Acral Lick Dermatitis in Dogs

Moderate Risk Dermatological

Acral Lick Dermatitis is a medium-severity dermatological condition that can affect dogs of all ages and breeds. Acral lick dermatitis (also called lick granuloma) is a chronic skin lesion caused by repetitive licking at a single site, usually the distal limb. It forms a firm, thickened, hairless, often ulcerated plaque. Underlying causes include anxiety, orthopaedic pain, or allergies. It is documented across 5 breeds, though prevalence and severity can differ significantly between them. It typically becomes apparent at 4-8 years. Early signs to watch for include firm thickened plaque on wrist or ankle, hairless ulcerated lesion, persistent licking at a single site, and secondary bacterial infection. When treatment is required, costs are estimated at £300-£1,500 depending on severity, location, and the specific intervention needed. This page covers symptoms, treatment options, and preventive steps — along with breed-specific information where available.

Signs & Symptoms

The following symptoms are commonly associated with Acral Lick Dermatitis in dogs. If your dog displays several of these signs, consult your vet promptly — early diagnosis typically leads to better outcomes.

  • Firm thickened plaque on wrist or ankle
  • Hairless ulcerated lesion
  • Persistent licking at a single site
  • Secondary bacterial infection
  • Difficult to heal

Treatment Overview

Address underlying cause (pain, anxiety, allergy). Topical antiseptics, antibiotics for secondary infection, anti-anxiety drugs, and physical deterrents (bandaging, E-collar). Laser therapy and intralesional steroids can help chronic lesions.

Typical onset: 4-8 years

Prevention & Screening

While not all cases of Acral Lick Dermatitis can be prevented, the following steps reduce risk or enable earlier intervention:

  • Address anxiety and boredom with enrichment
  • Investigate and treat orthopaedic pain
  • Interrupt compulsive licking behaviours early

Estimated Treatment Cost

Treatment for Acral Lick Dermatitis is estimated at £300-£1,500, depending on severity, the specific intervention required, and your location. Costs may be higher for surgical procedures or ongoing management. Comprehensive pet insurance covering this condition is strongly recommended.

Breeds Affected by Acral Lick Dermatitis

The following 4 breeds are documented as being susceptible to Acral Lick Dermatitis. Click any breed to view breed-specific information about this condition, including prevalence and recommended screening.

Looking for more information? Browse all dog health conditions or explore the health guides for in-depth breed care advice.