The Derm Vet Podcast

Hosted by Ashley Bourgeois, DVM, Dip ACVD

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Episodes

347

Latest episode

Oct 2026

Language

EN-US

About the show

Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.

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60 recent

October 22, 2026Episode 34718 min

347. When It's Not Just Allergies: 2 Veterinary Dermatology Cases That Changed Everything

Send me a derm question or story through text or voicemail! What happens when a dermatology patient you've treated for years suddenly develops symptoms that don't quite add up? Is it another allergy flare, or could something entirely different be going on? In this episode of The Derm Vet Podcast, I share two fascinating clinical cases that highlight the importance of looking beyond a patient's history and reconsidering your diagnosis when something doesn't fit. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com Timestamps 00:00 Intro 00:41 Itch Inquiry: Maintenance Ear Cleaning 05:20 Case 1: The Bulldog’s “Interdigital Furuncle” 06:46 The Exam 08:40 The Aspirate Reveals a Plasmacytoma 10:52 Why You Can’t Assume It’s the Same as Last Time 12:06 Case 2: Sam, the Allergic Lab 14:20 “Boring” Cytology 16:46 Taking a Fresh Lens 17:40 Outro

October 15, 2026Episode 34619 min

346. When Allergy Treatments Stop Working: Rethinking Chronic Skin Disease in Dogs

Send me a derm question or story through text or voicemail! What happens when a dog you've successfully managed for allergies suddenly starts developing new symptoms, recurrent pyoderma, or worsening pruritus? Is it truly a progression of atopic dermatitis, or could something else be going on? In this episode of The Derm Vet, I explore the importance of reframing your diagnostic approach when chronic dermatology cases stop responding to previously successful treatments. Building on last week's refractory allergy checklist, I share a practical framework to help veterinarians recognize when it's time to reconsider an existing diagnosis, investigate concurrent diseases, identify overlooked allergy flare factors, or adjust long-term treatment strategies. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com Timestamps 00:00 Intro 00:24 Zoetis Ad 00:54 Working Mom Check In 02:27 Setting Up "The Allergy Reframe" 03:47 Itch Inquiry: Refractory Papilloma 07:10 Signs A Long-Managed Allergy Case Is Changing 09:26 Reframe #1 12:21 Reframe #2 14:19 Reframe #3 15:28 Reframe #4 17:18 Summary 19:25 Outro

October 8, 2026Episode 34516 min

345. When Allergy Treatment Isn’t Working: A 7-Step Checklist for Itchy Dogs

Send me a derm question or story through text or voicemail! What do you do when an itchy dog just isn’t responding to allergy treatment the way you expected? In this episode of The Derm Vet Podcast, I break down my refractory allergy checklist to help veterinary professionals reevaluate difficult allergy cases. From choosing the wrong medication or dose to poor compliance, concurrent disease, and even an incorrect diagnosis, I walk through the key questions to ask before labeling a patient as a treatment failure. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com Timestamps 00:00 Intro 01:56 Itch Inquiry: Managing a 7-Month-Old Allergic Dog 03:43 Refractory Allergy Checklist 04:10 #1 The Wrong Drug 05:27 #2 Wrong Dose 06:24 #3 Too Short a Duration 07:44 #4 Wrong Expectations 09:04 #5 Poor Compliance 10:13 #6 Concurrent Disease 12:00 #7 It's Not Allergies: Mimics & Lookalikes 14:10 Recap and Outro

