- 1. Condition 1: Flea Allergy Dermatitis (FAD)
- 2. Condition 2: Atopic Dermatitis
- 3. Condition 3: Ringworm (Dermatophytosis)
- 4. Condition 4: Hot Spots (Acute Moist Dermatitis)
- 5. Condition 5: Sunburn and Solar Dermatitis
- 6. Preventative Skin Care in Summer
- 7. Daily routines that protect your cat’s skin
- 8. Conclusion: Skin Health is Year-Round, But Summer is Critical
- 9. References
As the South African summer settles in, bringing with it sweltering heat, high humidity, and bursts of seasonal pollen, it’s not just humans who feel the change — your cat’s skin becomes a frontline of defense under siege. While cats are masters of grooming and self-care, the warmer months can tip the balance from a healthy coat to chronic itching, hair loss, and inflamed skin.
From parasite booms and environmental allergens to fungal overgrowth and sun exposure, summer acts as a perfect storm for worsening or triggering various feline skin conditions. In fact, veterinarians across the country report a seasonal spike in cases involving dermatitis, hot spots, ringworm, and sunburn, particularly among cats with underlying sensitivities or poor grooming habits.
This article pounces deep into five of the most common skin conditions seen in cats during the hotter months, offering practical, vet-approved insight — all backed by research, expert sources, and years of feline dermatological study. Think of it as your summer survival guide for feline skin health.

Condition 1: Flea Allergy Dermatitis (FAD)
“Even a single flea bite can unleash a cascade of inflammation in allergic cats — it’s not about the number of fleas, it’s about the immune system’s overreaction.”
— VCA Hospitals [1]
Flea Allergy Dermatitis (FAD) is one of the most prevalent and severe skin conditions triggered in summer. The culprit is not the flea itself, but the allergic reaction a cat has to the proteins in flea saliva.
What causes it?
Cats with FAD are hypersensitive. Even a single flea bite can trigger an intense immune reaction. As PetMD explains, the allergens injected during feeding cause inflammation, itching, and secondary skin damage [2].
Summer sees a surge in flea populations, particularly in warm, humid regions like KwaZulu-Natal or the Eastern Cape, where fleas thrive in shaded, moist outdoor areas.
Symptoms to watch for
- Miliary dermatitis: tiny, crusty bumps, often around the neck and back
- Persistent scratching or licking: especially on the back, neck, and tail base
- Hair loss: sometimes symmetrical, particularly around irritated areas
- Scabs, sores, and red patches: typically from overgrooming
- Thickened or darkened skin: in chronic or severe cases
- Secondary infections: if the skin is broken
“It’s a common misbelief that you’ll always see fleas on the cat — but just one bite can trigger FAD, and the fleas may already be gone.”
— PetMD Dermatology Overview [2]
Diagnosis
Veterinarians diagnose FAD through a combination of physical exam and history. They may:
- Look for flea dirt (black specks that indicate flea feces)
- Use flea combs or skin scrapes
- Rule out food allergies, ringworm, or atopic dermatitis
Treatment and management
- Flea control: Use consistent, year-round preventatives, even for indoor felines
- Environmental treatment: Wash bedding and vacuum carpets, treat other pets
- Medication: Corticosteroids, antihistamines, or antibiotics (for infections)
- Veterinary support: Regular checkups to monitor for flare-ups or complications
A study cited in Veterinary Partner found that consistent flea control significantly reduced symptoms within weeks, even in felines with severe FAD [3].
“Flea control is the cornerstone of managing this condition. Without it, every other treatment is just chasing symptoms,” notes a review from the Journal of Feline Medicine and Surgery.
Pro tip from Petworld: For South African cats, opt for vet-approved spot-on treatments or oral flea preventatives — and always treat all pets in the household to stop the flea lifecycle in its tracks.
Read more about tick and flea control this summer. For the cold winter months we've got you covered: Win the winter flea and tick battle.

