Why does my Maltese puppy have skin bumps, scabs, or yellow crust?

Question

My 4 month old Maltese puppy has little bumps grouped on her skin mostly by her ears, back, and chin area. They recently appeared out of nowhere and it does not bother her unless I touch it. She is up to date on her vaccines and has not been around any other animal yet. Some bumps look like picked scabs and others look like yellow crust. The vet said it is normal but more have appeared. What could this be?

David Elbeze, DVM, MRCVS · Accepted Answer

This is probably due to a severe allergy, although it could also be fleas or mites. First of all, in order to rule out skin parasites, you will need to treat her with a high quality flea treatment (e.g. advantage), then get her to the vet to perform a skin scrape - this might reveal an infection or a mite infestation. If all of those came back negative, the next step is to treat the allergy symptomatically and try discovering the cause of the allergy. Some medications can be given by the vet in order to repair the skin lesions (steroids and antibiotics). simultaneously you should start her on a prescription hypoallergenic diet for at least 2 months. Hopefully you will see some results after all this, if not you and your vet should consider putting her on a long term allergy treatment (Atopica or Apoquel).

Why does my Maltese puppy have skin bumps, scabs, or yellow crust?

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