Can a Vet be a good alternative to your Dermatologist?


In recent years rosacea sufferers have had reason to think that a Vet might have some insights into treatments that could benefit them.

In particular the development of ivermectin based treatments like Soolantra have drawn many similarities with the treatments for mange in animals. Vets have been treating demodex infestations with topical and oral ivermectin for many years before it was approved as a rosacea treatment.

In the future there might be even more treatments for animals that are approved more quickly than for humans.

A Vet is your friend?

Have you ever found a Vetinarian that is able to offer you some insights into treating your rosacea?

Dermatology Goes to the Dogs, and Human Patients Benefit

Medscape – Maureen Salamon, July 28, 2017

Rooted in the time when a single physician cared for all members of a household, including humans and animals, One Health fosters collaboration between various medical and scientific disciplines, including physicians and veterinarians.

“Once you start to identify the connections between humans and animals, it’s possible to take a One Health approach and really start to come to some answers for some of our biggest problems in public health,” said presenter Jennifer Gardner, MD, from the University of Washington and collaborating member of the UW Center for One Health Research in Seattle.

Veterinary medicine has been quicker than human medicine to develop interleukin-31 (IL-31) inhibitors that target AD-related itch in dogs, said presenter Brian Kim, MD, codirector of the Center for the Study of Itch at Washington University School of Medicine in St. Louis. In humans, there are no FDA-approved agents for chronic itch, he pointed out.

“IL-4 drugs like dupilumab may have broader implications for itch, and JAK-1 selective inhibition may be more effective than broad JAK blockade for itch,” Dr Kim said. Approved in March 2017, the monoclonal antibody dupilumab (Dupixent, Sanofi/Regeneron) is the first-ever human biologic therapy available for moderate-to-severe atopic dermatitis.

Animal-human dermatology comparisons also included demodicosis. Common in dogs, the microscopic mites can also play a role in rosacea, blepharitis, alopecia, pityriasis folliculorum, and other human conditions, said presenter Dirk Elston, MD, from the Medical University of South Carolina in Charleston.

Dermatologists often spot the tiny spines of demodex mites sticking out from patients’ skin, he said. Ivermectin is a common treatment in both animals and humans, but Dr Elston said sulfur “tends to be my most reliable for anything demodectic” in people.

“The degree of science the veterinarians use in treating their animals is probably something that’s underappreciated by human doctors,” Dr Levitt told Medscape Medical News.

“I think there’s huge opportunity for collaboration between veterinarians and human medical doctors in discovering disease treatments and sharing best practices,” he added. “Animal models provide a preview for what’s to come in human medicine and it’s an interesting opportunity for medical specialists to have a sneak peek at future therapies by inviting veterinarians to their conferences.”

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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2 Reader Comments

  1. Comment via email.

    “Ivermectin is also primary component in HeartGuard, which is an oral medication given to cats and dogs to prevent heartworm. Heartworm is caused by a parasite that is carried by mosquitos.”

  2. “Ivermectin horse paste is amazing and has changes my life.”

    “I went to ask my pet’s vet about topic ivermectin, but he didn’t have ”

    “On my first week of solantra… lets just say it is taking its time…. but i am hopefull.”

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