Abstract. Antemortem diagnosis of generalized ulcerative and pyogranulomatous dermatitis with numerous intralesional tachyzoites was made from skin biopsy specimens from 2 adult dogs on chronic immunosuppressive therapy. A 9-year-old Italian Greyhound was on long-term corticosteroid therapy for the treatment of a lupus-like systemic autoimmune disorder, and a 7-year-old Labrador Retriever had received several months of chemotherapy for lymphosarcoma. The tachyzoites were identified as Neospora caninum by immunoperoxidase immunohistochemistry. Both dogs were treated with clindamycin. Lesions in the Greyhound resolved; however, the Labrador Retriever was euthanized because of evidence of neuromuscular disease, despite improvement of the skin lesions. These 2 cases indicate that cutaneous neosporosis can occur in adult dogs on chronic immunosuppressive therapy. The disease may result from reactivation of a congenital infection and/or a recently acquired primary infection.Neospora caninum is a recently characterized, cyst-forming protozoan parasite 7 that causes natural disease in multiple species, including dogs, cattle, sheep, goats, horses, and deer. 12 Although its life cycle has not been completely elucidated, N. caninum is reportedly transmitted through transplacental infection 3,8,9 and dog feces. 22 Although neosporosis is a major cause of abortion in cattle, 12 in dogs N. caninum mainly elicits progressive ascending neuromuscular paralysis caused by polymyositis, polyradiculitis, and meningoencephalitis, which is most severe and more common in young dogs. 2,[10][11][12]27 Clinical signs and conditions in adult dogs with neosporosis may include neurologic disease, polymyositis, myocarditis, and dermatitis. 2,[10][11][12]27 The original case series of 10 dogs with neosporosis published over a decade ago included a 15-year-old mixed-breed dog with ulcerative skin lesions and multisystemic disease. 7 Since that time, Neospora dermatitis has been reported in 5 other dogs, ranging in age from 5 to 12 years, which resided in France, 18 Israel, 25 Italy, 26 and the United States. 13 This report documents ulcerative and pyogranulomatous dermatitis due to N. caninum diagnosed from the skin biopsies of 2 immunosuppressed adult dogs from Ohio.A 9-year-old castrated Italian Greyhound (dog No. 1) was presented to the Beechmont Pet Hospital (Cincinnati, OH) with multiple, 0.5-2.5-cm-diameter, firm, circular, alopecic, and ulcerated skin nodules of several weeks duration randomly distributed over the trunk, tail, legs, and feet. Two and one-half years prior to the onset of these skin lesions, the dog was diagnosed with a lupus-like systemic autoimmune disorder characterized by perioral and periocular dermatitis, anorexia, lethargy, weakness, severe thrombocyto- penia, mild neutrophilia, and anemia. The dog was initially treated with immunosuppressive doses of prednisone. As a result of the onset of hyperadrenocorticism-like symptoms, prednisone treatment was subsequently reduced to daily antiinflammatory doses 6 months pri...