Question Details
Hyperchilomicronemia Xanthomas In A Cat
by Ashe - April 5, 2021    View Case Report
Have any of you treated these? Any advice? The xanthoma on the foot pad is bleeding a lot.
Replies
by naturevet
April 6, 2021
Hi there,

A very low fat diet is key to managing the condition. Hopefully that is in place?

Commiphora and Curcuma have both shown efficacy in lowering serum triglycerides (and thus chylomicrons). They are combined in the same formula, Natural Path's Modified Xue Fu Zhu Yu Tang, available from A Time to Heal in the US. The formula is used for peripheral tumors, so it is a good fit.

Lastly, to help heal the current lesion and allow it to epithelialize, you can mix Natural Path's Xian Fang Huo Ming Yin (Angelica and Mastic Combination) in with a basic wound healing salve (like Calendula, Paw Paw ointment, etc). Use about 10g per 3 oz of salve and mix in thoroughly. Apply once daily, liberally, holding the ointment in contact with the wound using a telfa non stick pad and some vetrap or equivalent.

Hopefully after a couple of weeks, you see some healing progressing, shrinkage of the xanthoma, and lowering of the lipidemia. Let us know how it goes!

Steve Marsden
by Ashe
April 25, 2021
Thank you so much!
by Ashe
April 25, 2021
Thank you so much!
by Ashe
April 25, 2021
Thank you so much!
by Ashe
April 26, 2021
What dosage do you like to use on the concentrated granules per 10# body weight of cat? How long should client try to keep the lineament/bandage on the xanthoma? Do you have suggested foods that are low fat (raw) for kitties? What percentage fat should we be looking for? She's using a 25% venison Natural Pet Pantry raw that she literally tweezes all the extra glistening bits from (mainly tendon I suspect, but any "fat" or connective tissue.) Thanks for all your help! If it's helpful, this cat routinely self-medicates with mushrooms he finds on their property, and thus salivates profusely and vomits...etc.
by naturevet
April 27, 2021
Hi there,

I use 60 mg/kg of granules. So, for a ten pound cat, that's around 5 kg, so 300 mg of granules. That is about 1/6 of a tsp. So, around 1/4 to 1/8 tsp is a reasonable dose range

For the bandage, I would keep applying it until the wound has epithelialized, anyway

As raw diets go, the diet she's feeding appears good. Just about 10% fat. Many are double or triple that

Hopefully the herbs help you out!

Steve
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