回复总结：狗狗大面积掉毛可能是寄生虫引起，比如疥螨、蠕行螨。其次，考虑是否存在细菌和寄生虫的感染，确诊需要带狗狗去宠物医院做皮肤镜检。最后，还需要考虑可能是内分泌性脱毛。狗狗出现大面积掉毛主要的病因甲状腺机能减退和糖皮质激素过多引起，建议最好先带狗狗去宠物医院进行相关的疾病筛查，确诊病因后再对症治疗。如果以上三点都排查不是，还需要考虑是否是生长激素自身合成障碍、性腺激素失调、肾上腺激素分泌失调引起的脱毛。
问题大致一样，细节不同？
何丽娜
执业兽医师
根据您初步的描述，我还不能够了解宝贝脱毛的情况，脱毛分为生理性脱毛和病理性脱毛两种情况。因此为了更好的了解宝贝的情况需要您提供以下内容，越详细越好，您认真阅读，尽量每一条都认真回复。感谢您的配合。1.脱毛的范围在哪里？面积有多大？如果有图片可以提供一下图片；2.什么时候开始的脱毛，这样的情况大概持续了多久；3.平时给狗狗吃的狗粮，还是人吃的食物，有没有吃零食，就是饮食这一款认真回忆一下，都给狗狗吃什么；4.他的皮肤有没有出现红肿，瘙痒，啃咬这些情况；5.还有狗狗的生活环境是怎么样的，平时是笼养还是在屋子里面自由活动；6.食欲，精神状态，排便排尿情况。以上6点都需要详细了解，以方便给出您合适的建议。
最开始是夏天的时候掉毛，以为是季节的原因，吃的***的狗粮，平时会喂点零食但很少。驱虫都有定期做，很少看见他去挠。其他地方没有。都是散养的，食欲这些没发现有什么变化
为保护用户隐私不显示图片/视频
何丽娜
执业兽医师
首先我看到，宝贝现在存在双后肢对称性的一个脱毛。这种脱毛主要考虑一下几种原因：1.寄生虫引起的脱毛，比如疥螨，蠕行螨，这个主要看您用的驱虫药是哪一种，因为现在驱虫药种类比较多，范围也不一样，方便的话，可以发图片帮您看一下。2.考虑是否存在细菌和寄生虫的感染，这个需要您去医院做一个皮肤镜检就可以确定。3.考虑是小型犬，尤其是博美的一个内分泌性脱毛。主要的病因甲状腺机能减退和糖皮质激素过多引起的。这个您可以去当地医院问一下可不可以做这方面的检查去确诊。但是做这个之前，需要做血常规，生化，尿液的检查。
如果以上三点都排查不是的，接下来就要考虑是否是生长激素自身合成障碍，性腺激素失调，肾上腺激素分泌失调引起的脱毛，后面这三种病因，目前只能怀疑，要想确诊存在一定的难度。
何丽娜
执业兽医师
这里如果宝贝之前有过就诊记录，可以把宝贝的就诊病历，发给我看一下，帮您分析一下。
医生您看下呢，图片是做的检查，还有医院给出的治疗方案，我想知道这种情况我该怎么治疗呢，他这个皮肤的毛发还会长出来吗。日常护理我需要注意一些什么呢。看他这样我有点上火😭，医生说要调理半年，但是每个月要支出****多我有点虚
为保护用户隐私不显示图片/视频
何丽娜
执业兽医师
您发给我的报告我已经看到，还有其他报告吗？有的话，尽量一次发完全。目前我看到检查他甲状腺功能正常。皮质醇的检查报告，希望您拍完整一个页面发给我看看。根据现在的情况可能会怀疑我说的后面三种情况，有一些狗狗有尝试吃***进行治疗，这个主要考虑肾上腺依赖性激素分泌异常引起的脱毛。生长激素和性腺激素目前国内没有相关的药品给狗狗吃。而且这些激素吃久了，会有一定的副作用，所以很多家长选择如果宝贝健康的话，也就没有再吃药了。但是目前根据我个人的临床结果来看，后期想要恢复到和原来一样的毛发很少，有一些可能看看会长一点点绒毛出来。平时护理主要注意一下方面1.皮肤保持干净，不要太干燥，千万不要剃毛，因为像他这样的，有可能剃毛以后不会再长毛了。沐浴液尽量选择有保湿功能的使用。2.可以使用营养皮肤的药物，主要作用就是修护皮肤，但是如果真的是内分泌引起的脱毛，这种治疗方法也只是需求一个心里安慰。3.皮肤处方粮对于他，意义不太大，因为皮肤处方粮主要是针对过敏体质引起的皮肤使用的。4.对于目前其他没有引起的地方，进行养护，可以吃一些鱼油和卵磷脂。5.狗狗需要增加一定的室外运动，平时有太阳的时候稍微晒晒太阳，但要注意防晒，不要把皮肤晒伤。
好的谢谢医生，医生检查都在这了。您能帮我开一下药吗。我借鉴一下。
何丽娜
执业兽医师
可以的。家里宝贝目前治疗的核心就是要把皮肤保护好，希望毛囊不要损伤，随着年龄增长，有可能出现散在长毛的情况。我开的药主要是针对养护毛发和皮肤的。
***目前没有宠物吃的。这个只是尝试性用药，因为他这个病因目前的医疗条件不好确诊。***3-6mg/kg，一天一次，连用6周。
医生本人和平台是不支持给宠物使用人用药的，由于您家宝贝的情况特殊，给出此次用药建议，该用药的治疗效果及意外风险无法承担，还请您考虑后采纳。
何丽娜
执业兽医师
这些多都是保护营养皮肤的药物，没有什么副作用，有条件的话，可以长期使用。
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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