Signalment

• Species: cat

Disease Notes

• Certainty: confirmed
• Final Status: worse as of day 7

Treatment and Outcome

• Lesions On Chin And Ears: This cat has had chronic skin lesions on chin and L ear only for over 2 years. Did not resolve on steroids, was only just about under control.
  O chose to see me as he did not want steroids and the cat had also been on abx for 2 years.
  
  Skin lesions: marked black crusting, under crusts severe ulceration, excoriation, erythema, bleeding, wet lesions. Lesion location : ventral aspect of chin. Entrance to ear canal L>R extending just upto and slightly beyond tragus, walls of external auditory meatus normal.
  T: pink, moist
  P: fast, thin, sl. wiry
  Negative for mites and other ectoparasites, negative for cryptococcus (from rDVM)
  Will not eat raw diet, tried switching. O is trying to feed canned salmon.
  Started herbs in the following combination:
  Long Dan Xie Gan Tang
  Astragalus and Ligustrum
  Xiao Yao San
  
  Asked to gently clean lesions with Marigold Tea.
  
  

Notes:  Lesions have now spread to R ear as well and a small amount under R eye.
O has been unable to administer herbs.
Will not eat raw food.

Diet is largely canned or kibble

Photos:

Photo3