View Question

Metabolic Epidermal Necrosis

by ericahawker - November 15, 2009

Has anyone had a case of metabolic epidermal necrosis (aka hepatocutaneous syndrome)? I just recently diagnosed a 10 yr old MN Yorkie with it and the clients cannot afford the IV amino acid supplementation. It has such a grave prognosis, I want to try anything else as quickly as possible.

He has also has a history of calcium oxalate stones, enamel dysplasia and dry flaky skin. Alk phos was 1100 about 2 mths ago. LDDS test, thyroid and bile acids were all normal in Feb 2009.

From a TCM standpoint I haven't gotten a tongue and pulse yet. However, I know that he has a severe liver blood deficiency. He is also constantly trembling which suggests liver wind with the end result of these two conditions resulting in liver blood stasis in the paws, anus, eyes (currently where all of his lesions are).

When determining a formula I think Xiao Chai Hu Tang might work best, but am wondering if adding in milk thistle might also be beneficial along with an oral antioxidant supplement. I did start him on fish oil, zinc, and an egg per day for amino acids.

Thanks!
Erica

by naturevet

November 16, 2009

Hi Erica,

I like your ideas. There should be some improvement with them. As for any Liver Blood tonics, we have to be careful with them when liver enzymes are so high. I'm thinking Ge Xia Zhu Yu Tang might also be helpful for the next couple of weeks. So might Protect the General, instead.

If you do use a tonic, you might want it to be Xue Fu Zhu Yu Tang. Qing Ying Tang would be another option in that case.

If when you check the pulse, it is superficial and slippery and the tongue red, then Hoxsey is a better call than the above blood formulas.

Hopefully that gets you going. What you're doing right now seems safe to me. Milk thistle and glutathione (or even vitamin C) are both good calls.

Good luck!

Steve

You must be logged in to reply

CuredCases.com