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Case Reports
. 2006 Jun;47(6):579-82.

Oral ulceration and bleeding associated with pancreatic enzyme supplementation in a German shepherd with pancreatic acinar atrophy

Elisabeth Snead  1
Affiliations
Case Reports

Oral ulceration and bleeding associated with pancreatic enzyme supplementation in a German shepherd with pancreatic acinar atrophy

Elisabeth Snead. Can Vet J. 2006 Jun.

Abstract
in English, French

A 20-month-old German shepherd with primary pancreatic acinar atrophy and exocrine pancreatic insufficiency that was treated with pancreatic enzyme supplementation, vitamin B12, and cimetidine developed oral bleeding. Following discontinuation of the cimetidine, increased preincubation of the enzymes with the food, and symptomatic therapy for the ulceration, the dog's condition improved.

Ulcération buccale et saignement associés à l’apport complémentaire d’enzymes pancréatiques chez un berger allemand atteint d’atrophie des acini pancréatiques. Un Berger allemand âgé de 20 mois atteint d’atrophie primaire des acini pancréatiques et d’insuffisance pancréatique exocrine a développé un saignement buccal après avoir été traité par l’apport complémentaire d’enzymes pancréatiques, de vitamine B-12 et de cimétidine. Suite à l’arrêt de la cimétidine, de l’augmentation de la préincubation des enzymes dans la nourriture et d’une thérapie symptomatique des ulcères, l’état de l’animal s’est amélioré.

(Traduit par Docteur André Blouin)

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Figures

Figure 1
Figure 1
Ulceration (arrow) and hypopigmentation (arrow-head) of the mucosa covering rugae of the hard palate in a 20-month-old German shepherd receiving pancreatic enzyme supplementation for exocrine pancreatic insufficiency secondary to pancreatic acinar atrophy.
Figure 2
Figure 2
Ulceration of the tongue in a 20-month-old German shepherd receiving pancreatic enzyme supplementation for exocrine pancreatic insufficiency secondary to pancreatic acinar atrophy.
See this image and copyright information in PMC

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References

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