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  • Thank you Heather. I will try doxycycline on him. I had not used doxy in him yet. I have not done azathioprine either, just pred, cyclosporine, mycophenolate and currently leflunomide. He unfortunately does get more lame when the swelling starts back. ...

  • Also I'd say if he's not clinical from the joint effusion (lameness etc) I might just let him live with a fat joint to spare steroid side effects Sent from my iPhone

  • Jill- I don't have any great words of wisdom other than to say I've had a rough case like this before. We don't really think about refractory IMPA- but it clearly occurs. I'm still half convinced we will discover that immune mediated disease is often ...


  • New All-Diplomate COVID-19 Discussion Group

    Hi everyone, We've created a special ACVIM360 community for our members to use to share ideas, pose questions and support each other as we each struggle with modifying our work environments and professional needs during this time of rapid change and ... More

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