ALLIED PRECISION stainless ones that are a couple years old. Working still. 

Potassium Permanganate 
500 grams could be a lifetime supply but it's 50% more than the 100g cost wise, for 500% more amount. Dosing is in the site and the book.

What Does Ajax Eat?
I looked for something well formulated, with meat as the first ingredient. Something UNDER $2/lb and something they could deliver for free. And this was it. He looks and feels great on it.