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Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.
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Send me a question or story! This is the last installment in our series of DERM DRUGS. Monoclonal antibodies are becoming an important tool in veterinary dermatology — but what are they, and how do they actually work? In this episode, we break down monoclonal antibody therapy in practical terms. We explain how these targeted treatments are designed to recognize and block specific molecules in the immune system, helping reduce itch in allergic dogs without broadly suppressing immunity. We disc...
Send me a question or story! Janus kinase (JAK) inhibitors have become a cornerstone in managing pruritic and allergic skin disease in dogs by targeting the JAK-STAT signaling pathway, which transmits itch and inflammatory cytokine signals. With so many medications hitting the market, it is important to understand the differences between all of the different JAK inhibitors in veterinary medicine. Apoquel (oclacitinib) has been in the veterinary field the longest with over a decade of use. Ho...
Send me a question or story! In veterinary dermatology, gram-negative rods like Pseudomonas, E. coli, Proteus, etc. can develop in chronic or deep skin infections. When systemic therapy is needed, culture and sensitivity are essential. But what are some of the more common antibiotics that are effective against these nasty bugs? Common options include fluoroquinolones, potentiated penicillins, later-generation cephalosporins, etc. These organisms are frequently multidrug-resistant so appropria...
Send me a question or story! When a senior dog walks in with multiple lumps and bumps, the big question becomes: which ones actually need a needle? And how do we make those decisions when time, finances, and patient comfort all matter? In this episode of The Derm Vet Podcast, I take a break from the Derm Drugs series to dive into an exciting new diagnostic technology... VISTA iQ. This conversation features Dr. Liron Levy-Hirsch (managing director for HT VET), who breaks down exactly what VIS...
Send me a question or story! Continuing our DERM DRUG series... we are discussing one of the most common class of drugs asked about: antibiotics! Specifically, those used for staphyloccal pyoderma since it is seen almost every day in general practice. A majority of this discussion was developed from the newly updated ISCAID (International Society for Companion Animal Infectious Diseases). These guidelines were updated in 2025 and are open access to the public. You can find them at https://onl...
Send me a question or story! Welcome to our first podcast series of the year: DERM DRUGS! We will spend the next few weeks jumping into different categories of medication and provide real world application of when and how we reach for these medications. Our first installment in this series are anti-yeast medications. How do you know when to reach for systemic anti-yeast drugs? Which one should you pick? How long should you treat and when do you recheck? We address all of these questions and m...
Send me a question or story! I have had quite a few cool video otoscopy procedures lately. With cool procedures, come the ability to share these videos and images online. With that, comes lots of questions from you! When should I refer for video otoscopy? What is the purpose of video otoscopy? When should I choose video otoscopy over everyday handheld otoscopy? We break down the four main reasons to consider video otoscopy. If you check out the YouTube channel, there are some cool images and ...
Send me a question or story! Recurrent infections can be so difficult in our allergic patients. Learn how to minimize severity of frequency of pyoderma on this week's episode of The Derm Vet podcast! 1. Work up the underlying allergies 2. Support the skin barrier 3. Adjust topical therapy accordingly 4. Recognize historical patterns 5. Refer to a dermatologist early in the disease 00:00 – Intro 02:24 – Working up the underlying allergies 04:53 – Support the skin barrier 07:36 – Adjust your ...
Send me a question or story! Periocular dermatitis can occur for a multitude of reasons. The first step is to figure out if the eye itself is involved or not. Once we know the eye is healthy, it is time to figure out why the SKIN AROUND the eye is losing hair, crusty, itchy, etc. It is important to return to the basic diagnostics. Cytology can be sampled with tape (if the lesion is dry) or swab (if the lesion is wet) to not risk damaging the eye. A trichogram can be used instead of a skin scr...
Send me a question or story! I asked a few of my vet friends what "derm gifts" they received in 2025. I loved their answers and wanted to share them on our final episode of the podcast this year! 1. More confidence in cytology 2. Comfort in using new tools and innovations 3. Improving client communication and utilization of staff 4. Treating dermatology like a puzzle you have to put together 5. Prioritizing referral for allergy testing and immunotherapy And mine... be curious and collaborate!...
