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Lameness Multiple joint pain Joint swelling Fever Malaise Anorexia Lethargy Difficult walking/standing Stiffness Vomiting Diarrhea Lymph nodes enlarged Types Type I – Non identifiable disease Most common of all IMPA Accounts for more than 50% of all cases of IMPA in dogs Diagnosis of exclusion Type II – Infectious or inflammatory disease related Superficial pyoderma Urinary tract infection Pneumonia Endocarditis Mastitis Dirofilariasis Fungal infection Pleuritis Severe periodontal disease Diskospondylitis Chronic salmonellosis Bacterial prostatitis Bacterial tonsillitis Pharyngitis Dermatitis Pancreatitis Type III – Seen with chronic stomach disease Inflammatory bowel disease Intestinal malabsorption Bacterial overgrowth Ulcerative colitis Chronic and bacterial diarrhea Eosinophilic gastric Lymphocytic-plasmacytic hepatitis Type IV – Associated with abnormal cells Squamous cell carcinoma Mammary adenocarcinoma Leiomyoma Heart base tumor Seminoma Other types Breed associated Drug associated Vaccine associated Type I Typically, no known cause Common in all ages and breeds Type II Reactive to an infection Bacterial infection Fungal infection Viral infection Type III Stomach/intestinal related Liver related Rare in dogs Type IV Overgrowth of cells outside of your dog’s joints Rarest form of IMPA Other Causes Breed associated (Akita, Chinese Shar-Pei, Boxer, Weimaraner, Bernese Mountain,German Shorthaired Pointer, Spaniel and Beagle breeds) Drug associated (given within 30 days of onset of symptoms, but typically occurs within 5-20 days after drug administered - sulfonamides, lincomycin, erythromycin, cephalosporins, phenobarbital, penicillins) Vaccine associated (administered within 30 days of onset of symptoms, somewhat weak link between the 2) Worried about the cost of treating your pet's symptoms

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