Lick Granuloma (Acral Lick Dermatitis)

A lick granuloma is a thickened, raised area of skin caused by excessive licking or chewing, typically on a limb. It can begin from an injury, allergy, or boredom/anxiety, but becomes self-perpetuating as licking damages the skin, causing more irritation and compulsive licking behaviour.

Symptoms:

• Raised, firm, reddened area of skin, typically on the front of the lower leg
• Hair loss around the affected area
• Persistent licking or chewing at one spot
• Thickened, discoloured skin
• Potential ulceration or oozing of the lesion
• May be painful or itchy to the touch

Action Steps:

1. Consult your veterinarian for proper diagnosis and to rule out other conditions.
2. Follow multimodal treatment plan, which may include:
   • Elizabethan collar or protective covering
   • Topical or oral medications
   • Behavioural modification and environmental enrichment
   • Addressing underlying causes (allergies, anxiety, etc.)
3. Be patient, as treatment often takes weeks to months.
4. Provide mental stimulation and exercise to reduce stress and boredom.