Case contributed by Sarah Calvin, DVM
Rosey, a 10-year-old Shih Tzu, was brought in after two weeks of paw redness and head shaking. Her owner had also noticed lower energy, thinning abdominal hair, and mild generalized itchiness over the previous few months.
Examination showed inflammation in the ears, skin folds, and paws. Testing confirmed mixed yeast and bacterial infections, while parasites and fungal disease were ruled out. Because Rosey’s skin changes appeared alongside reduced energy and coat thinning, her veterinarian performed a broader workup, which revealed hypothyroidism as a likely underlying contributor.
Her care required a staged approach: treating the infections, addressing the thyroid imbalance, and then restoring the skin barrier through diet, bathing support, paw care, and omega-3 supplementation.
Six months later, Rosey’s owner reported a thicker coat, fewer tangles, less breakage, no itch, and restored energy.
Clinical takeaway: Rosey’s case shows why skin and coat changes should not be treated as cosmetic alone. Healthy skin depends on immune balance, endocrine health, nutrition, barrier integrity, and daily support for resilient coat growth.
Single-case vignette. Not generalizable. Veterinary diagnosis and oversight are essential for itching, redness, ear irritation, hair thinning, recurrent infections, or suspected endocrine disease.