Fatty Layer or Nodule Under the Skin in Dogs

Panniculitis in Dogs

The term “panniculitis” refers to an inflammation of the subcutaneous fat tissue. That is, the layer of fat just under the dog’s skin becomes inflamed. Though uncommon, the fatty tissue typically concentrates and affects the trunk area as a single nodule or as multiple nodules. In addition, as a result of secondary infections and other complications, the fat cells within the nodule(s) may die.

Dogs of any age, sex, or breed may be affected by panniculitis. However, dachshunds, collies, and miniature poodles are more at risk.

Symptoms and Types

Most dogs have a single nodular lesion on the trunk that vary from a few millimeters to several centimeters in diameter. The nodule, which is either firm or soft, is freely movable underneath the skin until fully grown. In some cases, yellow-brown to bloody discharge is excreted from the nodule, while the outer skin may turn red, brown, or yellow in color. The area may be extremely sensitive, especially immediately after rupturing. After the ulcers heal, a scar or crusty layer of skin may form.

Dogs with multiple lesions may also demonstrate systemic signs such as loss of appetite (anorexia), lethargy, and depression.

Causes

Panniculitis may be caused by several factors, including:

• Trauma
• Infections (bacterial, fungal, etc.)
• Immune-mediated diseases (lupus panniculitis, erythema nodosum)
• Recent subcutaneous injections (corticosteroids, vaccines)
• Neoplastic diseases (multicentric mast cell tumors, cutaneous lymphosarcoma)

Diagnosis

You will need to give the veterinarian a thorough history of your dog’s health, including the onset and nature of the symptoms. He or she will then perform a complete physical examination, as well as a biochemistry profile. However, other than the presence of a mass or nodule beneath the skin, most dogs will not demonstrate other complications.

Depending on the underlying cause, other diagnostic procedures may be used to rule our other diseases/conditions. For example, the number of white blood cells on a CBC (complete blood count) typically rises in case of infection and help veterinarian determine the type, duration, and severity of infection. Your veterinarian will also usually take a sample directly from the nodule and send it to a pathologist for culture and sensitivity, which helps in determining the type of causative organism (bacteria, fungi) and the suitable course of treatment.