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{{dog}}
{{dog}}
{{cat}}
{{cat}}
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==Signalment==
==Signalment==
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**[[Canine Breeds - WikiNormals #Working Group|Rottweiler]]
**[[Canine Breeds - WikiNormals #Working Group|Rottweiler]]
**[[Canine Breeds - WikiNormals #Terrier Group|Soft Coated Wheaten Terriers]]
**[[Canine Breeds - WikiNormals #Terrier Group|Soft Coated Wheaten Terriers]]
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==Description==
==Description==
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Lymphangiectasia often accompanies a lipogranulomatous [[Inflammation - Pathology|inflammation]], but it is not clear which is the primary event. [[Oedema - Pathology#Lymphatic oedema|Lymphangitis]] can cause lymphatic obstruction but the leakage of [[Lymph - Anatomy & Physiology|lymph]] can also cause a [[Chronic Inflammation - Pathology#Granulomatous Inflammation|granuloma]] to form.
Lymphangiectasia often accompanies a lipogranulomatous [[Inflammation - Pathology|inflammation]], but it is not clear which is the primary event. [[Oedema - Pathology#Lymphatic oedema|Lymphangitis]] can cause lymphatic obstruction but the leakage of [[Lymph - Anatomy & Physiology|lymph]] can also cause a [[Chronic Inflammation - Pathology#Granulomatous Inflammation|granuloma]] to form.
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==Diagnosis==
==Diagnosis==
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It is essential to distinguish a true lymphangiectasia from a secondary lacteal dilation due to [[Inflammatory Bowel Disease - WikiClinical|Inflammatory Bowel Disease ]] (IBD). In the case of IBD, inflammatory infiltrate will be seen in the lamina propria, but the degree of infiltration may be underestimated if [[Oedema - Pathology|oedema]] is present.
It is essential to distinguish a true lymphangiectasia from a secondary lacteal dilation due to [[Inflammatory Bowel Disease - WikiClinical|Inflammatory Bowel Disease ]] (IBD). In the case of IBD, inflammatory infiltrate will be seen in the lamina propria, but the degree of infiltration may be underestimated if [[Oedema - Pathology|oedema]] is present.
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==Treatment==
==Treatment==
*Identify and treat the underlying cause if it is a secondary lymphangiectasia
*Identify and treat the underlying cause if it is a secondary lymphangiectasia
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===Dietary modification===
*Fat-restricted diet
*Fat-restricted diet
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**The diet needs to be calorific and highly digestible
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*The diet needs to be calorific and highly digestible
*Supplementation of fat soluble vitamins
*Supplementation of fat soluble vitamins
*Anecdotal report of glutamine supplementation
*Anecdotal report of glutamine supplementation
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*[[Steroids|Prednisolone]] at 1-2 mg/kg/day PO
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**[[Anti-Inflammatory Drugs|Anti-inflammatory]] and immunosuppressive effect may be beneficial
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===Immunosuppressive===
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**This is particularly true if there is associated lymphangitis, lipogranulomas or a [[Lymphocytic - Plasmacytic Enteritis - WikiClinical|lymphocytic-plasmacytic]] infiltration of the lamina propria.
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*[[Steroids|Prednisolone]]
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**Azathioprine at 2.2 mg/kg q48 hours or Ciclosporin at 3-5 mg/kg q24 to 12 hours can also be considered
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*[[Anti-Inflammatory Drugs|Anti-inflammatory]] and immunosuppressive effect may be beneficial.
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*Antimicrobials such as metronidazole or tylosin
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*This is particularly true if there is associated lymphangitis, lipogranulomas or a [[Lymphocytic - Plasmacytic Enteritis - WikiClinical|lymphocytic-plasmacytic]] infiltration of the lamina propria.
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**This may be beneficial due to their potential immunomodulatory effect and modulation of the enteric flora
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*Azathioprine at 2.2 mg/kg q48 hours or Ciclosporin at 3-5 mg/kg q24 to 12 hours can also be considered
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===Antimicrobials===
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*[[Nitroimidazoles|Metronidazole]] or [[Macrolides and Lincosamides|tylosin]] can be given
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*This may be beneficial due to their potential immunomodulatory effect and modulation of the enteric flora
*Diuretics such as [[Treatment of Heart Failure - WikiClinical #C. Pharmacological|frusemide]] and [[Treatment of Heart Failure - WikiClinical #C. Pharmacological|spironolactone]] are used to manage effusions.
*Diuretics such as [[Treatment of Heart Failure - WikiClinical #C. Pharmacological|frusemide]] and [[Treatment of Heart Failure - WikiClinical #C. Pharmacological|spironolactone]] are used to manage effusions.
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===Fluid therapy===
*Short term treatment with [[Plasma - WikiBlood|plasma]] or [[Colloids|colloids]] can be given for plasma expansion.
*Short term treatment with [[Plasma - WikiBlood|plasma]] or [[Colloids|colloids]] can be given for plasma expansion.
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==Prognosis==
==Prognosis==