By Dr Duncan Houston
A Shar Pei's wrinkles deserve attention, but skin care is only part of the picture. Eye discomfort, painful ears or an episode of unexplained fever can be more important than how the coat looks.
Early assessment helps distinguish routine care needs from problems that require treatment.
Quick Answer
Check a Shar Pei's skin, ears and eyes regularly, keeping folds clean and dry using an individual care plan. Seek prompt veterinary advice for fever, painful swollen joints, squinting or persistent skin disease. Recurrent fever can be part of an inherited inflammatory disorder, but other causes must be investigated.
Breed background and behaviour
The Shar Pei developed in China and has a short, harsh coat, loose skin and a distinctive blue-black tongue. Many are reserved with strangers, but behaviour varies. Comfortable socialisation and reward-based training are more useful than encouraging guarding.
Provide daily walks, sniffing and play suited to health and weather, plus a quiet resting area. Use barriers for visitors when needed and supervise children. Pain can make handling difficult, so investigate a new reluctance to be touched.
Skin, ears and eyes
| What you see | Action |
|---|---|
| Healthy, dry folds without smell | Check regularly and follow the cleaning routine your vet recommends. |
| Redness, odour, discharge or itching | Arrange assessment for infection, parasites, allergy or other skin disease. |
| Head shaking or painful ears | Seek examination; narrow canals can make problems difficult to assess at home. |
| Squinting, rubbing or a cloudy eye | Seek prompt same-day care for possible eyelid irritation, ulceration or another eye problem. |
Use gentle products selected for your dog, dry folds thoroughly and avoid vigorous scrubbing or unprescribed powders. Do not assume every skin problem is caused by wrinkles. Entropion, where an eyelid rolls inward, may require a veterinary procedure; cleaning alone cannot correct it.
Understanding Shar Pei fever
Shar Pei fever is an inherited autoinflammatory syndrome associated with episodes of fever and joint swelling, often around the hocks. Some affected dogs develop amyloid deposits that can damage organs, particularly the kidneys.
A feverish or painful dog needs veterinary assessment even if a previous episode resolved. Infection, heat illness and other inflammatory diseases can look similar. Your vet may recommend blood and urine testing, ongoing kidney monitoring and an individual treatment plan. Do not give human fever medicines or start long-term medication yourself.
Feeding and preventive checks
Feed a complete life-stage diet in measured portions, adjusting to body condition. Brush the coat, maintain nails and introduce daily toothbrushing. Persistent digestive problems or poor growth need investigation rather than routine vitamin supplements.
Breed-club screening recommendations include hips, elbows, kneecaps, eyes and thyroid evaluation. Ask about actual results and family history of inflammatory disease. No screening programme eliminates every future risk.
Urgent warning signs
Contact a vet promptly for fever with lethargy, painful swelling, reduced drinking or vomiting. Collapse, breathing difficulty, severe weakness or inability to stand needs emergency care. A painful eye should not wait for the next routine visit.
Common mistakes
- Calling repeated fever “normal for the breed” and waiting without advice.
- Over-cleaning or applying several skin products without diagnosis.
- Assuming a squinting puppy will grow out of eyelid problems.
- Punishing resistance to handling before checking for pain.
Frequently asked questions
Does every Shar Pei get fever episodes?
No. The condition is a risk, not a certainty, and each episode still needs appropriate assessment.
Should all folds be cleaned daily?
The schedule depends on the skin. Ask your vet for a routine that keeps folds comfortable without irritation.
Can diet cure recurrent fever?
A balanced diet supports health, but it does not replace investigation and treatment of an inflammatory disorder.
Knowing your dog's usual skin, comfort and energy makes meaningful changes easier to recognise.
ASK A VET™ can help you prepare questions about your Shar Pei's care or test results. Seek urgent veterinary attention directly for fever with illness or the emergency signs above.
This article is general veterinary education and does not diagnose or treat an individual animal. Always confirm medication names, doses and interactions with the veterinarian who knows your pet.
If your animal is struggling to breathe, collapsed, bleeding heavily, seizing, or has eaten something toxic, contact your vet or the nearest emergency clinic now.
Animal Poisons Helpline (AU) 1300 869 738 · Animal Poisons Helpline (NZ) 0800 869 738 · ASPCA Animal Poison Control (US) (888) 426-4435
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Ask A Vet articles are written by Dr Duncan Houston BVSc, a practising veterinarian, unless another author is named in the byline.




