Quality ofLife
Acute neutrophilic CCH may be a single curable event or it may recur (especially if antibiotic therapy is shortened), but the progno sis is generally good with timely diagnosis and appropriate treatment.
Vigilant monitoring by the owner is important for early detection of anorexia, lethargy, vomiting, or abdominal discomfort, which could indicate recurrence of the condition. Lymphocytic CCH is a chronic condition but carries a fair to good prognosis with lifelong therapy. Owners should realize that compliance with medication administration might be a lifelong commitment.Quality-of-life and end-of-life decisions will be influenced by the owner's ability to administer long-term treatment and the ease of handling the patient. The presence of concurrent diseases may also affect quality-of-life and treatment decisions; for example, corticosteroid treatment will negatively influence proper glucose control in patients with diabetes mellitus. Concurrent pancreatitis and/or IBD may also affect the long-term prognosis negatively.
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