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View Full Version : Sore on right hind leg has returned - what to do? Help!


November 26th 05, 05:42 PM
I've been writing for a year now about the sore on my the hind leg of my
mom's cat. We've tried Tresaderm and a two week trial of
corticosteroids.
That cleared it out but when we stopped, it came back. Then we continued
with just the Tresaderm to no avail. The vet gave her Tresaderm and an
anti-depressant and it seemed to be working but then came back.

For the last several months, she's been on a combo of Clavamox, an anti-
histamine and an ointment (which has been changed for the last two weeks
to 2.5% Hydrocortisone cream 2x a day, but nothing seems to work.

The wound is about a half inch in diameter, but the surrounding area is
red (about 1.5 inches in diameter). I've been reading that a change of
diet (she's on Fancy Feast wet and Purina One hard food) and removing all
possible allergens in the home might be helpful. We've been trying to
get rid of the old carpets, but finding someone who just picks them up
(when you're not buying another one hasn't been easy). The rubber
underneath is all hardened and has to be picked up. I told my mom to
cover the carpet with a blanket or bedsheet in the place where the cat
sleeps.

The vet doesn't think it's fleas as she's an indoor cat, and she tested
negative for ringworm. The cat has never had booster shots, however, and
she's now about 8 years old. My mom is very upset as they've grown very
close and she doesn't know what to do other than go to another vet. The
info I've read on the net suggests that other than steroid shots and
environmental changes, there's little else to do.

Does anyone have suggestions? Should I be going to a veterinary skin
specialist?

November 26th 05, 05:44 PM
Just wanted to add that this has been going on for over a year, even with
the treatment.

wrote in :

> I've been writing for a year now about the sore on my the hind leg of
> my mom's cat. We've tried Tresaderm and a two week trial of
> corticosteroids.
> That cleared it out but when we stopped, it came back. Then we
> continued with just the Tresaderm to no avail. The vet gave her
> Tresaderm and an anti-depressant and it seemed to be working but then
> came back.
>
> For the last several months, she's been on a combo of Clavamox, an
> anti- histamine and an ointment (which has been changed for the last
> two weeks to 2.5% Hydrocortisone cream 2x a day, but nothing seems to
> work.
>
> The wound is about a half inch in diameter, but the surrounding area
> is red (about 1.5 inches in diameter). I've been reading that a
> change of diet (she's on Fancy Feast wet and Purina One hard food) and
> removing all possible allergens in the home might be helpful. We've
> been trying to get rid of the old carpets, but finding someone who
> just picks them up (when you're not buying another one hasn't been
> easy). The rubber underneath is all hardened and has to be picked up.
> I told my mom to cover the carpet with a blanket or bedsheet in the
> place where the cat sleeps.
>
> The vet doesn't think it's fleas as she's an indoor cat, and she
> tested negative for ringworm. The cat has never had booster shots,
> however, and she's now about 8 years old. My mom is very upset as
> they've grown very close and she doesn't know what to do other than go
> to another vet. The info I've read on the net suggests that other
> than steroid shots and environmental changes, there's little else to
> do.
>
> Does anyone have suggestions? Should I be going to a veterinary skin
> specialist?
>
>
>

Lumpy
November 26th 05, 08:12 PM
> wrote in message
...
> I've been writing for a year now about the sore on my the hind leg of my
> mom's cat. We've tried Tresaderm and a two week trial of
> corticosteroids.
> That cleared it out but when we stopped, it came back. Then we continued
> with just the Tresaderm to no avail. The vet gave her Tresaderm and an
> anti-depressant and it seemed to be working but then came back.
>
> For the last several months, she's been on a combo of Clavamox, an anti-
> histamine and an ointment (which has been changed for the last two weeks
> to 2.5% Hydrocortisone cream 2x a day, but nothing seems to work.
>
> The wound is about a half inch in diameter, but the surrounding area is
> red (about 1.5 inches in diameter). I've been reading that a change of
> diet (she's on Fancy Feast wet and Purina One hard food) and removing all
> possible allergens in the home might be helpful. We've been trying to
> get rid of the old carpets, but finding someone who just picks them up
> (when you're not buying another one hasn't been easy). The rubber
> underneath is all hardened and has to be picked up. I told my mom to
> cover the carpet with a blanket or bedsheet in the place where the cat
> sleeps.
>
> The vet doesn't think it's fleas as she's an indoor cat, and she tested
> negative for ringworm. The cat has never had booster shots, however, and
> she's now about 8 years old. My mom is very upset as they've grown very
> close and she doesn't know what to do other than go to another vet. The
> info I've read on the net suggests that other than steroid shots and
> environmental changes, there's little else to do.
>
> Does anyone have suggestions? Should I be going to a veterinary skin
> specialist?
>
>

So your cat has been diagnosed with Eosinophilic granuloma Complex?

