{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:51:18Z","timestamp":1791359478805,"version":"4.3.1"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Dermatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pyoderma is considered a secondary complication of diabetes mellitus (DM), yet the relationship remains unclear. One study found 22% of diabetic dogs with dermatopathy had no other comorbidities while cats have not been evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluated the association of DM and pyoderma in dogs and cats by identifying comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective study analysed canine and feline DM cases from August 2019 to November 2022 at Iowa State University and Colorado State University. We analysed cytologically confirmed pyoderma and assessed the prevalence of comorbidities, including allergies, thyroid and adrenal disease, neoplasia and other dermatological disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pyoderma was prevalent in 7.6% (61 of 805) dogs and 4.0% (15 of 372) cats with concurrent DM. Of 61 dogs, two (3.3%) lacked comorbidities which was considered protective (odds ratio [OR]\u2009=\u20090.06; 95% CI 0.01\u20130.29;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Allergic dermatitis was the most common comorbidity (70.5%) in dogs with increased odds (OR\u2009=\u20099.15; 95% CI 4.25\u201319.72;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among 15 cats, one (6.7%) lacked comorbidities (OR\u2009=\u20090.04; 95% CI 0.01\u20130.34;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), while allergic dermatitis appeared most frequent and increased odds (73.3%; OR\u2009=\u200918.67; 95% CI 4.81\u201372.44;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). West Highland white terriers (OR\u2009=\u20094.59; 95% CI 1.43\u201314.77;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) and domestic medium hair cats (OR\u2009=\u20097.31; 95% Cl 1.05\u201350.68;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044) had increased odds of pyoderma.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Clinical Relevance<\/jats:title>\n                    <jats:p>This study suggests that pyoderma in DM cats and dogs is uncommon as pyoderma owing to DM alone being seen in only 0.25% of dogs and 0.27% of cats.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vde.70131","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:06:57Z","timestamp":1791356817000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Comorbidities in Pyoderma Among Canine and Feline Diabetic Patients"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4675-4038","authenticated-orcid":false,"given":"Virginia","family":"Wixon","sequence":"first","affiliation":[{"name":"Department of Veterinary Clinical Sciences Iowa State University  Ames Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6098-4887","authenticated-orcid":false,"given":"Jason B.","family":"Pieper","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences Iowa State University  Ames Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0717-3396","authenticated-orcid":false,"given":"Jeremy","family":"Bachtel","sequence":"additional","affiliation":[{"name":"College of Veterinary Medicine and Biomedical Sciences Colorado State University  Fort Collins Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/vde.13342","article-title":"Antimicrobial Use Guidelines for Canine Pyoderma by the International Society for Companion Animal Infectious Diseases (ISCAID)","volume":"36","author":"Loeffler A.","year":"2025","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1111\/j.1365-3164.2012.01085.x","article-title":"Feline Superficial Pyoderma: A Retrospective Study of 52 Cases (2001\u20132011)","volume":"23","author":"Yu H. W.","year":"2012","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1177\/1098612X17723246","article-title":"Skin as a Marker of General Feline Health: Cutaneous Manifestations of Systemic Disease","volume":"19","author":"Vogelnest L. J.","year":"2017","journal-title":"Journal of Feline Medicine and Surgery"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.tvjl.2018.04.002","article-title":"What Has Changed in Canine Pyoderma? A Narrative Review","volume":"235","author":"Loeffler A.","year":"2018","journal-title":"Veterinary Journal"},{"key":"e_1_2_10_6_1","volume-title":"Muller & Kirk's Small Animal Dermatology","author":"Miller W. H.","year":"2013"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","DOI":"10.1186\/s13098-016-0176-y","article-title":"Skin Disorders in Diabetes Mellitus: An Epidemiology and Physiopathology Review","volume":"8","author":"Macedo G. M. C.","year":"2016","journal-title":"Diabetology & Metabolic