咨询描述：昨天发现猫咪脖颈处有一块毛发未见，表皮溃烂状，但未见组织液溢出。身体别处无异常。今日溃烂处周围毛发有粘连，可能有液体渗出，但不知道是不是猫癣。
症状描述：脖颈处皮肤溃烂，约指甲盖大小
患病时长：5/26发现，前2张图片5/26拍摄
回复总结：猫咪颈部有皮肤病考虑是毛囊炎，建议先用生理盐水清洗猫咪患处，再给猫咪口服治疗毛囊炎的抗生素，外抹治疗毛囊炎的药膏，然后每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，还需要给猫咪清淡饮食。用药期间最好给猫咪带上伊丽莎白圈，再把猫咪的指甲修剪平整。其次，需要对猫咪居住的环境进行彻底的大消毒，消毒后需要保持环境干燥，也可以把猫窝拿出去晒晒太阳，有助于杀菌消毒，在照顾完猫咪后也需要洗手、消毒。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.您家猫咪两岁一个月了，体重大概是7千克，猫咪有没有出现频繁抓挠患部的症状，家里几只猫咪，猫咪有没有打架的情况，您给猫咪有没有用过什么药，其他部位有没有类似的症状。
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，最近有没有给猫咪换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致猫咪出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
3.猫咪吃饭，喝水，排便，排尿，玩的状态怎么样
4.猫咪有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样，有没有吃东西，喝水，猫咪有没有接种过疫苗，做过体内体外的驱虫，最近一次体外驱虫是什么时间。
6.猫咪居住的环境有没有突然降温，猫咪趴在垫子上，还是地板上
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。另外，把您家爱宠的信息补充完整，特别是年龄、体重」，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。
刘医生您好，1，猫咪偶尔会抓挠患处，目前未用任何药物，仅喷过一次碘伏，家里只有一直猫咪。
2，养猫2年是我的第一只猫咪，没有吃过特殊的实物，猫咪吐过黄色液体应该是毛球，但也在2周前吐过一次。
3，猫咪吃饭，喝水，排便一切正常
4，没有出现以上症状
5，目前精神状态与往常无异。最近有做过一次体内外驱虫时间大概是一周前。
6，猫咪居住环境无变化，晚上会和人一起睡觉。
刘文飞
执业兽医师
您好，猫咪主人，排除外伤的原因，猫咪的症状像是猫癣或者毛囊炎，更倾向于毛囊炎，收到您发的图片，结合猫咪的具体症状来看，猫咪皮肤的症状是毛囊炎的症状，毛囊炎和猫癣比较相似，毛囊炎的症状起初为小黑点，后转变为脓疱疹，常出现在下巴以及背部、头部，尾部，猫癣的症状为圆形、不规则形或者全身性的脱毛，伴有皮屑，有些还可能有红斑、丘疹和结痂。可全身性发作。猫咪毛囊炎需要给猫咪患部清创，用生理盐水清洗，然后口服治疗毛囊炎的抗生素，外抹治疗毛囊炎的药膏，一般需要给猫咪清淡饮食，然后每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫，清淡饮食可以很好的降低毛病感染毛囊炎的风险。毛囊炎感染周期比较长，一般需要用药一个月左右才会好转，猫咪皮肤的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈，再把猫咪的指甲修剪平整，防止猫咪出现抓挠，舔舐的症状，会有利于猫咪皮肤的早日康复。猫咪住的环境需要保持干燥，然后彻底的大消毒，以后每周消一次毒，猫窝拿出去晒晒太阳，有助于杀菌消毒，也可以让猫咪适当的晒晒太阳，不能晒的时间长，晒的时间长了猫咪患部会出现比较痒的症状，您自己照顾完猫咪也需要洗手、消毒，以上建议您可以参考一下。
谢谢医生。猫咪外用内服的药是什么呢？猫咪周围的毛发是否需要剪掉？生理盐水和人用的浓度一样吗还是否需要稀释
刘文飞
执业兽医师
您好，猫咪主人，您需要把猫咪患部的毛毛用推子清理干净，防止细菌二次感染，生理盐水可以用人用的，人用的和兽用的都是百分之0.9的
根据猫咪的情况，我给它开个处方。处方里面的1.****对猫咪毛囊炎引起的炎症作用效果比较好，按猫咪的体重用药；2.****溶液对猫咪患部消炎抑菌效果比较好
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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