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Dr.Fiona
Dr.Fiona, Cat Veterinarian
Category: Cat Veterinary
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Experience:  Small animal medicine and surgery - 16 years experience in BC, California and Ontario
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Hello! Our cat is pulling out its fur, licking, scratching

Resolved Question:

Hello! Our cat is pulling out its fur, licking, scratching -- almost compulsory like -- but not all the time. Where she scratches, small scabs have formed. This is the second time in about 8 weeks. The first bout lasted about a week or so; this one is going on about the same, too. What do you suggest? Thanks.
Submitted: 5 years ago.
Category: Cat Veterinary
Expert:  Dr.Fiona replied 5 years ago.
Hi there,

Welcome to Just Answer! I would like to try to help you and your cat with this question, but need a bit more information in order to better assist you.

How old is your cat?

Where on her body is she pulling out her hair? On her belly? Her back?

Is she indoors only, or does she go outside?

Do you have some kind of flea control system in place?

Fiona
Customer: replied 5 years ago.
Hello -- No fleas are evident, and have not been for many years: house or cat, Totally an indoor cat, except for going out on a balcony where there are some plants, deck chairs, etc. Most of the fur pulling is around her rear end and hind legs. Seems to be geting worse. She is about 12 years old.
Expert:  Dr.Fiona replied 5 years ago.

Hi againCustomer



What you are describing sounds like Miliary Dermatitis.



This is an allergic skin condition in which the hair loss is typically in the tail head area, and the back legs. The skin is very itchy and the cat chews, licks, and scratches. Kitty may also "ripple" the skin often. The skin has many small scabs and bumps - supposedly they look like millet seed which is where the name comes from.


Here are some links to further information about this condition:

www.sniksnak.com/cathealth/mil-derm.html

http://en.wikipedia.org/wiki/Miliary_dermatitis


Miliary Dermatitis is caused by an underlying allergic condition.




The most common allergy is a flea bite hypersensitivity (flea allergy dermatitis, FAD). All it takes is ONE flea bite to cause this problem. It's kind of the same as how some people are allergic to bee stings. For most of us, a bee sting hurts a bit but isn't really a big deal. For others, however, a single bee sting can make their whole arm swell up or even cause an anaphylactic reaction that can be life -threatening.


In the same way, animals who have FAD get insanely itchy over a single flea bite.



In your situation, there may have been flea eggs brought into your home on shoes or clothes. Flea eggs are very resistant to cleaning products and can survive on the carpet for months! So, even though you may not see any fleas on your cat if a single flea hops on, takes a bite and then hops off, this cat could be insanely itchy for weeks!

So, she may have had one flea bite 8 weeks ago, and now just had a second flea bite that triggered this again. All it would take would be ONE flea to bite her to make her this itchy if she is allergic to them. This is very common in cats.


Here is more about flea control:


http://www.peteducation.com/article.cfm?cls=1&cat=1333&articleid=590


For more information about flea allergy dermatitis, you can check out these links:

http://en.wikipedia.org/wiki/Flea_allergy_dermatitis

http://www.pets.ca/encyclopedia/flea_allergy_dog.htm

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2607

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2604


Since this may be what has triggered your itchy cat's Miliary Dermatitis, it would be prudent to treat her with Advantage or Frontline. In Canada, you can only get these products through a veterinarian, but in the USA you can get them at large pet supply stores (Pet'SMart, etc), or even on-line.


Here is a link that may help you to find some:

http://www.myhealthycat.com/advantage-flea-control.html


Miliary dermatitis is generally treated with corticosteroids, or in a mild case with antihistamines and essential fatty acids.



You could start this cat on essential fatty acids as they are helpful at decreasing inflammation and improving skin health.


Here's a link to one example:

http://www.petplace.com/drug-library/derm-caps/page1.aspx


Antihistamines are much less helpful in cats than they are in humans and will significantly help only 25 to 30 percent of cases. Nevertheless, they are often prescribed since they are relatively safe drugs when compared to corticosteroids.



Some cats respond better to one antihistamine than another, so veterinarians usually try two or three different types before giving up on them.


I usually start with chlorpheniramine in cats.

Here is more about it:

http://www.petplace.com/drug-library/chlorpheniramine-maleate-chlor-trimeton/page1.aspx


So, in summary, what you are describing sounds like Miliary Dermatitis. This is an allergic skin condition. Often it is due to an underlying sensitivity to a flea bite. However, there may be another cause of the allergic dermatitis.


Your veterinarian would need to examine this cat in order to be able to prescribe corticosteroids but if you wanted to try something else before seeing the vet, you could treat her with Advantage or Frontline and start her on Derm Caps, and could even consider antihistamines (dose in link above).


If this has been helpful, please "Accept" my answer and leave feedback.


If you need more information, just click on reply and I will still be here to provide it!


The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would strongly advise contacting your regular veterinarian.


Fiona



Dr.Fiona, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 6273
Experience: Small animal medicine and surgery - 16 years experience in BC, California and Ontario
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Small animal medicine and surgery - 16 years experience in BC, California and Ontario