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Anal furunculosis (also called perianal fistulas) is a distressing condition commonly affecting german shepherd dogs and occasionally other breeds. The problem is one of chronic deep infection, inflammation, discharges and ulceration around the tail base and anus. The condition may progress to involve a large area around the back end of the dog. The condition is caused by infection that affects the hair follicles and causes small abscesses under the skin that are filled with pus. Anal furunculosis is a chronic, progressive inflammatory disease of dogs that results in ulceration and inflammation in the area surrounding the anus. What animals are affected? Anal furunculosis occurs most commonly in middle aged or old aged german shepherd dogs, although other breeds can be affected. As if all that were not enough for the poor dog to contend with, he was also diagnosed with anal furunculosis (perianal fistulae) in june 2009. The fistulae are deep ulcers that form around the anus and under the tail (sometimes progressing up it) and they are very painful. Over the years i have seen many cases of anal furunculosis, its horrible and mainstream treatments rarely work long term plus you need a mortgage to cover the costs. Although anal furunculosis (af) can affect other breeds, it is a chronic progressive immune-mediated inflammatory disease that is most commonly seen in middle-aged or older german. Anal furunculosis is a chronic, painful and progressive condition of the perianal region characterised by single or multiple ulcerated tracts. These lesions may be isolated or more extensive and can affect the entire circumference of the anus. The disease is also referred to as perianal sinus or perianal fistula, although the presence of true fistulous tracts extending from the anorectal canal. Furunculosis is a deep infection of the skin, in which the hair follicles become infected and furuncles form on the skin. The most common cause that leads to the appearance of this skin condition is the infection with the bacteria staphylococcus aureus. The staph bacteria is commonly found on the skin but it can breach the skin through an open wound or it can be transmitted from someone else. Perianal fistula, also known as anal furunculosis is a serious medical condition that most commonly affects german shepherd dogs. Perianal fistulas are characterized by chronic, purulent, smelly, ulcerating, sinus tracts in the anal region and surrounding skin. More recent studies indicate that the condition is more likely caused by an autoimmune disease.