Tag Archives: miliary dermatitis

Puck’s Vet Adventure


Puck has always groomed himself more than the other cats but recently we noticed he had licked much of the fur of his belly, the inside of his legs and his back, near his tail. It was time for him to visit the vet but we didn’t have a vet for him. We had a vet for Tigger, near our old house, but his solution to Tigger’s recurrent mouth infections was steroids or antibiotics whenever the problem flared up. That probably helped send him to an early grave.

I wanted a vet that would take a more holistic approach but the only holistic vet I could find in the area has no office and only does house calls, which is a bit over my budget now. I ended up choosing the vet that is just down the street from our house. I figured it was a crap shoot so I might as well pick close.

I work four days a week and get one day off. That day is flexible and usually based on how busy we are, but my needs are factored in as well. I happened to have an appointment at the dermatologist for a check up that morning so it was decided that would be a good day to take off.  I called the vet and made an appointment for 11:00 a.m., two and a half hours after my doctor’s appointment.

When I got home I took a carrier out of the shed and placed it on the floor on the patio. I didn’t want to wait until the last minute and risk Puck retreating under the bed from the sight of it. I had nothing to worry about. All three cats were drawn to it like a magnet.

Frankie was the first inside and Chris and Puck did not like that.

Cats checking out carrier

Is there room for two, Frankie?

Cats checking out carrier

Ok Frankie, my turn!

Cats checking out carrier

I’m just gonna rub my scent all over this thing until you come out.

Eventually, Frankie came out and Chris went in.

Chris in carrier

Frankie! What’s that smell?

cat Chris in carrier

Ok, I’m in. Now what?

When the time arrived, I put Puck in the carrier, placed him in the front seat of the truck and drove the whopping two minutes to the vet’s office. We sat in the waiting room for about a minute and then were ushered into the examination room where we waited for about ten minutes or more for someone to come in.

That happens to me often at doctor’s appointments (as it did that same morning) and I don’t much care for ir. I would prefer to wait in the waiting room where there is a television, magazines and other people. The exam room has nothing to look at except posters showing the inside of one part of the body or another. This particular time I did not mind waiting in that room because I was able to let Puck out of his carrier.

Our cat Puck at the vet.

Where am I?

Our cat Puck at the vet.

Are those dogs I hear?

Our cat Puck at the vet.

I think I will hang out back here.

Chris would have explored the room but Puck was content to stay close. He even wanted to go back in his carrier at one point because of the barking dogs he could hear but I closed it. I didn’t want to have to get him out of there when the vet came in.

When the technician came in, I tried to hand her Puck but that didn’t go so well. He climbed over my shoulders to get behind me and scratched me pretty good in the process. I was able to hand him to her on the second try. She weighed him and possibly a couple of other things that I don’t remember and then left.

We then sat and waited for the vet. I think Puck was ready to go at that point.

Our cat Puck at the vet.

Can we go home now?

After a couple of minutes the vet came in to examine Puck. She suspected that he could be having an allergic reaction to flea bites, even though she could find no trace of fleas on him. When I told her the problem started not long after we moved, she said that fleas can lay dormant in a house and then become active when they have a host. I told her my other cats show no signs of fleas but that didn’t seem to matter.

Vet examining our cat Puck

She told me a food allergy would present itself more in the face and a psychological grooming problem would not include the bumps or swelling. She also said that because he was missing fur on his back, near his tail (in addition to his belly and insides of his legs) , that was another indication of fleas. She then recommended a flea treatment for Puck and our other cats along with a shot that was both a steroid and antibiotic. Where have I heard that before?

I’ll be honest. I don’t like the flea treatments. I think it is like every other drug; it helps with one problem while causing others. The same is true for steroids and antibiotics, but I also believe that some drugs can be beneficial in the short term and the vet wasn’t suggesting more than one dose of any of it, so I agreed but I didn’t get flea treatments for the other cats because I am not convinced it is a problem.

When I left, they gave me a sheet describing something called Miliary Dermatitis, which says:

Cats can get a condition called miliary dermatitis, which is the descriptive term used for a cutaneous reaction pattern of focal (localized) or generalized small papules (bumps) or crusts. Miliary dermatitis is not a specific disease. It is secondary to many other diseases.

Causes of miliary dermatitis include insect (flea, mosquito, ear mite, etc.) bite hypersensitivity, atopy (sensitivity to aero-allergens such as pollen, mold, house dust mites, etc.), adverse reaction to a food, bacterial superficial folliculitis (inflamed skin follicles), dermatophytosis (fungal disease), feline scabies, mast cell tumors, and pemphigus foliaceus. Flea hypersensitivity is the most common cause of miliary dermatitis.

Source: http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2969

Upon returning home, Chris made sure Puck got plenty of attention.

Bad cat Chris grooming Puck

I’m so glad you’re home. Where have you been?

Bad cat Chris grooming Puck

Why do you smell like dog?

It seems like the treatment has helped a little. Puck is still grooming a lot but not quite as much as before. On the down side, Puck is now sneezing quite often. I think he caught something at the vet’s office.