Feline recurrent alpecia cat

RE: Feline recurrent alpecia cat

Tomas B — Fri, 18 Mar 2016 16:26:40 GMT

Started 3 days ago with RC Hypoallergenic and will start now with feliway

RE: Feline recurrent alpecia cat

Tomas B — Fri, 18 Mar 2016 16:24:59 GMT

A little update in the case

RE: Feline recurrent alpecia cat

Lindsey Edwards — Tue, 15 Mar 2016 20:16:27 GMT

Behavioural medicine CPD recently concluded that kalmaid PLUS pheromone therapy was optimal for stress related issues, can reduce to one or other maybe if improves but she did say she would never rely on only one or the other to achieve an effect

RE: Feline recurrent alpecia cat

Tomas B — Tue, 15 Mar 2016 15:39:48 GMT

Maybe Kalmaid or feliway before trying amytriptiline at low doses right?

RE: Feline recurrent alpecia cat

Anthony Dennison — Tue, 15 Mar 2016 13:41:05 GMT

[quote user="Mark Hedberg"]If the cat is scratching and nibbling due to stress, consider a trial of amitryptilline? I've found it very effective in a cat patient of mine (yes, ruled out other stuff first)[/quote]

I've found Kalmaid to work wonders. I know not many people are fans, but every client I've recommended it to has found it to work wonders. 1 pump twice daily for the 1st couple of weeks, then once daily.

I had a case similar to this - had a full work up, scrapes, skin biopsies. Owners wondered possibly about stress so we started on Kalmaid. Worked a treat.

RE: Feline recurrent alpecia cat

Mark Hedberg — Thu, 10 Mar 2016 21:32:04 GMT

If the cat is scratching and nibbling due to stress, consider a trial of amitryptilline? I've found it very effective in a cat patient of mine (yes, ruled out other stuff first)

RE: Feline recurrent alpecia cat

Tomas B — Thu, 10 Mar 2016 20:51:47 GMT

Here are some pics..the cervical área is growing back,....with doing absolutely nothing...the axilar region has this lesion from licking that is much smaller and its getting better....now it will show up other place else....starts like a factor of itchiness and the the cat licks til has no hair in the target área........god.... THe owner starded royal hypoallergenic but will do this for a week because its too expensive and the cat suffers from ansiety if she separates both cats..so they are both eating RC Hydrolised protein .............

RE: Feline recurrent alpecia cat

Tomas B — Mon, 07 Mar 2016 19:39:31 GMT

I started a hydrolised protein diet. Feliway at home. And if needed i woill do buspirone for a small time in order to see the response..

If nothing works.biopsy will be the final decision.

What a strange situation..never seen anything like this..

RE: Feline recurrent alpecia cat

Tim Browning — Wed, 02 Mar 2016 09:57:15 GMT

[quote user="Tomás Basto"]

Doesnt fit with demodex at all.

The pruritus start in the first 2 days, after a small circunscripted alopecia, and i think the the rest of the hair loss is in those 2 days self inflicted, then it grows back...

[/quote]

Yes its the psychological element that I feel is probably crucial.....

RE: Feline recurrent alpecia cat

Kate Richardson — Tue, 01 Mar 2016 20:56:36 GMT

apologies if this has been mentioned but I couldn't see it in skimming through- is the cat on any other medications that could cause a drug reaction or is the owner using any medications? Have you run any bloods to check general health eg underlining liver disease? And have you given any antibiotics? If not a good 3 weeks of cephalexin might not be a bad idea, otherwise echo the thoughts of biopsy, some forms of demodex can be hard to diagnose on scrapes, and don't forget to send a biopsy sample for culture as well as histopathology.

RE: Feline recurrent alpecia cat

Tomas B — Tue, 01 Mar 2016 18:01:39 GMT

Doesnt fit with demodex at all.

The pruritus start in the first 2 days, after a small circunscripted alopecia, and i think the the rest of the hair loss is in those 2 days self inflicted, then it grows back...

RE: Feline recurrent alpecia cat

Tomas B — Tue, 01 Mar 2016 17:59:26 GMT

"In many cases of behavioral over-grooming there is also an element of pruritic skin disease to which the cat is reacting. The behavioral element of the problem may cause the cat to continue to over-groom after the pruritic element has been resolved."

RE: Feline recurrent alpecia cat

Anthony Todd — Tue, 01 Mar 2016 13:49:53 GMT

https://www.google.co.uk/search?q=Feline+demodex+images&espv=2&biw=1680&bih=949&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjhrsajz5_LAhWIxRQKHVPRDhwQ_AUIBigB&dpr=1

Some of the images [they're not all demodex] could fit??

RE: Feline recurrent alpecia cat

Anthony Todd — Tue, 01 Mar 2016 12:32:28 GMT

[quote user="Tomás Basto"]God. im totally lost.[/quote]

This isn't an easy one!!! Still waiting for someone to recognise it.....

You could keep the cat in for few days and observe it?? Is it licking or not? Any other behavioural clues etc.

