Lick Granuloma in Dogs | VCA Animal Hospitals (2024)

Lick Granuloma in Dogs | VCA Animal Hospitals (1)What is a lick granuloma?

A lick granuloma, also known as acral lick dermatitis, occurs when a dog obsessively licks at an area, often on a lower limb, most commonly the wrist or carpal joint of the front limb. These dogs find a spot to lick and start a cycle of self-trauma, inflammation, and infection. This condition is thought to be both physical and psychological in nature.

"This condition is thought to be both physical and psychological in nature."

Is there any breed disposition?

The condition occurs mainly in medium to large breeds, particularly Doberman Pinschers, Great Danes, Labrador Retrievers, Weimaraners, Golden Retrievers, and Boxers. However, any breed may develop acral lick dermatitis.

What is the cause?

The exact cause of acral lick dermatitis is unknown. However, it is believed to be caused by multiple factors that are both physical (e.g., allergies, infection, joint pain) and psychological (e.g., fear, anxiety, compulsive disorder). In some cases, the licking may start because of a minor irritant such as an insect sting. Although it can occur on the hind limbs, the top and outside surfaces of the forelimbs (front legs) are most commonly affected. These are areas that the dog can constantly lick while lying in a normal position.

How is it diagnosed?

The location and appearance of the lesion are a major guide to diagnosis. Your veterinarian may recommend radiographs (X-rays) of the underlying joint to determine if arthritis is present. Your veterinarian may recommend skin tests to look for bacteria, yeast, or other fungal diseases. Skin biopsies may be necessary if there is no response to treatment or to rule out other causes such as mange or a tumor.

It is important to consider both psychological and physical causes in order to provide the best treatment.

What is the treatment?

The treatment will vary depending on your pet's condition. Identifying the underlying cause is important in determining the best course of treatment. Most dogs require treatment aimed at the inflammation, infection, and psychological components for resolution.

Topical and oral anti-inflammatory medications, such as corticosteroids, are helpful in reducing inflammation. Antibiotics are often required to treat secondary skin infections. Therapeutic laser and acupuncture have also been used successfully for this condition. Protective devices used to prevent self-trauma, such as e-collars, bandages, or shirts may be recommended in the initial stages of the disease while the medication is starting to relieve the itch.

Behavior modification and psychopharmacologic medications may be needed to manage anxiety and compulsive behavior disorders. Addressing any underlying anxiety by providing the dog with more pleasant interaction and stimulation as well as eliminating anxiety triggers is often strongly recommended.

These lesions can often be chronic, relapsing problems that require long-term therapy. While the condition can be frustrating to get under control, most cases of an acral lick granuloma can be successfully treated if the owner is willing to pursue extended tests and treatments.

"...most cases of an acral lick granuloma can be successfully treated if the owner is willing to pursue extended tests and treatments."

Lick Granuloma in Dogs | VCA Animal Hospitals (2024)

FAQs

Lick Granuloma in Dogs | VCA Animal Hospitals? ›

A lick granuloma, also known as acral lick dermatitis, occurs when a dog obsessively licks at an area, often on a lower limb, most commonly the wrist or carpal joint of the front limb. These dogs find a spot to lick and start a cycle of self-trauma, inflammation, and infection.

How long does it take for a dog to recover from a lick granuloma? ›

While acral lick granuloma is rarely a life-threatening condition, it is irritating for both the dog and owner. Client compliance is very important to resolving acral lick granulomas, so be sure to inform pet owners that treatment is a slow process that will likely take several months.

Can lick granulomas be removed? ›

Surgery: A veterinarian may recommend surgical removal of the acral lick granuloma, but this is often a last resort when other treatment options have failed. If no underlying cause is found and treated, it is possible that after surgery the cat may start licking the area again and form another acral lick granuloma.

Are lick granulomas cancerous? ›

Although the term “granuloma” may make the condition sound as serious as some types of cancer, it is important to note that this problem is not actually a cancer itself. However, it is an abnormal growth, which is why the name sounds very similar. Lick granulomas look like large, open sores on a dog's body.

What will vet do for lick granuloma? ›

Most dogs require treatment aimed at the inflammation, infection, and psychological components for resolution. Topical and oral anti-inflammatory medications, such as corticosteroids, are helpful in reducing inflammation. Antibiotics are often required to treat secondary skin infections.

How do you get rid of granulomas fast? ›

If the skin isn't clearing up with a medicated cream or ointment, your health care provider may suggest a corticosteroid injection. Repeat injections may be needed every 6 to 8 weeks until the condition clears up. Freezing. Applying liquid nitrogen to the affected area may help remove the bumps.

Does apple cider vinegar help with lick granulomas? ›

Apple cider vinegar has a wide range of applications, including treating a dog's lick granuloma. This is a natural product made from apples that contain important elements including phosphorus, potassium, calcium, iron, and magnesium.

Should I cover a lick granuloma? ›

Treatment of Acral Lick Granulomas in Dogs

Bandages should be placed only with the guidance of your veterinarian, because covering an infected wound traps in moisture, often prevents healing, and can make the condition worse.

How do you shrink a granuloma? ›

Topical medications applied to your skin to shrink pyogenic granulomas include:
  1. Chemicals such as silver nitrate, phenol and trichloroacetic acid (TCA).
  2. Eye drops such as timolol for a granuloma in your eye.
  3. Imiquimod skin cream.
  4. Steroid injections into the lesion.
Apr 15, 2022

Are lick granulomas painful? ›

It is also important to consider that pain or an allergy could be to blame. In terms of the licked site itself, we need to relieve pain and/or itch, and this is often accomplished with medications. All dogs have secondary bacterial infections within the lick granuloma, and we need to treat that as well.

Does hair grow back from a lick granuloma? ›

Eventually, a raised hard plaque forms. Frequent formations of lick granulomas in the same area due to the constant licking will cause hardening, callous formation, hair loss (the hair may stop growing back), and hyperpigmentation to that area.

How serious is granuloma? ›

Although granulomas may appear cancerous, they are not — they are benign. Occasionally, however, granulomas are found in people who also have particular cancers, such as skin lymphomas. So it's important to see a doctor if you notice persistent lumps on your skin or have other symptoms of illness.

What happens if a granuloma goes untreated? ›

In most cases, skin granulomas will go away on their own without treatment. Sometimes, though, they might come back. Underlying health conditions can also cause granulomas. When this is the case, doctors will focus on treating the underlying cause of the lumps.

What to put on a lick granuloma? ›

The treatment of lick granuloma will depend on your dog's condition and the cause of the acral lick dermatitis. Deep infections often require six to eight weeks of oral antibiotics. Topical and oral steroids can help break the inflammatory cycle, and anti-anxiety medications can be tried.

What is the difference between a lick granuloma and a hot spot? ›

A lick granuloma is a chronic, raised skin lesion caused by constant licking, typically on a limb, while a hotspot is an acute, raw, and moist area of skin inflammation that can appear anywhere on the body, often resulting from allergies, skin infections, or insect bites.

How long does it take for a granuloma to go away? ›

Clearing may take a few months or a few years. Most people see their skin clear within two years. Many people who have granuloma annulare don't need treatment. If you have a type of granuloma annulare that covers a large area of your body or causes a deep growth in your skin, your dermatologist may recommend treatment.

Can a lick granuloma cause limping? ›

Signs include hair discoloration, hair loss, skin sores, hyperplasia (an abnormal increase in the number of normal cells), fibrosis (formation of fibrous skin and tissue similar to gristle), lameness caused by the mass, and growth of the underlying bone.

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