Dog ate chocolate?

ask a vet

Sterile nodular panniculitis?

Species: Dog
Breed: Siberian Husky
Age: 11-15 years
Hi,

My dog has a patch of nodules on his neck. I took him to our normal vet five times (~$1000, multiple series of antibiotics and one series of prednisone) and to a specialist vet for dermatology today. The specialist said it will cost $1600 more to run a set of labs to determine what it is. I don't have the money and I'm afraid of doing nothing. Would you please be willing to read a short description and comment?

Three months ago Kobi got a scratch on his back from an old nail. He chewed it and it got infected. The vet had him wear a cone. The infection healed but the cone scratched the skin on his neck. He scratched at this and it got infected. It healed, but then a couple days later a large soft bump developed under the skin. It burst a few days later (mix of blood and yellow liquid). Then on the same spot he developed a set of about 15 small nodules on the skin. These are now bursting once per day or so.

My on-line research found something called "Sterile nodular panniculitis"
http://www.ehow.com/info_7948265_nodules-dogs-skin.html

This sounds like what he has. Two questions please: (1) is there some less expensive way to have this diagnosed?; and (2) if this is what he has what can I do without having to spend a lot more money?

Thanks,
Dan.

ps. I see the note on this form about email photos. I'll try to do that.


Online vet, Dr. Marie

Dr. Marie replied:

Thank you for sending the photos of these red lumps on your dog's neck:

sterile nodular panniculitis?

red lumps on dog

These are definitely not a "normal" case. I can understand why multiple tests are being recommended. I likely would have put this dog on antibiotics first in case this was a bad case of furunculosis which is a bad skin infection. But, it sounds like this was done and didn't help.

This is a really tough situation, especially if funds are limited. If there is sterile nodular panniculitis (and I think there is a good chance that this is), then the treatment is strong doses of immunosuppressive medications. And, in some cases these medications need to be given long term. These medications tend to be expensive.

The problem is, though, that if it is not sterile nodular panniculitis, and it is something infectious then immunosuppressive drugs will make it worse. It is possible that this is a serious fungal infection such as actinomyces, nocardia, or a mycobacterium. I definitely wouldn't want to give immunosuppressives to a dog with fungal disease.

In order to know how to treat this, it will be important to have tests done. Because this is not a common condition, the tests are unfortunately expensive.

I wish I had better options for you. It sounds like all of the inexpensive treatments that possibly could work have already been tried.

Dr. Marie.





Check out our dog age calculator and cat age calculator.

Want to receive pet coupons, vet advice and info on new pet products in your inbox?

* indicates required

We'll only send you great stuff, never spam. Unsubscribe any time.

Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. AskAVetQuestion.com and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

Customer reply:

Dr. Marie,

Thank you for your fast response. I appreciate your thoughtful and professional comments.

Best regards,
Dan.


Search for similar questions:

ask a vet

Popular questions...

Older cat missing litter box. My 18 year old male cat is getting into the liter box and urinating on the floor... (11613 views)

Pancreatic enzymes. How do we handle a situation when we unexpectely temporaryly are without the... (5931 views)

Advil for arthritis? Can you give advil or store brand anti-inflammatories for arthritis or do you have... (13261 views)

High stepping and chattering. My dog has suddenly started walking funny. He lifts his paws up higher than normal... (6122 views)

Swollen dog testicles. can dogs get testuculer or prostate cancers? my dog has swollen testicles, and is... (29473 views)

Cat howling at night. Our 25 yo orange tiger stripe male developed kidney failure and we had to make the... (5623 views)

One small testicle. I have a 25 week old male pup who had 2 normal testicles at 8 weeks old. At about 10... (15233 views)

Pea sized lump. Hi Dr. This morning I noticed a pea-sized lump on one of Max's ribs on the left... (43049 views)

Keep dachshund from jumping? Hello, About 2 months ago I woke to find that my dachshund could not move her hind... (8055 views)

Large black mole on dog. Hi Dr. Marie, I’m kind of worried because my dog, a Labrador retriever he has... (25450 views)

See all questions...

Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.