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Compulsive hair-pulling is called psychogenic alopecia, which essentially means your cat is yanking out his hair by the mouthful because something is bothering him psychologically. This could include life changes such as moving to new quarters or gaining a new family member or pet, or other changes in his routine.
But some cats may take grooming too far, yanking entire tufts of hair out or literally licking themselves bald in spots. Because some cats are “closet groomers,” you may not even witness your cat in the act. Instead, you may find clumps of hair on the carpet and upholstery, alopecia (patches of hairless skin)...
If the cat is pulling its fur out and making the skin inflamed, red, infected or ulcerated, then drug therapy is indicated. If it's a case of a few shorter furred areas, then it probably isn't. The decision to treat or not is one for you to decide in consultation with your vet.
Cat Pulling Out Hair. Simply checking your cat’s fur can help you find fleas or infections on the skin of the cat. Cats often also pull out their hair due to anxiety. The cat may become anxious due to several reasons, the most common being a change in its surroundings or the addition of a new pet to the family.
It sounds like your veterinarian did a good, thorough medical work-up (blood work and skin biopsy) to rule out a medical disorder. Psychological disturbances are a very common cause of self-inflicted hair loss in cats. Cats who pull, chew, or excessively groom their fur do this despite the fact that their skin does not itch.
Itchy Skin Condition. Your cat may be pulling out clumps of hair as a way to scratch an itch from flea bites, dermatitis, ringworm or mange. Your vet will perform a physical exam as well as take skin cultures to determine your cat's problem. Treating the underlying issue and relieving the itch can eliminate the behavior.