An 8-year-old intact male Chinese Crested Dog presented with multiple nail abnormalities, including onycholysis, onychomadesis, nail dysplasia, hemorrhage, lameness, and pain. Skin symptoms, such as pruritus, erythema, and papules, were also noted on the neck and back regions. Symmetrical lupoid onychodystrophy (SLO), potentially associated with an adverse food reaction (AFR), was suspected based on clinical presentations and the exclusion of other differential diagnoses through histopathology and diagnostic testing. A novel protein diet trial resulted in significant improvement in both the pruritus and nail lesions. The recurrence of pruritus following a dietary provocation test supported the involvement of AFR in this case. This case highlights the potential association between SLO and AFR, emphasizing the importance of dietary management for dogs with pruritic skin disease and nail abnormalities.
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