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Juvenile Polyarteritis 568.e3

glucocorticoid (± azathioprine), then every PEARLS & CONSIDERATIONS ADDITIONAL SUGGESTED
4-6 weeks as clinical signs resolve and drug Comments READINGS
VetBooks.ir • Monitor for neck pain (sign of possible • Early diagnosis and rapid treatment yields Behr S, et al: Aseptic suppurative meningitis in Diseases and Disorders
tapering begins
juvenile boxer dogs: retrospective study of 12 cases.
recurrence) and gastrointestinal bleeding.
the most favorable outcome.
J Am Anim Hosp Assoc 42(4):277-282, 2006.
• Consider repeat CSF collections to monitor
response to therapy. • Counsel clients thoroughly on glucocorticoid Lowrie M, et al: Steroid responsive meningitis-
side effects.
arteritis: a prospective study of potential disease
• Consider blood C-reactive protein and serum markers, prednisolone treatment, and long-term
amyloid-A monitoring. Values may decrease Technician Tips outcome in 20 dogs (2006-2008). J Vet Intern
as remission occurs. These dogs often have severe neck pain. Use Med 23:862-870, 2009.
gentle restraint and handling, and avoid neck Taylor SM: Nervomuscular disorders. In Cuoto CG,
PROGNOSIS & OUTCOME leads. et al, editors: Small animal internal medicine, ed
5, St. Louis, 2014, Mosby, p 1038.
• The prognosis is good for cases recognized Client Education
and treated early. Relapses can occur, and clients should watch RELATED CLIENT EDUCATION
• The prognosis is guarded for older animals carefully for recurrence of clinical signs. SHEETS
(later diagnosis) when episodic inflamma-
tion may contribute to chronic immune SUGGESTED READING Consent to Perform Arthrocentesis
pathology. Tipold A, et al: An update on steroid responsive Consent to Perform Cerebrospinal Fluid Tap
• Patients may relapse and need to restart an meningitis-arteritis. J Small Anim Pract 51(3):150- Consent to Perform Radiography
acute therapy regimen. 154, 2010. AUTHOR: Jonathan E. Fogle, DVM, PhD, DACVIM
• Some patients need continuous therapy and EDITOR: Leah A. Cohn, DVM, PhD, DACVIM
long-term monitoring to control clinical signs
and to adjust drug dosage and interval.

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