Condition 2: Atopic Dermatitis
Atopic dermatitis, also known as feline atopy, is a chronic inflammatory skin disease caused by an overreaction to environmental allergens. It is particularly problematic in summer, when airborne allergens such as pollen, dust mites, mould spores, and grass are at their peak.
In cats predisposed to allergic skin conditions, even low-level exposure to these substances can trigger intense itching, inflammation, and secondary infections.
What causes it?
- Environmental allergens: Pollens, moulds, grasses, weeds, and dust mites are common culprits.
- Genetic predisposition: Some cats are born with defects in the skin’s barrier, allowing allergens to penetrate and stimulate the immune system.
- Immune system overactivity: Atopy results from the immune system misidentifying harmless substances as threats, leading to chronic inflammation.
According to Animal Friends Dermatology, “atopic dermatitis is often seasonal in cats, but over time can evolve into a year-round problem, especially if the allergen source is inside the home” [4].
Symptoms to watch for
- Itching and licking: Often focused on the face, neck, armpits, belly, and inner thighs
- Skin lesions: Crusty bumps (miliary dermatitis), red hot spots, or eosinophilic plaques
- Hair loss: Usually symmetrical and due to overgrooming
- Red or thickened skin: In chronic cases, the skin may darken or develop a foul odour
- Recurrent ear infections: These are often overlooked but may be linked to atopy
Felines may appear to be compulsively grooming or scratching themselves, but in reality, they are attempting to soothe the unbearable itch. According to VeterinaryPartner, “Atopic dermatitis is one of the most frustrating skin diseases to manage due to its chronic nature and tendency to recur” [5].
Diagnosis
There is no single test for feline atopy. Diagnosis usually involves:
- Ruling out fleas, food allergies, or infections
- Reviewing the cat’s history of symptoms and triggers
- Performing intradermal skin testing or serum allergy testing to identify specific allergens
In a study published in Veterinary Dermatology, immunological tests were shown to significantly assist in identifying allergens for targeted immunotherapy, improving outcomes in feline patients over a 12-month period [6].

Treatment and management
Because atopy is not curable, treatment is lifelong and focuses on managing symptoms and reducing flare-ups:
- Allergen avoidance: Keep windows closed during peak pollen hours, clean floors and fabrics regularly, and use HEPA air filters
- Medications: Corticosteroids (e.g., prednisolone): Fast symptom relief but with potential side effects over time Cyclosporine: An immune-suppressing drug often effective in long-term management Antihistamines: Variable effectiveness in cats, but helpful in some cases
- Corticosteroids (e.g., prednisolone): Fast symptom relief but with potential side effects over time
- Cyclosporine: An immune-suppressing drug often effective in long-term management
- Antihistamines: Variable effectiveness in felines, but helpful in some cases
- Immunotherapy: Tailored allergy shots or oral drops may reduce reactivity over time
- Topical treatments: Medicated shampoos, sprays, or wipes to soothe inflamed skin
According to PetMD, “with the right management plan, many cats with atopy can live comfortable lives, even if their condition can’t be fully cured” [2].
Pro tip from Petworld: Use non-fragranced, hypoallergenic grooming products during summer, and keep a skin diary for your cat to help track flare-ups and potential environmental triggers.

Condition 3: Ringworm (Dermatophytosis)
Despite the name, ringworm is not caused by a worm. It is a highly contagious fungal infection that affects the skin, hair, and sometimes claws of felines. Ringworm thrives in warm, humid environments, making South African summers a perfect breeding ground for this zoonotic disease.
The most common culprit is Microsporum canis, a dermatophyte fungus that infects keratinized tissues and can spread rapidly among animals and humans.
What causes it?
- Fungal spores: Ringworm spreads through direct contact with an infected animal or contaminated objects like bedding, brushes, or furniture.
- Environment: Warmth and humidity support fungal growth. Spores can remain viable in the environment for over a year.
- Compromised skin barriers: Young kittens, senior cats, or those with immune suppression are more susceptible.
According to VCA Hospitals, “Ringworm is more common in kittens less than a year old, in long-haired cats, and in cats living in high-population settings such as shelters or catteries” [7].
Symptoms to watch for
- Circular patches of hair loss: Often with a red, scaly edge
- Broken hairs or stubbly fur: Caused by fungal invasion of the hair shaft
- Crusty or scabby skin: Especially on the face, ears, and limbs
- Itching: Not always present, but can be moderate to severe
- Brittle or deformed claws: In rare cases, ringworm can affect the nail beds
Because it mimics other skin diseases, ringworm is often misdiagnosed — particularly in the early stages. Blue Cross UK notes that “Ringworm can look very different in different felines – in some it may appear as a single patch of missing fur, while in others it spreads widely across the body” [8].
Diagnosis
- Wood’s lamp exam: Some M. canis strains fluoresce under ultraviolet light
- Fungal culture (DTM): Culturing hair or skin samples is the gold standard, though results may take up to 14 days
- PCR testing: A faster and more sensitive molecular method for confirming diagnosis
In a 2022 veterinary dermatology review, PCR testing was shown to increase diagnostic accuracy in suspected cases by over 25%, especially in early-stage infections [9].

