Atopic dermatitis is the most common chronic skin disease in dogs, causing persistent itch, secondary infections and significant welfare compromise. Management has improved substantially.
Chronic itch in atopic dogs causes significant and persistent suffering that owners may underestimate because the dog continues to function relatively normally despite constant discomfort. Secondary skin infections from self-trauma cause additional pain and require antibiotic treatment. The development of Cytopoint (monoclonal antibody) and Apoquel (JAK inhibitor) has provided safe, effective treatments that dramatically reduce itch within hours to days of administration. Welfare-positive management requires treating the itch, not just the secondary infections.