Syndrome"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1111\/j.1600-0625.2010.01137.x","article-title":"Mechanistic Study of Endogenous Skin Lesions in Diabetic Rats","volume":"19","author":"Chen X. F.","year":"2010","journal-title":"Experimental Dermatology"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.diabres.2021.108732","article-title":"Diabetes and Acute Bacterial Skin and Skin Structure Infections","volume":"174","author":"Falcone M.","year":"2021","journal-title":"Diabetes Research and Clinical Practice"},{"key":"e_1_2_10_10_1","doi-asserted-by":"crossref","DOI":"10.3390\/diseases11030106","article-title":"Cutaneous Manifestations Associated With Diabetes Mellitus\u2013a Retrospective Study","volume":"11","author":"V\u00e2\u021b\u0103 D.","year":"2023","journal-title":"Diseases"},{"key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.2460\/javma.2001.219.203","article-title":"Dermatologic Disorders in Dogs With Diabetes Mellitus: 45 Cases (1986\u20132000)","volume":"219","author":"Peikes H.","year":"2001","journal-title":"Journal of the American Veterinary Medical Association"},{"key":"e_1_2_10_12_1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1177\/1098612X12468922","article-title":"Feline Dermatology at Cornell University: 1407 Cases (1988\u20132003)","volume":"15","author":"Scott D. W.","year":"2013","journal-title":"Journal of Feline Medicine and Surgery"},{"key":"e_1_2_10_13_1","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1136\/vr.104420","article-title":"Recurrent Pyoderma and Its Underlying Primary Diseases: A Retrospective Evaluation of 157 Dogs","volume":"182","author":"Seckerdieck F.","year":"2018","journal-title":"Veterinary Record"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.clindermatol.2006.04.007","article-title":"Comparative dermatology \u2013 canine endocrine dermatoses","volume":"24","author":"Frank L. S.","year":"2006","journal-title":"Clinics in Dermatology"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.cvsm.2012.09.010","article-title":"Cutaneous Manifestations of Internal Diseases","volume":"43","author":"Outerbridge C. A.","year":"2013","journal-title":"Veterinary Clinics of North America: Small Animal Practice"},{"key":"e_1_2_10_16_1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1111\/j.1365-3164.2003.00346.x","article-title":"Cutaneous Paraneoplastic Syndromes in Dogs and Cats: A Review of the Literature","volume":"14","author":"Turek M. M.","year":"2003","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_17_1","volume-title":"Diagnostics and Therapy in Veterinary Dermatology","author":"Doerr K.","year":"2022"},{"key":"e_1_2_10_18_1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5326\/JAAHA-MS-7072","article-title":"Approach to the Diagnosis of Hepatocutaneous Syndrome in Dogs: A Retrospective Study and Literature Review","volume":"57","author":"DeMarle K. B.","year":"2021","journal-title":"Journal of the American Animal Hospital Association"},{"key":"e_1_2_10_19_1","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/j.cvsm.2025.03.009","article-title":"Aminoaciduric Canine Hypoaminoacidemic Hepatopathy Syndrome","volume":"55","author":"Loftus J.","year":"2025","journal-title":"Veterinary Clinics of North America. Small Animal Practice"},{"key":"e_1_2_10_20_1","doi-asserted-by":"crossref","DOI":"10.1111\/jvim.17285","article-title":"Plasma Amino Acid Profiles of Dogs With the Hepatocutaneous Syndrome and Dogs With Other Chronic Liver Diseases","volume":"39","author":"Leela\u2010Arporn R.","year":"2025","journal-title":"Journal of Veterinary Internal Medicine"},{"key":"e_1_2_10_21_1","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/vde.12801","article-title":"Atopic Dermatitis in West Highland White Terriers \u2013 Part I: Natural History of Atopic Dermatitis in the First Three Years of Life","volume":"31","author":"Favrot C.","year":"2020","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_22_1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/vde.13210","article-title":"Update on the Role of Genetic Factors, Environmental Factors and Allergens in Canine Atopic Dermatitis","volume":"35","author":"Hensel P.","year":"2024","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_23_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/j.1365-3164.2010.00925.x","article-title":"Breed\u2010Associated Phenotypes in Canine Atopic Dermatitis","volume":"22","author":"Wilhem S.","year":"2011","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_24_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1111\/vde.12196","article-title":"Review: Clinical and Histological Manifestations of Canine Atopic Dermatitis","volume":"26","author":"Bizikova