Confusing hypoalbuminaemic cat

RE: Confusing hypoalbuminaemic cat

Catherine Welsh — Sat, 11 Jul 2020 11:56:39 GMT

Thank you all for taking the time to read and reply. I spoke to the owner on the phone yesterday and she reports the cat seems much brighter and has a normal appetite again. I am going to see him back next week for repeat bloods and imaging. I hadn't considered FIP, thank you for putting that on my radar as definitely going to be worth bearing in mind. Going to go back to basics next week, re-take history, re-do full CE and think about whatever the up to date problem list is at that point! Thanks again

RE: Confusing hypoalbuminaemic cat

Richard Carter — Fri, 10 Jul 2020 17:29:44 GMT

I would start Rx for triaditis, cholangiohepatitis which as David has suggested would have dexamethazone to start if on budget, but age cat / signalment does look suspiciously FIP

RE: Confusing hypoalbuminaemic cat

David Mills — Thu, 09 Jul 2020 21:43:08 GMT

Inflammatory or ileus related biliary stasis can occur due to issues with common bile duct so pancreatits/enteritis/cholecystitis probably to blame. Wouldn't worry too much re protein levels if not symptomatic, we've had a few odd rssults in the past which didn't match. Can get referred liver pain to most abdominal places. Would crack out the roids personally, otherwise normally will resolve.

Fip always a possibility.

RE: Confusing hypoalbuminaemic cat

listhestar — Thu, 09 Jul 2020 15:09:49 GMT

Just thinking of the remaining problem list:

- hypoalbuminaemia

- anaemia

So I'd look at urine - incl UPC - try and r/o PLN as cause for low albumin. Could have eg pyelonephritis on top of something else (sometimes I've found cats with pyelo are non specifically sore around the hindquarters).

Try and classify anaemia in terms of reg or non reg - what's FeLV /FIV status?

BAST in case marked liver disease but so marked it no longer raises the liver enzymes (although end stage liver looks odd on ultrasound and small) which could fit with low glucose and low albumin. I guess a PSS is possible too given age.

Then I guess consider GI disease - a pancreatitis or cholangitis on top of eg pre exsisiting IBD may explain things.

Is he a hunter? Neospora or toxo can do some weird things. I've had young cats with toxo with almost a myositis with it.

Lymph nodes ok? Always have lymphoma somewhere on my list.

Could it be 2 things- underlying illness not previously diagnosed and then something on top eg neutrophilic cholangitis?

Good luck. No doubt someone with more knowledge may be able to add more than I have

RE: Confusing hypoalbuminaemic cat

Joyce Whitehead — Thu, 09 Jul 2020 12:46:18 GMT

It’s not on any weird diet? I was thinking about pansteatitis, fever, pain, wouldn’t explain lots of th other stuff though...