回复总结：猫咪身上有些地方脱毛考虑是真菌感染，主要考虑猫癣或者毛囊炎的常见情况。建议最好先带猫咪去宠物医院做皮肤病检查，如刮片、压片染色镜检、伍德氏灯检查等，确诊病因后对症治疗。如果不方便就诊，可以先给猫咪进行体处驱虫，同时局部使用抗真菌喷剂，最好将局部病变部位的毛发剃掉。还可以给猫咪全身使用抗真菌药浴香波，口服卵磷脂、不饱和脂肪酸类修复皮肤屏障。若治疗2～3周未见有好转迹象，建议及时送医检查。
问题大致一样，细节不同？
魏新立
执业兽医师
根据您以上描述，还不能做出进一步的判断。我还有几个问题需要向你核实一下。
1.宝贝现在多大了？有没有平时做好体内外驱虫工作呢？
2.平时多久给宝贝洗一次澡呢？
3.有没有宝贝皮肤问题的照片呢？我可以看一下吗？
4.在这之前，有没有给宝贝使用过什么药物？或者去医院做过相关的检查呢？
5.宝贝有没有频繁去舔脱毛的部位呢？
以上这些情况建议您仔细回忆后并尽量详细的描述给我，对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助，感谢您的配合。另外麻烦您提供一下宝贝目前的年龄、体重信息，待会儿咱们沟通后如果涉及用药建议，方便为宝贝开具处方。
我的猫咪之前丢了但是昨天又找回来 有三小处猫掉了 鼻子上有黑色结块 下巴下面有黑色的小东西 下巴的东西整出来有点像泥土
为保护用户隐私不显示图片/视频
猫是同事送的 也不知道打过疫苗没有 正准备过几天带他去打 他没有频繁舔毛 澡昨天找回来了之后洗的 睡眠也还行 食欲也还可以 没有不吃食的现象 请问他鼻子和下巴上的东西是什么 下巴上的揪出来像泥土一样
魏新立
执业兽医师
病情分析：从图片上看比较怀疑是真菌感染，当然也有可能是细菌或者是寄生虫感染的情况，就是主要考虑猫癣或者毛囊炎的常见情况。
如果有条件的话，我们可以做的检查项目:皮肤病检查，如刮片、压片染色镜检、伍德氏灯检查等，确诊是什么原因引起的皮肤病，然后对症治疗，皮肤病检查的费用在**元左右。
治疗建议（若不能带到医院检查确诊）：
1.可以先进行体处驱虫，如***、***、***；
2.局部使用***喷剂，最好将局部病变部位的毛发剃掉，一天喷三次；
3.全身使用抗真菌药浴香波，一周洗2～3次。
4.口服卵磷脂、不饱和脂肪酸类修复皮肤屏障，如蛋黄等。
5.最重要的是给宝贝戴上伊丽莎白圈，避免牠去舔用药的部位，否则，只能会加重感染的情况。
若治疗2～3周未见有好转迹象，建议到宠物医院进行检查。
魏新立
执业兽医师
应该就是毛囊发炎引起的分泌物增多的情况，临床上是很常见的。
为保护用户隐私不显示图片/视频
魏新立
执业兽医师
如果是真菌的感染，就是我们常说的猫癣，就会比较顽固，好的会很慢，但如果是细菌性的毛囊炎，可以把局部的毛发剃干净后用碘伏棉球、每天消毒擦拭，把分泌物擦拭干净，就能很好的康复。
如果是猫癣，就需要用上面给您推荐的抗真菌的***喷剂，同时配合口服修复皮肤屏障的不饱和脂肪酸和卵磷脂。
要戴好脖圈，用药期间，牠会有不舒服的情况，就可能会去舔。
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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