Flea bite allergy dermatitis (FAD) is one of the most common and troublesome dermatological diseases in dogs and cats. It results from hypersensitivity to flea saliva. This causes severe itching and skin lesions that can considerably affect your pet’s well-being. This skin condition requires extra vigilance. Its potential to worsen rapidly amplifies the risks if it remains poorly managed.
What causes this condition?
DAPP is an exaggerated allergic response to flea saliva. These parasites, which are abundant in the environment, mainly infest dogs and cats in search of food. When a flea bites, it injects a small amount of saliva containing allergens, triggering a strong reaction in certain sensitive animals.
Adult fleas live on their host, feed and lay eggs that fall into the environment. These eggs develop into larvae, then nymphs, before becoming adult fleas ready to infest new hosts. This rapid life cycle, coupled with the ability of larvae to survive in hidden places such as carpets, under furniture or in cracks in the floor, makes eliminating them a complex task. A dog or cat can therefore be constantly reinfested.
Another aggravating factor is the presence of flea-carrying cats in the household. Although these cats show few symptoms, they can disseminate eggs in the environment, increasing the risk of infestation for other animals. DAPP is frequently associated with other allergic disorders, notably atopic dermatitis, requiring extra vigilance. Repeated exposure to flea bites and their proliferation in the environment trigger this disease, making prevention the key to its management.
What are the symptoms of DAPP?
The symptoms of flea bite allergy dermatitis vary depending on the species and the individual sensitivity of the animal. In cats, the disease manifests itself mainly as miliary dermatitis, with small scabs scattered over the back and neck. In more serious cases, there may be significant hair loss (extensive feline alopecia) or open sores caused by excessive licking.
In dogs, lesions are often located in the dorsolumbar triangle, i.e. between the base of the tail and the lower back, as well as on the back of the thighs. Dogs with dense coats, such as German Shepherds, frequently develop pyotraumatic dermatitis, characterised by painful sores and scabs.
The most common symptom is intense pruritus, which causes the animals to scratch, lick and even chew themselves, aggravating the skin lesions. These repetitive behaviours weaken the skin, making the affected areas prone to secondary infections. Dogs can also develop a yellowish colouration of the coat due to excessive licking, while cats, with their abrasive tongue, pull out hair and accentuate the inflammation.
These clinical signs, although varied, often converge towards a diagnosis of DAPP. Prompt consultation with a vet is essential to limit complications.
How is the diagnosis made?
The diagnosis of DAPP is based on careful observation of the animal’ s symptoms and history. The vet will look for specific skin lesions, such as those located in the dorsolumbar triangle, as well as the intensity of itching. However, the presence of fleas is not always obvious, as affected animals often lick and chew themselves, eliminating the majority of visible parasites.
A simple method of confirming an infestation is to look for flea droppings. The black grains, moistened on absorbent paper, produce an orange colour, confirming that the fleas have digested the blood.
In some cases, vets use allergological tests to identify hypersensitivity, despite their occasional lack of specificity. The differential diagnosis may include other dermatoses, such as cheyletiellosis or sebaceous adenitis, requiring further investigations to rule them out.
Finally, a positive response to targeted antiparasitic treatment is often considered as indirect confirmation of DAPP. This process, although demanding, enables a treatment plan to be put in place that is tailored to each individual animal.
What treatments are available?
The treatment of DAPP is a three-step process:
Relieving itching and inflammation
Because itching is often intense, short-acting corticosteroids are frequently prescribed. These drugs provide rapid relief. Topical treatments, such as soothing shampoos or sprays, often complement this treatment to calm local irritation.
Eliminating fleas
The use of high-quality anti-parasite pipettes is essential. These products work effectively against adult fleas and, in some cases, interrupt the larval cycle. It is vital to treat all pets in the household, even those without symptoms, as well as the domestic environment.
Prevent reinfestations
Allergic pets should be treated monthly for life. In addition, meticulous cleaning of the home is necessary: washing textiles, vacuuming carpets and using specific foggers or sprays to eliminate eggs and larvae.