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My daughter has a 7!yea old husky male with en dish argue

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Eyes and nose. He has...
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: 2 years ago.Category: Dog
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Customer reply replied 2 years 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 reply replied 2 years ago
green discharge from nose and now his eyes
Answered in 4 hours by:
8/7/2015
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 31,812
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified

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.

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Customer reply replied 2 years ago
I have a picture she texted me, but I'm not sure how to send. I can forward via email?
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years 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.

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Customer reply replied 2 years 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.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago
No, no. They don't have canine distemper...just look like it with some forms of zinc deficiency.
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Customer reply replied 2 years ago
Ok. I just emailed the photo. They might take him for UA and blood work on Monday.
Customer reply replied 2 years 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.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago

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

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Customer reply replied 2 years ago
Thank You.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago
It's my pleasure. No need to reply at this time.
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Customer reply replied 2 years ago
What would auto immune look like? What does that mean?
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years 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.

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Customer reply replied 2 years ago
Ooh ok. Can that be treated managed?
Customer reply replied 2 years ago
or managed?
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago

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

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Customer reply replied 2 years ago
Ok
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago

Good night for now.

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Customer reply replied 2 years ago
Ok resent photo. Hope you receive tomorrow.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago

*

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Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years 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.
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Dog Specialist: Dr. Michael Salkin, Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about Koa. How is everything going?
Dr. Michael Salkin
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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 31,812
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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