Feline eosinophilic ulcer

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Cricri17 Icon representing the flag French
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Hi, my 14-year-old cat has had what's thought to be an eosinophilic ulcer on his nose for a few years now, and it just keeps on growing. A scab forms, then it falls off, then another one appears, and so on... I’ve already seen the vet who gave him monthly steroid injections, but they told me that there wasn't much else that could be done, unfortunately. I’ve stopped the injections but it's still ongoing. What can I do, please? I’m desperate. Thank you. <\/p>

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    Chatzen Icon representing the flag French
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    Hi there,

    I can completely understand why you’re so worried. When a lesion keeps growing despite steroid injections, I think it’s really important to get a second opinion, ideally from a veterinary dermatologist if you have the option.

    Eosinophilic granulomas or ulcers are often linked to allergies, but sometimes the exact cause is never clearly identified. Some owners eventually find it’s a food allergy, while others find it’s a reaction to fleas or something in the environment.

    Since your cat is now 14 and the lesion has been an issue for several years, it might be worth talking to your vet about further tests (such as a biopsy or other analyses) to confirm that it is definitely still an eosinophilic ulcer and not another type of skin condition.

    In the meantime, try to keep a note of whether the scabs flare up at certain times of year, or after any changes to his diet or surroundings. These details can sometimes help pinpoint a trigger.

    I really hope you can find a solution to bring your cat some relief. All the best to both of you.

    Chatzen 🐾

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    ProvetoJuniorConseil
    Provetojuniorconseil Icon representing the flag French
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    Hello, Eosinophilic Granuloma Complex (EGC) is a group of symptoms – a syndrome, in other words – that can be caused by various skin conditions in cats. It is often triggered by allergies; flea bites are a well-known allergen in cats, but food or environmental factors are also possible causes. The ulcer is formed by a build-up of immune cells in the skin, creating these lesions. Immunosuppressants are the recommended treatment in this situation as they help to reduce the number of immune cells gathering under the skin. Depending on the dose and frequency, steroids (cortisone) can have this effect. I would therefore suggest, with your vet’s approval, resuming those monthly injections and perhaps discussing the injection schedule with them. Do also ensure that your cat is fully up to date with their flea treatment. If your vet diagnoses a secondary bacterial infection in the ulcer, then antibiotics will be necessary. I wish you the best of luck. Best wishes, Quitterie.
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