“Acral lick dermatitis” is commonly known as “lick granuloma”. This condition affect any size dog. Dogs exhibit excessive licking and chewing of the affected area. Occasionally, there is a history of trauma or arthritis of the affected area.

Physical exam findings include alopecia (hair loss), ulceration, or thickened raised firm skin. Many vets suspect the cause of lick granuloma to be psychological, including boredom. Experts suggest that providing plenty of exercise and attention can decrease the incidence of lick granulomas.

Various therapies exist for this condition. Intralesional injections, and topical sprays are often recommended. Surgical excision of the lesion is far too risky, and often makes the matter worse. Many pets persist in re-creating the lesion throughout the rest of their lives. Certain sprays that discourage licking can sometimes help. The most effective curative therapy involves surgical laser ablation.