DR Alice Jeromin

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DR Alice Jeromin

Internal Medicine
Duties of a board certified dermatologist include assisting the referring veterinarian and educating the owners of patients referred for skin diseases due to allergy, infections, skin parasites, endocrine skin disease, hair loss, immune mediated skin disease, internal medicine disease affecting the skin, skin cancer, and nonsurgical ear diseases. Procedures include skin testing for allergies, blood testing for endocrine diseases, culture and sensitivity, skin biopsies, detection of skin parasites to include fleas, mites, ticks, chiggers, etc. Veterinary dermatologists are also involved in teaching both in veterinary and human medical schools and publishing.

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Jeromin, Alice M, DVM

Jeromin Alice

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Physicians & Surgeons, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Oncology, Skin Care

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Phone: (330) 659-2909

Address: 3967 Broadview Rd, Richfield, OH 44286

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DR Alice Jeromin

Internal Medicine
Duties of a board certified dermatologist include assisting the referring veterinarian and educating the owners of patients referred for skin diseases due to allergy, infections, skin parasites, endocrine skin disease, hair loss, immune mediated skin disease, internal medicine disease affecting the skin, skin cancer, and nonsurgical ear diseases. Procedures include skin testing for allergies, blood testing for endocrine diseases, culture and sensitivity, skin biopsies, detection of skin parasites to include fleas, mites, ticks, chiggers, etc. Veterinary dermatologists are also involved in teaching both in veterinary and human medical schools and publishing.

Ultrasound

Skin Cancer
Dermatology
Does my cat have environmental allergies (atopy, now called feline atopic skin syndrome-FASS)? – Veterinary Allergy & Dermatology, Inc.
Acne Treatment
Lesions
The main clinical sign of FASS in cats is PRURITUS. This itching may result in: self-induced alopecia or lesions such as miliary dermatitis, plasma cell pododermatitis, eosinophilic granuloma complex, exfoliative lesions, seborrhea, or chin acne +/-otitis. Secondary cutaneous bacterial infections once thought to be rare in cats, are apparent in FASS cats. [x] Malassezia was isolated more frequently in allergic cats vs. nonallergic. In my practice I often found Malassezia on the chin and face possibly from the cat pawing at its chin downward from the ears, contaminating the chin with the yeast otitis which is often present. Otitis externa has been reported in 21% of FASS cats. [xi] Less common clinical signs such as respiratory (asthma), ocular (conjunctivitis), and/or gastrointestinal involvement have been reported. [xii] So unlike dogs, cats are unique in their characteristics of FASS in that they may manifest clinical signs at an older age and may have any one or more extremely variable clinical signs involving numerous areas of the body. In one Australian study, clinical distribution of lesions was as follows: head (71%), neck (51%), ventral abdomen (51%), limbs (38%), pinnae (31%), dorsum/rump (31%), and feet (16%). [xiii]

Allergies
Diagnosing FASS in cats is one of exclusion. Differentials that mimic FASS include: flea allergy dermatitis (FAD), food allergy, demodicosis, Malassezia dermatitis, idiopathic ulcerative dermatitis, ectoparasites (such as Cheyletiella, Notoedres), pemphigus foliaceus, dermatophytosis, mosquito bite hypersensitivity, and hyperthyroidism. Many of these can be quickly ruled out during the physical examination (FAD, demodicosis, Malassezia, ectoparasites, pemphigus, dermatophytosis). As with any dermatological disease, a thorough history must be undertaken to find out how long the cat has had problems, response to medication, areas of the body affected, age of onset, dietary history, exposure to other pets, etc. It is important to understand that serum or intradermal skin testing to “prove” the cat has FASS is not acceptable. On either of these tests, cats may have a positive IgE reaction and not be clinical OR be clinical and not test positive! Serum and/or intradermal allergy testing is only used once the diagnosis of FASS has been determined, the results of which are used to formulate an immunotherapy solution be it injectable or sublingual. In nonseasonal affected cats, an 8-week prescription elimination diet trial is advised to rule out food allergy as clinical symptoms of FASS and food allergy may mimic one another. Food allergy in cats may also present with gastrointestinal signs as well as conjunctivitis. The incidence of FASS and food allergy together in the same patient in a recent study was low at 2.4%. [xiv]

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