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My cat has red spots above his lip and on his lip they look…

Customer Question
Hi so my cat...

Hi so my cat has red spots above his lip and on his lip they look like there blood and hes been scratching them.

Veterinarian's Assistant: I'll do all I can to help. What is your cat's name and age?

Echo age maybe 5 or 6 not 100%

Veterinarian's Assistant: What is the cat's name?

Echo age maybe 5 or 6 not 100%

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about your cat?

He has had swollen lips in the past when hes stressed or he just gets them.

Submitted: 3 months ago.Category: Cat Veterinary
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Answered in 9 minutes by:
4/25/2018
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 35,562
Experience: University of California at Davis graduate veterinarian with 45 years of experience.
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You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

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Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

I'm sorry to hear of this with Echo. You appear to be describing eosinophilic dermatitis/granuloma in cats. Can you upload a photo(s) of this area to our conversation? You can upload photos by using the paperclip or add file icon in the toolbar above your message box (if you can see those icons on your particular device) or you can use an external app such as dropbox.com/ Please check that the photo(s) is in focus prior to uploading it.

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Customer reply replied 3 months ago
Would you like me to sent you a picture of him.
Customer reply replied 3 months ago
Can we just type.
Customer reply replied 3 months ago
are you there?
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Yes, I posted this above: " Can you upload a photo(s) of this area to our conversation? You can upload photos by using the paperclip or add file icon in the toolbar above your message box (if you can see those icons on your particular device) or you can use an external app such as dropbox.com/ Please check that the photo(s) is in focus prior to uploading it."

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Customer reply replied 3 months ago
alright here it is
Photo Apr 25, 4 07 40 PM.jpgPhoto A...jpgPhoto Apr 25, 4 08 14 PM.jpgPhoto A...jpgPhoto Apr 25, 4 07 47 PM.jpgPhoto A...jpgPhoto Apr 25, 4 07 42 PM.jpgPhoto A...jpgPhoto Apr 25, 4 07 46 PM.jpgPhoto A...jpg
Customer reply replied 3 months ago
let me know if these are good i can try to take some more if you need them.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Thank you. Give me a moment to take a look, please...

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Customer reply replied 3 months ago
No problem
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Those skin lesions would be an unusual manifestation of eosinophilic dermatitis but his history of swollen lips does support that diagnosis. Here's what you need to know about this skin disorder:

We have many treatments for feline eosinophilic dermatitis/granuloma which describes the infiltration of the white blood cell eosinophil into the tissues and is thought to represent a hypersensitivity reaction. It can take the form of a "rodent ulcer"/ notches in the lips. Here's a primer for you:

1) Any secondary pyoderma (bacterial skin infection) is treated with antibiotics for 2-4 weeks.

2) Any underlying allergies should be identified and managed especially flea allergy dermatitis treatments. A month long nitenpyram (Capstar) trial (every other day) may be the only study to prove a link to flea allergy in some patients.

3) Systemic antihistamines may reduce clinical symptoms in 40-70% of atopic (allergies to environmental allergens such as pollens, molds, dust, and dust mites, etc.) cats. A beneficial effect should occur within 2 weeks of initiation of therapy.

4) Cyclosporin - an immunosuppressant drug - can be administered every 24 hours until beneficial effects are seen (approximately 4-6 weeks) and then the dose is tapered down.

5) Systemic glucocorticoids (steroids) such as prednisolone, dexamethasone, or triamcinolone may produce rapid reduction in lesion severity and pruritis (itchiness). A topical steroid cream might suffice.

6) Alternative medical therapies that may be effective include the antibiotics doxycycline or trimethoprim sulfa, oral essential fatty acid supplements, surgical excision, laser and radiation therapy. The prognosis is variable. Cats with underlying allergies that are managed successfully have an excellent prognosis. Cats with recurring lesions for which no underlying cause can be found usually require long-term therapy to keep lesions in remission. These cats have a poorer prognosis as they may become refractory to or may develop unacceptable adverse effects as the result of medical therapy.

(Plastic bowls - although often incriminated - have not been shown to be a common offending allergen in cats.)

Please respond with further questions or concerns if you wish.

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Customer reply replied 3 months ago
Which medication would you prefer? so do you think it is eosinophilic dermatitis? I had a feeling that might have been it. They do not eat out of plastic or drink out of plastic.
Customer reply replied 3 months ago
is it contagious? We have other cats and dogs.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

I would first analyze a smear of material from these wounds microscopically for abnormal numbers of eosinophils. They're easy to see and if present, confirm eosinophilic dermatitis/granuloma. Once confirmed, I would initiate treatment with a systemic steroid by injection or tablets. Once I had it well controlled I would switch away from a steroid to one of the alternative therapies I posted above. I prefer not to administer a steroid any longer than I need to. I suspect most of the "damage" has been caused by his scratching and the original lesion is well-masked at this time.

No, the only contagious consideration is a dermatophyte (ringworm fungus) and unless he goes outside, a fungus shouldn't be an important consideration.

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Customer reply replied 3 months ago
I dont have a way to analyze anything.
Customer reply replied 3 months ago
Are you there?
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Sorry for the delay. There appears to be a problem with the site. The analysis is done by Echo's vet. Do have access to a vet?

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Customer reply replied 3 months ago
ok and yes we do. How much would the analysis cost you think.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

I regret that I can't know what you would be charged and so always ask for a written estimate prior to anything being done.

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Customer reply replied 3 months ago
alright but your pretty sure its Eosinophilic Dermatitis/Granuloma? Could it be Contact dermatitis?
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Contact dermatitis is very rare in dogs and cats. Considering Echo's history of swollen lips in the past by the principle of Occam's Razor these lesions are caused by the same disease process as caused the swollen lips - the eosinophilic granuloma complex. I still would check for eosinophils microscopically as I'm not clairvoyant!

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Customer reply replied 3 months ago
Alright we will get him to the vet as soon as we can. thank you.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

Sounds good. You're quite welcome. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.

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Customer reply replied 3 months ago
Alright ive done so.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

I appreciate it!

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