October 1, 2026Episode 34413 min

344. Canine Lupus in Veterinary Dermatology: Recognizing DLE, SLO & MCLE

Send me a derm question or story through text or voicemail! Lupus can show up in more ways than one in veterinary dermatology! In this episode of The Derm Vet Podcast, I break down three important lupus and lupoid diseases seen in dogs: discoid lupus erythematosus (DLE), symmetrical lupoid onychodystrophy (SLO), and mucocutaneous lupus erythematosus (MCLE). Learn the clinical signs that should put these autoimmune diseases on your differential list, from loss of the normal cobblestone appearance of the nasal planum to painful nail loss and persistent mucocutaneous ulcerations. I also discusses diagnosis, biopsy considerations, and treatment options, including the growing off-label use of JAK inhibitors in autoimmune skin disease. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com Timestamps 00:00 Intro 00:44 Itch Inquiry: Off-Label JAK Inhibitors for Autoimmune Diseases 02:33 Systemic Lupus Erythematosus (SLE) Overview 03:15 Discoid Lupus Erythematosus (DLE): Clinical Signs & Diagnosis 06:03 Treatment Strategies for DLE 07:28 Symmetrical Lupoid Onychodystrophy (SLO): Presentation & Diagnostics 09:03 Managing and Treating SLO 10:42 Mucocutaneous Lupus Erythematosus (MCLE) 12:11 Summary & Outro

September 24, 2026Episode 34315 min

343. The Multiple-Allergy Patient: When One Diagnosis Isn’t Enough

Send me a derm question or story through text or voicemail! Is your allergic patient still itching despite treatment? They may be dealing with more than one allergy! In this episode, I break down how to identify the multi-allergy veterinary patient and recognize the clues that suggest multiple underlying causes of pruritus. I discuss partial responses to allergy therapy, seasonal changes in itching, persistent problem areas, recurrent otitis, and why different lesions may respond differently to treatment. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com Timestamps 00:00 Intro 00:43 Itch Inquiry: Managing Chronic Ear Inflammation & Steroid Therapy 04:19 Identifying the Multi-Allergy Patient 06:11 Clue 1: Partial Response to Allergy Therapy 07:16 Clue 2: Seasonally Fluctuating Pruritus 08:26 Clue 3: Persistent Itch in Specific Anatomical Regions 09:57 Clue 4: Recurrent Otitis vs. Improving Skin Disease 11:52 Clue 5: Variable Lesion Response Across Treatments 13:28 Recap 14:59 Outro

September 17, 2026Episode 34218 min

342. Brachycephalic Skin Problems: Managing Folds, Paws & Allergies in Bulldogs

Send me a derm question or story through text or voicemail! French Bulldogs, English Bulldogs, and other brachycephalic breeds are frequent flyers in veterinary dermatology but successfully managing their skin disease often requires looking beyond the obvious itch. In this episode of The Derm Vet Podcast, I break down some of the most common dermatologic problems seen in brachycephalic dogs, including skin fold dermatitis (intertrigo), pododermatitis, secondary infections, and underlying food and environmental allergies. Learn why examining every facial, tail, and vulvar fold matters, how cytology can guide treatment, why topical therapy is so important for both treatment and long-term maintenance, and how to build an allergy workup that is realistic for both the patient and owner. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com Timestamps 00:00 Intro 00:52 Itch Inquiry: Feline Ear Flushing and Horner's Syndrome Risk 04:05 Fold Dermatitis and Key Fold Locations 07:14 Cytology and Topical Therapies for Skin Fold Infections 09:58 Pododermatitis 12:48 Allergic Workups and Long-Term Inflammatory Options 16:15 Overview and Final Takeaways 18:03 Outro

September 10, 2026Episode 34120 min

341. History Taking in Veterinary Dermatology: The Clues That Shape Your Differentials

Send me a derm question or story through text or voicemail! In veterinary dermatology, the right diagnosis often starts before the physical exam... it starts with the history! In this episode of The Derm Vet, I break down how a thorough dermatologic history can help veterinary professionals build stronger differential lists, choose more targeted diagnostics, and develop more effective treatment plans. Whether you're working through a new pruritic patient or reevaluating a case that isn't responding as expected, this episode highlights the historical clues you don't want to overlook! Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com/thedermvet/ Timestamps 00:00 Intro 00:24 The Value of History Taking in Veterinary Dermatology 03:52 Itch Inquiry: Cyclosporine Use in Allergic Disease 06:00 Building Differentials, Diagnostic Plans, and Treatments 08:30 Core History Basics: Signalment, Seasonality, and Travel 12:15 Age of Onset Considerations 14:46 Analyzing Past Medication Responses 16:03 Identifying Systemic Signs and Underlying Internal Disease 17:59 Reevaluating History in Chronic Cases 20:05 Outro

