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Eosinophilic Ulcer (Rodent Ulcer)

This forum is for cat lovers seeking everyday advice and suggestions on health-related issues. Remember, however, that advice on a public forum simply can't be a substitute for proper medical attention. Only your vet can say assuredly what is best for your cat.

  
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Skeeter

It's time to get- up!
 
 
Purred: Sun May 20, '07 9:52am PST 
Another one. This is Skeeter's human. A few months ago, March to be exact I had taken Skeeter to the vet due to his upper lip protruding for no reason whatsoever. So I took him to the vet, who saw him the very next day and diagnosed him with Rodent Ulcer. Which besides the name have absolutely nothing to do with rodents. Turns out when cats would get this in the past, the farmers thought that it was caused by rodents biting them, turns out it wasn't.

Yesterday I noticed his upper lip was beginning to protrude again, and today, the ulcer popped out. Luckily these do not hurt them, they are just an ugly bump (but he's still a cutie). The vet suggested that I increase the protein in his diet to hopefully stop them or at least slow down another occurrence. As you can see this did not work. The treatment for these is a shot of steroids.

Do any of you have any additional advice on controlling these from reappearing?

Thanks,

Jess
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Carson

Shrimp makes- everything- better
 
 
Purred: Sun May 20, '07 10:22am PST 
Awwwwwww, Skeeter.....poor guy! We've never heard of this but just wanted to say that you are such a cutie! We hope you are able to keep the nasty thing from coming back. Be sure your vet gives you specifics on increasing the protein in your diet. Since you are so little, it's a good time to adjust your dietary habits. We older guys get very set in our ways!
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Nutbutt

536816
 
 
Purred: Sun May 20, '07 10:25am PST 
I've copied and pasted from the Merck Veterinary Manual for you. Pretty much, the general consensus is that it's a predisposed genetic condition normally caused by a hypersensitivty reaction. For cats, its normally environmental, insect or dietary.
Does the food you're feeding right now have a few protein sources? You may want to try one that just has a couple ingredients. California Natural for instance has very limited ingredient food.
One of the things recommended by Mercks is a dietary elimination trial. Pretty much you just try one protein and carb combo and see if that's the problem. If it is, then try a different one.

Here's the link for California Natural foods:
http://www.naturapet.com/brands/california-natural.asp
And here's the link to Mercks
http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/724 00.htm&word=Eosinophilic%2cUlcer
The etiology of this group of diseases that affects cats, dogs, and horses has focused on an underlying hypersensitivity reaction. This is particularly true in cats and horses. Insect, environmental, and dietary hypersensitivities have been documented in cats, while insect hypersensitivity has been seen in some equine cases and in a smaller number of canine cases. Genetic predisposition and bacterial infections have also been seen in cats. In all species, idiopathic cases exist. Eosinophilic Ulcer: This well-circumscribed, erythematous, ulcerative lesion, usually not painful or pruritic, is usually found on the upper lip. Although reported to occur, progression to squamous cell carcinoma is extremely rare. Histology shows an ulcerative dermatitis, with a cellular infiltrate of neutrophils, plasma cells, and mononuclear cells predominating. Mild to moderate fibroplasia is common. Tissue or peripheral eosinophilia is uncommon. Treatment:
In cats, hypersensitivity disorders (allergy to fleas, food, or inhalants) should be investigated by allergy testing (intradermal or in vitro) and dietary elimination trials. Hyposensitization, insect control, and dietary management should be instituted when appropriate. Antibiotic therapy (amoxicillin-clavulanate, cefadroxil, or fluoroquinolones) should always be tried empirically, especially in refractory cases. If no underlying cause can be determined and the condition is refractory, corticosteroids, such as methylprednisolone acetate (4 mg/kg, IM, once every 2 wk for 2-3 injections), oral prednisolone (2-4 mg/kg/day), or oral triamcinolone (0.8 mg/kg/day), can be tried. Oral corticosteroids should be tapered to alternate days (or to every third day in the case of triamcinolone), and dosages reduced when used for longterm management. Long-acting injectable methylprednisolone acetate should not be used more often than every 6-12 wk due to the potential for inducing hyperadrenocorticism.
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Skeeter

It's time to get- up!
 
