Page 1048 - Problem-Based Feline Medicine
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1040   PART 13  CAT WITH SKIN PROBLEMS


          Pruritus is marked which may lead to self-inflicted
                                                        CAT FUR MITE (LYNXACARUS RADOVSKY)
          trauma and quite severe excoriation which may then
          become secondarily infected.
                                                         Classical signs
          Less commonly the feet may also be involved.
                                                         ● Dry, dull coat with hairs easily epilated.
                                                         ● Excess scale and scurf.
                                                         ● Tail-head, perineum and thighs affected.
          Diagnosis
                                                         ● Variable pruritus.
          Diagnosis is based on clinical signs and finding the
          mites. The mites are found in burrows in the superficial
                                                        Pathogenesis
          epidermis.  Superficial skin scrapes should be col-
          lected: use a blunt scapel blade to remove the surface  Lynxacarus radovsky is reported in northern Australia,
          scale and crust. This material is transferred to a micro-  USA and certain other tropical regions.
          scope slide for examination.
                                                        All stages of the life cycle are found on the cat.
          Biopsy of affected skin may reveal mites or eggs along
                                                        Adult and larval stages feed on skin debris and secre-
          with non-specific superficial perivascular inflammation.
                                                        tions.
                                                        The mites generally do not burrow. Hence, lesions are
          Differential diagnosis                        mainly found on the coat.
          All conditions included in this section can be consid-  Immunosuppression may be a factor.
          ered as differential diagnoses.
                                                        Transmission is via direct contact, but the contagious
          Flea allergic dermatitis is the single most common dif-  nature of the mite is variable.
          ferential for miliary dermatitis.
                                                        Clinical signs
          Other differentials which warrant consideration include
          food hypersensitivity, atopic dermatitis and various  Typically there is  scurfiness of the coat. The  mites
          ectoparasitic and microbial skin infections.  appear as white flecks on the hairs, towards the tips
                                                        and are best visualized on cats with dark coat colors.

          Treatment and prevention                      The coat is dull and dirty, and the hairs are frail and
                                                        easily epilated leading to  patchy alopecia. In more
          Lime-sulfur dips or shampoos  (2.5%) are highly  severe cases, a generalized maculopapular to exfolia-
          effective. Treatment should be repeated every 10–20  tive dermatitis may develop.
          days.  Malathion  dips (0.25–1.25%) and  amitraz
          washes (0.025%) are also effective.           Lesions common along the  lower back and per-
                                                        ineal/thigh areas.
          Ivermectin (usually at dose levels of 200–300 μg/kg
          SC although occasionally at dose levels as high as  Pruritus is mild to absent, unless lesions develop on the
          1000 μg/kg SC for 2–3 treatments) has been success-  skin.
          fully used, but is not licensed.
                                                        Diagnosis
          Antibacterial cover and corticosteroids may be indicated.
          In-contact animals should be treated if appropriate.  Diagnosis is based on clinical signs and finding the
                                                        mites. Examination of affected hairs under the micro-
                                                        scope reveals adult mites attached to the hair.
          Prognosis
                                                        Differential diagnosis
          Prognosis is excellent with appropriate treatment. In
          some cases, an immune response may develop leading  All conditions included in this section can be consid-
          to resolution of infection, even without treatment.  ered as differential diagnoses.
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