Pet Circle

    Last Updated: 19/12/2025

    Skin Fold Dermatitis

    Do you have a dog with rolly skin folds? Learn all about skin fold dermatitis in our Vet-written article and what you can do to help.

    Author: Dr Nicole du Plessis BVSc (Hons)

    Reading Time: 6 minutes - short read

    grey shar pei dog with lots of skin folds lying on floor

    Over the years, dogs have been selectively bred for certain physical characteristics. This has given rise to thousands of recognised dog breeds of different sizes, coats, temperaments and shapes. This can also mean that certain breeds are predisposed to different health conditions.

    We are all familiar with the gorgeous 'rolly' dogs and the loveable 'squishy' faced dogs. Those adorable faces come with skin folds, which makes these breeds more prone to skin fold dermatitis or skin fold pyoderma.

    So, what is a pyoderma? It means 'pus' in the skin. When talking about pyodermas in dogs, it is often from a bacterial infection but there can be other causes.

    Causes of Skin Fold Dermatitis

    close up of bulldog with skin folds

    Skin fold dermatitis has a few different names; it is also known as skin fold pyoderma or intertrigo. It is an infection of the surface layer of the skin. Skin folds are created by excess skin, which is a characteristic of many popular breeds. However, there are health implications for these adorable 'rolly' dogs.

    There is surface bacteria on our dog's skin, which are usually harmless to normal, healthy skin. However, skin folds have reduced airflow and increased friction, which provides a warm and moist environment for bacteria to grow. Skin folds are often located in areas where increased moisture through tears, saliva or urine exacerbates the problem.

    This overgrowth of bacteria causes inflammation and the surface of the skin to breakdown, allowing infection to travel deeper into the skin. The most common bacterial organism found in skin pyodermas are Staphylococcus pseudintermedius, and occasionally Staphylococcus aureus. In some cases, Proteus spp, Pseudomonas spp, and Escherichia coli are also found in pyodermas.

    DID YOU KNOW? Selecting a responsible registered breeder is important for animal welfare. Look for a breeder who acknowledges the health problem within the breed and selects individuals less likely to pass on any heritable conditions. For more tips of choosing a breeder, see our article: How to find a good breeder?

    Breeds Prone to Skin Fold Dermatitis

    two bulldogs looking up at the camera

    Brachycephalic breeds with shortened noses will have facial folds to a certain degree. Pugs, Bulldogs and Perkinese tend to have more exaggerated skin folds. The close apposition to the eye means tearing can add further moisture to the skin folds.

    Some of the brachycephalic breeds like Boston terriers, Bulldogs and Pugs have 'corkscrew' or 'ingrown' tails. This conformation creates a deep skin fold underneath the tail.

    Spaniel breeds, Setters and Saint Bernards have large lower lip folds which predispose them to lip-fold pyoderma.

    Although skin fold dermatitis is relatively common in these breeds, it is important to note that not all dogs will develop skin issues. Many other factors can contribute to whether an individual will have skin issues.

    Other contributing factors include:

    1. Overweight or obese - this creates more tissue around folds, which can make moisture, friction and collection of tears, urine or even faeces much worse.
    2. Allergies - some dogs will have underlying allergies, this can affect the skin barrier and trauma can occur from rubbing or scratching.
    3. Endocrine influences - certain endocrine disorders can contribute to skin problems or make the skin more susceptible to infection, such as Cushing's Disease or Hyperadrenocorticism.
    4. Mammary development- if an entire female dog or ex-breeding dog has significant mammary folds, this can also be a troublesome area. To read more, see our article Everything you need to know about desexing your pet.

    Symptoms of Skin Fold Dermatitis

    French bulldog sleeping on bed

    There are often visible signs that your dog has skin fold dermatitis. It can develop in any part of the dog's body where skin is in close apposition. Facial folds, neck folds, tail folds, recessed vulvas or 'hooded' vulvas and mammary folds are the most common areas.

    Symptoms of skin fold dermatitis or skin fold pyoderma:
    • Redness
    • Hair-loss
    • Redness
    • Discharge or pus
    • Odour
    • Pain
    • Brown 'staining'

    It is important not to ignore any changes to the appearance of your dog's skin. Infections can travel deeper into the tissue and can make the treatment more difficult and prolonged. Not all skin problems will require antibiotics and your treating vet will be able to advise the best treatment for your dog.

