Young puppy with continually swollen lip....

RE: Young puppy with continually swollen lip....

Aine Seavers — Fri, 03 Mar 2017 04:36:55 GMT

What did happen?

Angioma/tosis vascular scenario comes to mind if not resolved .

RE: Young puppy with continually swollen lip....

David Mills — Thu, 05 Jan 2017 23:15:56 GMT

Steroids - dex at 0.1ml/kg then preds 1mg/kg 5d see what happens.

RE: Young puppy with continually swollen lip....

Rebecca MacMillan — Thu, 05 Jan 2017 14:57:31 GMT

**Bump**

RE: Young puppy with continually swollen lip....

Rebecca MacMillan — Tue, 03 Jan 2017 12:33:28 GMT

Sorry I should add dates to help avoid confusion to my original post. He first presented on 28th Nov, that's when we tried synulox. He came back 10 days later on 8th December. We discussed further investigation and I said I would try and discuss the case with colleagues (as I had no clue at that point...!). I rang the owner after deciding FNA might be useful, and we ended up doing this on 22nd Dec. Based on the results, I started him on topical treatment (isaderm), I've shied away from systemic steroid injections, because rightly or wrongly we started his vaccination course when he came back in on 8th Dec (given that he was so bright and systemically well). So at this point in time we are now a month on from initial presentation and I'm due to see him back in a couple of days for his final L4 injection and re-ex after a week of isaderm.

For those of you voting for steroids, does this change things at all? What steroid injection would you give and what dose?

Any other suggestions still welcomed.

RE: Young puppy with continually swollen lip....

Anthony Todd — Thu, 29 Dec 2016 18:25:53 GMT

[quote user="Matt Hilary"]I'd be surprised if Cortavance would penetrate enough to be effective.[/quote]

Strange, I did a reply that's vanished, try again:

Contraindications

Do not use on cutaneous ulcers.

CAUTIONS: Total body surface treated with CORTAVANCE® Topical Spray should not exceed a surface corresponding to, for example, two flanks from the spine to mammary chains including the shoulders and thighs (1/3 of dog’s body).

This from the Canadian manufacturers website which seems as if it could be used on this pup as it sounds as if it is effective on intact skin?

RE: Young puppy with continually swollen lip....

Matt Hilary — Thu, 29 Dec 2016 12:50:44 GMT

[quote user="Anthony Todd"]

PS A good one for Contravance?? [on the outside!]

[/quote]

I'd be surprised if Cortavance would penetrate enough to be effective.

RE: Young puppy with continually swollen lip....

Anthony Todd — Thu, 29 Dec 2016 12:46:13 GMT

PS A good one for Contravance?? [on the outside!]

RE: Young puppy with continually swollen lip....

Anthony Todd — Thu, 29 Dec 2016 12:21:17 GMT

[quote user="Lucy Fleming"]At first presentation I would assume that as well, but no change in 10 days? (per the original post) Most insect bites I would expect to be gone in 48hrs or less.[/quote]

True, but ?? all of them and in a puppy??

FB would have en entry point, probable discharge, be painful and progressive??

Surprised that the posters would recommend steroids in an immunologically vulnerable pup with a localised "reaction" which will resolve with time, almost certainly, yet with an adult with a really obvious need for relief it's anathema....

RE: Young puppy with continually swollen lip....

David Mills — Thu, 29 Dec 2016 11:53:39 GMT

Don't rule out an FB - had a Lab with similar, non-responsive to abx, sedated and incised - 4 grass seeds popped out. Or try preds. Doesn't look like puppy strangles/cellulitis, too localised, almost always have LN enlargement and ear pathology.

RE: Young puppy with continually swollen lip....

Lucy Fleming — Thu, 29 Dec 2016 11:26:08 GMT

[quote user="Anthony Todd"]Probably an insect bite or sting, [even without FNA....!] It would be odds on to be that, and odds on to resolve with time,[/quote]

At first presentation I would assume that as well, but no change in 10 days? (per the original post) Most insect bites I would expect to be gone in 48hrs or less.

RE: Young puppy with continually swollen lip....

Anthony Todd — Wed, 28 Dec 2016 20:29:57 GMT

[quote user="Nicola M"]

+1 for try steroid

[/quote]

+1 but; or even tincture of time, which would probably, frankly, work as well and satisfy the steroidophobes, even if not the owner, who will be paranoid X10 that something must be done....

RE: Young puppy with continually swollen lip....

Nicola Cole — Wed, 28 Dec 2016 20:23:14 GMT

+1 for try steroid

RE: Young puppy with continually swollen lip....

Anthony Todd — Wed, 28 Dec 2016 20:03:23 GMT

[quote user="Martin Atkinson"]A shot of steroid should solve it in that case.[/quote]

+1, [surprised!] puppy pyoderma is always [?] multilesional with some purulent discharge and painful.

Probably an insect bite or sting, [even without FNA....!] It would be odds on to be that, and odds on to resolve with time, but quicker and less discomfit with short acting corticoS and

"say something, do something, give something...." so the owner's satisfied

Ever been bitten by a March fly......?

I wouldn't rush into a FNA in a little pup with that sort of lesion, but times change.

RE: Young puppy with continually swollen lip....

Martin Atkinson — Wed, 28 Dec 2016 18:38:01 GMT

[quote user="roland bulkyn-rackowe"]

Could this be Juvenile Cellulitis (puppy pyoderma)? I've not seen it for a while but I think it can look like this.

[/quote]Good call Roland. It is so long since I've seen one also so had forgotten about it. A shot of steroid should solve it in that case.

RE: Young puppy with continually swollen lip....

Roland Bulkyn-Rackowe — Wed, 28 Dec 2016 17:59:55 GMT

Could this be Juvenile Cellulitis (puppy pyoderma)? I've not seen it for a while but I think it can look like this.