咨询描述：患病时长：大概一两个月以前开始一直有三四处这类似的，但是会自愈。近一周身上出现多处类似症状，并且有变严重趋势
症状描述：皮肤掉屑，患病处掉毛，症状基本都出现在脊柱两侧，从脖子后延伸到尾巴，不规则分部
回复总结：猫咪皮肤掉皮屑还掉毛，猫咪可能是真菌感染，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。然后，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。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
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）
我想问一下这个段时间会变得很严重吗？我现在在农村老家，猫咪的生活环境很难做到完全消毒，只用药猫咪的情况能控制吗
刘文飞
执业兽医师
如果猫咪比较听话，可以让猫咪住在笼子里面，这样环境相对固定，消毒各方面也比较好做，加上配合用药，猫咪症状就会逐渐好转。
根据猫咪的情况，我给它开个处方。处方里面的
1.盐酸特比萘芬片对猫咪猫癣引起的炎症作用效果比较好，按猫咪的体重用药;2.盐酸特比萘芬喷剂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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