Australian veterinary journal
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A normolipaemic 7-year-old female spayed Domestic Shorthair was initially presented with a history of pruritus for several years and diagnosed with concurrent atopic dermatitis, flea bite hypersensitivity and adverse food reaction. The hypersensitivities were controlled with cyclosporin, allergen-specific immunotherapy, topical flea control and a restricted diet. Five months after initial presentation, the cat developed a non-healing nodular ulcerated cutaneous lesion in the left axilla and also developed immune-mediated haemolytic anaemic (IMHA). The IMHA was stabilised, but the axillary lesion persisted and progressed to a diffuse, firm, yellowed subcutaneous swelling over the ventral body approximately 20 months later. Histopathology was consistent with cutaneous xanthoma. The cat was normolipaemic and being fed a home-prepared diet of lean kangaroo meat and pumpkin to manage pruritus associated with adverse food reactions. No underlying malignancy was detected on routine screening tests. ⋯ A diffuse, planar form of cutaneous xanthoma occurring without associated lipaemia has not been previously reported in cats.
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To better characterise cutaneous adverse food reactions (AFR) in cats, including the diagnostic challenges. ⋯ The prevalence of cutaneous AFR in the general cat population is likely to be greater than 6%. A range of clinical presentations occur and practical challenges to diagnosis include reliance on strict adherence to dietary exclusion/provocation trials and misleading responses related to concurrent dermatoses and owner perceptions.