咨询描述：你好，我家猫2岁多，杯状病毒携带。
症状描述：牙龈红肿(牙龈炎)，皮肤发红(耳朵，肚子的皮肤比较多)
患病时长：从四个多月时候开始牙龈就有一些红肿+口臭，没什么大问题就没注意，今年四月份突然严重开始会用前爪挠嘴，随后带去医院就医。皮肤病是今年6月底我给它洗了一次澡没吹干之后慢慢开始的，一开始只有一只耳朵秃了，后来慢慢另一只耳朵，胸口，脖子都被它挠秃了。
医院检查：因杯状病毒引起的牙龈炎，无法痊愈。皮肤病医生一开始诊断猫藓，但是照灯和培养皿均无反应，后来医生也说看不出来了。
用药情况：牙龈炎的时候在第一家医院被让喂了两个月的含类固醇的药，一停药就复发，后来担心副作用就停了。换了第二家医院给开了含干扰素的保健品，现在每天滴在嘴里。皮肤病一开始开了个含类固醇的激素药，涂了没什么用，后来喂圣马力诺的毛囊修复粉秃的地方慢慢长毛了，但是还是经常抓挠，掉毛也比较多。
牙龈炎也在国内买过**和****喷剂，都没有太大效果。皮肤病也一直反反复复找不到原因，隔几天身上就被它舔秃舔破一个地方。希望医生能帮忙分析一下还有推荐一些药。顺便附上上周五刚做的血检结果。
还有最近比较在意的是从7月份开始体重有点下降，之前喂类固醇时候吃的比较多稍微胖一点4.6kg，最近吃饭喝水量不变甚至比之前吃的多了一点点，但是体重掉到了4.2kg。
问题大致一样，细节不同？
吕健
执业兽医师
根据你的描述，小家伙有杯状病毒，而且反复发作，牙齿疼痛，已经影响食欲，建议全口拔牙（但也不一定好）
1.口服**环素和***韦***。
2.提高猫咪抵抗力，促进食欲，口服******。
3.耳朵可能是抓挠的，由于牙龈疼，以及舔舐引起的超敏综合症。可以吃点儿抗过敏的药物，必要时抗抑郁的药物。
食欲是正常的，吃饭没有减少。
耳朵抓挠是跟牙龈有关系吗，但是之前没有这个情况，耳朵里面很干净，但是它经常会摇头或者抓挠，不知道原因。
而且变红的地方不止是耳朵，还有肚子，但是今天皮肤没有那么红没办法拍照片提供给您，有的时候会很红。脖子和胸口它之前也挠，我觉得比起牙龈炎带来的综合征更像皮肤病。
它食欲和精神都很好，就是体重稍微下降了0.3kg左右，会有什么原因呢？
吕健
执业兽医师
1.食欲正常，体重降低，可能给类固醇用药有关系，而且0.3kg也不少，半斤多了。
2.如果口腔疼痛，猫咪会抓挠的，摇头可能是因为牙疼。
3.肚子变红可能与舔舐有关系，需要知道是表面发红，还是淤血？
4.皮肤红，还有可能是过敏，或红斑狼疮（自体免疫问题）
类固醇药物从6月开始就已经停了，现在没有在喂了。体重减少还能有其他什么原因吗？我一个月做一次驱虫，用的***，会有体内有寄生虫的可能性吗。
医生推荐的**环素和***韦如果它没有其它原因也可以喂吗，会不会产生依赖性，之后停药就会复发呢。
其他地方的皮肤都是粉色，肚子表面就是红色，名字颜色会比其他地方的皮肤红一些，但是它好像不是很痒，有些地方会有黑色小点点，会有溢脂性皮炎的可能性吗。
应该没有红斑狼疮那么严重，只是皮肤发红偶尔有点痒，其它都比较正常。图片是之前秃的地方的样子，现在已经慢慢长出来毛了。
为保护用户隐私不显示图片/视频
吕健
执业兽医师
1.体内寄生虫的概率低，可以做便检排查一下。
2.小家伙吃生肉，可以检测一下是否有弓形虫。
3.**环素等，只要不产生耐药性，可以长期吃，但可能会伤食道，建议买**巧克力膏，补充***，**、提高抵抗力。
4.会有皮炎的可能，尤其吃了类固醇药，激素分泌紊乱。
5.多陪伴猫咪、帮猫咪梳理毛发，缓解猫咪情绪，同时使用***是有效的。
类似这种感觉的颜色发红，但是没有这么深。
为保护用户隐私不显示图片/视频
吕健
执业兽医师
这种可能是舔舐后，猫咪口水残留，引起了细菌滋生，还有口水里的铁离子氧化后也会发红。
之后如果耳朵或者其他地方有发红或者抓挠的现象，需要涂什么药吗？
吕健
执业兽医师
1.可以吃**消炎，2mg/kg，每天一次，连用7天。
2.使用皮肤喷剂消毒。
3.还有，就是控制瘙痒，吃止痒药，以及皮肤低敏处方粮。
吕健
执业兽医师
非常感谢您对蘑菇宠医的信任。如果我的回答能够帮助到您，请您在咨询结束后留下 5 星评价，您的评价是我工作最大的支持，感谢。 后续宠物有其它问题，您可以到“蘑菇宠医”官方微信公众号继续向我提问
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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