Skin Rash on Inside of Legs - Flea Allergy Dermatitis with a Secondary Bacterial Pyoderma

by Ryan H.

Picture of belly and inside of leg

Picture of belly and inside of leg

Elle, Age 11, pure bred Lab. Over the past few months she has had this rash get worse and start to spread. She has been in the same yard for the past 4 years with no issues.


She is scratching so much that the hair is coming off on the inside of her legs and about 3 inches above her paw. Pretty much whereever she is biting, licking and scratching.

She spends most of the time inside and we have a very clean house. She is outside for about 1 to 2 hours in the morning and evening. The back yard is grass and plants but nothing new over the past year.

About 2 years ago she starting eating her poop and I fear that she might have worms or something. I do not give her any type of pills or meds.

She has no visible fleas or ticks but does get a few mosquito bites during the normal times of the year. Her food has also not changed over the past few years.

She is in normal hyper moods most of the time and as for the skin flaking and scratching she is fine. I have been bathing her with oatmeal and aloe shampoo but it is only getting worse.

If I can provide anything else please let me know.

Comments for
Skin Rash on Inside of Legs - Flea Allergy Dermatitis with a Secondary Bacterial Pyoderma

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My Online Vet Response
by: Carol Jean Tillman DVM


Hi Ryan,
For Elle, the photo you sent looks like flea allergy dermatitis with a secondary bacterial pyoderma. You have not seen visible fleas because she is busy chewing and licking and has probably swallowed them. (By the way, this will lead to tapeworms, so you should take a stool sample to your regular vet to have a fecal done to check her for parasites.)

You said she has been on the same diet for the past few years, but not what you actually feed her. At 11 years of age, and now she is suddenly showing some skin allergies, with a secondary bacterial component, I would be concerned that her immune system has been compromised. It may be that the diet you feed her is not providing her with the proper nutrients she needs as she ages to give her a strong immune system. It may be that she has been over vaccinated. Did all of the itching start soon after a vaccination was given?

Also, at 11 years of age, I would suggest a total blood panel for Elle to make sure that she is not anemic, her thyroid level is normal, and that her liver, kidneys, pancreas, blood sugar, etc are all normal. Sort of an 'internal' checkup, because, at 11 years of age, Elle is closer in age to a 70 or 80 year old human! Check our Food and Treats page and our Health and Wellness for Natural Flea Control page.

I would also find a local holistic veterinarian to guide you along with the best diet, supplements, and homeopathic remedy that Elle might need, depending on the blood panel results, her history of vaccination, and her personality, fears/likes/dislikes/cravings, etc.

Using an Oatmeal/Aloe shampoo is fine. She will need to be bathed weekly. And she should also get some Omega 3 fish oils added to her food, and possibly some other supplements, but those details would be provided by your local holistic veterinarian based on the test results.

Good luck, and keep us posted,
Dr. Carol Jean Tillman

DISCLAIMER This educational advice is based on the depth of your question and the picture you submitted. The above should never replace the advice of your local veterinarian, as they have the ability to evaluate your dog in person.

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