Mine has it, and takes none of the above. She gets a shot of Depo Medrol
every three months and her lesions are completely controlled, as is her
asthma. I also control the common allergens and feed her FF varieties
that have no wheat gluten and meat (as opposed to byproducts)
as the first ingredient.

What I don't understand is that you seem surprised that the lesion
comes back. That is what always happens. It goes into remission,
then pops out and you control it with the steroids. I think you need
a new vet, or to ask your current one to use Depo Medrol shots
and forget the cream and anti-depressants.

cybercat
November 26th 05, 08:14 PM
> wrote in message
...
> Just wanted to add that this has been going on for over a year, even with
> the treatment.
>


Depo Medrol. No dry food. Vacuum a lot and keep mold out of the
bath and kitchen.

cybercat
November 26th 05, 08:17 PM
"Lumpy" > wrote in message
...
>
> > wrote in message
> ...
> > I've been writing for a year now about the sore on my the hind leg of my
> > mom's cat. We've tried Tresaderm and a two week trial of
> > corticosteroids.
> > That cleared it out but when we stopped, it came back. Then we
continued
> > with just the Tresaderm to no avail. The vet gave her Tresaderm and an
> > anti-depressant and it seemed to be working but then came back.
> >
> > For the last several months, she's been on a combo of Clavamox, an anti-
> > histamine and an ointment (which has been changed for the last two weeks
> > to 2.5% Hydrocortisone cream 2x a day, but nothing seems to work.
> >
> > The wound is about a half inch in diameter, but the surrounding area is
> > red (about 1.5 inches in diameter). I've been reading that a change of
> > diet (she's on Fancy Feast wet and Purina One hard food) and removing
all
> > possible allergens in the home might be helpful. We've been trying to
> > get rid of the old carpets, but finding someone who just picks them up
> > (when you're not buying another one hasn't been easy). The rubber
> > underneath is all hardened and has to be picked up. I told my mom to
> > cover the carpet with a blanket or bedsheet in the place where the cat
> > sleeps.
> >
> > The vet doesn't think it's fleas as she's an indoor cat, and she tested
> > negative for ringworm. The cat has never had booster shots, however,
and
> > she's now about 8 years old. My mom is very upset as they've grown very
> > close and she doesn't know what to do other than go to another vet. The
> > info I've read on the net suggests that other than steroid shots and
> > environmental changes, there's little else to do.
> >
> > Does anyone have suggestions? Should I be going to a veterinary skin
> > specialist?
> >
> >
>
> So your cat has been diagnosed with Eosinophilic granuloma Complex?
>
> Mine has it, and takes none of the above. She gets a shot of Depo Medrol
> every three months and her lesions are completely controlled, as is her
> asthma. I also control the common allergens and feed her FF varieties
> that have no wheat gluten and meat (as opposed to byproducts)
> as the first ingredient.
>
> What I don't understand is that you seem surprised that the lesion
> comes back. That is what always happens. It goes into remission,
> then pops out and you control it with the steroids. I think you need
> a new vet, or to ask your current one to use Depo Medrol shots
> and forget the cream and anti-depressants.
>
>

Oops, sorry, I see I already answered this one as my alter ego Lumpy.
Must be overdosing on tryptophan.

November 26th 05, 10:29 PM
"Lumpy" > wrote in :

>
> > wrote in message
> ...
>> I've been writing for a year now about the sore on my the hind leg of
>> my mom's cat. We've tried Tresaderm and a two week trial of
>> corticosteroids.
>> That cleared it out but when we stopped, it came back. Then we
>> continued with just the Tresaderm to no avail. The vet gave her
>> Tresaderm and an anti-depressant and it seemed to be working but then
>> came back.
>>
>> For the last several months, she's been on a combo of Clavamox, an
>> anti- histamine and an ointment (which has been changed for the last
>> two weeks to 2.5% Hydrocortisone cream 2x a day, but nothing seems to
>> work.
>>
>> The wound is about a half inch in diameter, but the surrounding area
>> is red (about 1.5 inches in diameter). I've been reading that a
>> change of diet (she's on Fancy Feast wet and Purina One hard food)
>> and removing all possible allergens in the home might be helpful.
>> We've been trying to get rid of the old carpets, but finding someone
>> who just picks them up (when you're not buying another one hasn't
>> been easy). The rubber underneath is all hardened and has to be
>> picked up. I told my mom to cover the carpet with a blanket or
>> bedsheet in the place where the cat sleeps.
>>
>> The vet doesn't think it's fleas as she's an indoor cat, and she
>> tested negative for ringworm. The cat has never had booster shots,
>> however, and she's now about 8 years old. My mom is very upset as
>> they've grown very close and she doesn't know what to do other than
>> go to another vet. The info I've read on the net suggests that
>> other than steroid shots and environmental changes, there's little
>> else to do.
>>
>> Does anyone have suggestions? Should I be going to a veterinary skin
>> specialist?
>>
>>
>
> So your cat has been diagnosed with Eosinophilic granuloma Complex?

