592
edits
Changes
Jump to navigation
Jump to search
no edit summary
==Treatment==
==Treatment==
*Identify and treat the underlying cause if it is caused by secondary lymphangiectasia
*Supplementation of fat soluble vitamins
*Supplementation of fat soluble vitamins
*Anecdotal report of glutamine supplementation
*Anecdotal report of glutamine supplementation
*Glucocorticoid e.g. Prednisolone at 1-2 mg/kg PO
*Prednisolone at 0.5-1.0 mg/kg PO BID
**Anti-inflammatory and immunosuppressive effect may be beneficial
**Anti-inflammatory and immunosuppressive effect may be beneficial
**This is particularly true if there is associated lymphangitis, lipogranulomas and a lymphocytic-plasmacytic infiltration of the lamina propria.
**This is particularly true if there is associated lymphangitis, lipogranulomas and a lymphocytic-plasmacytic infiltration of the lamina propria.
*Antimicrobials such as metronidazole or tylosin
**This may be beneficial due to their potential immunomodulatory effect and modulation of enteric flora
*Diuretics, preferably combinations, such as frusemide and spironolactone are used to treat effusions.
*Identify and treat the underlying cause.
*Short term treatment with plasma or colloids can be given for plasma expandsion.
==Prognosis==
==Prognosis==
Guarded. The response to treatment is generally poor although some dogs may do well. Dogs in may be in remission for several years but the disease eventually progress to fulminant hypoproteinaemia.