Case provided by Sarah Calvin, DVM
Maverick, a 4-year-old Siamese cat, was brought in for hair loss across his lower abdomen and red, flaky skin lesions that had progressed over the previous month. His owners were unsure whether he was itchy or overgrooming.
Examination showed broken hairs, abdominal alopecia, and lesions consistent with bacterial skin infection. Testing found no fleas on combing and was negative for FeLV/FIV; fungal testing was also part of the workup. Because his grooming pattern suggested deeper discomfort, his veterinarian continued the workup.
Radiographs and urinalysis revealed bladder stones, crystalluria, and blood in the urine. Maverick’s overgrooming was linked to urinary pain — a case where skin changes were secondary to an internal problem.
His care required a staged plan: stabilizing the skin infection, surgically removing the bladder stones, managing pain, transitioning to a therapeutic diet, and supporting skin-barrier recovery with appropriate nutrition and fish oil.
Hair regrowth began by 8 weeks. By 6 months, his coat had fully recovered, with no recurrence after the urinary issue was resolved.
Editorial takeaway: Maverick’s case shows why feline coat loss and overgrooming deserve careful veterinary investigation. Skin and coat health can reflect pain, stress, nutrition, infection, barrier weakness, or internal disease — not just surface-level grooming behavior.
Single-case vignette. Not generalizable. Veterinary diagnosis and oversight are essential for overgrooming, hair loss, skin lesions, urinary signs, pain, or suspected infection.