回复总结：猫咪嘴边和肚子出现秃毛的症状，考虑是毛囊炎的症状。治疗上，需要给猫咪口服治疗毛囊炎的抗生素，外抹治疗毛囊炎的药膏。饮食方面，需要给猫咪清淡饮食。然后，建议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。注意，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。
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，但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.您家猫咪四岁二个月大了，体重大概是5千克，猫咪有没有抓挠舔舐患部的症状，肚子上的症状多久了，有没有给猫咪用药，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，家里几只猫咪
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。
1.在家看到他的时间里都没见过他舔或者挠肚子和下巴，没有给他用过药，其他地方看过了没有发现秃的情况，肚子上秃大概有一个星期，下巴那一小块是昨天发现的
2.养他四年了，平时都是吃冻干猫粮，偶尔喂喂罐头和生肉，发现秃这一段时间内只喂了猫粮没喂别的，没有呕吐和腹泻等情况
3.吃饭喝水排便排尿玩耍目前跟之前状态一样
4.没有出现咳嗽，打喷嚏，流鼻涕等情况，没有用过药
5.精神状态正常，正常吃饭喝水，接种过疫苗，最近一次体内外驱虫大概是半年前了
6.居住环境一般是晚上下班回来会开空调，周末全天开空调，其他时间都是室温，他猫窝 纸箱子 地板都会换着地方躺或趴，家里共四只猫咪，其他猫咪没有发现秃的情况
7.秃的那两块漏出来的皮肤上没见有屑之类的东西，肚子上秃的附近有点黑点点，下巴上秃的周围有点血痂？下巴那个看不出来是什么
刘文飞
执业兽医师
您好，猫咪主人，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、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。需要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。
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的1.马坡沙星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.氟苯尼考溶液对猫咪皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买
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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