Odd peripheral swelling in a Shar Pei Cross

RE: Odd peripheral swelling in a Shar Pei Cross

Anthony Dennison — Wed, 24 May 2017 15:23:00 GMT

[quote user="Lucy Fleming"]

It's got two hearts!! It's a miracle!

Seriously though, thanks for the update. Sorry that this is likely to be a poor outcome for the dog

[/quote]

Timelord's dog? K-9 has got a lot more lifelike since the 70s.

RE: Odd peripheral swelling in a Shar Pei Cross

Lucy Fleming — Wed, 24 May 2017 12:02:10 GMT

It's got two hearts!! It's a miracle!

Seriously though, thanks for the update. Sorry that this is likely to be a poor outcome for the dog

RE: Odd peripheral swelling in a Shar Pei Cross

shanley barber — Wed, 24 May 2017 11:49:29 GMT

Hello all, just to update you, this is the chest radiograph.

RE: Odd peripheral swelling in a Shar Pei Cross

Utlendigur — Wed, 17 May 2017 23:27:10 GMT

[quote user="mariette asselbergs"]just the hindlegs show only soft tissue reaction around the hock, so typical for Sharpei fever. [/quote]

There is periosteal reaction along the caudal distal tibia, cranial and caudal apsects of the metatarsi, and proximal phalanx.

RE: Odd peripheral swelling in a Shar Pei Cross

mariette asselbergs — Wed, 17 May 2017 22:39:34 GMT

Re periosteal reaction you are right the frontlegs show it, just the hindlegs show only soft tissue reaction around the hock, so typical for Sharpei fever. But I agree, chest x rays will be interesting. Any space occupying process in the thorax can lead to Marie's disease.

Please keep this forum informed!

Mariette

RE: Odd peripheral swelling in a Shar Pei Cross

shanley barber — Wed, 17 May 2017 12:16:38 GMT

Will plan to do chest rads. I agree that her age doesn't seem to fit with SharPei Fever, so definitely be doing chest rads.

Thanks all, this has been extremely helpful.

Shanley

RE: Odd peripheral swelling in a Shar Pei Cross

Lou Dawson — Tue, 16 May 2017 22:22:05 GMT

Shar Pei fever less likely in my opinion - cross breed dog, older (believe they tend to present younger but I'm sure there are outliers!).

Agree with looking for a possible mass lesion elsewhere; however, the previous cases of hypertrophic osteopathy I've seen have had stonking periosteal bony proliferation and not much in the way of soft tissue changes. Perhaps this is an early case (ones that come to pathologists tend to be end-stage, for obvious reasons). I think biopsy would be a reasonable step but I would think there is a chance of just getting non-specific chronic reactive changes showing up.

RE: Odd peripheral swelling in a Shar Pei Cross

Utlendigur — Tue, 16 May 2017 22:07:05 GMT

[quote user="mariette asselbergs"]To me it doesn't because Marie Bamberger disease is characterised by periosteal reaction, which these radiographs don't show.[/quote]

Actually they do...caudal ulna for example

RE: Odd peripheral swelling in a Shar Pei Cross

Malcolm Ness — Tue, 16 May 2017 21:11:56 GMT

[quote user="Allison Gleadhill"]Looks classic Marie's disease / hypertrophic pulmonary osteopathy. X-ray chest, abdo if nothing there.[/quote]

RE: Odd peripheral swelling in a Shar Pei Cross

mariette asselbergs — Tue, 16 May 2017 20:57:52 GMT

[quote user="Allison Gleadhill"]

Looks classic Marie's disease / hypertrophic pulmonary osteopathy. X-ray chest, abdo if nothing there.

[/quote]

To me it doesn't because Marie Bamberger disease is characterised by periosteal reaction, which these radiographs don't show. This looks and sounds much more like Sharpei fever (whatever that is really) which is usually reasonably successfully treated with NSAIDs.

Mariette

RE: Odd peripheral swelling in a Shar Pei Cross

Glenn Hodgson — Tue, 16 May 2017 19:22:00 GMT

Share pei x with swollen hocks and a high temp..... Sharper fever until proven otherwise for me.

Nsaids were certainly a good idea. Then off to exclude other couses. Worth looking at thyroid too. Recollect that may be related IF suspicious spfever

RE: Odd peripheral swelling in a Shar Pei Cross

David Mills — Tue, 16 May 2017 17:13:25 GMT

[quote user="Martin Atkinson"]

[quote user="David Mills"]

Shar pei fever. Hock swelling classic. Should resolve with metacam, a few need preds instead.

[/quote]Yes but do they get bony changes like that?

Looks like hypertrophic osteopathy but what chance a dog of that age having a lung (or any) tumour?

[/quote]

They can do I believe, periosteal reaction/inflammation from the cellulitis causing the swollen hocks. Can't say I've xrayed one for a long time. Pyrexia doesn't fit with the others.

RE: Odd peripheral swelling in a Shar Pei Cross

Martin Atkinson — Tue, 16 May 2017 16:38:34 GMT

[quote user="David Mills"]

Shar pei fever. Hock swelling classic. Should resolve with metacam, a few need preds instead.

[/quote]Yes but do they get bony changes like that?

Looks like hypertrophic osteopathy but what chance a dog of that age having a lung (or any) tumour?

RE: Odd peripheral swelling in a Shar Pei Cross

Allison Gleadhill — Tue, 16 May 2017 16:04:28 GMT

Looks classic Marie's disease / hypertrophic pulmonary osteopathy. X-ray chest, abdo if nothing there.

RE: Odd peripheral swelling in a Shar Pei Cross

David Mills — Tue, 16 May 2017 14:44:17 GMT

Shar pei fever. Hock swelling classic. Should resolve with metacam, a few need preds instead.

RE: Odd peripheral swelling in a Shar Pei Cross

Martin Atkinson — Tue, 16 May 2017 14:43:51 GMT

Someone been a bit over-keen with the calcium/Vit D supplements?

RE: Odd peripheral swelling in a Shar Pei Cross

Utlendigur — Tue, 16 May 2017 13:25:33 GMT

[quote user="Evelyn Barbour-Hill"]

Chest radiographs?

[/quote]

+1 for that (hypertrophic pulmonary osteoarthropathy)

RE: Odd peripheral swelling in a Shar Pei Cross

Evelyn Barbour-Hill — Tue, 16 May 2017 13:13:48 GMT

Chest radiographs?

RE: Odd peripheral swelling in a Shar Pei Cross

shanley barber — Tue, 16 May 2017 13:11:43 GMT

She has been on Metacam for five days, and she has improved slightly, her temperature is now normal, and the swelling has reduced a bit. Urinalysis today also unremarkable (USG = 1.050, only trace protein), effectively ruling out amyloidosis.

Lateral rads taken of the distal limbs shows a mild periosteal reaction, as well as loads of soft tissue swelling. Abdominal ultrasound was unremarkable.

I'm not sure how best to proceed from here. Biopsies?

Any help would be appreciated!

Thanks.