No. He's not sure if that's what it is. He thinks it's more likely an
allergy to food or the carpet, or an obsessive compulsive disorder caused
by boredom. I suggested a possibility of granuloma.

>
> Mine has it, and takes none of the above. She gets a shot of Depo
> Medrol every three months and her lesions are completely controlled,
> as is her asthma. I also control the common allergens and feed her FF
> varieties that have no wheat gluten and meat (as opposed to
> byproducts) as the first ingredient.

Isn't there a danger of regular steroidal injections and the problems of
it being metabolized through the kidneys and liver? The vet wanted to
stay away from injections after the first one last year (and the
corticosteroid pills). He suggested it on the last visit and my mom was
afraid to continue. It that's the only solution, and the solution is
better than continuing with the sore, then we may have to consider it.

>
> What I don't understand is that you seem surprised that the lesion
> comes back. That is what always happens. It goes into remission,
> then pops out and you control it with the steroids. I think you need
> a new vet, or to ask your current one to use Depo Medrol shots
> and forget the cream and anti-depressants.


I spoke to him about it today and he wants to see her again. He may do a
blood work up. He's the kind of vet who's very kind, easy to talk to,
and will call you back without question. He also seems very knowledgable
about most problems. The one think he doesn't have is the modern day
high tech office with the blood test computer, and all the other
accoutrements that the younger (under 45 yo vets) seem to have.

Lumpy
November 26th 05, 10:45 PM
> wrote

>
> Isn't there a danger of regular steroidal injections and the problems of
> it being metabolized through the kidneys and liver?

The key is, what do you mean by regular? Yes, there are side effects
and they are dangerous. My vet said that we could give Gracie Depo
shots as often as every two months without worrying about too high
a risk of diabetes etc. The relief the Depo gives her is complete, and
she began with three shots a year (one every four months) went to
two every year (one every six months) and then this year had to have
three, one in March, one in July, and one in September.


The vet wanted to
> stay away from injections after the first one last year (and the
> corticosteroid pills). He suggested it on the last visit and my mom was
> afraid to continue. It that's the only solution, and the solution is
> better than continuing with the sore, then we may have to consider it.
>


> >
> > What I don't understand is that you seem surprised that the lesion
> > comes back. That is what always happens. It goes into remission,
> > then pops out and you control it with the steroids. I think you need
> > a new vet, or to ask your current one to use Depo Medrol shots
> > and forget the cream and anti-depressants.
>
>
> I spoke to him about it today and he wants to see her again. He may do a
> blood work up. He's the kind of vet who's very kind, easy to talk to,
> and will call you back without question. He also seems very knowledgable
> about most problems. The one think he doesn't have is the modern day
> high tech office with the blood test computer, and all the other
> accoutrements that the younger (under 45 yo vets) seem to have.
>

Kind vets are not always the best, especially when they are older and
may be out of the loop with regard to current practices. Pin him
down about Depo and how often he thinks your cat might have it
without a great risk of side effects. You have tried oral and topical
steroids, and they have not worked. Systemic is the only other
thing I know besides working harder to clean up the allergens.

Good luck, and please do let us know. It is hard to watch the
little ones suffer.

November 26th 05, 11:58 PM
"Lumpy" > wrote in :

>>
>> I spoke to him about it today and he wants to see her again. He may
>> do a blood work up. He's the kind of vet who's very kind, easy to
>> talk to, and will call you back without question. He also seems very
>> knowledgable about most problems. The one think he doesn't have is
>> the modern day high tech office with the blood test computer, and all
>> the other accoutrements that the younger (under 45 yo vets) seem to
>> have.
>>
>
> Kind vets are not always the best, especially when they are older and
> may be out of the loop with regard to current practices. Pin him
> down about Depo and how often he thinks your cat might have it
> without a great risk of side effects. You have tried oral and topical
> steroids, and they have not worked. Systemic is the only other
> thing I know besides working harder to clean up the allergens.
>
> Good luck, and please do let us know. It is hard to watch the
> little ones suffer.