 
Purred: Sun May 20, '07 1:26pm PST 
My mom has talked to the vet about these, and my vet doesn't think it's the food. We read a few things about stress or other factors affecting it.

Another website that can be viewed is:

http://www.cat-world.com.au/EosinophilicGranulomaComplex.htm

This was fairly helpful to her.

Also, we can only eat certain types of food cause Orphie has allergic reactions to most foods. So I guess we are going to have to try something. Hopefully when I go tomorrow the vet can recommend something different for both Orphie and myself so that neither one of us has a reaction.
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Hunter

Lazy, Lazy, Lazy
 
 
Purred: Sun May 20, '07 8:20pm PST 
http://www.marvistavet.com/html/body_eosinophilic_granuloma.html

http://www.thepetcenter.com/gen/eulcer.html

In the few cases of rodent ulcers that I have helped treat, steroids were the only effective treatment. If this becomes an ongoing issue, you may want to contact a dermatologist to help determine the cause and proper treatment.

http://www.acvd.org/
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Skeeter

It's time to get- up!
 
 
Purred: Mon May 21, '07 9:46am PST 
Thanks for the additional information. He is going to the vet tomorrow, so hopefully he'll also be able to help a little too.
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Simon

546631
 
 
Purred: Wed May 23, '07 8:35am PST 
Please help me. I'm so worried about my cat Simon. She is listless and won't eat or drink. She is dehydrating and has been put on a drip. She has not infection as evidenced by a normal white blood count and no tooth infection that we can see as evidenced by no inflamations on the lips or face area. She tilts her head to the side when she rests but has no evidence of ear infection. She does however have an ulcer in her palate. Just one.
The doctors are being very kind to her and all that but I am trying to gather as much independent information as I can about what she might have. We've also ruled out leukemia and Feline AIDS via blood test. Its been since Sunday and she's gotten worse from then. Although she seems to be not getting anymore worse. She used to be 5lbs now she's 4.4 last I checked.
We're putting her under tomorrow so we can do a thoruogh check. (she' very high stung and won't let us do anything) We are going to check he blood again and then look at her back teeth for any decay that may cause pain. Also the tip of her canine is cut but the vet says its not enough to cause her pain - but we'll look at that again too. Please anyone have any ideas or has goen through this?
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Simon

546631
 
 
Purred: Wed May 23, '07 10:23pm PST 
came back from the vet and Simon was just diagnosed with Diabetes. She'll need insulin shots regularly. I am abjectly afradi of failing her. My schedule is so erratic and random. I also have 7 other cats that I free-feed. All this now has to change.

=(
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Skeeter

It's time to get- up!
 
 
Purred: Thu May 24, '07 9:45am PST 
I'm sorry to hear that you have diabetes. Hopefully your vet can help you with planning and scheduling, I'm sure you won't fail.
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Bannon

Bannon - "My Mommy's- Shadow"
 
 
Purred: Mon Jun 4, '07 10:01pm PST 
My darling Bannon has been dealing with this ulcer problem for the last 6 months. He has had numerous Depo shots (short acting, long acting and even a coctail of both) and it is still reocurring. It is on his bottom lip this month. We moved to a new home hoping it would cure it... we switched our cat food to California Natural, hopeing it would cure it... nothing is working. I just am terrified that by him getting all these steroid shots so early in life, that it will do irreputable damage on him. I love my pets as children and want nothing but the best for him... but I need some suggestions on how to get this disease under control. Please, if anyone knows of anything to help him out, we would be so greatful!

Edited by author Mon Jun 4, '07 10:14pm PST

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