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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat
Satisfied Customers: 32747
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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We took sox to a local vet his ailment began with

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we took sox to a local vet his ailment began with L************** he has very swollen pads on all 4 legs.when he gave him the first injection(steroid( his pads went flat.the second time it did not seem to there an ointment we can rub on for pain relief ?because he keeps licking his pads.

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.

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