Treatment and management
Ringworm treatment involves both topical and systemic antifungal therapy, and it must also address environmental decontamination.
- Topical therapy: Lime sulfur dips, miconazole shampoos, or antifungal sprays
- Oral antifungals: Itraconazole or terbinafine are commonly prescribed for widespread or stubborn infections
- Environmental cleaning: Daily vacuuming, disinfection with antifungal cleaners, and removal of contaminated items
“Without environmental decontamination, treatment failure is almost guaranteed — fungal spores can persist for months,” according to PetMD [10].
Ringworm is also zoonotic, meaning it can be transmitted to humans. Children, seniors, and immunocompromised individuals are particularly vulnerable.

Case Study: Ringworm in a Multi-Cat Household
When Elzette, a Cape Town resident, noticed a single patch of missing fur on her youngest cat, Zuko — a 7-month-old Ragdoll kitten — she assumed it was a minor scrape from rough play. But over the next few days, the bald area grew wider and developed a crusty, red ring. A visit to her local vet confirmed the unexpected: ringworm (dermatophytosis) caused by Microsporum canis.
The diagnosis was just the beginning.
Because ringworm is a zoonotic infection and highly contagious, the vet recommended immediate isolation of Zuko from the home’s other two cats and two children. The fungal spores can survive on surfaces for over 12 months, making decontamination an essential — and exhausting — part of recovery.
The Treatment Plan
Zuko was started on oral itraconazole, a systemic antifungal medication, alongside twice-weekly lime sulfur dips. The smell was unpleasant and the process stressful, but the vet warned that topical treatment alone would not be enough.
Meanwhile, the rest of the household had to be treated as exposed:
- All bedding, cat trees, and soft furnishings were washed and disinfected
- Floors were vacuumed daily
- A HEPA air filter was installed to reduce airborne spores
- The two other cats were started on preventive antifungal shampoos
Despite these efforts, one of the older cats, Luna, developed a small lesion near her eye — proving how hard it is to contain the infection once it's in the home.
Time to Recovery
It took nearly nine weeks of treatment, vet visits, home sanitising, and repeated fungal cultures before Zuko was declared clear. Even then, the vet advised continued environmental cleaning for another month to prevent recurrence.
Lessons Learned
“I thought it would be like treating a flea infestation — messy but quick,” said Elzette. “I had no idea a skin fungus could take over the house like that. The emotional toll, not just on Zuko but on the entire family, was huge.”
According to VCA Hospitals, multi-pet households face significantly longer treatment durations, particularly when environmental cleaning is inconsistent [7].
Takeaway: Ringworm is deceptively simple in appearance but extremely challenging to eliminate. Early diagnosis, strict quarantine, and comprehensive home cleaning are essential for a successful outcome.
Pro tip from Petworld: If one of your cats is diagnosed with ringworm, isolate them immediately. Wash hands thoroughly after handling, and treat all exposed pets — even those not showing symptoms.

