咨询描述：猫咪二岁，最近发现耳后脖子和上腹部两块脱毛，好像很痒的样子。擦了碘伏和皮肤癣药（人用）
回复总结：猫咪出现局部脱毛同时还有明显瘙痒，可能是由于寄生虫叮咬、细菌性皮炎或者猫癣等原因引起。建议最好带猫咪去宠物医院进行皮肤刮片镜检，确诊病因后再对症治疗。如果暂时不方便就诊，可以使用伍德氏灯对猫咪患处进行照射，如果没有荧光反应则猫癣的概率较低。可以给猫咪对症使用抗菌消炎的外用药，同时进行体外驱虫，还可以给猫咪使用局部营养舒缓的保护剂。此外，可以给猫咪口服具有营养皮肤以及提高皮肤免疫力的药物帮助恢复。
问题大致一样，细节不同？
邓薄鸿
执业兽医师
您好，根据您讲到的宝贝的情况，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.猫咪耳道里面有没有发红或者比较多的分泌物。2.体内驱虫什么时候做的，做的什么品牌的。3.家里有伍德氏灯进行过照射吗。4.自己也是频繁抓挠吗，你用药之后有没有感觉有所变化。以上这些情况您仔细回忆后详细的描述给我，对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。
疫苗是去前年打的，后面没有打。用药没有见好。耳朵里感觉正常。没有照射。驱虫有一年了，不记得品牌。
邓薄鸿
执业兽医师
你好，看到你描述的情况，因为这种的话目前从照片看的话就是局部脱毛，同时还有明显瘙痒。像是目前这种可能考虑寄生虫叮咬.细菌性皮炎.猫癣之类都有可能的。这种的话如果说能够带到医院做一个皮肤检查是最好的，如果说实在不方便带到医院的话，就是考虑在家购买一个伍德氏灯，如果说没有荧光反应，相对来说猫癣概率就比较低了。就是考虑对症使用一些抗菌消炎的外用药，进行体外驱虫，在就是可以使用一些局部营养舒缓的保护剂的。
治疗情况大概要多久，因为疫情我们被封闭了。好难外出。如果是猫癣治疗麻烦吗？我不能给它上药，猫毛过敏。另外猫咪第二次打疫苗的时候出现过严重过敏反应。
邓薄鸿
执业兽医师
这种的话就是你照片里这种严重程度，如果说恢复快的话可能也需要15到30天，要是恢复慢的可能需要一到两个月的。就是不管是哪一种治疗都是比较麻烦的，主要就是猫癣可能会传染给人。就是这种的话基本不太像应激疫苗刺激的。这种的话肯定需要上药啊，因为这种皮肤问题咪你要不能上药，它基本很难自己恢复的。
邓薄鸿
执业兽医师
就是这种的话主要就是购买药物费用，一般这种小面积用药的话，药物费用可能大概在***到***左右吧，一般可以使用15到20天。主要是看你们那边医院的住院费，因为不同医院的住院费用是不一样的，可能每天住院费用从**到***甚至***是不等的。
平时要给他补充一些什么营养吗？平时就是猫粮，零食，还有那个化毛膏
邓薄鸿
执业兽医师
这种的话一般针对皮肤方面是可以补充一些****还有鱼油之类的，有营养皮肤提高皮肤免疫力这种辅助帮助皮肤病恢复的作用。根据宝贝的情况，我给它开个处方。处方里面的1.****，每天2次，每次2毫升。2.鱼油，每天2次，每次2毫升。您可以根据需求自行选择购买
两岁这样体重正常吗？平时就给它带这样的项圈防止抓咬患处可以吗？
为保护用户隐私不显示图片/视频
邓薄鸿
执业兽医师
如果说是母猫的话这个体重一般来说还比较正常，就只要不是你摸他后背那种完全的皮包骨就没有问题，肯定是需要这种佩戴伊丽莎白圈的而且如果说抓比较厉害是只需要24小时佩戴的，就是一定不能让他抓，这种如果说抓了之后到手二次损伤之后就更难治疗了
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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