Opinions on this one anyone?

RE: Opinions on this one anyone?

Anthony Todd — Sat, 25 Mar 2017 17:01:00 GMT

[quote user="Julian Earl"]I think food allergy[/quote]

Nothing like any allergic skin I've ever seen. They are all diffuse, red and itchy and can be around the head too.

Nobody has mentioned the current favourite "psycho" yet, but be patient.

RE: Opinions on this one anyone?

Anthony Todd — Sat, 25 Mar 2017 16:57:46 GMT

[quote user="Julian Earl"]BIopsy should show if it is pox or not.[/quote]

Have faith Julian, they'll biopsy it soon......

RE: Opinions on this one anyone?

Julian Earl — Sat, 25 Mar 2017 15:43:40 GMT

Does not look like cases of cow pox that I've seen. They tend to be redder, almost like granulation tissue and bleed easily. I think food allergy due to the location. I'd definitely go down the exclusion diet route and avoid steroids like the plague if pox is possible. BIopsy should show if it is pox or not.

RE: Opinions on this one anyone?

Rob Loxley — Fri, 24 Mar 2017 22:13:15 GMT

[quote user="Tomás Basto"]the only thing that is helping is the clorex in malaseb (thats my conclusion)[/quote]

While this may be correct, always beware the difference between responding to a treatment and reverting to the mean

RE: Opinions on this one anyone?

Tomas B — Fri, 24 Mar 2017 15:46:54 GMT

He is responding to itrafungol and malaseb, with the negative ringworm results, the only thing that is helping is the clorex in malaseb (thats my conclusion)

RE: Opinions on this one anyone?

Cool — Fri, 24 Mar 2017 15:31:59 GMT

i had a similar presentation in a cat but also with ulcerations on the tongue, palate, nail fold, most mucocutaneous junctions and face as shown in the fotos presented in this thread. biopsy results suggests either paraneoplastic pemphigus or erythema multiforme. so keep your mind open. However response to treatment in your case is encouraging, in my case it was slow and partial.

RE: Opinions on this one anyone?

Tomas B — Fri, 24 Mar 2017 14:53:26 GMT

And thinking of pemphigus for example, would it improve with malaseb?(Clorex)????

RE: Opinions on this one anyone?

Tomas B — Fri, 24 Mar 2017 14:50:45 GMT

Maybe the best approach would be a biopsy. Definitive diagnosis.

RE: Opinions on this one anyone?

Tomas B — Fri, 24 Mar 2017 14:45:24 GMT

2 year old.

Never travelled. Only animal in the house

RE: Opinions on this one anyone?

Anthony Todd — Thu, 23 Mar 2017 19:43:05 GMT

[quote user="robloxley"]

If it's a travelled cat, Leishmania should be on the 'zebras' list

[/quote]

Yes, this isn't one for a jab of dex and flea advice.....

RE: Opinions on this one anyone?

Rob Loxley — Thu, 23 Mar 2017 19:32:57 GMT

If it's a travelled cat, Leishmania should be on the 'zebras' list

RE: Opinions on this one anyone?

Anthony Todd — Thu, 23 Mar 2017 19:26:59 GMT

[quote user="Gillian Mostyn"]I wouldn't use steroids... Looks and sounds like cow pox to me.[/quote]

Gee, this really really pains me, being the steroid king-of-the-site [not the world, there loads of support] but this looks too "invasive" to be a be an allergic reaction, so I'd do what Gillian says!

[so hard for me to post being Gillian 'n all.....]

RE: Opinions on this one anyone?

grumpyoldman — Thu, 23 Mar 2017 18:07:41 GMT

If its none of the above : you have to start thinking of the weird and wonderful ,we had a cat earlier this year with Phempigus, Diagnosed accidentally when someone sent a biopsy off looking for dermatophytes. Demodex Gatoi waxes and wanes with stress. Some feline herpes facial dermatitis cases do not have snotty noses and runny eyes.

good luck

RE: Opinions on this one anyone?

