Health Status Update

Bearded Collie SLO

 

 

To update the health status of your dog, who has already been submitted to the study, please complete the form below.

 

If your dog is unaffected with the disease,

please submit a health update annually, even if the dog is still healthy. 

All submissions are confidential.


CGAP Home                         Addison's Disease                          SLO                                        FAQs         


THANK YOU!


DOG INFORMATION

Breed        

Dog's Registered Name:     Call Name:

AKC Registration #:           

Sex  

Date of Birth (i.e., mm/dd/yy)

Sire's Registered Name:  

Dam's Registered Name:

 

Disease Status:     If Other, please specify:

Comments regarding the dog's overall health (include any autoimmune disorders):

If dog is deceased, age at death:                years             months

Cause of death:

 

Addison's Disease Information

If your dog has been diagnosed with Addison's disease, please fill out the following information:

How was Addison's disease diagnosed? (i.e., ACTH test) 

        Age of dog at diagnosis:     years       months

Please indicate the dog's electrolyte levels if known:

If the dog is spayed or neutered, was the diagnosis prior to or after the spay or neuter? 

Symptoms of Addison's disease:

Was the dog on any steroid treatment prior to diagnosis? 

    If Yes, explain:

If you know of relatives with Addison's disease, include the relationship to your dog and names of the relatives if known:

 

SLO Information

If your dog has been diagnosed with SLO, please fill out the following information:

What were the initial signs of a nail problem?  (check all that apply)

Shedding Nails

Brittle claws and soft nails

Malformed nails

Pain

Bleeding nail beds

Loose nails

 

How was SLO diagnosed? (check all that apply)

Blood chemistry

Complete blood count

Antinuclear antibody (ANA)

Biopsy last digit of a toe or dew claw

Biopsy nail (punch)

Biopsy skin

Scrapings for fungal culture

Bacterial culture

None

Other (describe on line below)

 

Diagnoses: (check all that apply)

SLO (symmetrical lupoid onychodystrophy)

SLE (symmetrical lupus erythematosus)

Pemphigus

Bacterial infection

Fungal infection

Other (describe on line below)

Age of dog at onset:     years       months  

Age of dog at diagnosis:     years       months

Were there any environmental or stressful events preceding the onset?  (check all that apply)

Chemical exposure (lawn, tree spraying, house cleaners, indoor or outdoor pest control, etc.)

Heat (weather)

Illness

In season

Pregnancy

Rehoming or moving

Showing or trialing

Other stressors (describe on line below)

If the dog is spayed or neutered, was the diagnosis prior to or after the spay or neuter? 

What were the clinical findings? (check all that apply)  

Abnormal nail growth

Bleeding nail beds

Bleeding nails

Infected nails

Lameness

Nail pain

Nails fall off

Offensive nail odor

Persistent licking at feet/nails

Split nails

 

Has your dog been diagnosed with an autoimmune disease listed below? (check all that apply)  

Addison's Disease

AIHA (autoimmune hemolytic anemia)

Hypothyroidism

ITP (idiopathic thrombocytopenia)

Other (describe):

 

If you know of relatives with SLO, include the relationship to your dog and registered names of the relatives if known:

 

IOWNER INFORMATION

 

First Name     Last Name  

 

Address  

 

City                 State/Province (abbreviate)   

 

Zip/Postal Code            Country (if not USA)

 

Phone (area code + number)  

 

E-Mail

 

Check here if your contact information has changed:  

 

Comments:

Please Note:  This update is for research only - all submissions are confidential.

If you would like to send a copy of your dog's pedigree, please include your name and send it to the following address:

Oberbauer Lab

Canine Genetic Analysis Project (CGAP)

Department of Animal Science

University of California

One Shields Avenue

Davis, CA 95616-8521