4-year Chronic Acral Lick Granuloma

History: Dog presented with a chronic acral lick lesion that persisted for 4 years. Despite ongoing management, including antibiotics, gabapentin, and Apoquel, the lesion remained unresolved. The owner declined the use of an E-collar.

Clinical Findings: Lesion was consistent with chronic acral lick granuloma, characterized by persistent self-trauma and failure to heal despite multimodal medical therapy. Continued licking was a significant barrier to healing.

Intervention: KeraVet Gel was introduced as a topical therapy, applied twice daily.

Succcessful Outcome with KeraVet Gel: According to the owner, licking stopped after the initial application of KeraVet Gel. After 10 total applications over 5 days, the lesion finally progressed toward healing, marking the first meaningful improvement in 4 years.

Allison Kirby, DVM, DACVD
Animal Dermatology Clinic
Marina Del Rey, CA