Signalment
- Age: 11 years
- Sex: male neutered
- Breed: Staffordshire Bull Terrier
- Species: dog
Disease Notes
- Certainty: confirmed
- Comments: Jackson is an 11 year old, Male, neutered, English Staffy. I am seeing him for supportive care for Cutaneous Eiptheliotrophic Lymphomasarcoma, recently diagnosed by the primary Vet via histopathology. He is currently on 40mg prednisolone sid and 40ml safflower oil, twice a week , as prescribed by the primary Vet. The owner says the prednisolone has helped a lot already. The owner has begun feeding home prepared meals and will start vitamin A supplementation soon. Jackson has been well in himself, eating/drinking, urinating/defaecating normally. He has a history of two previous surgeries, both to remove cutaneous mast cell tumors.
On presentation Jackson had sparse, patchy alopecia over his dorsum and flanks. His skin also felt like there were multiple, small, subcutaneous lumps predominantly over his dorsum. There was erythema extending from his medial thighs, ventral abdomen and thorax to his axillae. There were also occasional small (1cm), dark pink, alopecic plaque-like lesions through his coat. He was hot to touch, all over.
The tongue was pink/purple with a small amount of tacky saliva, but the mouth was not moist. There was a small peeled area close to the central tongue. The pulse was deep, slow, and not toned, though with reasonable amplitude. Back shu points that he responded to were BL16, BL17, BL19, BL26, BL27, and also GB30. (Acupuncture was not performed, due to all the little lumps under his skin).
Started vit A, D, E supplementation (oral) and also omega-3 fatty acid supplementation. Already on a homemade diet (meat and vegetables) - Final Status: Deceased from this disease on day 65
Treatment and Outcome
Treatments
Notes:
I saw Jackson yesterday. He has been on QYT for 3 weeks now. No latent symptoms from this formula. In the meantime, the primary Vet has reduced his prednisolone dose to 10mg eod, which he is still on. This is because Jackson's appetite and panting were excessive. He is also still on safflower supplementation, vit A, D, E supplementation and a home prepared diet.
Jackson has continued to be his normal self. However, the skin lesions have dramatically progressed. There are a multitude of red, papular lesions, predominantly extending from his ventral neck all the way to his pubis. The skin is hot to touch. There is moderately increased alopecia over his flanks and dorsum, and also increased number of subcutaneous lumps over his dorsum. His tongue was dark purple, gums red and the mouth not moist. The left pulse was almost absent, and the right pulse barely stronger. There was no response over his back shu points or alarm points.
Will trial Si Miao San
Notes:
I have a final update on Jackson. Jackson was started on Si Miao San, in addition to the Qing Ying Tang. After a day on the Si Miao San the owner reported that he was sad, inappetant, and had a mild episode of diarrhea and one vomit. As a result, the owner decided to stop all treatment and see how Jackson responded. She said he was a much happier boy for not being medicated and for being allowed to eat all his favourite food. After seeing Jackson this way she decided not to continue any further treatment and allow his disease to take its natural course. I totally respected this decision, and understood her reasons for choosing this. She just wanted Jackson to be happy.
Two days ago, Jackson was peacefully euthanased at home by his regular Vet and with his family beside him.