September 3, 2026Episode 34019 min

340. Feline Crusty Paw Pads: Building a Differential Diagnosis

Send me a derm question or story through text or voicemail! Crusty, irritated, or abnormal paw pads in cats can point to much more than a simple skin problem. In this episode of The Derm Vet Podcast, I break down the differential diagnoses behind feline crusty paw pads, including plasma cell pododermatitis, autoimmune disease, allergies, eosinophilic granulomas, contact dermatitis, infections, trauma, cutaneous horns, and even neoplasia. Plus, this week’s Itch Inquiry features a medication-averse German Shepherd and a discussion about the limitations of monoclonal antibody therapy! Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com/thedermvet/ Timestamps 00:00 Intro 00:24 Itch Inquiry: Case Study of a Med-Averse German Shepherd 05:20 Limitations of Monoclonal Antibodies 07:00 Feline Crust Paw Pads 07:44 Plasma Cell Pododermatitis 10:58 Autoimmune Causes 12:22 Allergic Conditions, Eosinophilic Granulomas, and Contact Dermatitis 13:52 Infectious, Viral, Fungal, and Traumatic/Burn Causes 16:02 Cutaneous Horns, Neoplasia, Lung-Digit Syndrome, and Diagnostic Workup 19:02 Outro

August 27, 2026Episode 33916 min

339. Crusty Paw Pads in Dogs: The Differentials Every Vet Should Know

Send me a derm question or story through text or voicemail! Crusty paw pads may seem like a straightforward dermatologic finding... but they can point to everything from simple hyperkeratosis to autoimmune, metabolic, infectious, and even systemic disease! In this episode of The Derm Vet Podcast, I break down my diagnostic approach to canine paw pad disease and the major differentials veterinarians should keep on their radar. I cover hyperkeratosis, pemphigus foliaceus, erythema multiforme, vasculitis, hepatocutaneous syndrome, zinc-responsive dermatosis, canine distemper, infections, trauma, and more. Plus, learn why lesion distribution, breed, systemic signs, and (most importantly) biopsy can be critical for reaching the right diagnosis! Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com/thedermvet/ Timestamps 00:00 Intro 00:24 Itch Inquiry: Feline Inflammatory Ear Polyps 04:46 Canine Paw Pad Disease 05:17 Primary Hyperkeratosis & Weight-Bearing Patterns 07:31 Autoimmune Paw Pad Diseases 09:58 Metabolic Causes 12:47 Infectious, Traumatic, & Viral Causes 14:25 Outro

August 20, 2026Episode 33820 min

338. How to Guide Clients Through the Allergy Workup

Send me a derm question or story through text or voicemail! Allergy cases are rarely straightforward... and explaining the diagnostic process to pet owners can be just as challenging as managing the itch. In this episode of The Derm Vet Podcast, I break down a practical approach to talking with clients about allergic skin disease in dogs and cats. From ectoparasites and food allergies to environmental allergies, learn how to organize the conversation so owners understand not only what you're recommending, but why it matters. Watch The Episode: https://www.youtube.com/@thedermvet3932 Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/ Follow Me: https://www.instagram.com/thedermvet/ Timestamps 00:00 Intro 00:24 Zoetis Ad 02:13 Itch Inquiry: Convincing Owners on Symptomatic Meds 06:08 Category 1: Ectoparasite Control 09:05 Category 2: Food Allergies & Diet Trials 11:13 Category 3: Environmental Allergies & Symptomatic Therapy 13:24 Allergy Testing & Immunotherapy 16:14 Tailoring Communication and Visual Aids 20:10 Outro

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