Ear Dermatitis in Cats
Written By Grace Park
Published: 11/08/2016Updated: 01/21/2022
Veterinary reviewed by Michele K.
Ear Dermatitis in Cats - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
What are Ear Dermatitis?
Ear dermatitis in cats describes the condition of itchy, inflamed structures of the ear. Ear dermatitis is the condition specifically used to describe inflammation of the external portions of the ears known as the pinna. Cats can develop this condition for a variety of reasons including infection, trauma and allergens. Ear dermatitis is noted through clinical signs of scratching, head shaking and manipulation of the ear. Left untreated, ear dermatitis can cause secondary ear trauma including inner ear damage and a condition known as cauliflower ear. Cats that scratch their ears excessively can cause the small blood vessel inside the ear to rupture, resulting in a hematoma or permanent scarring. If the inner hearing structures become damaged, the cat could lose hearing completely or partially. 
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Ear Dermatitis Average Cost
From 422 quotes ranging from $200 - $500
Average Cost
$250
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Symptoms of Ear Dermatitis in Cats
Ear dermatitis in cats present itself through clinical signs of scratching of the ears, head shaking and drooping of the pinnae (outer ear structure). This typically itchy condition can cause the blood capillaries inside the ear to rupture, causing a secondary condition known as a hematoma. The outer ear will then appear very swollen, red and cause the cat to hold her head to the affected side. In other cases which the inner or middle ear is infected, and left untreated, the sensitive structures can be damaged. Fluid buildup and ruptured ear drums can be the end result of an unattended ear condition, causing the cat to lose balance. To catch ear dermatitis in its early stages, cat owners should take note of the following symptoms: 
  • Scratching of the ears
  • Dry, scaly ears 
  • Bleeding ears 
  • Swelling 
  • Malodorous ears
  • Hair loss 
  • Pain 
  • Head shaking 
  • Blistering of the ears 
Causes of Ear Dermatitis in Cats
Ear dermatitis in cats can be caused by various irritants including parasites, infection, traumas, allergens and sometimes even disease. Specific culprits for these categories of feline ear dermatitis causes include:
Trauma 
  • Bites or scratches from cat fights
  • Chemical injury 
  • Burns 
  • Lacerations 
  • Haematomas: blood-filled mass caused by a blood vessel rupture underneath the skin of the ear. 
  • Solar Dermatitis: ear inflammation caused by sun exposure. 
  • Trapped foreign bodies
  • Tumors of the ear canal 
  • Polyps 
Infection 
  • Bacteria
  • Fungal 
  • Yeast 
Parasites 
  • Ticks 
  • Fleas 
  • Mange 
  • Otodectic mange or ear mite
  • Sarcoptic mange 
  • Notoedric mange 
Allergens
  • Mosquitoes 
  • Food 
  • Pollen 
Systemic Disease 
  • Cancer 
  • Cushing’s Disease 
  • Hypothyroidism 
Diagnosis of Ear Dermatitis in Cats
The treatment of ear dermatitis in cats lies dependent on the underlying condition causing the red, itchy ear. In most ear dermatitis conditions, the veterinarian will attend to the cat's signs with pain medications and anti-inflammatory drugs. The ear will be cleaned, with medicated drops following, if applicable. In the case of ruptured capillaries causing the secondary condition known as a hematoma, the ear may need to be surgically corrected. The accumulated fluid and/or blood will need to be drained, plus the disfigured pinna will need to be corrected. If your cat’s ear dermatitis has not resulted in secondary conditions, the veterinarian may choose to treat them with one or more of the following: 
  • Anti-parasitic medications 
  • Hormone replacement therapy drugs
  • Antihistamines 
  • Antibiotics 
  • Antifungal medication 
If the veterinarian believes your cat’s ear dermatitis is the result of an adverse reaction to an allergen, he may choose to conduct food trials or change the feline’s current medications. 
Treatment of Ear Dermatitis in Cats
The treatment of ear dermatitis in cats is dependent on the underlying condition causing the red, itchy ear.  In most ear dermatitis conditions, the veterinarian will attend to the cat’s signs with pain medications and anti-inflammatory drugs. The ear will be cleaned, with medicated drops following, if applicable. In the case of ruptured capillaries causing the secondary condition known as a hematoma, the ear may need to be surgically corrected. The accumulated fluid and/or blood will need to be drained, plus the disfigured pinna will need to be corrected. If your cat’s ear dermatitis has not resulted in secondary conditions, the veterinarian may choose to treat your feline with one or more of the following: 
  • Anti-parasitic medications 
  • Hormone replacement therapy drugs
  • Antihistamines 
  • Antibiotics 
  • Antifungal medication 
If the doctor believes your cat’s ear dermatitis is the result of an adverse reaction to an allergen, he may choose to conduct food trials or change the feline’s current medications. 
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Recovery of Ear Dermatitis in Cats
The overall prognosis for ear dermatitis in cats is generally excellent if treatment is sought out early. Secondary  damage to the outer, middle or inner ear can mean a less positive outcome for the cat. Cauliflower ear, caused by continuous and vigorous scratching, often causes permanent disfiguration of the external ear. The delicate hearing structures inside the ear can also become damaged, resulting in partial or complete loss of hearing, which requires lifelong care from the cat owner. Ask your veterinarian about proper recovery and management needs for your cat after ear dermatitis.
Ear dermatitis can be expensive to treat. To avoid high vet care expenses, secure pet health insurance today. The sooner you insure your pet, the more protection you’ll have from unexpected vet costs.
Ear Dermatitis Average Cost
From 422 quotes ranging from $200 - $500
Average Cost
$250
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Ear Dermatitis Questions and Advice from Veterinary Professionals
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domestic cat, short haired
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Fourteen Years
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14 found this helpful

