You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.
Paul, are you referring to feline plasma cell pododermatitis? I don't know of a swollen pad disease starting with L in cats. Feline plasma cell pododermatitis usually responds welle to systemi glucocorticoids (as you saw). We don't prescribe ointments because they don't penetrate well into the heavy keratin (a structural skin protein) layer of the paw pads. If one steroid has lost its effectiveness another can be tried - dexamethasome or triamcinolone, e.g. Alternatively, cyclosporin (Atopica) can be administered daily until beneficial effects are seen (approximately 4-6 weeks) and then tapered down. Additionally, the antibiotic doxycycline twice daily may be effective. Improvement should be seen within 1-2 months.
Please respond with further questions or concerns if you wish.
Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.