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Hair Loss (Alopecia) in Cats

By Karen A. Moriello, DVM, DACVD, Professor of Dermatology, Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison ; Thomas R. Klei, PhD, Boyd Professor and Associate Dean for Research and Advanced Studies, School of Veterinary Medicine and Louisiana Agriculture Experiment Station, Louisiana State University ; David Stiller, MS, PhD, Research Entomologist, Animal Disease Research Unit, U.S. Department of Agriculture, Agricultural Research Service, University of Idaho ; Stephen D. White, DVM, DACVD, Professor and Chief of Service, Dermatology, Veterinary Medical Teaching Hospital; Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis ; Michael W. Dryden, DVM, PhD, DACVM, University Distinguished Professor of Veterinary Parasitology, College of Veterinary Medicine, Kansas State University ; Carol S. Foil, DVM, MS, DACVD, Professor, Department of Veterinary Clinical Sciences, School of Veterinary Medicine ; Paul Gibbs, BVSc, PhD, FRCVS, Professor Emeritus, College of Veterinary Medicine, University of Florida ; John E. Lloyd, BS, PhD, Professor Emeritus of Entomology, University of Wyoming ; Bernard Mignon, DVM, PhD, DEVPC, Assistant Professor, Faculty of Veterinary Medicine, Department of Infectious and Parasitic Diseases, Parasitology and Parasitic Diseases, University of Liège ; Wayne Rosenkrantz, DVM, DACVD ; Patricia A. Talcott, MS, DVM, PhD, DABVT, Associate Professor, Department of Food Science and Toxicology, Holm Research Center, University of Idaho ; Alice E. Villalobos, DVM, DPNAP, Director;Director, Animal Oncology Consultation Service;Pawspice ; Patricia D. White, DVM, MS, DACVD

Also see professional content regarding alopecia.

Alopecia is the partial or complete lack of hair in areas where it is normally present. Hair loss is a sign, and its underlying cause must be determined in order to be treated. If a cat has hair loss and is scratching the area excessively, the itching problem should be investigated first.

Hair loss can be congenital (present at birth) or acquired. Congenital hair loss may or may not be hereditary. It is caused by a lack of development of hair follicles. It may be apparent at or shortly after birth. Or, the cat may be born with a normal coat and then local or generalized hair loss occurs when the cat becomes a young adult.

In acquired hair loss, the cat is born with a normal hair coat. It has or had normal hair follicles at one time, and is or was capable of producing structurally normal hairs. Any disease that can affect hair follicles can cause hair loss. Disease may destroy the hair follicle or shaft or interfere with the growth of hair. Disease can cause the cat discomfort leading to self-trauma and loss of hair. Acquired hair loss can be inflammatory or noninflammatory.

Diseases that can directly cause destruction or damage to the hair shaft or follicle include bacterial, fungal, or parasitic infections; skin trauma such as burns; and (rarely) poisonings caused by mercury, thallium, or iodine. These diseases tend to be inflammatory.

Diseases that can inhibit or slow hair follicle growth include nutritional deficiencies (particularly protein deficiencies) or hormonal imbalances. Temporary hair loss can occur during pregnancy, while nursing, or several weeks after a severe illness or fever. These types of hair loss do not generally cause inflammation unless a secondary infection of the skin develops.

Itching or pain is a common cause of inflammatory hair loss. Diseases that commonly cause itching or pain include skin infections, parasites, and allergies. Friction may cause areas of hair loss, for example, poorly fitted halters or collars. Excessive grooming (usually caused by stress) can cause hair loss in some cats. Unlike dogs, many cats can hide their itching, and it may be hard to determine whether your cat is itchy.

Signs of hair loss may be obvious or subtle, depending on the disease. Congenital or hereditary hair loss is commonly either symmetric (appearing similar on both sides of the body) or localized to one region. It is usually not accompanied by inflammation. Signs of acquired hair loss are varied and often influenced by the underlying cause(s). Inflammation, color change, scaling, excessive shedding, and itching are common. Some causes may lead to the development of secondary skin diseases, such as infection or fluid discharge. Itching is variable, depending on the primary cause.

An accurate diagnosis of the cause of hair loss requires a detailed history and physical examination. The physical examination will cover both the cat’s skin and its general health. The veterinarian will also look for signs of skin infections or parasites.

Your veterinarian may order laboratory tests in order to diagnose the cause of hair loss. These often include smears and culture of the skin to check for bacterial, fungal, or yeast infections. If these tests do not identify or suggest an underlying cause, a skin biopsy may be performed. If your veterinarian suspects a hormonal problem, he or she may order blood and urine tests.

Successful treatment depends on the underlying cause and specific diagnosis. Because identifying the underlying cause of the skin condition may take some time, many veterinarians will provide or prescribe medication to relieve any discomfort or itching your pet has in connection with the hair loss.

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