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14 found this helpful

My pet has the following symptoms:
Scabs On Ears, Tips Are Dark Brown
My cat has weird scabs on her ears, I have been using antibacterial ointment on them for weeks but they don’t get better. She does not want me to touch them- I think they hurt. Her ears lost hair on outside too, and the tips around her ears are a dark brown crusty.
Jan. 13, 2021
Answered by Dr. Sara O. DVM
14 Recommendations
Hello this could be ear tip vasculitis or something else that has damaged the tips of her ears. It would be best for your vet to look at this. They may need to take samples to check for any parasites causing this issues.
Jan. 13, 2021
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Short Hair Cat
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dog-age-icon
Three Years
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6 found this helpful

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6 found this helpful

My pet has the following symptoms:
Redness
My cat has 3 red scabs in her left ear that I’ve just noticed. She does scratch the area, but I haven’t seen any head shaking. When I tried to clean it she got aggressive and ran away. It’s only in the left ear and I don’t see any active bleeding.
Aug. 29, 2020
Answered by Dr. Michele K. DVM
6 Recommendations
Thank you for your question. Cats can get parasites and infections in their ears that need medications. It seems that it does hurt her when you touch it and if she is scratching it, it probably bothers her. It would be best to have her seen by your veterinarian at some point in the near future, as they can look at the area, see what medications might be appropriate, and get treatment for her. I hope that all goes well for her and she feels better soon.
Aug. 29, 2020
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Short hair cat
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dog-age-icon
9 months
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0 found this helpful

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0 found this helpful

My pet has the following symptoms:
Head Shaking, Scratching, Scabbing, Bleeding
My cat has been on her medication for almost one week. They told me she had an ear infection. I’ve had a cone on her head so she wouldn’t continue to open her scabs. It’s almost Friday the last day of her medication and I took the cone off to clean it and she scratched herself raw again. I don’t know what else to do.
Aug. 5, 2020
Answered by Dr. Michele K. DVM
0 Recommendations
Thank you for your question. If the problem isn't resolving, the best thing to do would be to have a recheck with your veterinarian. You can let them know that things are not better, and sometimes a response to treatment can be a sort of test, and they may be able to see more what is going on. They will be able to look at her, see what else might need to happen, and get her the right medication so that she feels better. I hope that all goes well for her.
Aug. 5, 2020
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American short hair
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dog-age-icon
Four Years
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8 found this helpful

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8 found this helpful

My pet has the following symptoms:
Bumps On Outer Ear And Bridge Of Nose
Every year almost like clockwork in the middle of July she gets these bumps on her ears and then keeps scratching them. I have had her to two vets with no conclusion. I have heard flea allergy and tried every flea collar..nothing. She is indoor mostly but does go outside on Long Island NY. Goes away in October
Aug. 2, 2020
Answered by Dr. Michele K. DVM
8 Recommendations
Thank you for your question. Without being able to see her, it is hard to say what might be going on, but if this occurs every July through October, that sounds like a possible seasonal allergy, and she may benefit from medications like apoquel during that time frame. That is something that you can discuss more with your veterinarian, and they can let you know if that might be an appropriate medication. I hope that all goes well for her.
Aug. 2, 2020
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Cat/Unsure
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2 Years
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1 found this helpful

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1 found this helpful

My pet has the following symptoms:
Dermatitis On Ears
On and off dermatitis on ears. Comes and goes. She’s an indoor/outdoor cat. I give her flea/tick medication every month. Her food is grain free. I’m not sure what else it could be other than possible pollen allergies.
July 21, 2020
Answered by Dr. Michele K. DVM
1 Recommendations
Thank you for your question. Cats can get parasites, and Mites called Demodex, that can cause problems. It could also be a bacterial or fungal infection. If it is an allergy, there are allergy medications that may help. Since there are so many possibilities for what it might be, it would be best to have her seen by a veterinarian, as they can examine her ears, see what might be going on, and get treatment for her. I hope that all goes well for her.
July 21, 2020
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Domestic shorthair
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Tipsy
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1 Year
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0 found this helpful

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0 found this helpful

My pet has the following symptoms:
Itchy Ears
Shakes Head
Dry Ears
Flakey Peeling
Scratches At Ears
hello, My cats ears are dry and flakey towards the top part of her ears, looks like her skin is peeling on the inside. Is there a way for me to help them not be so dry?
Ear Dermatitis Average Cost
From 422 quotes ranging from $200 - $500
Average Cost
$250
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