Direct this question to Dr. Andy
Owner: David XXX
Problem: Canine Dermal Lesion
Breed: Australian Shepherd
Age: 9 in Nov15
Wt: 95lbs; Measures 27" to top of back at front legs
Defects: Blue eyes
, Iris Coloboma
. Redness around eyes is normal.
He has had successful TPLO surgeries on both Left and Right legs (Jul14 and Feb15). Each surgery was preceded by a thorough exam - All normal/no parasites (I have about 2 more years of payments!).
He's active, we play
fetch 3-4 times a day; has very acute hearing; normal bowel and urination function; normal appetite. No changes in routine or diet.
Over past 6mos Redness developed between Toes on Left Rear Foot along with Dermal problem on Left Front of Muzzle. Vet assumed Allergy and treated with Steroid Injections. Foot problem was resolved and Muzzle Lesion was receding. After third injection, the Muzzle Blistering started anew. A Leathery Blister (keratosis?) would quickly appear; the dog would scrape it away with no apparent Pyoderma; it would appear to be healing but soon a new Blister would appear! The Blistering stopped moving from Front to Rear and is now moving from Bottom Up. Used ??, an antibiotic, with no results, just begun new treatment with Cephalexin
500mg. He doesn't seem to be in any Pain, but new Blisters appear to Itch.
I'm concerned because my vet has prescribed applying Miconazole Nitrate 2%, an anti-fungal, to the lesion. Considering the site of the problem, it does not seem to be a prudent use of this particular medicament!
Any insight would be most appreciated. I could have a biopsy performed, but, coupled with the TPLO's, this whole mess is getting extremely expensive. On top of all this, he has a fibroma on one foot!
Any insight that might bring a successful conclusion would be much appreciated. This may be one for Dr. Andy!