Dermatology I

Course Master(s):

Dr. Chiara Brachelente, DVM, PhD, Dipl. ECVP (IT)

Course Overview

The ESAVS Dermatology program consists of 6 one-week modules.
Dermatology courses can be taken in any order, but we recommend completing Dermatology 1 before continuing to the next courses. The course masters and tutors are Diplomates in Dermatology (ACVD/ECVD/DVD) or diplomates, specialists and University teachers in the related disciplines within the program.

In this first introductory course, the basic principles of dermatology are reviewed. First is the biology of the skin, with special attention to the mechanisms of innate and acquired skin immunity and the skin microbiome. Second, the approach to the dermatological patient and how the diagnosis is made: the problem-oriented approach (POA), the decision-making process, the adequate use of diagnostic tests and the dual-processing model. Special attention is given to cutaneous histopathology, considered the most powerful diagnostic tool among the diagnostic tests. Furthermore, the students will learn how to design effective treatment plans under the paradigm of evidence-based medicine and the principles of conservative prescription.

In the second part of the course, the main bacterial diseases of the skin will be reviewed from common diseases such as superficial bacterial folliculitis to severe and uncommon conditions such as necrotizing fasciitis. The adequate use of diagnostic techniques (cultures, molecular techniques) and the therapy for skin infections, including those caused by multi-resistant organisms will be discussed.

Learning outcomes

At the end of the course, participants will be able to:

1. Understand skin structure and function (and how different components of the skin are involved in the pathogenesis of different skin diseases).
2. Approach a dermatologic patient following the POA (history, clinical and dermatologic examination, definition of the problem(s), elaboration of an adequate differential diagnosis list).
3. Perform and interpret basic diagnostic techniques (skin scrapings, cutaneous cytologies, skin cultures, skin biopsies).
4. Diagnose and treat the most common bacterial skin diseases of the dog and cat.

Topics

Skin biology. Mechanisms of cutaneous immunity. Skin microbiome.
The approach to the dermatologic patient. History, lesion description, problem definition and use of diagnostic techniques (cytology, histopathology, molecular techniques). How a diagnosis is made (dual processing theory).
Bacterial skin infections. Bacterial folliculitis-other superficial pyodermas.
Folliculitis-furunculosis (generalized, post-grooming, German shepherd).
Other deep bacterial infections: botryomycosis, actinomycosis, nocardiosis.
Mycobacterial infections: feline leprosy, panniculitis caused by rapidly growing mycobacteria, canine leproid granuloma syndrome. Necrotizing fasciitis.

Special focus:
Understanding bacterial resistance and the MRS issue.

Wetlabs:
Principles of cutaneous cytology.
How to obtain useful skin biopsies.
Basic histology of the skin.

Language
All modules will be held in English.

Course Program (Subject to change)