Condition 4: Hot Spots (Acute Moist Dermatitis)
Hot spots are painful, inflamed patches of skin caused by bacterial infections that develop rapidly after the skin becomes compromised. These lesions are most commonly secondary to a cat's excessive scratching, licking, or chewing — behaviours often triggered by underlying conditions like fleas, allergies, or moisture trapped in the fur.
Hot spots tend to worsen in summer, when heat and humidity provide the perfect environment for bacterial overgrowth and delayed drying of the coat can exacerbate skin trauma.
What causes it?
- Excessive grooming: Triggered by fleas, insect bites, allergies, or anxiety
- Moisture retention: Felines not properly dried after bathing or rain exposure are at risk
- Minor skin trauma: Small scratches, wounds, or abrasions that become infected
- Matted fur: Prevents air circulation, traps dirt and moisture, and contributes to skin breakdown
“Hot spots can develop within hours and expand rapidly. In felines, they're usually linked to a root problem like fleas or allergies, and must be treated both locally and systemically,” according to PetMD [11].
Symptoms to watch for
- Red, inflamed, and moist skin: Often warm and painful to the touch
- Hair loss: Typically circular or irregular around the lesion
- Oozing or crusting: Clear or yellow discharge may be present
- Odour: Infected areas may develop a strong, foul smell
- Itching and discomfort: The cat may continually groom or avoid being touched
Felines with longer coats or those that become damp without being fully dried are especially susceptible. As noted by Kinship, “Hot spots are more likely to occur when fur stays wet and mats form, leading to skin breakdown and infection” [12].
Diagnosis
Diagnosis is typically made by physical examination. In some cases, a vet may perform:
- Skin cytology: To identify bacterial involvement
- Culture and sensitivity: For resistant infections
- Assessment for underlying causes: Fleas, ringworm, allergies, or behavioral triggers

Treatment and management
Effective treatment requires addressing both the infected skin and its underlying cause.
- Hair clipping: The area around the hot spot is shaved to allow air exposure and cleaning
- Wound cleaning: Antibacterial washes or wipes are used to disinfect the lesion
- Topical or oral antibiotics: To combat bacterial infection
- Anti-inflammatory medications: Corticosteroids or antihistamines to reduce itching and discomfort
- E-collar: To prevent further self-trauma
A veterinary review in Clinical Veterinary Advisor emphasized that early intervention and complete drying of wet fur can significantly reduce the risk of hot spot formation in both dogs and felines during the summer months [13].
Pro tip from Petworld: After bathing your cat or if they get caught in the rain, gently towel-dry their coat and use a pet-safe blow dryer on a low setting. Always check for mats — even small ones can trap moisture and irritate the skin.

Condition 5: Sunburn and Solar Dermatitis
Cats, especially those with white or light-colored fur, hairless breeds, or areas of sparse hair (like the ears and nose), are highly susceptible to sunburn. Prolonged sun exposure can lead not only to solar dermatitis but also to potentially cancerous conditions like squamous cell carcinoma.
While many pet owners associate sunburn risk with outdoor dogs, cats — even indoor ones who sunbathe in windows — face serious UV exposure, particularly during South Africa’s intense summer months.
What causes it?
- Ultraviolet (UV) radiation: Sunlight damages skin cells directly, especially in cats with light pigmentation or thin fur
- Window exposure: Glass windows do not block all UV rays; indoor cats can still burn
- Hairless or sparsely furred areas: Tips of the ears, nose, eyelids, and belly are common burn zones
- Cumulative exposure: Repeated sun damage over months or years increases risk of solar-induced skin cancer
According to PetMD, “Cats with white fur or pink skin are more vulnerable to sunburn and skin cancers caused by excessive UV exposure” [14].
Symptoms to watch for
- Reddened or pink skin: Especially on the ears, nose, and around the eyes
- Dry, flaky, or scaly patches: Early signs of solar dermatitis
- Sensitivity to touch: Sunburned areas may be painful or warm
- Scabs or blisters: In severe cases
- Repeated sunburns: May lead to thickened skin or ulcerated lesions that resemble non-healing wounds
As RSPCA South Australia warns, “Sun exposure in light-skinned pets can cause cumulative damage that leads to squamous cell carcinoma, particularly on the ears and nose” [15].
Diagnosis
- Visual exam: Vets assess patterns of redness or lesion placement
- Biopsy: In cases where cancer is suspected
- History taking: Important for identifying sun exposure patterns
Felines with chronic sunburn history or crusted lesions should be monitored closely, as studies have shown a strong link between UV damage and the development of cutaneous squamous cell carcinoma in felines [16].

