咨询描述：医生你好，我今天忽然发现主子脖子后面有一小圈毛发分层，我担心是不是有皮肤病。我的是蓝猫小母猫，快5岁半了，7斤，还没绝育，前几个月打算绝育，但是验血常规发现免疫力有些低，就在吃提高免疫力的药，恢复后才做手术。6月份毛尾巴这有个小猫藓，黄豆这样大，去宠物医院看了开了药。大概在大半个月前吃了体内外的驱虫药。
回复总结：猫咪脖子处的毛发分层了，但没有出现瘙痒等异常情况，可以确定不是真菌、外寄生虫或者皮炎等皮肤病导致，判断这种情况可能营养物质缺乏有关系，比如卵磷脂、维生素等营养。处理办法上，建议给猫咪，建议口服含有卵磷脂的宠物营养补充剂，一天2次，连用7天以上，以及复合维生素B溶液，一天2次，连用7天以上。
问题大致一样，细节不同？
陆文健
执业兽医师
根据您目前提供的信息，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、您检查一下猫咪脖子后面分层的毛发下的皮肤和周围皮肤比较有没有异样？或者有没有皮屑、红点等情况？有没有瘙痒（频繁挠痒痒）？
2、后两张照片是猫咪6月份的所谓猫癣吗？当时开了什么药？
3、您把猫咪医院化验报告单发给我看一下。
以上这些情况您仔细回忆后详细的描述给我，对我给猫咪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。
这是刚刚找了个光线好的地方拍的脖子后面这圈毛下的皮肤照片，跟周围的对比没有异样，没有皮屑和红点，没有瘙痒。啾啾是折耳猫，有耳螨，在给她放***的耳漂，尾巴的猫藓已经结痂了，准备脱疤，宠物医院开的药是***，现在正在吃的是***的猫免疫因子口服液，喝完了一瓶，第二瓶喝到一半。那两张血常规一张是2月份的，一张是4.30号的，4月份的当时正处于发情期。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
看了您发来的两张照片，猫咪脖子下的皮肤看不出有异常，而且也没有瘙痒的情况，那么这种毛发分层的现象可以确定不是真菌、外寄生虫或者皮炎等皮肤病导致，我的判断这种情况可能和一些营养物质缺乏有关系，比如卵磷脂、维生素等营养，建议口服卵磷脂+复合维生素B，使用一周后，观察猫咪的毛发分层有没有恢复。
下面我给您的猫咪开个处方供您参考。
您发来的2月和4月的血常规，主要是白细胞偏低，说明猫咪的免疫力有点问题，目前您给猫咪使用博莱宠猫免疫因子口服液也是可以的，目前您考虑准备给猫咪做绝育，可以再去医院检查一下血常规，如果血常规正常的话，就可以给猫咪进行绝育了，但您的猫咪已经5岁多，做绝育有点迟，但还可以做。
您还有什么问题或者疑问的话，可以告知我，我尽可能会详细给您解答。
好的，谢谢陆医生。我打算给啾啾吃完这半瓶口服液，再去检查一下血常规。她现在正处于发情期，等发情期过了就去验血看看是否能做。我想再问问，如果验血血常规白细胞指数还是没提上来，会是什么原因呢？我2月份当时给她验血时，也是想做绝育了，也是没达标。然后当时吃了一瓶口服液。后来我忘记马上去给她验血，拖到了4.30号才去，还是没达标就做不了手术。然后就抱回家再继续吃口服液的。
陆文健
执业兽医师
根据猫咪脖子后面毛发分层的原因与一些营养物质缺乏有关的情况，下面我给它开个处方。处方里面的：1、***卵磷脂宠物营养补充剂，用于治疗毛发不停褪色 、毛质粗糙 、瘙痒不适 、持续掉毛等问题；2、***复合维生素B溶液，犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力。
建议处方：
1、***卵磷脂宠物营养补充剂，300g/瓶，一次口服1粒，一天2次，连用7天以上；
2、***复合维生素B溶液 宠物营养补充剂，70ml/瓶，一次口服2ml，一天2次，连用7天以上。
陆文健
执业兽医师
1、化验血常规，一定要到发情期过后再能去检查，不然发情对于血常规的数据是有影响的；
2、我在处方中给您开了复合维生素B，也具有促进代谢，增强免疫力的效果，您可以给猫咪喂一段时间。
陆医生我忘记问了，这个维生素B溶液可以跟那个免疫力口服液一起吃的么？
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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