Question Details
Calcinosis Cutis In A Dog
by CorinneC - June 26, 2019    View Case Report
Whisper is a 14yo FS Boston terrier that I started seeing last Fall for cushingnoid signs. We were keeping her in good health with Si Miao San and Xiao Yao San until March. She came in with thick heavy plaques growing on her dorsal skin and they were confirmed to be Calcinosis cutis. Her pulses were more toned, tongue lavender pink, fairly normal looking. I added on Chai Hu JLGMLT and the skin settled and seemed to start to regress. This week the owners came in and could not see me so my boss saw her and felt their were now bacterial pustules involved and the CC was spreading and put her on AventiClav for 2 weeks.

Have you had any of these CC cases progress like this and been able to turn them around? I'd really like to help this little girl as she's been an incredible little fighter and such a sweet personality!

Corinne
Replies
by naturevet
June 30, 2019
Hi Corinne,

The last calcinosis cutis case I resolved was on Qing Ying Tang. It can fit the pustules, chronicity of the problem and possible improvement from a Shao Yang approach.

Maybe give it a try? Also, is the dog on supplemental vitamin D? We had one case recently in our own clinic where that was the apparent cause - a too high dose of vitamin D

Hope that helps

Steve
by CorinneC
July 3, 2019
Could I be drying her out too much with the Si Miao San? Would you recommend continuing it or Xiao Yao San while on Qing Qing Tang? She is definitely a Cushingnoid girl. Came in with elevated liver enzymes, potbelly, and thin side fur. She had done so well for awhile until the CC came up. Wondering if I caused this with my herb choice to begin with. I started her on SMS initially because she was on processed food and appeared to have a lot of Damp Heat. 1.5mth later no big change in signs, so I added Xiao Yao San and that seemed to help. Maybe never needed the SMS and now I've created CC?

As for Vit D, I don't believe she is on any. I did not offer it to her, but that's interesting that high levels of Vit D could cause CC?

Corinne
by naturevet
July 3, 2019
Hi Corinne,

If the pulse becomes deep or thready, then SMS may be too drying. But no problem to use it with the QYT if you feel it is a good overall fit for the dog. The case I referenced above probably spent several months on both formulas, so there is no contraindication to using them both together

Steve
by CorinneC
July 3, 2019
Thank you!!!!
Corinne
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