Bob Russell — Thu, 23 Mar 2017 17:12:06 GMT

Mites would be pretty unlikely but I would never trust Advocate to deal with mites in a dog and have no reason to trust it in cats. Almost useless for ear mites based on my experiences years ago (pretty much the last time I bothered with it).

Probably would go with the food trial as suggested but would also stick a Stronghold on for luck!

RE: Opinions on this one anyone?

Martin Atkinson — Thu, 23 Mar 2017 16:04:22 GMT

It is very unlikely that this is FAD (presume you mean flea allergic dermatitis not food allergic) without severe miliary dermatitis in the trunk/back as well, have you looked for evidence of flea droppings? With an indoor cat food allergy is now definitely top of my list. I would normally start with a novel protein diet like RCW Sensitive Control duck & rice but there is no reason not to start with a hydrolised diet other than expense.

RE: Opinions on this one anyone?

Neil Wheadon — Thu, 23 Mar 2017 14:48:48 GMT

Aggressive cat, who's applied the Advocate? Can you be sure it's got the 3 treatments?

3 months Advocate is a figure used to start to exclude fleas, but common things are common and it's clearing when a food allergy wouldn't.

How old is the cat?

Neil

RE: Opinions on this one anyone?

Tomas B — Thu, 23 Mar 2017 14:01:02 GMT

BTW, no vomits, diarrhea or perianal dermatitis.

They claim it starts with a punctiform circunscripted alopecic lesion and then it spreads.

RE: Opinions on this one anyone?

Tomas B — Thu, 23 Mar 2017 13:58:13 GMT

Would a hypoallergenic food (Hydrolised protein) for a 8/12 weeks do any good or the food trial must be with a novel source of protein?Can you give me examples?

Collectiong blood and send it to ambiental/food allergens must be a good idea

Thank you all for the replies

RE: Opinions on this one anyone?

Tomas B — Thu, 23 Mar 2017 13:55:23 GMT

The cat is an indoor cat, never contacted with other cats or rodents. Eats royal...

owner rarely desparasitate. The lesions are probably pruritic they say

Very agressive cat (anamnesis via phone, bringing him here is a nightmare- difficult to follow the evolution)

So Miliary Dermatitis (FAD)??

RE: Opinions on this one anyone?

Martin Atkinson — Thu, 23 Mar 2017 10:55:47 GMT

[quote user="Julie Innes"]

My initial thought was food allergy, but thanks for the info on cowpox!

[/quote]+1. The fact it is improving suggests cowpox, probably not chronic enough for food allergy but a dietary trail will do no harm.

RE: Opinions on this one anyone?

Julie Innes — Thu, 23 Mar 2017 09:02:01 GMT

My initial thought was food allergy, but thanks for the info on cowpox!

RE: Opinions on this one anyone?

Gillian Mostyn — Wed, 22 Mar 2017 22:57:51 GMT

Haven't seen aggressive cowpox, but just the normal or garden variety.

RE: Opinions on this one anyone?

Utlendigur — Wed, 22 Mar 2017 22:35:09 GMT

Another vote for allergy, possibly more likely food allergy due to facial distribution. Are there any lesions you could biopsy or do an impression smear (eosinophils)?

(I have seen one of those aggressive cowpox cases last year - massive lesions eg whole of one back leg affected, and the cat was basically rotting, almost like a necrotising fasciitis, and systemically very ill - was PTS)

RE: Opinions on this one anyone?

Gillian Mostyn — Wed, 22 Mar 2017 20:12:35 GMT

I wouldn't use steroids... Looks and sounds like cow pox to me.

https://www.vettimes.co.uk/news/prof-issues-warning-after-rise-in-aggressive-cowpox-cases

https://icatcare.org/advice/cat-health/cowpox-virus-infection-cats

RE: Opinions on this one anyone?

Sarah Keir — Wed, 22 Mar 2017 17:56:41 GMT

Food allergy?