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Feline Eosinophilic Granuloma complex newly diagnosed in my 10 mo old kitten...so questions

kakel Jun 18, 2005 12:30 PM

My kitten, Tiny Dancer, has been going thru this illness since before April 1st when we first noticed the swelling under her tongue.

She has been on antibiotics (there does seem to be a bacterial component to her condition) and 3 rounds of steroids and it has continued. Finally a biopsy was done and the diagnosis was made. We realize the steroid we had been using was not right (she was on dex) and now she has been changed to prednisolone. We hope to see some improvement in a few days...this poor cat has been thru hell. Not able to drink or eat because of the extreme swelling under her tongue I have had to feed her blended food from a dosing syringe. She is so sick of me coming at her with meds. and syranges we spend 20 mins just chasing her down to get her meds in her and get her fed.

Anyhow....my questions....the vet has explained to me that she will be on a higher dose of the prednisolone to get the granuloma under control and then a maintenance dose will have to be found.
I was wondering what to expect healthwise with the long term use of the steroid (other then weight gain...I know about that) and also if anyone has any insight into this condition any info would be GREATLY appreciated!

thanks
Deb

Replies (11)

PHMadameAlto Jun 21, 2005 08:32 PM

What a beauty she is - I am sorry she is having so much trouble! Maybe some of these webpages might help - or maybe someone else can find this thread and give you some more insights!

www.vet.uga.edu/vpp/CLERK/Starnes/
www.fabcats.org/eosinophilicgranuloma.html
www.purinaone.com/online_vet_cat_qa_archive_category.asp?header=Health&category=Mouth Problems&VetChooser=2

Good luck!


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Smile, it will make them wonder what you are up to!

kakel Jun 22, 2005 09:52 PM

PH MadameAlto said......
>>>>What a beauty she is - I am sorry she is having so much trouble! Maybe some of these webpages might help - or maybe someone else can find this thread and give you some more insights!

Thank you so much...she is a sweetie...although has grown a bit since that pic. I guess I should put more recent ones on....but they are just tooo cute laying in the bed that way!

The links were very helpful...thank you very much!
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Deb
owned by Booger and Tiny Dancer and the mom of the late, great Kakel

3abycats Jun 22, 2005 10:21 PM

On May 13th my 10 year old red Abyssinian was diagnosed with "Eosinophilic Plaque".I had been petting her and noticed a circular, very symmetrical patch of fur missing on her chest. It looked as if she had been shaved. The skin was just pink, neither raw nor weeping. Her treatment was Amoxicillin and Prednisolone (5mg twice a day). I was able to back off of the Prednisolone after I saw some improvement. That was about 3 or 4 days. My vet said that this is fairly common in older cats and that it is not curable but treatable. I am to look out for more outbreaks and just treat with the Prednisolone. It didn't take long for her to rally and now her fur is growing back. So far so good. I don't know what the difference is between the 'plaque' and the 'granuloma' but I hope that this has helped.

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Renée
owned by Abycats: BunnyNala, Mina, and Gizzy

kakel Jul 06, 2005 12:03 AM

Hi Renee....
She is BEAUTIFUL!!!! I have always wanted an abby.

I would assume the difference between a plaque and a granuloma is most likely size? I would assume the plaque looks like a slightly raised area? Tiny's granuloma at one point was HUGE imagine the area under her tongue looked like there was maybe 2 or 3 walnuts still in the shell under the skin.

It is MUCH better now although not tonally gone. The good news is tonight my Husband seen her FINALLY drink on her own! It's been about a month since she did that. I was VERY happy to hear the news.

Good luck with your baby and as you vet said...keep a close watch...it tends to come slamming back on you rather quickly...if you see it start to increase take action asap.
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Deb
owned by Booger and Tiny Dancer and the mom of the late, great Kakel

AshleyElla Jun 22, 2005 07:36 PM

Hi Deb,

Poor Tiny Dancer! I feel so bad for her.

The links that have been posted are excellent and I hope that they have been helpful.

I did want to add some information on steroids though. Along with weight gain, there is a risk of the cat becoming diabetic. If pills are given instead of injections for maintainance, the chances of a cat becoming diabetic lessen, especially if the pred doesn't have to be given every day. I have an asthmatic cat that has been on steroids roughly every other day for 7 years and she has had no problems. She hasn't even gained much weight. Every so often she also gets a steroid injection.

Cats on steroids tend to eat and drink more, so you can expect that. I read on another board that Tiny Dancer is still a kitten, which I believe is in her favor. She should handle the steroids very well and kittens rarely become diabetic. She may even "grow out" of this problem, or need steroids less and less as she gets older.

You might want to feed her less dry and more canned if she starts putting on too much weight. The carbs in dry food can really put on the pounds and will add to the risk of diabetes as Tiny Dancer gets older.

Take care, and please keep us updated.

Your babies are all beautiful, BTW!

AshleyElla

kakel Jun 22, 2005 09:46 PM

AshleyElla said...
>>>Poor Tiny Dancer! I feel so bad for her.

