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Sep 13, 2018

The owner consults vets once or twice over many years for the itchy paws and ears. But there is no follow up. 

The skin became pigmented due to long-standing scratching. Clipping bald for ease of washing and medication are done. The dog also has anal sacculitis and ear infections.

A monthly review is needed to check on progress of recovery from severe skin disease. But many owners do not return for the reviews. 

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