Acral lick dermatitis (lick granuloma)(ALD)
Also known as: Lick Granuloma · Acral Lick Syndrome · Leckgranulom · Akrales Leckgranulom · Acral pruritic nodule · …
Overview
What it is
Acral lick dermatitis is a chronic skin disorder where a dog compulsively licks a specific area, usually on its lower limbs, leading to self-inflicted wounds. This behavior is often triggered by a mix of psychological factors like boredom or anxiety, and physical issues like joint pain or allergies. Over time, the constant licking damages the skin barrier and prevents the area from healing.
How it presents
Owners will typically notice a firm, raised, hairless patch of irritated or raw skin, most commonly on the lower front legs. This compulsive licking behavior and the resulting sores usually first appear in young to middle-aged adult dogs.
Treatment
While treatable, managing this condition is often a lifelong process that combines wound care, behavioral therapy, and addressing underlying pain or anxiety. Total treatment costs typically range from 500 to 3,000 EUR depending on the severity and duration of the condition.
How it's tested
Affected breeds
Treatment cost
Estimated range of typical treatment cost. Actual cost depends on severity, clinic and region.
Frequently asked
What is Acral lick dermatitis (lick granuloma)?
Acral lick dermatitis is a chronic skin disorder where a dog compulsively licks a specific area, usually on its lower limbs, leading to self-inflicted wounds. This behavior is often triggered by a mix of psychological factors like boredom or anxiety, and physical issues like joint pain or allergies. Over time, the constant licking damages the skin barrier and prevents the area from healing.
How is Acral lick dermatitis (lick granuloma) tested?
Various clinical and genetic tests are used depending on the breed and presentation.
Which breeds are most affected?
Most commonly affected: Dobermann, Irish Red Setter, German Shepherd, Labrador Retriever.