    Diagnosis of Skin Fold Dermatitis

    grey shar pei lying on ground

    There are often visible signs that your dog has skin fold dermatitis. It can develop in any part of the dog's body where skin is in close apposition. Facial folds, neck folds, tail folds, recessed vulvas or 'hooded' vulvas and mammary folds are the most common areas.

    To diagnose skin fold dermatitis or skin fold pyoderma, your veterinarian may perform the following:
    • Physical examination
    • Swab to examine discharge
    • Sticky-tape preparation
    • Deep skin scrape
    • Culture and sensitivity
    • Biopsy

    Swabs, sticky-tape preparations and skin scrapes provide valuable diagnostic information to help guide your veterinarian in selecting the best treatment for your dog. In the age of antimicrobial resistance, a profile of which antibiotic is best to treat severe infections or those not responding to current therapy. In rarer cases where other disease is suspected (eg. immune-mediated disease, skin cancers), skin biopsies may be recommended.

    Treatments for Skin Fold Dermatitis

    brown french bulldog getting a bath

    Treatment of skin fold dermatitis or skin fold pyoderma can be frustrating. In most cases, the skin folds are part of the dog's conformation. Therefore, treatment works towards addressing allergies or parasites that could be contributing to inflammation of the skin, clearing any bacterial and/or yeast infection and keeping the skin folds clean and dry.

    In severe cases where there are excessive skin folds present, your veterinarian may recommend surgery to remove some of the excess skin. This can make maintenance of the skin folds more manageable for owners. If your dog is overweight, this can also make pre-existing skin folds worse and a weight-loss plan is recommended. To read more about weight-loss in dogs, see our article Tips to Help Your Dog Lose Weight.

    The folds should be cleaned regularly with an antiseptic solution to help keep surface bacteria under control. Chlorhexidine (+ Miconazole) is one of the most regularly used treatments. Chlorhexidine works on surface pyodermas by disrupting the bacterial cell membrane, killing the bacteria. It is gentle on the skin and is not inactivated by dirt or pus. Chlorhexidine is easily accessible and relatively cheap. Malaseb Shampoo is a medicated shampoo which contains both Chlorhexidine and Miconazole (an antifungal treatment). Keep in mind that Malaseb is irritant to to the eyes and should not be ingested.

    What is the Best Diet for Managing Skin Fold Dermatitis

    brown dog kibble

    There are so many diets available for a range of issues. So, how do you know which diet would be the best for your dog with skin folds? Any factors that could cause additional inflammation to the skin should be addressed first. Hydrolysed protein diets are often used in suspected cases of food allergies. Environmental allergies or atopy, nutrition is used to help support the skin barrier.

    Key ingredients to support skin health:
    • B-group vitamins: these help the outer layer of the skin by increasing ceramides, an important component of the 'skin barrier.'
    • Omega 3 fatty acids: DHA and EPA to reduce inflammation caused by skin irritation and help restore normal barrier function.
    • Omega 6: an example of this fatty acid is linoleic acid. It is also included in many skin support diets for it's vital role in many bodily functions, including skin and coat health.
    • Vitamin C & E: antioxidants included in skin support diets to help fight free-radicals and support healthy skin.

    To manage skin fold dermatitis effectively, owners should prioritise regular cleaning of affected areas and ensure the skin remains dry to prevent the overgrowth of bacteria and yeast. If the inflammation persists or a foul odour develops, a veterinary consultation is essential to determine if prescription medications or surgical intervention are required to improve the dog's quality of life.

    References

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    History

    Our experts continually monitor the health and wellness space and we update our articles when new information becomes available.

    Tue Dec 20 2022

    Written by Dr Nicole du Plessis BVSc (Hons)
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    Dr Nicole du Plessis BVSc (Hons)

    Dr Nicole du Plessis BVSc (Hons)

    Author, BVSc (Hons)

    Dr. Nicole du Plessis is one of Pet Circle's qualified veterinarians and passionate pet care enthusiasts. Dr. Nicole graduated from the University of Queensland in 2016 with a Bachelor of Veterinary Science and worked for a number of years in small animal clinics across South East Queensland before joining the Pet Circle team. Over the years, Nicole has developed special interests in preventative medicine, infectious diseases, small animal medicine and ultrasound.