回复总结：狗狗背上起皮屑可能是真菌感染或干性皮脂溢出引起的。局部真菌感染病原常为犬小孢子菌、须毛癣菌等，通常会引起皮肤掉毛、皮屑，皮肤表面一般无明显发红，狗狗也不会明显瘙痒，确诊需要进行皮肤刮片，显微镜下观察是否有真菌元素。干性皮脂溢是由于皮肤表面过干，皮脂腺分泌异常导致的皮屑较多，这种情况狗狗除了有明显的皮屑，无瘙痒和皮肤发红的情况。
问题大致一样，细节不同？
王明月
执业兽医师
根据您讲到的酱酱皮肤有皮屑的症状，我初步分析可能有皮肤病原菌感染或损伤。但仅仅根据目前您给出的信息还不能做出进一步的判断。我还有几个问题药跟您核实一下：1、酱酱皮肤皮屑情况出现多久了2、除了有皮屑，是否有掉毛、瘙痒、红肿的情况？3、身上除了这块，还有其他地方有这种情况吗？4、您方便发几张高清的病灶的图片上来吗？5、您是否自行给它用过药物？用的什么药物？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【年龄、体重】提供一下，待会咱们沟通后如果涉及用药建议，方便给宝贝开具处方。
皮肤正常，局部皮屑，正常免疫驱虫，半月洗一次澡。怎么传图片？
王明月
执业兽医师
您好，根据您所提供的图片来看，您的宝贝皮肤上的皮屑，可能是真菌感染或干性皮脂溢出引起的。局部真菌感染，病原常为犬小孢子菌、须毛癣菌等，通常会引起皮肤掉毛、皮屑，皮肤表面一般无明显发红，动物也不会明显瘙痒，确诊需要进行皮肤刮片，显微镜下观察是否有真菌元素。另一种可能是干性皮脂溢，是由于皮肤表面过干，皮脂腺分泌异常，导致的皮屑较多，这种情况动物除了有明显的皮屑，无瘙痒和皮肤发红的情况。鉴于以上两种情况，我这边给您开具一个处方，您可以参考下用药。
王明月
执业兽医师
您好，因为您已经有治疗真菌的药物了，治疗真菌的药物我就不给您开了，您给它用那个药就可以。这边给酱酱开的***，有修护皮肤屏障，保持皮肤湿润，调节皮脂腺的分泌功能的作用。用法为：前两周，每周2次，滴在皮肤上，像滴体外驱虫药的方式一样，皮肤上最好多点滴药；之后每周一次用药。用药前后2天，不建议洗澡。
王明月
执业兽医师
同时，建议您不要给酱酱剃毛，它现在皮肤皮屑的情况，目前不用剃毛。本身毛发对皮肤就是有一个保护的作用，使得皮肤不暴露在外。给它剃毛，不利于它的这个情况的改善，您直接给它用药就好。如果像皮肤有黄色结痂、脓疱或者有破溃流脓这种情况，才需要进行剃毛。同时，可以进行药浴，药浴应选用有治疗干性皮脂溢、保湿用能的香波。
王明月
执业兽医师
一周两次药浴，宠物冲洗湿润后，用上香波至起泡，保持10分钟左右，再冲洗掉。
一周洗2次不会太频繁吗？另外，***和***有何区别？
王明月
执业兽医师
您好，***和***都属于皮肤营养型滴剂，都有修护皮肤屏障、营养皮肤的功能。***的保湿效果更强一些，常用于皮肤较干，皮脂分泌异常，皮肤病后修复等。黄金点的皮肤修复功能相对爱乐滴更强一些，对皮肤病后皮肤破损的修复、重建皮肤屏障效果更好一些，它营养能到达皮肤更深层，但保湿效果不如爱乐滴好。
王明月
执业兽医师
一周两次药浴，是针对于皮肤问题的推荐使用方法，低于这个频率，药浴香波起到的效果会差一些。您可以前半个月一周两次给它用药浴，如果两周后皮肤状态明显缓解，可以改为一周一次，继续使用，直至皮肤状态恢复到之前健康的状态。就可以恢复两周一次的洗澡频率了。还有您提到的这款香波，它是调节皮脂分泌，酱酱目前是干性皮脂溢的一个表现，皮脂溢分干性皮脂溢和油性皮脂溢，后者是分泌油脂过多，前者是皮肤鳞屑、结痂较多。这款香波是改善皮脂溢的一个情况，还是比较温和的。并不是像咱们人用的高泡的洗面奶一样，洗完脸干干的。
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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