I treated one on my older dog with oral antibiotics and a topical spray called gentacalm. Took a few months to totally heal up.
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@mixedUPturk
Update - Mia had her 3rd bath; 1st was Aug 3rd, 2nd Aug 8th; today, I saw her roll on something in the yardShe still has an odor but not obnoxious like prior to starting the Dawn baths. I wouldn't have bathe her had she not rolled in whatever and notice she was scratching last night & this morning. Not blow drying her anymore, it's been so warm I towel dry and we stay out until she's semi dry. Still doing the Witch Hazel treatment 2x day which she loves, and a brushing with her "people" Goody Bristle brush.
There is definite improvementShe's not itching/scratching constant, don't see flakes on her fur, still see drying skin/flakes when I'm searching for lumps but not alot. I brush her on the table in the patio using the dustpan to "check" ... There definitely less flakes
I had ordered the Tar & Coal shampoo prior to your post, I just maybe sending it back
My Sister has a big dog with same problem, she started the Witch Hazel/QTip treatment, it's been a week and she's say it's helping. Malie's not itching, she hasn't bathed her with the Dawn "yet". But think you're on to something hereThank you so much