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Date:   20 September, 2011  

Focus:
 Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits
A mouthful of "tumours" - Pemphigus review - Part 3
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
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Be Kind To Pets
Veterinary Education
Project 2010-0129
Sunday Sep 18, 2011

The Shih Tzu is now so energetic and inquisitive that it was so hard to believe that she was causing so much distress to her caring lady owner for many weeks before treatment. She had literally a mouthful of "tumours" as you can see from the picture as follows:

The long history of this case is at:
1. http://www.sinpets.com/F6/201108031Five-oral-tumours-old-shih-tzu-singapore_ToaPayohVets.htm

2. http://www.sinpets.com/F6/20110902pemphigus-foliaceus-vulgaris-shih-tzu-singapore_ToaPayohVets.htm

"This is an auto-immune disease that will return if not treated with drugs," I explained to the owner that the dog's bodies produce antibodies to attack her skin cells.

"Why?'
"Nobody knows exactly the cause," I replied. "It could be due to old age or something from the environment, her food or her genetics affecting her immune system. The drugs can control this disease for some time and prolong her life."

At this review 2 weeks after surgery, it was sunshine as this old companion looked almost normal. What's more, she could eat and run, like a "reborn" dog. She would have had died if she was not treated as the bacterial infection of the mouth tumours and painful ulcers made her lose appetite and interest in living.

 
pemphigus foliaceus, vulgaris, auto-immune disease, shih tzu, female, 10 years, toapayohvets, singapore    
tpvets_logo.jpg (2726 bytes)4545. Before treatment    
Pemphigus auto-immune disease dog, toapayohvets, singapore Pemphigus auto-immune disease dog, toapayohvets, singapore Pemphigus auto-immune disease dog, toapayohvets, singapore
tpvets_logo.jpg (2726 bytes)4546 - 4548. 14 days after electro-surgery and treatment

"Is there another tumour inside the mouth?" the young lady asked me. The Shih Tzu objected to me opening her mouth. She twisted her head here and there. So, I took a picture when she yawned. "It is hard to say if she has another tumour inside the mouth," I replied. "Wait another two weeks."

I asked her to take the two types of auto-immune drugs and will review 2 weeks later. The dog had put on weight and the hair in the body had grown more. She looked so much prettier now that the hideous lower lip and other mouth tumours had been excised by me using electro-surgery 2 weeks ago.

The drugs must be given at the lowest safest dose and this is why reviews and 3-6 monthly blood tests (to check for kidney and liver damage by the drugs) are necessary. In most cases, I don't see the owners coming for reviews after the first time. This is the culture of city living in Singapore and that is the way it is.

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