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 ...
Either the content you're seeking doesn't exist or it requires proper authentication before viewing.