Hello James,
There are several possibilities for the dark
patchesAllergy testing
Skin color - patchy on your dog’s skin all of which are secondary to allergies; these include a skin yeast infection, pyoderma (bacterial skin disease), hyperpigmentation, mites, endocrine skin diseases, and others. Steroid use is safe for intermittent control but I would try to switch her to something safe for long-term use.
The treatment for the dark skin patches depends on the cause; therefore a proper diagnosis is essential.
Your veterinarian can also perform a skin scraping, impression smear, or biopsy specifically for the skin lesions. He should then treat for the diagnosed pathogen. Treatment can involve: shampoos, topical rinses or conditioners, topical ear medication, antifungals, antibiotics, antihistamines, hypoallergenic diets (if food allergy), antiparasitic medication, a new medication called Atopica and of course a short course of steroids. Atopica is very reliable for canine atopy, but only if the secondary factors are controlled, and unfortunately it is expensive, but safer then chronic steroid use.
I also recommend having your veterinarian do allergy testing if it is affordable. Once the allergies are identified, your dog could be desensitized to the allergens, or avoid them if possible. There is no totally reliable test for food allergies.
Are you sure that your dog doesn’t also have food allergies? To test for food allergies your veterinarian would have to place your dog on a hypoallergenic food such as venison and potato or duck and potato as a food trial for 12 weeks. After the 12-week period you introduce a small amount of your dog’s old diet and wait one week. If the symptoms come back you will know that your dog was allergic to one or more of the components of his old food.
I hope this helps. Thanks!
Dr Cheng