Cat's Sore Could Be Food Allergy

Cats can get "hot spots" like dogs. Our veterinary expert explains what causes cat skin outbreaks.

By Arnold Plotnick, DVM | Posted: August 23, 2012, 4 p.m. EST

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Cat With Food Allergy at Dish
A food allergy can cause a skin outbreak in cats.
Q: My 3-year-old cat has a persistent sore on her upper back. We have taken her to the vet three times now. She was treated with antibiotics and cortisone shots as well as flea treatment. The sore persists although it is now dry and scabbed over. Can we do anything else for her? The vet did not know what could cause this; maybe a food allergy although she has not been given any new foods.

A: Many cats with skin allergies will develop a large circular red sore on their back, often right in the middle of their back in the shoulder blade area. Often, the sore will ooze a little serum, and it can sometimes become infected. These are similar to “hot spots” that commonly develop in dogs. A few things can cause them.

Inflammatory or Auto-Immune Condition Anti-inflammatory medication — steroids such as prednisolone, a synthetic version of cortisone — often cause the sore to resolve. I personally prefer to prescribe tablets rather a steroid injection, as I feel it is safer. Steroids didn't work, so an inflammatory or an auto-immune condition seems unlikely.

Bacterial Infection If a secondary bacterial infection develops, it might need antibiotics. Antibiotics didn't work, so an infection is unlikely.

Flea Allergy Cat flea allergy can certainly cause scabs throughout your cat's skin, but usually doesn't cause a persistent open sore. Flea treatment didn't help, so fleas are unlikely to be the cause.  

Food Allergy Cat food allergy can present in a variety of ways, although a persistent sore is not your typical presentation. I'm surprised that the steroid injections had no effect. The next step is to determine whether your cat has a food allergy.

How to Determine Whether Your Cat Has Food Allergies
•    Start a hypoallergenic diet. A hypoallergenic diet contains a protein source that your cat has not been exposed to before, such as rabbit, venison or duck. (Most veterinarians carry prescription diets designed for this purpose.)
•    Feed this food, and ONLY this diet, for up to 10 weeks, before concluding whether or not food allergy is the culprit.
•    Alternatively, you may opt for a skin biopsy. This simple procedure will very likely reveal the diagnosis. 

Considering the number of treatments that you've tried with no success, I think you need a biopsy at this point. Another option would be to consult with a board-certified veterinary dermatologist. Your veterinarian can direct you to an appropriate referral center.
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Cat's Sore Could Be Food Allergy

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Reader Comments

lou    boston, MA

4/13/2013 6:10:12 AM

good points on food allergy

Sharman    Tacoma, WA

4/11/2013 10:01:23 PM

I used to have a black that developed black blotches on skin. I had put him on a new food when they were recalling one of the food brands (different formula). My cats were eating. I stopped the new food and found a different one and the blotches went away. I had a cat before that had to be on a feeding tube. Also finally got him to eat rabbit.

debby    raleigh, NC

4/2/2013 10:33:47 PM

love little kittens wish we could get another one

CatChannel Editor    Irvine, CA

3/21/2013 11:01:33 AM

Heidi -- Thank you for rescuing these kittens! You say the vet at the rescue center checked the cats before they came to your house. Now is a good time to set up a relationship with a regular vet who will give these cats checkups throughout their life. This new vet could have a fresh perspective on what is causing the fur loss in your kittens. I suspect that allergies are involved, either from the medication (and the rescue center's vet might not have known this effect) or something in the kitten's new environment, aka your home. Good luck with the diagnosis and enjoy your kittens!

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