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My whippet has been diagnosed for the 2nd time with auto-immune…

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My whippet has been diagnosed...
My whippet has been diagnosed for the 2nd time with auto-immune thrombocytopaenia, while she is still on steriods from the first time. Her platelet count is zero but has gone done hill quite quickly in 3-4 hours. What is her chances of recovery? we have been told 50% if she doesn't have an internal bleed?
Submitted: 8 years ago.Category: Dog
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Answered in 7 minutes by:
6/26/2010
Dog Specialist: Dr. Gary, Dog Veterinarian replied 8 years ago
Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 20,006
Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
Verified
Hello,

As long as there is no bleed into the lungs (coughing up blood) or brain (neurologic signs, seizures) then we have a good prognosis with ITP (immune mediated thrombocytopenia). What I would do is add another immuno-suppressant like Azathioprine (Imuran) or Cyclosporine (Atopica). I put all my ITP dogs on Pred + Imuran from day one and usually they are on the meds for a good 1-2 months then I wean down slowly over another 2-4 months. Total treatment time is typically 4-6 months to prevent relapses.

Another medication that helps in this instance is Vincristine. This is a chemotherapy drug that we give a one time injection to in ITP dogs to push all the platelets from the bone marrow into the blood stream and help prevent any fatal bleeds. I use it in almost all my ITP dogs and it really does seem to help increase survival time and cut down on hospital stay.

I hope this helps, let me know if you have any other questions.
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