Dermatology

General Services

Dermatology

All Creatures Veterinary Dermatology Service

  • Is your pet constantly licking, chewing, biting or scratching their skin?
  • Do you have an itchy pet?
  • Is your pet losing their fur or hair?
  • Does your pet have lots of scabs or dandruff?
  • Has your pet’s skin or coat changed colour or texture?
  • Is there a bad odour from your pet’s skin or ears?
  • Are your pet’s nails brittle, misshapen or falling out?
  • Does your pet have any unusual lumps or swellings over their body?

If so, you should seek advice from the veterinary dermatologist at All Creatures.

Dermatology is the science that is concerned with the diagnosis and treatment of diseases of the skin, hair and nails and a veterinary dermatologist is the veterinary expert you should consult if your pet has any problems with their skin.

Why you should chose All Creatures to help with your pet’s skin problems

  • Dr. Montague is an RCVS Certified Veterinary Dermatologist, achieving this extra veterinary qualification in 2001.
  • You will be dealing primarily with a vet who has a particular passion in this veterinary subject. Dr. Montague is also able to assist his veterinary colleagues within the practice with first opinion cases so the team as a whole has a higher level of interest and knowledge in the dermatology field.
  • Dr. Montague is a member of the British Veterinary Dermatology Study Group (BVDSG) and The European Society of Veterinary Dermatologists (ESVD).
  • Dr. Montague attends several veterinary dermatology conferences each year and devotes considerable personal time to extra learning in this field.
  • All Creatures maintains a well stocked library of dermatology journals and up to date texts.
  • All Creatures has the full range of facilities to investigate skin, ear and nail disease.....
  • high powered microscopes to assess skin scrapes, tape strips, hair plucks (trichograms),
  • ringworm strain identification and cytology for identification of bacteria and cancer cell types
  • skin biopsies
  • access to dermatohistopathologist services
  • video otoscopy for assessment of complex ear disease and the tympanic membrane
  • swabs for bacterial culture and sensitivity
  • Woods lamp and Mackenzie toothbrush technique for investigating ringworm cases
  • Intradermal skin testing – we maintain a fresh stock of over 60 different individual local allergens
  • In house blood testing facilities
  • Access to Finn chambers to diagnose contact hypersensitivities
  • All Creatures stocks the most extensive range of veterinary dermatological products in Northern Ireland – we have over 100 different types of veterinary shampoo alone. We have a range of insecticidal products, anti-itch drugs, hormonal products, immunosuppressive drugs, lotions, creams and spot on therapies to improve skin barrier function, chemotherapeutic drugs as well as specialist veterinary diets to help with skin problems.
  • All Creatures has Class IV laser therapy to assist with the management of many skin complaints including lick granuloma (acral lick dermatitis), scent gland infections and otitis (inflamed ears)
  • All Creatures has full surgical facilities to deal with tumour removal, skin grafting, drainage of abscesses, bite wound management, scent gland (anal gland) removal and ear disease requiring surgery such as lateral ear canal resection and total ear canal ablation.
  • Successful strategies for managing recurring superficial pyoderma
  • We offer a range of different immunotherapy protocols for your pet’s allergies including oral immunotherapy and accelerated / rush immunotherapy.

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All Creatures Veterinary Dermatology Referral Service

We are happy to accept dermatology referrals from other clinics.

If your pet has a recurring skin problem or a more complex or longstanding case or maybe just a skin problem that is not responding to therapy, then please ask your vet to refer you to the dermatologist at All Creatures.


Why you should consider a referral?

Skin disease accounts for as many as 50% of the appointments in veterinary practice and there are now hundreds of individual skin and ear diseases described in dogs and cats. General practitioners recognise the need for specialisation and they will tend to recommend a referral when your pet has a difficult or unusual skin disease. Most vets realize that an unresolved skin complaint will have a pet owner searching around for another vet that can help them and that referral is in the best interests of both the pet and the referring vet. As a certified dermatologist, Dr. Montague has the time and knowledge to investigate your pet’s skin problem in depth and can offer the most advanced treatments available. Look on our practice as an extension of your general practitioner’s practice that allows them to offer your pet access to the most advanced care and treatment available.


What is involved in the referral appointment?

The initial examination with the dermatologist lasts for around an hour. It is important that the main person caring for the pet attends since we will need to take a detailed history from them about the pet and it is helpful to discuss the various options for investigation and treatment with the main owner.The dermatologist will then thoroughly examine your pet and collect any relevant samples for microscopic examination while you are waiting. He will then discuss what sort of problem your pet has and the options and cost of treatment and any further investigation that may be required. A full written report will then be sent back to your own vet following your visit. Further tests, and one or more, half-hour, follow up visits may be necessary before a final diagnosis can be made. Any tests required are generally done on the day of any particular visit and overnight stays are not required. We will liase closely with your own vet on any of our findings.


How much does it cost?

The cost of the initial one hour referral consultation is currently £130 + VAT but this does not include further tests and treatment. The cost varies depending on the type and complexity of your pet’s problem. Please note that regular customers registered at All Creatures can benefit from first opinion examinations with the dermatologist at routine examination prices. We are happy to provide free estimates of any diagnostic work or therapies, prior to seeing your pet.

Does pet insurance cover the cost of consultation?

Provided there are no exclusions, veterinary insurance policies will cover the cost of referral to a veterinary dermatologist. If you wish to make a direct claim for the treatment costs, you will need to provide a copy of your pet insurance policy to us and give us sufficient time to pre-authorise a claim (usually a week) before we see your pet. If your pet is not insured, then payment is normally made at the time of each examination.

