What is the treatment and prevention protocol for skin fold dermatitis in English Bulldogs?

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Skin fold dermatitis in English Bulldogs is managed with a combination of topical antiseptic cleaning, systemic antimicrobials when infection is present, and definitive surgical correction of the offending fold for long-term prevention. Acute management centers on cleaning and drying the affected fold. The lesions become malodorous, inflamed, uncomfortable, and swollen due to prolonged salivary contact with the skin, and bacterial levels are elevated when oral hygiene is poor.1 The fold should be cleaned with an antiseptic preparation and kept as dry as possible; moisture control is the cornerstone of medical management.1 Systemic antimicrobials are indicated when secondary bacterial infection is present. The veterinary literature does not specify a preferred antibiotic agent, dose, or duration for this condition in the provided sources, so antibiotic selection should be guided by culture and sensitivity results from the affected fold. Surgical correction of the lip fold is the definitive and preferred long-term treatment. Medical management alone is palliative; recurrence is expected without addressing the underlying anatomical predisposition.1 English Bulldogs are predisposed to skin fold dermatitis by their extreme conformation — pendulous lower lips and excessive facial skin folding — and this breed has markedly elevated odds of skin fold dermatitis compared to non-Bulldogs.123 Prevention in non-surgical candidates relies on ongoing hygiene maintenance. Regular cleaning of the fold and attention to oral hygiene to reduce salivary bacterial load are the primary preventive measures.1 Tail fold dermatitis, which arises from the corkscrew tail conformation, follows the same principle of fold hygiene and surgical correction when medical management fails.3 --- Would you like guidance on the surgical technique and perioperative management for lip fold resection in brachycephalic breeds?