Please put Gretchen on your prayer or good thoughts list.

If this is lupus, the skin biopsies taken at the beginning should have showed it (I think).

If the pred is working and needs to be continued, do it.

I've had animals on pred for years. In a dog of Gretchen's age with appropriate dosing and monitoring there is a fairly low risk of creating a problem compared to what is going on.

I suppose another immunosuppresive drug might be tried, but her condition is so rare (and basically undiagnosed) we'd be guessing what to use.

Are you going to try to go to Gulf coast??

Doug