By Coleen Dossey, DVM, CVA
A two-year-old, 4.5 pound, female Maltese dog was presented with a history of elevated liver enzymes since puppyhood. Her previous veterinarian had diagnosed her with suspected hepatic microvascular dysplasia, based upon her liver values. On presentation, she had retained deciduous canine teeth, and was not spayed. Her owner was trying to stabilize her liver enzymes so that she might be safely spayed and have her deciduous teeth removed.