West Highland White Terrier Health Issues & Care Guide

Comprehensive health guide covering common conditions, genetic testing, preventive care, and veterinary recommendations for West Highland White Terriers.

Health Overview

Skin allergies are extremely common in the breed, with some estimates suggesting over 25 percent of Westies develop atopic dermatitis.. Choosing a breeder who performs comprehensive health testing is the best way to minimize genetic risks.

Once home, maintain your West Highland White Terrier's health through balanced nutrition, regular exercise, dental hygiene, and preventive veterinary care including annual (or biannual for seniors) wellness exams.

Common Health Conditions

ConditionFrequencySeverityTreatable
Atopic Dermatitis Very Common Moderate Partial
Westie Lung Disease Moderate High Partial
Legg-Calve-Perthes Disease Moderate Moderate Yes
Craniomandibular Osteopathy Moderate Moderate Partial
Addison's Disease Low High Yes

Atopic Dermatitis

Chronic skin allergies causing intense itching, redness, and secondary infections, often requiring lifelong management.

Westie Lung Disease

Idiopathic pulmonary fibrosis causing progressive scarring of lung tissue, leading to breathing difficulty.

Legg-Calve-Perthes Disease

Degeneration of the femoral head due to reduced blood supply, causing hip pain and lameness in young dogs.

Craniomandibular Osteopathy

Abnormal bone growth on the jaw and skull occurring in puppies, causing pain when eating or opening the mouth.

Addison's Disease

Hypoadrenocorticism resulting in insufficient production of adrenal hormones, requiring lifelong hormone replacement.

Recommended Health Tests

Recommended health tests for West Highland White Terriers include:

  • Patellar luxation screening
  • Ophthalmologist evaluation (CERF/OFA)
  • Thyroid testing
  • Breed-specific DNA panel—particularly important given the West Highland White Terrier's susceptibility to Atopic Dermatitis

Skin allergies are extremely common in the breed, with some estimates suggesting over 25 percent of Westies develop atopic dermatitis.. Ask to see results before purchasing a puppy.

Preventive Care Schedule

A preventive care schedule for your West Highland White Terrier (lifespan 13–15 years) should include:

  • Puppies (0-12 months): Vaccinations at 8, 12, and 16 weeks; deworming; spay/neuter discussion; weight tracking
  • Adults (1-11 years): Annual wellness exam, vaccinations, heartworm test, dental cleaning, screening for Atopic Dermatitis
  • Seniors (11+ years): Twice-yearly exams, blood work, urinalysis, and monitoring for Atopic Dermatitis and Westie Lung Disease

Life Stage Health Guide

Understanding your West Highland White Terrier's life stages helps you provide appropriate care (lifespan 13–15 years):

  • Puppy (0-12 months): Rapid growth toward 15–20 lbs, socialization critical, high energy, frequent feeding
  • Adolescent (1-2 years): Testing boundaries, continued training to channel their 4/5 energy, reaching adult size of 10–11 inches
  • Adult (2-11 years): Peak health, 60+ minutes daily exercise, annual screening for Atopic Dermatitis
  • Senior (11+ years): Slower pace, may need dietary adjustments, biannual vet visits

Insurance Recommendation

Considering the West Highland White Terrier's risk for Atopic Dermatitis and Westie Lung Disease, pet insurance is worth the $38–$86 monthly premium. Compare accident-and-illness plans from major providers and enroll early—pre-existing conditions are universally excluded.

Frequently Asked Questions

The West Highland White Terrier is predisposed to Atopic Dermatitis, Westie Lung Disease, Legg-Calve-Perthes Disease, and other conditions. Skin allergies are extremely common in the breed, with some estimates suggesting over 25 percent of Westies develop atopic dermatitis..
A West Highland White Terrier vet schedule: puppy vaccinations at 8, 12, and 16 weeks; annual wellness exams through age 11; then twice-yearly senior checkups. This breed's health profile–including risk for Atopic Dermatitis, Westie Lung Disease–means proactive screening pays off. Budget $450–717/year for routine veterinary care.
Given the West Highland White Terrier's predisposition to Atopic Dermatitis and Westie Lung Disease, pet insurance is worth considering. Plans cost $38–$86/month and can cover 70–90% of eligible vet costs.
At minimum: OFA patella certification, CERF eye exam, thyroid panel, and a comprehensive DNA panel. The West Highland White Terrier's specific health profile–particularly Atopic Dermatitis (very common in the breed) and Westie Lung Disease–means breeders should go beyond the minimum. Ask to see certificates before committing to a puppy.
Skin allergies are extremely common in the breed, with some estimates suggesting over 25 percent of Westies develop atopic dermatitis.. Choosing a breeder who health-tests their dogs gives your puppy the best start. Regular vet care and a healthy lifestyle maintain that advantage throughout life.