Will do and thanks for your advice. I have a friend who has an 17 yo
male cat and recommended he see him 2 years ago, as the poor thing looked
emaciated. The vet did a blood panel and diagnosed a hyper-thyroid
condition. He adjusted the meds accordingly after two more blood workups
and now sees the cat annually to make sure the blood levels are ok. The
cat started eating better immediately after starting meds and looks
markedly improved.

I know what you mean about watching animals suffer. My mom gets very
depressed and it's hard for an elderly lady to give meds to an animal.
It's even harder on the son who doesn't live with her, gets anxious
calls, and also worries about the animal and cares greatly about both.

J. Martin
November 27th 05, 05:44 PM
> wrote in message
...
> I've been writing for a year now about the sore on my the hind leg of my
> mom's cat.

Your vet can gain a lot of information needed to treat this problem with a
biopsy. Depending on the location and the cooperativeness of your cat,
biopsies can sometimes be taken just using local anesthetic.

November 30th 05, 01:46 AM
"cybercat" > wrote in :

> Depo Medrol. No dry food


Our vet gave the cat a shot of Depo Medrol yesterday along with
Tresaderm to be administered 2x a day and Prednisolone once at night (half
of a small tablet).

However, the cat has hardly been eating since the shot. She had a little
bit last night and next to nothing today. She's alert, but I don't want to
start with the other meds until she eats and shows she has her appetite
back.

Should I allowed him to have given her the Depo Medrol without a blood
workup or skin scraping? She had the ringworm test last year and that was
negative. He gave her Depo last year at this time and it seemed to help,
but the sore never entirely went away. I'm just worried about all these
meds (she was previously on an antihistamine and Clavamox with 2.5%
Hydrocortisone cream.

cybercat
November 30th 05, 01:57 AM
> wrote in message
...
> "cybercat" > wrote in :
>
> > Depo Medrol. No dry food
>
>
> Our vet gave the cat a shot of Depo Medrol yesterday along with
> Tresaderm to be administered 2x a day and Prednisolone once at night (half
> of a small tablet).
>
> However, the cat has hardly been eating since the shot. She had a little
> bit last night and next to nothing today. She's alert, but I don't want
to
> start with the other meds until she eats and shows she has her appetite
> back.

I think this is wise, if only because the Depo Medrol shots make my
cat feel bad for a couple of days. Can you tempt kitty with something
she cannot resist?
>
> Should I allowed him to have given her the Depo Medrol without a blood
> workup or skin scraping? She had the ringworm test last year and that was
> negative.

Didn't you say she is all indoor? Is seems that if he checked her for
parasites
etc. last year, it might not be necessary to test her now. Is the sore on
the
very back of her leg, like along the tendon running up the middle of the
back
leg?

>He gave her Depo last year at this time and it seemed to help,
> but the sore never entirely went away.

Has she actually had an open sore for a year?? That really is terrible.
I am at a loss here because my cats lesions always go away within
a couple of days of the Depo shot. The only time she had the open
sore is when she had the ulcer on her lip.

>I'm just worried about all these
> meds (she was previously on an antihistamine and Clavamox with 2.5%
> Hydrocortisone cream.

I know you're worried, I would be too. I wish someone who has a cat
that gets a similar sore would comment.

I think if I were in your place I might try another vet.

November 30th 05, 05:21 AM
"cybercat" > wrote in :

>
> > wrote in message
> ...
>> "cybercat" > wrote in
>> :
>>
>> > Depo Medrol. No dry food
>>
>>
>> Our vet gave the cat a shot of Depo Medrol yesterday along with
>> Tresaderm to be administered 2x a day and Prednisolone once at night
>> (half of a small tablet).
>>
>> However, the cat has hardly been eating since the shot. She had a
>> little bit last night and next to nothing today. She's alert, but I
>> don't want
> to
>> start with the other meds until she eats and shows she has her
>> appetite back.
>
> I think this is wise, if only because the Depo Medrol shots make my
> cat feel bad for a couple of days. Can you tempt kitty with something
> she cannot resist?

Last year, I chopped half of her prednisilone pill into a fine powder and
rolled a tiny amount of Boars Head roast beef or low sodium turkey breast
around it, and she gobbled it up most of the time. That's the only time
I will ever deviate from her normal diet of Fancy Feast wet canned food
and Purina Pro Plan Chicken and Rice dry food.