P.","year":"2015","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_25_1","doi-asserted-by":"crossref","DOI":"10.1186\/s40575-025-00146-x","article-title":"Epidemiology and Clinical Management of 1072 Dogs With Diabetes Mellitus in a UK Diabetes Register","volume":"12","author":"Denyer A. L.","year":"2025","journal-title":"Companion Animal Health and Genetics"},{"key":"e_1_2_10_26_1","doi-asserted-by":"crossref","DOI":"10.1136\/vr.105467","article-title":"Epidemiological Study of Dogs With Diabetes Mellitus Attending Primary Care Veterinary Clinics in Australia","volume":"187","author":"Yoon S.","year":"2020","journal-title":"Veterinary Record"},{"key":"e_1_2_10_27_1","doi-asserted-by":"crossref","DOI":"10.1186\/s40575-022-00121-w","article-title":"Breed Distributions for Diabetes Mellitus and Hypothyroidism in Norwegian Dogs","volume":"9","author":"Ringstad N. K.","year":"2022","journal-title":"Canine Medicine and Genetics"},{"key":"e_1_2_10_28_1","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.tvjl.2012.11.013","article-title":"Genetics of Canine Diabetes Mellitus: Are the Diabetes Susceptibility Genes Identified in Humans Involved in Breed Susceptibility to Diabetes Mellitus in Dogs","volume":"195","author":"Catchpole B.","year":"2013","journal-title":"Veterinary Journal"},{"key":"e_1_2_10_29_1","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.tvjl.2007.09.019","article-title":"Frequency of Feline Diabetes Mellitus and Breed Predisposition in Domestic Cats in Australia","volume":"179","author":"Lederer R.","year":"2009","journal-title":"Veterinary Journal"},{"key":"e_1_2_10_30_1","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1111\/jvim.13584","article-title":"Incidence of Diabetes Mellitus in Insured Swedish Cats in Relation to Age, Breed and Sex","volume":"29","author":"\u00d6hlund M.","year":"2015","journal-title":"Journal of Veterinary Internal Medicine"},{"key":"e_1_2_10_31_1","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/vde.12109","article-title":"Feline Atopic Dermatitis: A Retrospective Study of 45 Cases (2001\u20132012)","volume":"25","author":"Ravens P.","year":"2014","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_32_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/vde.12899","article-title":"Feline Allergic Diseases: Introduction and Proposed Nomenclature","volume":"32","author":"Halliwell R.","year":"2021","journal-title":"Veterinary Dermatology"},{"key":"e_1_2_10_33_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.jfms.2007.02.001","article-title":"Feline Diabetes Mellitus in the UK: The Prevalence Within an Insured Cat Population and a Questionnaire\u2010Based Putative Risk Factor Analysis","volume":"9","author":"McCann T. M.","year":"2007","journal-title":"Journal of Feline Medicine and Surgery"},{"key":"e_1_2_10_34_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.tvjl.2024.106084","article-title":"Malassezia Dermatitis in Dogs and Cats","volume":"304","author":"Hobi S.","year":"2024","journal-title":"Veterinary Journal"},{"key":"e_1_2_10_35_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12917-020-02460-x","article-title":"Occurrence of Various Pathogenic and Opportunistic Fungi in Skin Diseases of Domestic Animals: A Retrospective Study","volume":"16","author":"Dworecka\u2010Kaszak B.","year":"2020","journal-title":"BMC Veterinary Research"},{"key":"e_1_2_10_36_1","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1111\/jvim.16993","article-title":"Assessment of the Likelihood of Hypothyroidism in Dogs Diagnosed With and Treated for Hypothyroidism at Primary Care Practices: 102 Cases (2016\u20132021)","volume":"38","author":"Travail V.","year":"2024","journal-title":"Journal of Veterinary Internal Medicine"},{"key":"e_1_2_10_37_1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.5326\/JAAHA-MS-7368","article-title":"AAHA Selected Endocrinopathies of Dogs and Cats Guidelines","volume":"59","author":"Bugbee A.","year":"2023","journal-title":"Journal of the American Animal Hospital Association"}],"container-title":["Veterinary Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vde.70131","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/vde.70131","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vde.70131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:07:02Z","timestamp":1791356822000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vde.70131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":36,"alternative-id":["10.1111\/vde.70131"],"URL":"https:\/\/doi.org\/10.1111\/vde.70131","archive":["Portico"],"relation":{},"ISSN":["0959-4493","1365-3164"],"issn-type":[{"value":"0959-4493","type":"print"},{"value":"1365-3164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"assertion":[{"value":"2025-12-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"vde.70131"}}