Send me a question or story! It is very common for clients to present their pet to the veterinarian complaining that an allergy medication that used to work is no longer effective. Before changing therapies, it is important to consider four different things. 1. Rule out simple mistakes like missed flea prevention, diet change, etc. 2. Identify infection 3. Progression of allergies 4. It is no longer just allergies Learn more details on this week's episode of The Derm Vet podcast! Timestamp...
Send me a question or story! Zinc responsive dermatitis is a skin condition in dogs resulting from a zinc deficiency or an inability to properly absorb the mineral. It is a rare condition that typically presents as scaling, crusting, and hair loss around the head (especially muzzle and periocular region) and pressure points. The most common form is syndrome I which is almost exclusively seen in Nordic breeds like Huskies and Malamutes. They have a genetic defect that impairs intestinal absorp...
Send me a question or story! Solar dermatitis (actinic keratosis) is skin damage from prolonged UV exposure, affecting both dogs and cats, particularly those with light-colored or thin coats. So, pets that have white fur and live in high UV exposure areas (like the southern US) are predisposed. Symptoms include redness, scaling, hair loss, and thickened, crusty skin. Commonly affected areas include the nose, ears, abdomen, and inner thighs. This condition can lead to more severe issues,...
Send me a question or story! In the spirit of Thanksgiving, I like to reflect on the things I am thankful for in the world of veterinary dermatology and life. Check out the products and people I am thankful for on this celebratory 300th episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 1:53 New Product Launches 4:30 Dr. Bourgeois’s Experiences 5:30 Dr. Bourgeois’s Family 7:21 New Research 8:29 Patients and Clients 10:21 The Viewers 11:39 Outro
Send me a question or story! For how common we see pyoderma in cats and dogs in veterinary practice, the appearance can be variable. A cutaneous bacterial infection can appear as crusting, erythema, scaling, moth-eaten alopecia, epidermal collarette, etc. Differentials can also be varied. Pyoderma can mimic dermatophytosis, demodicosis, pemphigus foliaceus, epitheliotropic lymphoma, etc. Check out this week's episode The Derm Vet podcast! Also, I highly encourage you to check out ...
Send me a question or story! As dermatologists, we LOVE topical therapy. However there are some basic things that need to be considered when suggesting a protocol. What are you treating? What is the ultimate goal? What do you or the owner have? Can it happen? Check out some simple tips on this week's episode of The Derm Vet podcast! 00:00 – Intro 01:15 – Q1: Why Are You Using Topical Therapy? 04:41 – Q2: What is the Goal of the Product? 05:58 – Q3: What Do You Have Available? 08:45 – Q4...
Send me a question or story! Even as a specialist, I still get cases that surprise me or change appearances. It can leave me doubting what the next step is. But, if you take a breath, it is amazing what can happen when you figure them out. Check out three cases that recently threw me for a loop. 1. A dog with weird paw pad ulcers 2. A cat with an ulcerated nasal planum 3. A service dog with non-pruritic alopecia and scaling Hint: If you check out the YouTube channel, there are a lot of clinic...
Send me a question or story! Alex Sigmund, DVM, DACVO returns to the podcast to discuss something other than allergies! There are so many non-allergic things that can occur with eyeballs (or the skin around the eyes) that may also include input from a dermatologist? What non-allergic cause can lead to periocular dermatitis? How do you start evaluation of blepharitis or chemosis? We dig even deeper into eyes this week on The Derm Vet podcast! 00:01 – Intro 01:21 – What is the most common reaso...
Send me a question or story! Back for round 2! Alex Sigmund, DVM, DACVO returns to talk us through periocular and ocular disease that can occur from allergies. How common is it? Should it go to ophtho or derm? Can you consider topical antihistamines? Topical steroids? We dive into all of your questions related to allergic eyeballs on this week's episode of The Derm Vet podcast! 00:00 Intro 02:46 How often are you referred patients with underlying allergy issues? 05:10 Managing chro...
Send me a question or story! We have so many wonderful non-steroid options to manage itch and inflammation in veterinary dermatology. HOWEVER, there is still a time and place that steroids are necessary. It is important to not be afraid of steroids, but now when and how to use them appropriately. From stenotic ears to cost concerns, check out the situations where, even as a boarded dermatologist, I lean on steroids on this week's episode of The Derm Vet podcast! 00:00 Intro 01:00 Taking away ...
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