However, the vet suggested we go to lamb and rice and I'm thinking of
eliminating the dry food entirely.



>>
>> Should I allowed him to have given her the Depo Medrol without a
>> blood workup or skin scraping? She had the ringworm test last year
>> and that was negative.
>
> Didn't you say she is all indoor? Is seems that if he checked her for
> parasites
> etc. last year, it might not be necessary to test her now. Is the sore
> on the
> very back of her leg, like along the tendon running up the middle of
> the back
> leg?


The only time she is outdoors is when we take her to the vet. She's
always indoors. If you hold the cat up from behind, the sore is on her
front right side of her right hind leg. It's not on the inside or in the
middle.

>
>>He gave her Depo last year at this time and it seemed to help,
>> but the sore never entirely went away.
>
> Has she actually had an open sore for a year?? That really is
> terrible. I am at a loss here because my cats lesions always go away
> within a couple of days of the Depo shot. The only time she had the
> open sore is when she had the ulcer on her lip.

I should clarify that a bit. After the shot of depo last year and and a
two week treatment of Tresaderm with the Prednisolone, the sore was
almost completely healed. In fact, you could barely see any redness as
it was all covered with her gorgeous hair again. For the last nine
months or so, it's come back in varying degrees.

>
>>I'm just worried about all these
>> meds (she was previously on an antihistamine and Clavamox with 2.5%
>> Hydrocortisone cream.
>
> I know you're worried, I would be too. I wish someone who has a cat
> that gets a similar sore would comment.
>
> I think if I were in your place I might try another vet.

I'm thinking of it, too, especially after his last diagnosis yesterday
regarding a possible internal mass on her abdomen, slightly lower thanth
the external fatty tissue lump she's had for years (thought to be caused
by an hernia). As I said in a previous post in this group, vets come
with with different opinions and some can lead you into very unnecessary
procedures which can do more harm.

November 30th 05, 05:23 AM
"cybercat" > wrote in :

> I think if I were in your place I might try another vet.
>

The one constant I see in this group and an many other local boards around
the net is the problem people have finding good vets (other than in the
most costly of areas where the vets build elaborate animal hospitals.)

cybercat
November 30th 05, 08:23 PM
> wrote

>
> Last year, I chopped half of her prednisilone pill into a fine powder and
> rolled a tiny amount of Boars Head roast beef or low sodium turkey breast
> around it, and she gobbled it up most of the time. That's the only time
> I will ever deviate from her normal diet of Fancy Feast wet canned food
> and Purina Pro Plan Chicken and Rice dry food.

This sounds good (FF is what I feed, but just the varieties that do not
have wheat gluten AND have meat as a first or second ingredient)
except for one thing: food allergies might be exacerbating or even
causing the lesion. So if this is what you have been feeding her all along,
it might be good to try other foods.

>
> However, the vet suggested we go to lamb and rice and I'm thinking of
> eliminating the dry food entirely.
>

From what I have seen in my cats, I think this is a great idea.
Once you stumble upon a food that seems to agree with her (in
my case it was when Gracie had no lesions or bumps or wheezing
three months after a Depo shot!) then stick with it. With these cats,
even if the food they do not react to is not the very best, so be it!
(That is what my vet said, anyway. The food she was getting when
she began to get better was FF Chopped Grill Feast, which has
byproducts as a first ingredient--not the best variety, but she
chowed it down and had no reactions, and even got up to
a whopping 8 pounds at one time!!)

> The only time she is outdoors is when we take her to the vet. She's
> always indoors. If you hold the cat up from behind, the sore is on her
> front right side of her right hind leg. It's not on the inside or in the
> middle.

Femcat, this is very different from my cat's lesions. I reallyhope
someone else can weigh in.
>
>
> I should clarify that a bit. After the shot of depo last year and and a
> two week treatment of Tresaderm with the Prednisolone, the sore was
> almost completely healed. In fact, you could barely see any redness as
> it was all covered with her gorgeous hair again. For the last nine
> months or so, it's come back in varying degrees.

I see. I guess the next question is, what, if anything, changed in the last
nine months, diet/stress/airborn allergen wise?

>
> I'm thinking of it, too, especially after his last diagnosis yesterday
> regarding a possible internal mass on her abdomen, slightly lower thanth
> the external fatty tissue lump she's had for years (thought to be caused
> by an hernia). As I said in a previous post in this group, vets come
> with with different opinions and some can lead you into very unnecessary
> procedures which can do more harm.
>

Yep. When it come to these creatures who depend upon us, a second
opinion is never a bad idea.

Best of luck to you.