(ALSO CALLED “JUVENILE CELLULITIS” OR
Despite the extreme inflammation and secondary infections the heart of treatment for this condition is immune-suppression. High doses of corticosteroids such as prednisone are needed as this condition appears to be an immune-mediated disease. In other words, the immune system of the puppy is acting excessively and inappropriately and it must be subdued. Antibiotics may be needed for the secondary infections but antibiotics alone will not treat this condition. Once suppression of the overly active immune system occurs, improvement is usually rapid.
Because the treatment involves suppression of the immune system, it is best to rule out conditions that might look similar but for which immune suppression would be inappropriate. Generalized demodectic mange, an infection involving mange mites, also has a facial orientation and can look similar to juvenile cellulitis. Skin scrapes can be performed to check for the presence of mites. A severe infection can be ruled out by looking at samples of the pimple contents under the microscope, noting that no bacteria are present despite the dramatic number of inflammatory cells. A secondary infection, though, can be present in which case the doctor must use clinical judgment about the appearance of the lesions and the patient’s history to make the diagnosis.
The condition generally resolves in 10-14 days and does not recur.
Page posted: 2/21/2009