咨询描述：之前长猫藓，我自己给他涂了****然后身上的猫藓差不多好了但是脸上开始长这些，都是黑色的结痂扣掉就变成这样子，小半张脸都是这样子
问题大致一样，细节不同？
徐灿
执业兽医师
你好家长，能不能多拍这几张照片？这张照片的清晰度有点低，一般来说，脸上的猫癣是这个样子的，通常来说就是会有结痂，把结痂抠掉之后，就是斑斑块块的，身体其他地方有没有类似的情况？还有就是他平时有没有总是有洗脸的动作？
检查一下他的腿上，尤其是四肢和尾巴，还有肚子下面有没有真菌的感染呢？因为布偶猫毛发很长，所以很多时候皮下的或者一些隐藏比较深的都看不到。
他的脸上跟身体还有腿上都有一些这种小血点，我不知道这个到底是猫藓还是说其他的什么皮肤病，因为他身上之前有一些大块的猫藓，我都有给他把毛剃掉，然后涂了****处理，现在那些大块的猫藓都已经好了，但是最近还是长了一些小点小点的，第一张图是他现在脸上的情况，第二张图是他前段时间得的猫癣，现在已经好了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对的，这种情况就是猫癣，他是不是总是有洗脸的动作？这种情况一般，后续建议口服抗真菌药物会好一些，因为真菌感染，有些地方不容易发现，再加上毛发比较长，容易扩散，单纯的用外用药物效果比较差，最好是增加一些口服的。
还有就是需要问一下，平时有没有给他带伊丽莎白圈儿？这个也是比较重要的，佩戴后可以在一定程度上减少扩散。
对他经常有洗脸的动作，那三个月能吃口服的药吗？要吃什么药，外用的药有什么效果比较好？伊丽莎白前段时间有戴，现在刚摘
徐灿
执业兽医师
我帮你开了个方案，你可以后续使用，个人建议，因为这些位置都靠着眼睛，靠着嘴，用外用药物容易舔食或弄到眼睛里，再有就是长时间用外用药物容易，后续不长毛，目前建议是，先口服一段时间的药物，相对来说，治疗时的慢一些，不过能对全身有治疗作用，而且能在一定程度上预防扩散，相对来说比较推荐。
当然，猫癣肯定治疗的很慢，一般可能需要再治疗15到25天左右，症状完全消失以后才能断药。
那我现在给她用的那些外用的药是要先停药吗？然后只用这些内服的吗，他确实会一直去舔到那些我给他涂的外用的药
徐灿
执业兽医师
我个人建议是把外用药物停一停，因为之前用了一段时间了，而且它扩散的很多地方，如果只是一两处，我还是比较推荐用外用药的，毕竟副作用低，但是他现在全身都是，而且容易舔食，况且还在脸上，身上也有，所以总体考虑的话，还是口服好一点，慢一点就慢一点吧，至少能起到全身的治疗和预防作用，相对来说，治疗效果稳定。
徐灿
执业兽医师
点开查看详情，我在上面有备注，第一个是按照指导剂量使用，第二个是每公斤0.5毫升，一天喝一次就行。一定要多用药一段时间，因为总体来说，用药时间会比较长，所以一定要坚持。
那他这个药是要直接，直接问，还是说混在罐头里面喂给他？
徐灿
执业兽医师
掰开嘴巴，直接往里灌就可以，注意别呛到，没有太多的限制，正常的使用就可以，就是要注意治疗时间会长，要坚持。然后一定要佩戴好伊丽莎白圈，防止扩散。
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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