I KNOW! Me too! This is very hard to sit and watch...especially in a kitten and now she makes me feel soooo criminal every time I have to chase her down to feed her or give her meds. And on top of all of that she wasn't even getting along with her sister (not really sisters....were shelter cage mates and there is a weeks difference in their age)...Booger was acting up....I assume because Tiny smelled sick. That is slowly coming around though....I will be happy when the days comes when I see Tiny chasing Booger down again to beat her up.

And I am VERY glad to be able to tell you Tiny's mouth is looks sooooo much better! The pred is working beautifully. The granuloma is just about down and the surgery site it looking much better. She stops the antibiotic tomorrow and starts weaning the pred tomorrow. She is eating dry food.....but I'm still not sure she is getting enough and she is NOT drinking on her own! I do wish the dissolving stitches would dissolve...then maybe she would drink. She is trusty and willing....just doesn't seem to be able. She is very reluctant to use her tongue...for that reason I had asked the vet to keep her on her pain med.

>>>I did want to add some information on steroids though. Along with weight gain, there is a risk of the cat becoming diabetic. If pills are given instead of injections for maintainance, the chances of a cat becoming diabetic lessen, especially if the pred doesn't have to be given every day. I have an asthmatic cat that has been on steroids roughly every other day for 7 years and she has had no problems. She hasn't even gained much weight. Every so often she also gets a steroid injection.
Cats on steroids tend to eat and drink more, so you can expect that. I read on another board that Tiny Dancer is still a kitten, which I believe is in her favor. She should handle the steroids very well and kittens rarely become diabetic. She may even "grow out" of this problem, or need steroids less and less as she gets older.
You might want to feed her less dry and more canned if she starts putting on too much weight. The carbs in dry food can really put on the pounds and will add to the risk of diabetes as Tiny Dancer gets older.

Thank you for your input! I had hoped someone with a cat on long term steroids would chime in. I am aware of the diabetes issue (I'm a diabetic myself and stay as far away from steroids as I can!). I do hope that if that would happen, it would happen later in life.
It's good to hear your baby did not gain that much...there's hope after all! The first round of pred caused her to gain really fast...now this time doesn't seem as bad...but then again we have no idea how much real weight she lost while having so many eating issues.

I didn't realize canned food was lower in carbs then dry....being a lower kinda carb gal myself I do understand then importance. I did intend to speak to her vet about food on Tuesday when we go. She does love the canned she has been eating ground (Max Cat Gourmet California Chicken Supreme) as does Booger (she begs thru every one of Tiny's meals!) so I had wondered how the vet would feel about them going onto maybe one meal a day of canned and one of dry. I didn't want to change them all the way to canned because of the urinary track issues...although now I have heard from a friend that may not matter?????? (her cat was just put on prescription food and that is after a life on dry)
I am also very interested in the allergy (possible food allergy) issue surrounding FEGC.
So far as her growing out of the problem....yes...I have seen that on alot of sites...I can only hope.

>>>>Take care, and please keep us updated.
>>>>Your babies are all beautiful, BTW!

I will..and thank you very much!!!!!
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Deb
owned by Booger and Tiny Dancer and the mom of the late, great Kakel

AshleyElla Jun 23, 2005 11:06 PM

Hi,

Wonderful news about Tiny's mouth looking better!!!
You made my day

Thanks so much for the update!

AshleyElla

kakel Jul 06, 2005 12:08 AM

She's been making my day too!!!!!! She drank water on her own today!!!! FINALLY!!!! It's been a month!

I think the granuloma is still reducing...just VERYYYYYY slowly. Unfortunately she still has an area that appears she is chewing on. I do wonder if maybe it is scar tissue and stretched skin???? I'm gonna ask the vet about that possibility. Maybe when he does finally get around to doing her next surgery he can do a reduction on the extra skin that is in the way of her teeth.

But the great news is she is acting very much her old self with the exception she is more shy then she had been...but my vet said that may just be her growing up and becoming more aware of danger.

Deb
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Deb
owned by Booger and Tiny Dancer and the mom of the late, great Kakel

kajsia Jun 26, 2005 05:18 PM

Two things- one is Transfer Factor Plus- start with one capsule a day and work up to three to five a day. Non toxic and non addictive. Also colloidal silver- SuperSilverSolutions is one brand name- two teaspoons three times a day for ten days. You can get both at health faood stores and over the Internet. Both are non toxic.

4babies Jul 05, 2005 06:24 PM

My cat Booboo has been struggling with egc ever since I adopted him 5 years ago. He had a problem with long term steroid use. He ended up with very elevated liver enzymes. We did an ultrasound of his liver and it was enlarged. After his depo shot was out of his system his liver enzymes came back to normal. He sees a veterinary dermatologist and gets an allergy vaccine. We still struggle with his problem from time to time.
Sandy

kakel Jul 05, 2005 09:36 PM

Sandy....where is your cat's granuloma?
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Deb
owned by Booger and Tiny Dancer and the mom of the late, great Kakel

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