How to Deal with Discoid Lupus in Dogs

One of my favorite things about being part of the Dogster community is getting feedback from our excellent readers I especially love it when a...
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One of my favorite things about being part of the Dogster community is getting feedback from our excellent readers I especially love it when a comment on one column leads to a whole new column!

That’s precisely what happened with my recent column, How A Raw Diet Cured What Ailed My German Shepherd Dog. It prompted one Dogster, Cheryl, to write:

I need help with my female GSD who has developed discoid lupus.

Her nose is turning pink, there are places that look peeled off in patches she has been to the vet, who prescribed titanium dioxide sunscreens, but she lives indoors 90% of the time, year round, and is a lap dog. Vet also said to increase her vitamin E, A, omegas

I feel there is something out there that can do better; I just have not found the right person with the right info. Please, if you have any experience with this dreadful affliction, email me. I thank you and Sieben thanks you.

I’m honored to be called Dogster’s Alternative Pet Health Guru, so I was more than happy to study up on discoid lupus. It’s an immune-mediated disease that is often confused with solar dermatitis or ringworm.
In my many years of caring for rescued dogs, I’ve encountered some unusual K9 ailments, especially those related to skin. Few diseases can cause more doggie discomfort than any type of skin irritation or infection (check out the photo above, of a dog with discoid lupus, and just imagine how uncomfortable she must feel with the sensitive skin on her nose in that condition). What I learned has helped me take better care of my own skin, and that of my dogs. But even I had never heard of discoid lupus until, this past summer, when I welcomed homemy lovely female German Shepherd dog.
K9 Desiree faced numerous health challenges, and thankfully we managed to overcome them all. Well, now I’m bracing myself, because the GSD is on a short list of purebreds that are predisposed to discoid lupus (the others are the Collie, Shetland Sheepdog, Alaskan Husky, Siberian Husky, Brittany, and German Shorthaired Pointer– say, what is it with German breeds?!).
So, if you fancy any of these breeds, or you’ve adopted a mutt that has one or more of them in its genetic makeup, you’ll want to educate yourself about discoid lupus, and how to cope with it because, if not properly diagnosed and treated, it can cause serious quality-of-life-diminishing discomfort.

Heather Peikes, board-certified dermatologist at NYC’s BluePearl Vet, a 24-hour animal hospital with locations all over the country, explains that the full name of this disease is discoid lupus erythematosus, and it is not related to systemic lupus.

“The symptoms include loss of pigment, redness, scaling or crusting of the nose with loss of the nose’s normal ‘cobblestone’ appearance,” Dr. Peikes says. “Loss of pigment and cobblestone are earlier symptoms; later symptoms include ulceration and crusting, especially when a secondary bacterial infection is present. The most common area to be affected is the nose, but discoid lupus can also affect the bridge of the nose. Less common areas to be affected include around the eyes, the ear flaps, lipfolds, genitals, or anus.”

How does it feel? “Early pigment changes do not lead to discomfort,” she says, “but more chronic cases can be itchy or uncomfortable. If the nose is affected, ulceration close to the blood vessels can lead to bleeding; if the vulva is affected, it can lead to pain when urinating. The most common disease to cause similar symptoms is a bacterial infection that can be localized to mucocutaneous junctions (mucocutaneous pyoderma).”

Treatment involves a course of oral antibiotics for six weeks, based on a culture to rule out skin infection alone. “If the condition is not improving, a skin biopsy is necessary to diagnose discoid lupus; the biopsy usually requires general anesthesia,” Dr. Peikes says. “After treatment, the prognosis is usually good; in mild cases, topical treatment alone may be able to manage symptoms.”

Initially, vets prescribe steroids, then try to use less potent steroids to manage cases. Topical tacrolimus has also been helpful, Dr. Peikes allows, but it can take a few weeks to see improvement. The administration of oral Vitamin E, alone or together with a combination Omega 3/Omega 6 product (such as Nordic Naturals Cod Liver Oil for Pets) may be helpful as an adjunct treatment. The use of drugs that suppress the immune system, such as oral steroids, cyclosporine, azathioprine, or chlorambucil, are only necessary in severe cases that have not responded to prior treatment (or until topical treatments can start to work).

“I remember a dog named Sam, an eight-year-old female Lab who was experiencing nasal ulceration and crusting as well as ulceration of the vulva,” Dr. Peikes says. “We treated her with Vitamin E, Omega 3 and 6, and topical application of tacrolimus. Sam had been very painful when urinating, and was rubbing her nose until bleeding. After treatment, she was a much happier and more comfortable dog.”

