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Seasonal Flank Alopecia

Transmission or Cause

An incompletely understood disorder that causes seasonally recurrent hair loss on the flanks and may involve photoperiod changes in melatonin and prolactin hormone production which then affects hair follicles.

Affected Animals

Most common in young adult bulldogs, boxers, schnauzers, and airedales.

Clinical Signs

Non-inflammatory, non-pruritic hair loss on the flanks. Exposed skin may become darkened. Hair loss usually affects both sides but can affect one side. Hair loss often occurs between November and March and spontaneously regrows several months later, but in some dogs the amount and duration of hair loss increases with repeated episodes and can become permanent. No systemic signs of disease are seen.

Symptoms

See Clinical Signs.

Diagnosis

Clinical signs and breed are suggestive, but other causes of patchy canine flank alopecia hair loss include bacterial infection, demodex, ringworm, or hormonal diseases such as hypothyroidism and Cushing's disease. These diseases should be ruled out by appropriate testing. Skin biopsy of affected areas shows dysplastic (abnormally shaped) hair follicles which are filled with keratin.

Prognosis

The prognosis for hair growth is unpredictable. Hair growth can be incomplete and new hairs may be different in color and texture. However, this is a cosmetic disorder that does not affect the dog's quality of life.

Treatment

Melatonin can be helpful to induce hair growth in some dogs and is given daily for two or three months until complete hair growth occurs. Restarting melatonin yearly four to six weeks prior to the anticipated onset of hair loss may prevent recurrence.

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Close-up of a dog's flank showing patchy hair loss and hyperpigmentation from seasonal flank alopecia in Lacey
English Bulldog with seasonal flank alopecia showing a distinct patch of hair loss along the side of the body in Lacey
Close-up of a dog's flank showing a large darkened hairless patch caused by seasonal flank alopecia in Lacey