Lupoid onychodystrophy

RE: Lupoid onychodystrophy

David Mills — Sat, 20 May 2017 01:56:18 GMT

[quote user="Yantha Smyth"]

I usually use biotin (onychotin) and Trental following a sedation or GA to remove and clean up, and trim up all nails. saw SLO quite alot in Greyhounds, and avoided pred since so susceptible to catabolic effects etc.

[/quote]

An autoimmune disease and you don't use preds because of side effects?

Mind absolutely boggles.

RE: Lupoid onychodystrophy

Yantha Smyth — Fri, 19 May 2017 22:30:32 GMT

RE: Lupoid onychodystrophy

Rob Loxley — Thu, 18 May 2017 16:11:49 GMT

[quote user="emma o'connor"]I find once all the claws have sloughed they become much less painful[/quote]

I have in the past sedated to remove 'partially shed' claws where possible with gentle traction, otherwise regular clipping to keep them trimmed until shed.

RE: Lupoid onychodystrophy

emma o'connor — Thu, 18 May 2017 15:18:48 GMT

It use to be suggested doing a hypoallergenic food trial in these dogs but i believe there is little evidence out there to say if this works or not. I find once all the claws have sloughed they become much less painful. I use a combination of pred and high dose omega 3/6, and once the claws are drying up and less painful reduce the pred and maintain on the supplement long term. I've had little success with the tetracycline/niacinamide combo.

RE: Lupoid onychodystrophy

Rob Loxley — Thu, 18 May 2017 15:13:31 GMT

+1 for niacinamide & oxytet here, but needs to be longterm, very well tolerated and pretty cheap

RE: Lupoid onychodystrophy

Daria McLennan — Thu, 18 May 2017 13:12:24 GMT

Have a case of this (histo confirmation) in a 9YO MN lab; been on EFAs and a biotin supplement ('Onychotin') for past 2yrs; fully controlled, no flare ups.

http://www.vetruus.com/onychotin.html

RE: Lupoid onychodystrophy

Catriona MacIntyre — Wed, 17 May 2017 22:59:59 GMT

I have used Oxytet (lot cheaper than Doxy, and most of the cases I dealt with were uninsured and fund limited), in combination with Nicotinamide and reducing dose of prednisolone.

Some dogs had to stay on low dose pred, others just needed it periodically. I try to encourage them to stay on the nicotinamide long term if possible

RE: Lupoid onychodystrophy

Beats — Wed, 17 May 2017 21:01:04 GMT

My boss declaws them if chronic and really troubled. Not fun, but does give a one-stop solution.

Otherwise take your pick of suggested drugs you've mentioned, keep nails trimmed short atraumatically, and use topical antiseptics.

If quite acute, I'd go medical and heavy-handed.

If chronic, I'd haed for surgery.

http://www.beaconforhealth.org/SLO%20SCBCC%20seminar%20notes%20amended%2014.11.pdf

http://www.jaaha.org/doi/abs/10.5326/0390139?code=amah-site&journalCode=aaha

RE: Lupoid onychodystrophy

Joyce Whitehead — Wed, 17 May 2017 20:54:08 GMT

I've used the nicotinamide/omega 3/oxytet combo on a few, some of the owners gave up on the oxytet and it didn't seem to make them deteriorate. They were on them for a good long while and did all get to the stage of having stubby deformed nails but not painful shedding. It's hard to know if the treatment helped or if it was tincture of time! I've not tried preds on any.