
- Excessive licking of the paws (either both front or both rear paws)
- Swelling of tissue around the metatarsal and metacarpal pads of the paw
- Oozing or drainage of bloody or pus-like material from those areas
- Red, raw and inflamed skin in those areas
- Sometimes can be painful with manipulation or walking
- Foreign body related
- Neoplasia related
- Food allergy related
- Parasitic related
- Drug related
- Immune mediated
- Allergy related
- Bacterial infections of various types
- Breed predisposition
- Foreign body penetration or other trauma
- Infections of various types (bacterial, fungal)
- Allergies (including food)
- Parasitic presence
- Immune mediated (caused by activities of the immune system)
- Neoplasia or cancers
- Some dog breeds seem to be predisposed to formation of them
- Idiopathic - no known cause
- If the cause is determined to be bacterial, oral or injectable antibiotic medications are utilized
- If the cause is foreign body, then steps will be required to remove the foreign body with appropriate antibiotic treatment being utilized after the surgical removal of the foreign body for a specific period of time
- If the cause is found to be trauma, surgical repair of the damages will be required with appropriate antibiotic medication being administered after surgery
- If the cause is food related, dietary changes may be required
- If the cause is parasitic in nature, the parasite will be appropriately treated
- If the cause is immune mediated, inflammation will be prevalent and it will need to be treated now and monitored over time as the condition will likely repeat itself if the root cause is not treated; in some cases, steroids, as well as antibiotics, may be called for in the treatment plan in any of these scenarios
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