- Joined
- May 21, 2025
- Messages
- 2
Hi @Dr. Jeff @Dr. Jean Hofve @Dr. Christina,
Thank you all for your guidance! Smudge is a 1.5 year old, neutered male, 8 pounds, indoor only, very active, playful and cuddly guy who has been experiencing symptoms of environmental allergies since he was six months old including - severe hot spots on paws and eosinophilic granulomas around his mouth.
Treatment and diagnostics:
Question: Are there alternative approaches to steroids or immunosuppressing drugs that may be helpful in managing his symptoms and reactions? I plan to continue the immunotherapy, but worry that given the Atopica is not working the next suggestion will be long term steroids. Which I really, really do not want to do. I recognize that the allergies may never be "cured", but am hoping to get then under control to the point where he's not bleeding or limping around on three legs



Thank you all for your guidance! Smudge is a 1.5 year old, neutered male, 8 pounds, indoor only, very active, playful and cuddly guy who has been experiencing symptoms of environmental allergies since he was six months old including - severe hot spots on paws and eosinophilic granulomas around his mouth.
Treatment and diagnostics:
- I started by taking him to his primary care veterinarian (3x). Each time he was prescribed a short course of prednisolone. We also did a food trial with Royal Canin, Select Protein Rabbit food both dry and wet which did not seem to help. He was also treated for fleas, worms etc. He seemed to start a pattern of: steroids clearing up the issue and then two weeks later symptoms would come back
- He is now being seen by a dermatologist. I did environmental allergy testing and the results revealed he is allergic to dust mites, storage mites, indoor molds, some grasses and a host of other things. He started on a daily dose of Atopica in October and allergen specific immunotherapy in January.
- Since then, there have been brief periods of either very minimal or no symptoms. That is until early - Mid April when symptoms have come back.. worse (pictures below). He had a flare up so bad last week that I took him to his primary care vet who gave him a shot of dexamethasone, which helped for a few days but now everything creeping back up.
- He has a follow-up with his dermatologist next week, May 29th
- His current diet:
- Wet:
- Ziwi Peak venison or lmab
- Instinct: limited ingredient Rabbit
- Tiki Cat After Dark : beef and venision
- Dry: Instinct limited ingredient rabbit
- Wet:
Question: Are there alternative approaches to steroids or immunosuppressing drugs that may be helpful in managing his symptoms and reactions? I plan to continue the immunotherapy, but worry that given the Atopica is not working the next suggestion will be long term steroids. Which I really, really do not want to do. I recognize that the allergies may never be "cured", but am hoping to get then under control to the point where he's not bleeding or limping around on three legs



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