How is a referral appointment arranged?

If you decide to go ahead with the referral appointment, we will need to contact your usual vet for your pet’s medical notes and the results of any tests that have already been done. Our receptionist will then arrange an appointment time that suits you best.


Types of skin, coat, ear and nail problems we see most commonly at All Creatures

Itchy skin problems

  • Flea bite hypersensitivity
  • Harvest mite infestation
  • Atopic dermatitis
  • Allergic contact dermatitis
  • Adverse reactions to foods
  • Irritant contact dermatitis
  • Sarcoptic mange
  • Epitheliotropic lymphoma
  • Cheyletiella infestation
  • Psychogenic alopecia
  • Malassezia dermatitis (yeast infection)
  • Self mutilation
  • Pyotraumatic dermatitis (hot spots)
  • Tail biting & chasing
  • Intertrigo (skin fold dermatitis)
  • Acral lick dermatitis (lick granuloma)
  • Lice
  • Hookworm dermatitis
  • Pelodera strongyloides dermatitis
  • Schnauzer comedo syndrome

Lumps and bumps on your pet’s skin

  • Follicular Cysts
  • Papilloma
  • Mast cell tumours
  • Basal Cell tumours
  • Collagenous nevi
  • Melanoma
  • Perianal gland adenoma
  • Panniculitis
  • Cryptococcosis
  • Keratinizing acanthoma
  • Systemic histiocytosis
  • Foreign body granuloma

Skin problems where the skin is broken or ulcerated

  • Feline eosinophilic granuloma
  • Indolent (rodent) ulcers
  • Eosinophilic plaques
  • German Shepherd Dog Pyoderma
  • Calcinosis cutis
  • Pressure sores
  • Squamous cell carcinoma
  • Hepatocutaneous syndrome
  • Discoid lupus erythematosus
  • Feline cowpox infection
  • Drug eruptions
  • Feline plasma cell pododermatitis
  • Pemphigus vulgaris
  • Feline herpesvirus infection
  • Feline calicivirus infection
  • Systemic lupus erythematosus
  • Bullous pemphigoid
  • Vasculitis

Skin problems with rashes and spots (papules and pustules)

  • Superficial pyoderma
  • Canine acne
  • Impetigo
  • Pemphigus foliaceus
  • Zinc responsive dermatosis
  • Juvenile pyoderma (puppy strangles)

Skin problems with oozing and weeping (sinus formation)

  • Deep pyoderma
  • Anal furunculosis (perianal fistula)
  • Foreign body sinus
  • Mycobacterial infection - Feline leprosy
  • Dermoid sinus

Crusty and scaly skin problems

  • Ectoparasites
  • Infections
  • Nutritional disorders
  • Allergic diseases
  • Immune problems
  • Callus formation
  • Sebaceous adenitis
  • Feline Acne
  • Idiopathic seborrhoea of Cockers
  • Actinic dermatoses
  • Cutaneous horn
  • Nasal & digital hyperkeratosis
  • Vitamin A responsive dermatosis
  • Canine distemper
  • Erythema multiforme

Abnormal coat and skin colourations

  • Colour dilution alopecia
  • Vitiligo
  • Canine Uveodermatological syndrome
  • Lentigo

Environmental skin problems

  • Tick infestation
  • Bee stings, spider bites
  • Skin problems caused by chronic exposure to urine, faeces, saliva or tears
  • Fly bite dermatitis
  • Burns
  • Frostbite
  • Maggot infestation
  • Otitis externa (inflamed infected ears)

Hormonal skin problems

  • Hypothyroidism (underactive thyroid)
  • Hyperadrenocorticism (Cushing’s disease)
  • Sertoli cell tumour (testicular cancer)
  • Skin problems that respond to neutering
  • Alopecia X
  • Post clipping alopecia

Disorders of the nails

  • Lupoid onychodystrophy
  • Fungal infections
  • Tumours of the nail beds
  • Bacterial infections (paronychia)
  • Autoimmune diseases

Coat problems with patchy hair loss

  • Canine demodicosis (demodectic mange)
  • Dermatophytosis (ringworm)
  • Follicular dysplasia
  • Injection site alopecia
  • Alopecia areata
  • Black hair follicle alopecia
We also can help with equine skin problems including management of sarcoids

Our veterinary dermatologist leaves you some challenging questions to consider……

  • What antibiotics should be avoided in managing your dog’s skin infection?
  • Are steroids really that bad? How do we best use them to avoid side effects?
  • What skin complaint do general practitioners miss most often?
  • What skin issues your new puppy is harbouring? Which of these will affect you?
  • Why is your pet shop or supermarket flea product not working?
  • So your pet has got a yeast infection…why?
  • What’s the best therapy for lick granuloma?
  • Why does your dog’s skin infection keep coming back and what strategies can you use to prevent this?
  • What are the best antihistamines for atopic dermatitis and to relieve itchiness?
  • What to do if Atopica does not agree with your pet? (What are the best strategies to ensure my pet can benefit from this wonderful medication?)
  • What is the best food to use to diagnose a food intolerance?
  • Have you just wasted a small fortune having blood tests done for food allergy?
  • Treating your pets for fleas – what the pet shop forgets to tell you to do?
  • The simple new treatment for demodectic mange?
  • What is the best shampoo for my pet’s skin complaint?
  • Why is the pet store’s “hypoallergenic” diet not working for my pet? The really scary thing you need to know about some commercial “hypoallergenic”diets…..
These are burning questions Dr. Montague answers every day for pet owners with skin problems. Please don’t hesitate to contact us if you need help with any pet skin or coat problem.