Dr. Mundell treats skin disease associated with bacterial infections, fungal infection, parasitic skin diseases, viral conditions, hypersensitivities, autoimmune/immune mediated skin diseases, endocrine diseases, alopecia, and genetic skin disorders. These conditions often affect the skin, the nails and ears.

Hypersensitivities

There are many types of hypersensitivity disorders such as food hypersensitivity, atopy (environmental allergies), insect bite dermatitis and contact dermatitis. Dr. Mundell will evaluate your pet and discuss a therapeutic plan that is right for you and your pet.

Intradermal Allergy Testing (IDST)

Intradermal allergy testing is the most reliable procedure to determine what environmental allergens are affecting your pet. This test is similar to allergy testing in human medicine. To perform this test very small amounts of different allergens are injected into the skin and then a specific amount of time is allowed to elapse before the test site is evaluated. You will receive the results and allergy recommendations when the test is completed.

Allergy Testing Question and Answers

Antihistamines and steroids should be avoided; this includes oral and topical therapy. You should discuss appropriate withdrawal of medications with your local veterinarian clinic. If your pet is simply too itchy to withdraw these medications prior to the first exam, an initial evaluation will allow the dermatologist to formulate a withdrawal and intermediate treatment plan in preparation for intradermal allergy testing. General guidelines:

  • Topical medications (such as antihistamines and steroid containing shampoos and sprays) should be avoided for at least 2 weeks
  • Oral antihistamine, steroids and tranquilizers should be avoided for a minimum of 3 weeks
  • Injectable steroids should be avoided for a minimum of 6 weeks

Dogs need to be sedated for the test, cats undergo general anesthesia. A small patch of hair is shaved on the chest behind the elbow and tiny amounts of over 50 different possible allergens are injected into the skin. A specific amount of time is allowed to elapse (8-15 minutes) and then the test site is evaluated. At that point the offending allergens are known.

The intradermal allergy test is an outpatient procedure which is typically performed during the first visit if the pet meets required withdrawal times and secondary infection is adequately controlled.

The sedation and anesthesia are very short acting and your pet will be awake and ready to go shortly after finishing the test.

No more uncomfortable than allergy testing performed on humans. Humans describe a mildly irritating sensation through which they are instructed to sit still. Since your pet can’t be instructed to sit still, sedation helps the veterinary dermatologist finish the test in a timely manner and helps reduce any potential unease for your pet.

Video Otoscope

Our office uses diagnostic Video Otoscopy which allows for easy access and superior visualization inside the ear canal. Dr. Mundell is able do visual examination of the eardrum and the passage of the outer ear as well as deep flushing in the ear canal, suction, removal of foreign bodies, or myringotomy.