I would try the steroids-- I would do dexamethasone and depomedrol, or dexamethasone and prednisone, along with Immuno-regulin (see article on this group's website) and an antibiotic (preferably doxicycline in case this is hemobartonella). You might want to also rule out lymphoma.
 
Sorry if this repeats any other advice. I have not been online much or reading many posts.
Michelle

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