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Feline Eosinophilic Granuloma Complex (EGC)
Feline eosinophilic granuloma complex (EGC) is a group of skin diseases that are
commonly seen in cats. The appearance of these conditions can be variable, but
most often appear as raised, thickened, possibly hairless or ulcerated pink
areas. When the disease affects the lip, most often the hair is not lost but the
lip becomes very thickened and distended. Lesions are also possible within the
mouth, and can be a cause of inappetence in cats.
The causes of the condition are various, and include allergies (to environmental
conditions, food, or insects), other infections, and genetic susceptibility. In
some cats, stress appears to play a role also. In many cases, the cause of the
condition remains a mystery, although an allergy is often suspected. For some
reason, female cats appear to be more commonly affected than male cats. It is
not known why some cats appear to be susceptible to multiple outbreaks, yet
others are never afflicted.
When tissue biopsies of the lesions are obtained, a type of white blood cell,
known as an eosinophil, predominates within the lesions. This type of cell may
cause the tissue to become very itchy, so affected cats may be seen to scratch
or lick excessively at the affected site.
An attempt to determine an underlying cause, particularly an allergy, should be
made. Removing a known "trigger" substance or food may then aid in management.
Unfortunately, a cause often cannot be identified. Drug therapy, in the form of
steroids and/or antibiotics are usually extremely effective in treating most
cats, and can sometimes be used to prevent recurrence in some cats. However,
side effects from any drug may be seen. It is important to discuss all treatment
options with your veterinarian.
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