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Peer-reviewed veterinary case report

Dog with fever and belly pain diagnosed with sterile nodular

By Han, Jihee et al.Ā·Published in Frontiers in veterinary scienceĀ·2026Ā·Department of Veterinary Internal Medicine, South KoreaĀ·View original on PubMed →

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Original publication title: Case Report: Pansteatitis with sterile nodular panniculitis (SNP) in a dog.

Species:
dog
Appetite & weightDogs

Plain-English summary

A 3-year-old male Jindo dog was brought to the vet with a fever, lack of energy, not eating, and belly pain for five days. The vet found several lumps under the skin and used imaging tests to discover more nodules in the abdomen. After confirming the diagnosis of sterile nodular panniculitis (SNP) and pansteatitis (inflammation of fat tissue), the dog was treated with glucocorticoids (steroid medications). Four months later, follow-up imaging showed significant improvement, and the dog was feeling better, allowing the vet to stop the medication. There have been no signs of the condition returning since treatment.

People also search for: dog lumps under skin Ā· Jindo dog fever treatment Ā· glucocorticoids for dog inflammation

Abstract

A 3-year-old, castrated male Jindo dog presented with a 5-day history of pyrexia, lethargy, anorexia, and abdominal pain. Physical examination revealed multiple subcutaneous nodules, and abdominal ultrasonography showed numerous intra-abdominal nodules. Computed tomography (CT) identified widespread subcutaneous fatty nodules with fat stranding and multiple poorly defined nodular lesions within the abdominal fat. Histopathological examination confirmed panniculitis and steatitis, with no infectious agents identified. Based on these findings, a final diagnosis of sterile nodular panniculitis (SNP) and pansteatitis was made, and the dog was treated with glucocorticoids. Follow-up CT performed 4 months after the initiation of therapy showed marked improvement in the subcutaneous nodules, with only a few residual intra-abdominal lesions remaining. As the dog remained clinically asymptomatic, glucocorticoid therapy was discontinued. At the time of writing, no clinical recurrence had been observed. This is the first reported case in which sterile nodular panniculitis and pansteatitis were diagnosed and treated using minimally invasive approaches, including whole-body computed tomography and laparoscopic biopsy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/41800301/