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Limping, detached retina
07-27-2016, 06:58 AM,
Limping, detached retina
Hello all, I have a pit/cur rescue, about eight years old.  Over the past month we have been to several veterinary specialists trying to figure out what's going on with her.  Symptoms include:
1)  red, inflamed eye.  Her retina is detached and the ophthalmologist thinks it is become of the inflamation.  She's on prednisone orally as well as a prednisolone acetate and diclofenac sodium drops program.
2)  limp in front right leg.  Will barely use it.  There's nothing swollen or sensitive to the touch, and it's always and only that leg.  It seems to be worse when she hasn't used it for a while (like when she first wakes up).
3)  They said she had a slight fever.

We've done a screening for tick born illnesses and it came back negative.  She just finished a month of Doxycycline that she was prescribed in case there was a tick born illness.  We did an ultrasound and the internalist said that there is nothing that would indicate cancer at this stage and that she would not recommend another ultrasound with aspirates at this stage.

I guess I'm just hoping someone can suggest anything to look for or if you've seen anything like this.  The vets seem to be guessing at this point and I worry that whatever is going on is progressing and needs to be addressed before something becomes permanent.

07-27-2016, 09:18 AM,
RE: Limping, detached retina
Screening and treating for chronic tick borne disease (e.g. Ehrlichiosis, Lyme) was a very good try. The clean Ultrasound plus a Chem panel eliminates a lot of immediate problems.

Presumably they took X-rays of the affected leg. Potential arthritis due to past joint injury? The oral Prednisone being used to reduce the inflammation in the eye should also help the leg if inflammation is present there. Might want to discuss trying doggy NSAIDs for a couple of weeks to see if the leg improves. Dogs can be very stoic when it comes to pain. Don't forget the Prilosec to guard the stomach lining while on Prednisone or a NSAID.

The current slight temperature could also be due to the eye inflammation. You might want to monitor it. Otherwise give it a little time, as the Vets are suggesting. It can be frustrating trying to treat a geriatric dog.
07-27-2016, 05:29 PM,
RE: Limping, detached retina
Some of the issues may not necessarily be related. Many large dogs at a certain age will start developing arthritis which typically causes limping when the dog gets up. Then, once walking a bit the joint warms up as joint fluid lubricates the area. However, limping and a fever may be suggestive of certain conditions. Tick-borne diseases have been ruled out as it appears, other possibilities include infections of the bone (osteomyelitis). There can be a few conditions that may causes all of these symptoms together, one that comes to mind is a fungal condition known as coccydiomycosis but this is mostly seen in the southwestern United States, and most vets test for this if in the areas where its common. How long has your dog been on the steroids?

With seeing all these specialists your dog should be in the best hands, hopefully they can sort it out soon.
07-27-2016, 11:39 PM,
RE: Limping, detached retina
Thank you both for your thoughts. I submitted a urine sample for the fungal infection test so hopefully we'll get something onthat soon. The limp is so bad and came on so strong over the past month after no signs of anything that I have a hard time imagining it's just arthritis. She won't i.e. that leg almost at all anymore. But we shall see.
07-28-2016, 04:03 PM,
RE: Limping, detached retina
Oh WOW then yes, if it came up that suddenly and your dog can't put weight on it and is barely using it, it seems a bit odd of an onset for arthritis. My dogs have arthritis and they will walk on their leg, but limp at first but then walk well afterward. Barely using it, seems quite severe. Keep us posted on how things go. Best wishes.
08-02-2016, 12:19 AM,
RE: Limping, detached retina
XRay all came back negative, fungal infection screening came back negative. We have to wait a few days after the prednisone was stopped so we have an appointment this Friday with an internest. Otherwise no change. Poor girl. I hate this.
08-02-2016, 01:51 AM,
RE: Limping, detached retina
Oh, wow, I can't imagine how frustrating it must feel not getting a diagnosis. Systemic lupus has been known to cause many different symptoms and is known as the great imitator, but then, the steroids should have helped somewhat. I hope the internist will be able to help. Fingers crossed you will be able to find out what the deal is and it can be treated accordingly.
08-10-2016, 12:38 AM,
RE: Limping, detached retina
Hello friends. Quick update. The internist took samples from her joints and sent them off to get tested. Signs of rheumatoid arthritis. Possibly an auto immune disease. Major prednisone (20 mg twice a day), as well as a small aspirin dose, 20 mg leflunomife, 10 mg Enalapril (she has kidney disease), continue on Second round of doxycycline (though not sure what that's worth). Back to the specialist in two weeks.

The prednisone sure does pep her up a bit. Hopefully we are on to something.
08-10-2016, 02:47 PM,
RE: Limping, detached retina
Oh, good to hear, hopefully you're on the way to resolving this medical mystery. Thanks so much for the update.

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