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Symptoms Cats > Allergic Dermatitis
Allergic Dermatitis
Some cats, like some people, are born with a predisposition to develop reactions when exposed to certain substances in their environment. Cats with allergic dermatitis usually develop skin disease characterized by signs of itching, such as biting and scratching the skin, when exposed to the material to which they have become allergic. In some cases there is no evidence of itching, but other skin abnormalities occur. Exposure to the substance may be by inhalation (this route of sensitization is common in a form of allergy called atopy), ingestion (e.g., food allergies), inoculation (flea bites, drugs), or direct contact of the skin with the offending substance. You will usually see reddening of the skin, small bumps, oozing and possibly sticky areas and scabs, and sometimes dan drufflike scales. The reddened skin may feel abnormally warm to the touch. In neglected cases there is hair loss, large areas of raw skin may develop, and the skin may even become thickened. If these changes go untreated long enough, they can become permanent. Areas where scratching is severe may become infected. Cats with allergic dermatitis may lick at their flanks, abdomen, and the inside of their rear legs excessively when grooming, causing a characteristic symmetrical hair loss unaccompanied by any actual skin changes. Cats with this form of allergic dermatitis must be differentiated from those with other (e.g., hormonal) causes of hair loss that take a similar pattern. In addition to skin signs, cats with allergic dermatitis may have more general signs of allergy such as a watery nasal discharge and sneezing, tearing, and conjunctivitis. Some may even have vomiting or diarrhea.

Allergic Dermatitis has many causes
Fleas are probably the most common cause of allergic dermatitis. If you practice good flea control, you may be able to prevent the dermatitis from developing or relieve a case that has already developed. Be careful, however, about putting flea sprays or dips on an irritated skin; they sometimes make the irritation worse. If you think you are controlling fleas but your cat continues to scratch, there can be several possibilities. For example:
1. The bite of a single flea (which you may not see) can cause extreme itching in an allergic animal.
2. Cats can be allergic to many things other than or in addition to fleas— among them pollens, house dust, molds, trees, wool, foods, cigarette smoke.
3. The condition may not be allergic dermatitis (for an example).


Bathing is part of the home treatment
Frequent bathing (every one to two weeks) helps to control the signs in many cats and also helps prevent secondary bacterial infection. It removes allergens from the coat and seems to relieve some of the skin inflammation associated with allergic dermatitis. Use a gentle hypoallergenic shampoo (for example, castile shampoo, baby shampoo, or a veterinarian-prescribed shampoo, not bar soap or dishwashing detergent) to avoid additional damage to a sensitive skin. If your cat’s skin and hair become too dry with bathing, an emollient oil diluted with sufficient water to avoid leaving the fur excessively greasy can be used as a final rinse. Hypoallergenic bath oils for people are satisfactory, or a veterinarian can prescribe a product. If you find that bathing makes your cat’s signs worse, don’t, of course, continue to use it as a treatment. Often, once the itching has begun it continues even if you remove the original cause of the irritation. This may be due to scratching, which releases itch-causing substances from the damaged cells. When such a cycle occurs, a veterinarian must administer and/or prescribe drugs such as antihistamines, antiinflammatory fatty acids, or corticosteroids to control the problem. In many allergic cats drug treatment must be repeated intermittently or administered continuously. Skin testing, blood testing, and hyposensitization (induction of immune tolerance by the injection of small amounts of allergen) as used in people with certain allergies have been helpful in some cats with allergic dermatitis induced by environmental allergens such as pollen, molds, and house dust. Special elimination diets, often based on rice or potatoes and lamb, turkey, or rabbit, are useful to diagnose and treat allergy signs related to food sensitivities. A minimum of four weeks’ diet restriction is needed to rule out food-induced allergy. Many veterinarians have a special interest in skin disease and can make an effort to find out what allergies affect your cat. Cats with very difficult allergy problems can be diagnosed and treated by a veterinary dermatologist. For persistent problems, ask your veterinarian for a referral to a specialist.

Contact irritant dermatitis
Contact irritant dermatitis can occur in any cat whose skin comes into contact with an irritating substance such as certain soaps, detergents, plants, paints, insect sprays, or other chemicals. The reaction can look similar to that described for allergic dermatitis, but tends to be limited to the areas that have been in contact with the substance and is more common in sparsely haired skin areas. If left untreated, the affected areas often become moist and sticky. Contact irritant dermatitis is treated much like allergic dermatitis, but long-term success is more likely since it is usually easier to find the offending substance and remove it permanently. The first thing to do is to remove the cause. If the contact dermatitis is due to a flea collar, remove the flea collar. Bathe your cat and rinse his or her coat thoroughly. If these methods are insufficient to relieve the signs, have a veterinarian examine your cat. Corticosteroids will probably be given, and a soothing antibioticcorticosteroid cream dispensed, if necessary, for home use. Since cats often lick off any topically applied medications an Elizabethan collar may be suggested as a way to prevent licking of an affected skin area.

Pododermatitis
Pododermatitis is an inflammation of the skin of the foot. When it involves the foot pads, it can be a sign of a systemic immune problem, but it is frequently due to local causes (e.g., a wound between the toes, contact with a irritant substance) and may also be due to infection with bacteria or fungi (e.g., ringworm). The web of the foot in the affected areas is reddened and usually moist from exudation (leakage of fluid from tissue) and licking. It may be swollen. This condition can be painful enough to cause lameness on the affected foot.

Examine the foot before beginning treatment
Examine the foot carefully in a bright light. Look closely for evidence of foreign bodies or wounds. Probe gently for areas of soreness. If you find an invader and can remove it, the pododermatitis may improve quickly. Often the original cause is gone but the problem persists because the cat continues to lick the irritated area. Washing the foot with a gentle antiseptic soap (e.g., chlorhexidine, povidoneiodine), drying, and soaking it in warm water for fifteen minutes twice a day followed by thorough drying is often helpful. Try to prevent your cat from licking the affected area. In addition, the application of a soothing hydrocortisone cream usually helps clear up simple irritation-associated conditions quickly if you can keep the cat from licking the medication off. These products are sold over the counter in drugstores. If the inflammation and/or soreness persists longer than fortyeight hours without signs of improvement, a veterinarian will have to diagnose and administer treatment. Prolonged use of corticosteroid ointments in any but the most simple condition confounds diagnosis, aggravates certain conditions (e.g., ringworm), and interferes with healing.

Ringworm (Dermatophytosis, Dermatomycosis)
Ringworm is an infection of the hair, toenails, or skin caused by special types of fungi that may be transmitted to cats from other animals, people, or the soil. Cats under one year of age are more often affected than other animals, and infection is most severe in animals weakened by other infections, parasites, or stress. The “classic” sign of ringworm is a rapidly growing, circular area of hair loss, but ringworm can appear in many other ways—scaly patches, irregular hair loss, crusts, and discolored, deformed toenails. Areas of reddened or darkened skin or small scabby bumps usually considered more typical of allergic reactions may also indicate ringworm. A ringworm infection can be present with no evidence of skin disease at all!


 
 
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