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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 25624
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My daughter has a 7!yea old husky male with en dish argue

Customer Question

My daughter has a 7!yea old husky male with en dish argue Eyes and nose. He has 2 rounds o antibiotics. No response. We are concerned he has cancers or fungal. Thoughts
Submitted: 1 year ago.
Category: Dog
Customer: replied 1 year ago.
Correction: the 2 antibiotic was minocycline. Also on niacinamide supplement for skin.
He has an appetite but seems to drink a lot (- more than the 2 year lab)
Customer: replied 1 year ago.
green discharge from nose and now his eyes
Expert:  Dr. Michael Salkin replied 1 year ago.

I'm sorry that your question wasn't answered in a timely manner. Can you upload a photo of Koa's face to our conversation? You can use the paperclip icon in the toolbar above your message box (not if you're using the chrome browser) or you can use an external app such as imgur.com or dropbox.com. I can be more accurate for you if I can see what you're seeing.

I see the clarification: cephalexin followed by minocycline + niacinamide. He appears to be polydipsic (increased thirst) and is discharging from both his nose and eyes.

Customer: replied 1 year ago.
I have a picture she texted me, but I'm not sure how to send. I can forward via email?
Expert:  Dr. Michael Salkin replied 1 year ago.

Yes, you can send it to***@******.*** who will then forward it to me. I'm concerned that Koa might be a Siberian Husky who has lost the ability to absorb zinc from his gastrointestinal tract. Severely zinc-deficient dogs can look like they have canine distemper - that green discharge from the eyes and nose.

Customer: replied 1 year ago.
He is a Siberian Husky. He has been vaccinated and kept UTD on all vaccines so I doubt that is the case. I'll send the photo.
Expert:  Dr. Michael Salkin replied 1 year ago.
No, no. They don't have canine distemper...just look like it with some forms of zinc deficiency.
Customer: replied 1 year ago.
Ok. I just emailed the photo. They might take him for UA and blood work on Monday.
Customer: replied 1 year ago.
I assume the testing is necessary - just want a second objective opinion. I am afraid they might have to steel themselves for a poor diagnosis/prognosis.
Expert:  Dr. Michael Salkin replied 1 year ago.

Not necessarily. I'll get back to you as soon as I see the photo.

Customer: replied 1 year ago.
Thank You.
Expert:  Dr. Michael Salkin replied 1 year ago.
It's my pleasure. No need to reply at this time.
Customer: replied 1 year ago.
What would auto immune look like? What does that mean?
Expert:  Dr. Michael Salkin replied 1 year ago.

Autoimmune skin disease can look like anything. Autoimmune means that my patient's immune system is attacking my patient's own tissues. Biopsy is necessary to confirm the presence of autoimmune skin diseases.

Customer: replied 1 year ago.
Ooh ok. Can that be treated managed?
Customer: replied 1 year ago.
or managed?
Expert:  Dr. Michael Salkin replied 1 year ago.

Yes, with some combination of immunosuppressive therapy with corticosteroids, chemo drugs, antibiotics and supplements.

Customer: replied 1 year ago.
Ok
Expert:  Dr. Michael Salkin replied 1 year ago.

Good night for now.

Customer: replied 1 year ago.
Ok resent photo. Hope you receive tomorrow.
Expert:  Dr. Michael Salkin replied 1 year ago.

*

Expert:  Dr. Michael Salkin replied 1 year ago.
I just received the photo. Thank you! I don't see any skin changes at all. I would investigate his eyes first because infection in them will drain into his nose and infect it as well. Baseline information on his eyes should include fluoroscein staining of his corneas looking for corneal damage, a Schirmer tear test looking for insufficient tear production, and assessment of intraocular eye pressure (IOP) by a tonometer. Neither cancer nor fungal infection is on my differential diagnosis list.
Please continue our conversation if you wish.
Expert:  Dr. Michael Salkin replied 1 year ago.
Hi,
I'm just following up on our conversation about Koa. How is everything going?
Dr. Michael Salkin

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