咨询描述：症状描述：刚开始是红色的，后来变成小黑点点，现在越来越黑了 变黑了涂药的时候他很抗拒，碰他的皮肤也会抗拒 应该有点疼
患病时长：五天左右
医院检查：无
用药情况：用过瑞德医生的皮皮乐 然后今天用了宠物店给的针对细菌感染的皮肤的喷剂
回复总结：猫咪皮肤上有很多小黑点点，猫咪皮肤的症状考虑是毛囊炎的症状。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、面部。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。
问题大致一样，细节不同？
刘文飞
执业兽医师
您好，猫咪主人，收到您的详细描述，根据您的描述结合您发的猫咪患部的照片来看，猫咪是真菌感染，也就是猫癣，需要给猫咪口服治疗猫癣的药，外喷治疗猫癣的喷剂，一般需要每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低毛病感染猫癣的风险。真菌感染周期比较长，一般需要用药一个月左右才会好转，猫咪皮肤病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，家里有没有老人和小孩，如果有老人和孩子建议不要让他们接触到猫咪，因为猫癣是真菌感染，会传染给人，老人和小孩皮肤免疫力抵抗力比较差，比较易感，所以不建议接触，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（从目前您提供的信息看，我大致诊断为真菌感染，可以先按照真菌感染去治疗，如果用药没有好转就需要去医院刮片确诊，因为线上问诊的局限性，只能给出这个治疗方案）
刘文飞
执业兽医师
您好，猫咪主人，猫咪皮肤的症状考虑是毛囊炎的症状，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、面部，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（最好做皮肤镜检）
宠物医院这段时间关门了，治疗毛囊炎用什么药，还有他变黑了是好转了还是严重了呢，这段时间在家怎么处理比较好。
刘文飞
执业兽医师
猫咪皮肤变黑是严重了
根据猫咪的情况，我给它开个处方。处方里面的
1.马波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（喷于棉签涂抹）您可以根据需求自行选择购买
有没有人宠共用药，现在过年收快递也不方便，我先应应急。
刘文飞
执业兽医师
医生本人和平台是不支持给宠物使用人用药的，人用药的治疗效果及意外风险无法承担，还请您考虑后采纳（人用药宠物用出过问题，所以不能用，这边也无法给您推荐代替的药物）
我昨天用了皮皮乐 今天看猫咪皮肤有问题的地方结痂了 用棉签擦药一擦就能把痂擦掉。这个痂要给他弄掉吗？
可是那个痂我给他上药的时候一擦就掉，已经差不多掉完了。这种情况是好是坏。
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好，皮肤还是比较红，但是比之前发的图片要好一些，以后结痂不要剥掉，自己慢慢脱落
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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