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Hi. I'm Dr. Gotthelf. I have been a vet for 33 years and I would like to use my experience to help you with your pet's medical problem.
I'd like to know what else I can be doing while I await the results of the "punch" biopsies.
I'd also like to know what kind of answers a dermatologist and histopathologist will provide from the punch biopsies. My dog's vet took samples from five different locations off my dog's back.
Is Cephalexin ok to use on a dog with a history of IMHA in remission?
She has had this infection for weeks now and the clindamycin has not halted it. Can it at least provide protection so it won't be systemic?
Just a follow up... Maggie has calcinosis cutis resulting from iotragenic hyperadrenocortism mostly likely caused by prolonged use of prednisone.
She is on Zeniquin which is drying up her infection nicely and we will soon be tapering the prednisone as well as using DMSO gel to help re-absorb the calcium. Any further feedback on your end is appreciated.
Maggie is currently on 25 mgs prednisone daily; she's just beeen on it for over a year. It has been higher and we had tapered from 30 to 25 about three weeks ago. Biopsies were performed and sensitivities tested. Three bacterium were found and all three tested sensitive to Zeniquin, in addition to Clavamox and Cephalexine which were excluded due to Maggie's history with IMHA and IMHA in remission. I'd just be happy to get the calcinosis cutis under control. It's not bad now but it's spreading. The derm pathology review lists the prognosis as "good" provided the prescribed protocol of reducing the prednisone and using DMSO. I'll talk to my vet about the allergy testing and mention Spectrum.
I am going to bathe her today using Duoxo chlohexidine shampoo. I like the diluted bleach rinse idea, thanks, that's very helpful. I also like the idea of attacking the bacteria from two fronts. Maggie weighs 81 lbs and she is taking 200 mgs Zeniquin daily. I am also mindful of avoiding giving her antacids and supplements with calcium, magnesium, etc. as I read that they can interfere with the absorption of Zeniquin. Thanks, I am a bit short on money with all the recent vet expenses but will rate your response highly and pay for another question soon. Hopefully our discussion can be of benefit to others as well. It certainly has been so for me.