5 steps to better biopsy site selection:
1.Take up to 5 photographs of the lesions on your patient -and an additional overview
photo to help orient us.
2. Please take some time to look for primary lesions such as pustules, papules and
alopecia. Clip the hair away to obtain a better view - but leave 1-2mm so that the
surface of the skin itself is not disturbed.
Select 4 to 6 areas which give a range of lesions, from most to least severely
3. Save the photos in a jpg size smaller than 2000 KB
Save them with the name of the animal and either a simple number or location
clarification. eg Fluffy#1, Fluffy#2, Fluffyphoto1, Fluffyphoto2, Fluffy-leg,
Fluffy-abdomen. When photos are numbered, include a elgend in the e-mail text body.
4. Send the photos to firstname.lastname@example.org
Please do NOT exceed a total of 1500KB per mail, otherwise the e-mail may bounce
5. Please include your fax number, your practice details, the patient details and the
bank-transfer authorisation details. We will directly debit 20€ from your account.
What will you receive from us?
1. A fax of your photographs, with the lesions circled
2. A written recommendation regarding the preferred biopsy technique (i.e. an ellipse
or a punch - or either)
3. Further specific comments as appropriate to each individual case
Example 1 Felix's Face:
1. Hypotrichosis with erythema
.....punch 100% same changes
2. Papule .. punch with papule in centre
3. Ulcer, alopecia, exudation
....ellipse as the lesions vary within mm's
4. Pustule ... 4mm punch, avoiding the
Comments Two more biopsies, searching
for papules and pustules if possible or a
crusted papule as third choice. Search
around the cheeks and lips margins for
areas more amenable to a larger biopsy.
Be sure to sample th epunch biopsies
deeply and be careful with the small
punch biopsies not to crush the tissues
when handling them