White raised spots under tongue - picture enclosed - 13 week old Rottweiler

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Neil Wheadon — Sat, 04 May 2019 11:56:41 GMT

Seen again this morning

The white spots are now on the right side as well

Puppy very well, no Lymph Node enlargement etc

I tried to get a biopsy, refused (understandably) An impression slide isn't going to show anything is it?

I feel these do look like calcium deposits, so thankyou very much

and I asked permission to post this

Neil

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Rob Davis — Sat, 27 Apr 2019 14:13:51 GMT

Hi Kadri Kääramees, hope you're well, welcome to the forum. It would be great to have your input on dental/oral discussions!

[quote user="Kadri Kääramees"]

Calcinosis circumscripta perhaps?

[/quote]

That would by my guess too.

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Silvia Maldonado — Thu, 25 Apr 2019 17:20:03 GMT

Maybe an in-house smear and see under microscope if you find bacteria, crystals or cells? I'm as curious as the others now

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Neil Wheadon — Thu, 25 Apr 2019 15:46:52 GMT

[quote user="Kadri Kääramees"]Calcinosis circumscripta perhaps[/quote]

Could be?

Interesting that in both these articles the Rottweiler and Tongue are mentioned

According to http://www.gopetsamerica.com/dog-health/calcinosis_circumscripta.aspx

The disease is classified into 3 groups: dystrophic, idiopathic, and metastatic. Idiopathic calcinosis is commonly seen in the young German Shepherd Dogs, Rottweilers and Labrador Retrievers, but small breeds also can be affected. Although the exact cause of calcinosis circumscripta remains unknown, numerous causes and associated disorders have been suggested, which include:

Administration of commercially available medroxy-progesterone acetate and the use of sutures with calcium chloride
Hyperparathyroidism
Vitamin D intoxication
Chronic kidney failure. Most reported pad lesions of calcinosis circumscripta are due to kidney failure.⁵
Nutritional myopathy

Metastatic calcinosis circumscripta treated with an oral charcoal absorbent in a dog. Komori S, Washizu M. In: J Vet Med Sci. 2001 Aug;63(8):913-6.
Veterinary Dermatopathology. Thelma Lee Gross. Published by Blackwell Publishing, 2004 ISBN 0632064528, 9780632064526
Calcinosis Circumscripta on Lingual Muscles and Dermis in a Dog. Jeong W, Noh D, Kwon OD, Williams BH, Park SC, Lee M, Do S, Chung J, Lee G, Yun H, Jeong KS. In: J Vet Med Sci. 2004 Apr;66(4):433-5.
Calcinosis circumscripta following an injection of proligestone in a Burmese cat. In: Australian Veterinary Journal. Volume 79 Issue 3. DOI: 10.1111/j.1751-0813.2001.tb14575.x
Skin Diseases of the Dog and Cat: Clinical and Histopathologic Diagnosis. Thelma Lee Gross, Peter J. Ihrke, Emily J. Walder, Verena K. Affolter

From https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1439-0442.2004.00675.x

Calcinosis circumscripta is an uncommon syndrome of ectopic idiopathic, dystrophic, metastatic or iatrogenic mineralization characterized by deposition of calcium salts in soft tissues. This paper is a retrospective study of 77 canine cases. The age of dogs in the study varied from 4 months to 15 years and 55% were <1 year old, 74% <2 years old and 88% <4 years old. Several pure and mixed, typically large breed dogs were affected so that 28.6, 13 and 9% were German Shepherd, Rottweiler and Labrador Retriever respectively. The size of lesions varied from 2 mm to 13 cm in diameter but most lesions were between 0.5 cm and 3 cm in diameter. Lesions were solitary in 82% of the affected dogs, and occurred most commonly on the hind feet (50%) and tongue (23%). With multiple lesions there was no apparent body symmetry. Microscopically, most lesions were well‐defined single or multiple variably sized aggregates of amorphous to granular, lightly to darkly basophilic material with or without peripheral granulomatous reaction and surrounded by varying amounts of fibrous connective tissue. Additionally, three small nodular masses in the wall of the jejunum of a dog were diagnosed as calcinosis circumscripta. This is the first reported case of idiopathic intestinal calcinosis circumscripta in the dog.

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Kadri Kääramees — Thu, 25 Apr 2019 15:32:45 GMT

Calcinosis circumscripta perhaps?

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Neil Wheadon — Thu, 25 Apr 2019 14:46:43 GMT

You weren't a mystery shopper with a Rottweiler were you as this is almost precisely what I said. What makes this more amusing is the owner inserted (from Google) Papillomavirus.

I offered a biopsy as couldn't see that an impression smear would show a lot, but the clients weren't keen. Zooming in on the picture (which works far better than the eye, especially in RAW format) is that there is a white ball under the mucosa, so I would almost rule out infection/abscess.

I'm seeing them again in 9 days for a second vaccination so we'll see if a wait and see approach works. In the meantime any ideas/agrees, don't be shy.

Neil

RE: White raised spots under tongue - picture enclosed - 13 week old Rottweiler

Evelyn Barbour-Hill — Thu, 25 Apr 2019 14:10:34 GMT

Interesting.

[quote user="Neil Wheadon"]Any ideas?[/quote]

No idea.....

Seriously, my first guess would be something lymphatic that may well go away again with time. Or possibly little abscesses..

Edited to insert afterthought; or conceivably atypical effect of papillomavirus?

They look as if a biopsy would be very easy to obtain. If the client would rather not right now, then I'm sure it would be OK to wait a bit and see what happens.