And the biopsy is about the only thing left but, as the lesions are so unusual [IMHO] you are then faced with what to do, independent of the biopsy report.

I suppose you've deep scraped for feline demodex, not the bald lesion though, which is about the only thing I can think of??

[another one star I guess]

RE: Feline recurrent alpecia cat

Tomas B — Tue, 01 Mar 2016 11:28:27 GMT

Can we even think of any kind of aquired allergy to the other cat ?

God. im totally lost. im thinking of everything at this point.. i even dream with this unsolved case

RE: Feline recurrent alpecia cat

Tomas B — Tue, 01 Mar 2016 11:24:38 GMT

Maybe even a trial of ivermectine? just in case?

RE: Feline recurrent alpecia cat

Anthony Todd — Tue, 01 Mar 2016 11:18:16 GMT

[quote user="Tim Browning"]

Hi I don't think we need to include Thallium poisoning, it looks like a stressed cat in a house with a possibly intense relationship with owner not helping. If it can't roam green fields without other cats and humans about then Feliway and other relaxants may help and a shot of Depomed natch hee hee.[/quote]

I know I'll be accused of turbo posting but I always thought this was a discussion forum so, by definition, there will be two and fro won't there?

Thallium was an off-the-wall referring to the hands picture where it looks like the hair has just fallen out leaving unchanged [?] skin.

As there was no response to a shot of steroids initially I can't see why Depomed would be indicated ie steroids didn't help first time. Also there's little sign of irritation except the apparent saliva discolouration which is [IMHO] a rare finding in itchy cats [others may disagree??]

I still can't reconcile the distribution of the lesions with any allergic skin in a cat I've ever seen??

RE: Feline recurrent alpecia cat

Tim Browning — Tue, 01 Mar 2016 10:39:48 GMT

RE: Feline recurrent alpecia cat

Tomas B — Tue, 01 Mar 2016 10:14:37 GMT

We dont have thallium rat poisining here in POrtugal. At least never heard of it.

The cats fur is pigmented due to the licking, that is not its natural colour.

I will do a hydrolised protein hypoallergenic food because ive read that it help in some auto-immune dermal reactions, like alopecia areata.

Despite doing vectra felis. The clinical signs of : appearence of lesion, pruritus only in the first and second day. self resolution in week3/4.. isnt day simillar to FAD?

Im totally lost here

RE: Feline recurrent alpecia cat

Anthony Todd — Tue, 01 Mar 2016 09:48:56 GMT

[quote user="Martin Atkinson"]then controlling everything in the environment that may possible sensitise the immune system is never a bad idea.[/quote]

True, but in practice once you dilute the message client compliance is inadequate so you sort of get half of it through and an inconclusive result.

Has anyone ever seen a confirmed allergic cat where the skin isn't obviously itchy ie one that shows obvious signs of damage or reaction as a result?

RE: Feline recurrent alpecia cat

Anthony Todd — Tue, 01 Mar 2016 09:22:51 GMT

[quote user="Aine Seavers"]most food allergies in cats[/quote]

and most/all allergic derm is really itchy and there would be obvious damage to the skin a la eosinophilic granuloma etc and here there doesn't seem to be any irritation at all.....

RE: Feline recurrent alpecia cat

Martin Atkinson — Tue, 01 Mar 2016 09:18:04 GMT

[quote user="Aine Seavers"] not really the dietary area of expression for most food allergies in cats[/quote]Agreed but never expect cats to follow the rules. I doubt its a food allergy but when when you have something weird that might be hyper-allergenic then controlling everything in the environment that may possible sensitise the immune system is never a bad idea.

RE: Feline recurrent alpecia cat

Aine Seavers — Tue, 01 Mar 2016 00:17:57 GMT

biopsy, dont prep it first, punch lesions, then scrub and clean-do 3 to 4 from different sites including normal. Send a trichogram strip on tape to lab as well if you are not sure about the hairs themselves so include bulbs and tip so can see if tips barbared or not etc.

Use Hills zd if you have it but not really the dietary area of expression for most food allergies in cats

RE: Feline recurrent alpecia cat

Thomas Johnson — Mon, 29 Feb 2016 15:51:07 GMT

[quote user="robloxley"]

[quote user="Tomás Basto"]Sorry but im kinda lost and only one member made a suggestion (do a biopsy)[/quote]

I think this is a good suggestion at this stage. If it's a wet/oozy thing you could do an impression smear for cytology. In the pictures is there saliva staining to the fur, or is it just the cat's colour?

[/quote]

I agree that a full thickness skin biopsy would be a good idea, and I'd try and get at least one of them from the edge of the lesion including both normal and abnormal skin.

RE: Feline recurrent alpecia cat

Anthony Todd — Mon, 29 Feb 2016 15:49:18 GMT

I seem to remember a scald from hot water causing a lesion like the third "raw" skin photo with the hands?

Another one star coming up no doubt, but better if it was refuted I think.