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5 year old MN Husky very lethargic, not wanting to walk, all four feet swollen with hyperkeratotic pads (biopsy pending), anorexic and just developed hemorrhagic diarrhea. Blood work overall unremarkable. Ultrasound revealed plump MILN’s, thickened colon wall, mildly thickend gall bladder wall and also appreciating a mild medullary rim sign. Pending foot pad bx results, considering FNA of MILN’s. Thoughts?
Comments
Interesting case Kelly. Any
Interesting case Kelly. Any other skin signs, or mucocutaneous lesions?
While waiting on a specialist opinion… with a Husky, I think of Zinc deficiency/responsive dermatosis. But I’m not sure if that covers the GI signs as well.
Karen
Thank you, Karen. The dog was
Thank you, Karen. The dog was started on zinc pending the biopsies. i dont think there are other skin lesions. Hopefully the skin biopsies will be helpful – just worrisome about the lymphadenopathy
Iliac LN has a reactive
Iliac LN has a reactive pattern likely owing to limb inflammation. Any liver issues that would make you think hepatocutaneous syndrome?
Thank you for the input! Will
Thank you for the input! Will you see hepatocutaneous syndrome with a normal appearing liver?
Thank you for the input! Will
Thank you for the input! Will you see hepatocutaneous syndrome with a normal appearing liver?
Would considered
Would considered hepto-cutaneous syndrome as zinc responsive dermatitis is typically characterized by erythema, alopecia, scales, and crusts that primarily affecst the head without any systemic involvement. Skin biopsy should point yu in the right direction.
Thank you for the input! Will
Thank you for the input! Will you see hepatocutaneous syndrome with a normal appearing liver on ultrasound?
Would expect to see
Would expect to see ultrasonographic changes. Please post the biopsy results.
Came back as pemphigus.
Came back as pemphigus. Thank you for all of your help.
Thanks for the update! Good
Thanks for the update! Good to know.