Derm Delivered Veterinary Dermatology

Derm Delivered Veterinary Dermatology Dr. Jacqueline Gimmler is a board certified veterinary dermatologist. Her team helps pets in DFW, TX

This poor girl was not feeling very well today. She had a long history of well-controlled allergies but 5 weeks ago she ...
03/15/2024

This poor girl was not feeling very well today. She had a long history of well-controlled allergies but 5 weeks ago she suddenly developed crusted bumps that have spread all over her entire body and face. Cytology showed a sea of neutrophils with numerous large, dark blue acantholytic keratinocytes consistent with Pemphigus Foliaceus. Hopefully after a couple weeks of immunosuppressive medications she’ll be feeling much better ♥️♥️♥️

10y FS Maltese with a 1y history of progressive bilaterally-symmetrical alopecia and hyperpigmentation of the flanks. En...
02/24/2024

10y FS Maltese with a 1y history of progressive bilaterally-symmetrical alopecia and hyperpigmentation of the flanks. Endocrine, right? Here’s the twist: CBC, Chem, urinalysis, and thyroid panel were ALL NORMAL! Here’s some other clues: her v***a and ni***es have been enlarging and she has occasionally shown signs of heat despite being spayed. You guessed it! Hyperestrogenism! Her greatly elevated serum estradiol levels confirmed it. Her owner had been prescribed a topical estrogen medication to apply to the inner wrists around the time her symptoms started. This disease occurs in smaller dogs that spend a lot of time in their (usually middle-aged or older, female) owner’s arms. Once the estrogen exposure is removed, the symptoms should eventually fade away (if they don’t, we’d need to look for an ovarian remnant 🤮).

The details in this case were not immediately obvious, and it took a close examination of the medical records, thorough derm exam, and very in depth convo with the owner to figure this one out. It highlights how important good history taking is with dermatology. Often the diagnosis comes primarily from the history!

This handsome boy keeps overgrooming his rump. Does it matter that his family has “never seen a flea?” …NO!!! This is Fl...
02/21/2024

This handsome boy keeps overgrooming his rump. Does it matter that his family has “never seen a flea?” …NO!!! This is Flea Allergy Dermatitis, not a flea infestation. Often live fleas are never actually seen. Because he’s allergic to a protein in the flea saliva, it only takes a small amount of bites to trigger inflammation and itching, then he’ll groom all evidence of the fleas away. All pets in his household need to be on strict isoxazoline flea prevention, year-round for life

Intradermal allergy testing is a big part of what we do. Environmental allergens like pollens from grasses, trees, and w...
02/20/2024

Intradermal allergy testing is a big part of what we do. Environmental allergens like pollens from grasses, trees, and weeds plus molds, danders, and mites are injected into the skin following a grid pattern. If the patient is allergic to an allergen, the spot will get red, swollen, and firm. This dog’s natural pigmentation made redness a little harder to interpret, so we relied on size and turgidity more.

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Dallas, TX

Opening Hours

Monday 9:30am - 5pm
Tuesday 9:30am - 5pm
Wednesday 9:30am - 5pm
Thursday 9:30am - 5pm
Friday 9:30am - 5pm

Telephone

+18178098145

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