ACRAL lick dermatitis in dogs is one of the most common and frustrating dermatological problems encountered in general practice. The condition is now accepted as being a multifactorial disease, and attempts to manage it with a single treatment modality are usually doomed to failure. This article discusses various contributory factors, or triggers, that have been recognised, and sets out a logical approach to the investigation of cases. Ultimately, the aim is to identify the underlying cause and provide targeted therapy for any infection, and behaviour modification to break the obsessive— compulsive cycle.
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