CATS

Question 1

what are the 4 hypersensitivity reaction patterns in cats?

Answer 1

miliary dermatitis (MD)
self inflicted alopecia/hypotrichosis
head and neck pruritis
eosinophilic granuloma complex

Question 2

what is this and what could it indicate?

Answer 2

miliary dermatitis: small, crusted, erythematous papules, common on the trunk and
neck

ddx: flea allergy dermatitis, feline atopy, food allergy

Question 3

what is this? what are some differentials for this?

Answer 3

head and neck pruritis

ddx: feline atopy, food allergy, flea allergy

Question 4

what is this and what are some differentials?

Answer 4

self induced hyperthrichosis and alopecia

ddx: psychogenic (can be a food reaction/food allergy), bladder disease, endocrinopathy, anything pruritis

Question 5

what is this

Answer 5

self induced hypotrochosis and alopecia

Question 6

what is this and what are some differentials?

Answer 6

eosinophilic granuloma complex/plaques

ddx: infections (bacterial, viral, fungal), neoplasia, idiopathic/familial

Question 7

most cats with feline atopy and food allergies have how many reaction patterns?

Answer 7

at least 2, usually more than 1!

Question 8

what is this?

Answer 8

eosinophilic granuloma complex (indolent ulcers)

Question 9

flea allergies are most likely to cause which of the 4 reaction patterns in cats?

Answer 9

miliary dermatitis

Question 10

a cat comes to you with signs of miliary dermatitis and you suspect flea allergies. treatment?

Answer 10

isoxazolines–>treat ALL pets in the household even if they dont have clinical signs

Question 11

what is this

Answer 11

head and neck pruritis

Question 12

you are presented with a cat named Grezelda who seems to have head and neck pruritis and miliary dermatitis. how should you proceed before diagnosing anything?

Answer 12

• rule out flea allergy and other parasitic disease by treating with isoxazolines
• rule out a food allergy by doing 8 week diet trial
• rule out ringworm by doing a ring worm culture
• treat any secondary infections
• recheck in 6-8 weeks: if no improvement it’s probably atopy. if there is some improvement continue the feed and treatments and recheck in 4-6 weeks. if complelte improvement, do a food re challenge

Question 13

what is a “food rechallenge” for cats with symptoms of atopy?

Answer 13

give everything the cat had before the diet trail and they should flare up within 2 weeks if they have a food allergy

Question 14

WHAT IS THE ONLY REASON TO DO ALLERGY TESTING IN ANIMALS

Answer 14

->to start immunotherapy

Question 15

what treatment options are there for feline atopic skin syndrome?

Answer 15

antihistamines (dont often work), steroids (cats handle them better than dogs), atopica (modified cyclosporin), apoquel (off label use), immunotherapy

Question 16

do antihistamines work well usually for cats with atopy?

Answer 16

no

Question 17

which of the 4 reaction patterns in cats responds well to antibiotics

Answer 17

eosinophilic granuloma complex (specifically the plaquesand indolent ulcers)

it is often associated with bacteria and antibiotics can resolve it in some cases

will also respond to steroids and possibly atopica

Question 18

for cats, we usually give them the dog pills Atopica instead of liquid because

Answer 18

the liquid is NASTY and they hate it

Question 19

why do cats on feline atopica need to be kept indoors and not fed raw meat?

Answer 19

because of toxoplasmosis! cats exposed to
toxoplasmosis for the first time while on CsA are more likely to develop clinical disease.

titers should be performed before starting Cyclosporine in cats in cases where they might get outside or eat raw meat. If titres show the animal has not been exposed or has recently been exposed to toxoplasmosis, starting cyclosporin should be reconsidered.

dont start it if the have FIV or FeLV either

Question 20

true or false cats need a higher steroid dose

Answer 20

true they have hald the GR receptors that dogs do!

Question 21

true or false, using apoquel in cats is off laberl

Answer 21

true

Question 22

indolent ulcers are associated with

Answer 22

licking, the lesions are oriented in the direction that the cat licks

Question 23

if a cat has an acute flare up you should consider

Answer 23

a new food allergy or exacerbation of a known food allergy, or consider a parasitic cause e.i are they on flea prevention year round?