Now, here’s the most important caveat of caring for a discoid lupus dog, especially since the breeds that are predisposed happen to be active, outdoorsy types: Sun exposure seriously aggravates symptoms, so sun avoidance and/or sunscreen application is strongly recommended. When selecting UV protection for your pet, read the ingredients, and avoid all products that contain zinc oxide, which is toxic to animals if licked off. A safe bet for preventing and soothing K9 sunburn: The Natural Dog Company’s Snout Soother (SPF 10), a highly emollient blend of shea butter, kukui nut oil, and vitamin E. (Go here for more information on safety for sun-worshiping K9s).

In and out of the sun, supporting an afflicted dog’s skin with emollient balms that are safe and all-natural is kind and smart. Elice Strickland of The Natural Dog Company, maker of the Snout Soother, has received numerous calls from satisfied customers who use it to help their dogs cope with discoid lupus. Meanwhile, neem oil, an extract of the neem tree, has been used for centuries to heal human and animal skin irritations and burns. It is also a natural insect repellent and keeping germ-carrying pests away from the vulnerable nose of a discoid lupus dog is critical to avoid infection.

Compassionate support and prevention can make all the difference between a unhappy K9 and one that copes bravely with this painful condition. If your dog suffers from discoid lupus, consider consulting a veterinarian who practices integrative medicine, since subtle dietary changes and attention to detail are key.

Times of stress, such as subjecting a dog to long-distance travel, might trigger a flare-up. For those instances, respected holistic veterinarian Dr. Michele Yasson of HolVet Holistic Veterinary Services in Kingston, New York, recommends adding a few drops of Rescue Remedy to your dog’s water.

But perhaps most important is implementing what she calls an anti-inflammatory lifestyle: “Feeding an anti-inflammatory diet that contains no grains is imperative, and so is avoiding vaccinations,” Dr. Yasson says. Ask a good homeopathic veterinarian how to maintain a dog with discoid lupus, so that s/he will have the best chance of living a happy, healthy life.

4 thoughts on “How to Deal with Discoid Lupus in Dogs”

  1. I have a mini Australian Shepard “Tula” and a standard Aussie “Granger”. Both I love to pieces, my gorgeous male Aussie “Granger” suffers from Discoid Lupus and both my Aussies suffer from seasonal allergies, or at least that’s how it presented to me. This March 2020, before the Incident, I noticed pigments changes on Granger’s nose but didn’t have any idea that it was a red flag! Then came bath day in late March and after his bath he rubbed his nose bloody raw and from there began the crusts, bleeding, it was like his nose wouldn’t heal. Eventually after failed attempts to heal it myself he wound up at our vet and required biopsy of his nose in multiple places, sutures, and he developed a horrific ear infection in both ears that nearly killed him. Long story short, the steroid treatment seemed to work initially however now his lupus has climbed up to his eyes and ive found it in spots around his abdomen, private area and inner ears. Our vet has said that’s all that can be done which isn’t true. I found a holistic vet that prescribed raw nutrition, going back to the basics and zero dry dog food or grains and it has helped! He still has lesions, lupus is very active but the raw diet in whole has helped him to maintain a healthier weight, it seems to keep him feeling better, compared to dry dog food he doesn’t have leaky gut syndrome, etc. major benefits now I just need help in targeting this lupus and preventing it from killing my dog. I personally have sle, I don’t experience skin lesions as my disease is internal but with all the alternatives out there for humans, I can’t grasp why so little for our four legged friends?! It’s enraging and he deserves better than “well that’s all we can do” ??‍♀️ this hits me personally more than most because of my condition and after losing my husband to an extremely rare autoimmune disease Wegener’s Granulomatosis I can’t quit on my boy! Anyone know names of products for dealing with the crusty scab like lesions? I’ve tried vitamin e, I’ve tried coconut oil, I’ve tried more conventional antibacterial creams yet it’ll improve and then he has a flare up and it returns

  2. Hi, I have two dogs with DLE & have suffered with this condition for about 5yrs each, each had their own topical steroid cream which had to applied to affected areas daily & then every 5 months had to go on a course of oral steroids,
    It was extremely painful & the dogs used to get so stressed going to vet for treatment.
    I have changed the dogs diet to completely raw uncooked meat, bones low in fat. the DLE has almost disappeared in G. Shep. & alaskan M. has his nose done once in 2 months now with topical steroids if needed.
    I only changed diet as dogs were overweight & while not a cure it has totally alleviated this condition.
    My German shep. had lost all her pigmentation & her fur turned white, this hasn’t changed.

  3. My 10 year old Rat Terrier rescue dog has Discoid lupus erythematosus (DLE). It’s not just on her nose it’s all over her face and one front leg. She has crusty spots and loosing hair. She has been on prednisolne,Cephalexin since Dec 26th 2018 and it hasn’t gotten worse nor better. Is there anything else that can be done for her

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