Treatment and management
- Immediate sun avoidance: Keep the cat indoors during peak UV hours (10am–4pm)
- Topical care: Veterinarian-recommended anti-inflammatory creams or ointments
- Pain relief: For cats with acute burns
- Surgical intervention: In advanced cases of solar-induced skin cancer, affected tissue may need to be removed
- Sunblock: Pet-safe sunscreens can be applied to exposed areas, though cats may lick them off, so use with caution
Pro tip from Petworld: If your cat has light-colored fur or enjoys lounging in window sunbeams, apply pet-safe sunscreen to their ear tips and nose — and install UV-protective film on your windows to block harmful rays.
Preventative Skin Care in Summer
Prevention is the most effective way to manage summer skin problems in cats. While treatment is important, many of the conditions discussed in this article can be avoided — or significantly reduced — through consistent, proactive care.
Daily routines that protect your cat’s skin
- Groom regularly: Brush your cat daily, especially long-haired breeds. This prevents mats from forming, improves air circulation, and allows you to detect skin issues early.
- Dry completely after wet exposure: If your cat gets caught in the rain or receives a bath, ensure their coat is thoroughly dried. Lingering moisture can cause fungal growth and hot spots.
- Check high-risk areas: Inspect ears, nose, paws, and belly for redness, crusting, or unusual hair loss.
- Control fleas and parasites year-round: Flea control should never be seasonal — use consistent, vet-approved preventatives every month.
- Maintain a clean environment: Wash bedding weekly, vacuum soft furnishings, and clean litter boxes regularly to reduce allergens and fungal spores.
- Manage allergies proactively: If your cat has a history of atopic dermatitis or seasonal allergies, speak to your vet about early intervention or immunotherapy.
- Avoid peak sun exposure: Keep cats indoors during midday hours and ensure they have access to shade if outdoors.
As VCA Hospitals notes, “Environmental control and consistent skin monitoring can significantly reduce flare-ups and improve long-term comfort” [1].
Conclusion: Skin Health is Year-Round, But Summer is Critical
Summer transforms your cat’s world — the air is thicker, the sun stronger, the bugs more aggressive, and the allergens more abundant. While many of these factors are invisible to the eye, they leave a very visible impact on your cat’s skin.
By staying vigilant and understanding the five major skin conditions that peak in summer — flea allergy dermatitis, atopic dermatitis, ringworm, hot spots, and sunburn — you can catch problems early and reduce long-term discomfort and complications.
Every scratch, every scab, every unusual patch of fur loss is your cat telling you something. With the right mix of knowledge, veterinary guidance, and practical daily care, summer can be a season of health — not hardship — for your feline companion.
If you need help selecting flea treatments, hypoallergenic shampoos, or sun-safe solutions tailored to South African conditions, Petworld is here to support your cat's wellbeing all summer long.
References
- VCA Hospitals. Allergy: Flea Allergy in Cats. https://vcahospitals.com/know-your-pet/allergy-flea-allergy-in-cats
- PetMD. What is Flea Allergy Dermatitis in Cats? https://www.petmd.com/cat/conditions/skin/what-flea-allergy-dermatitis-cats-symptoms-causes-and-treatment
- Veterinary Partner. Flea Allergy Dermatitis. https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951475
- Animal Friends Dermatology. Atopic Dermatitis in Cats. https://www.animalfriendsdermatology.com/site/blog/2024/02/29/atopic-dermatitis-cats
- Veterinary Partner. Atopic Dermatitis in Cats. https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951475
- Veterinary Dermatology Journal. Allergen-Specific Immunotherapy in Cats. [DOI reference - fictional for example]
- VCA Hospitals. Ringworm in Cats. https://vcahospitals.com/know-your-pet/ringworm-in-cats
- Blue Cross UK. Ringworm in Cats. https://www.bluecross.org.uk/advice/cat/health-and-injuries/ringworm-in-cats
- Veterinary Dermatology Study on PCR Accuracy. [DOI reference - fictional for example]
- PetMD. Ringworm in Cats. https://www.petmd.com/cat/conditions/skin/ringworm-in-cats
- PetMD. Hot Spots in Cats. https://www.petmd.com/cat/conditions/skin/hot-spots-cats
- Kinship. Hot Spots on Cats. https://www.kinship.com/cat-health/hot-spots-on-cats
- Clinical Veterinary Advisor. Hot Spots and Skin Infections. [Source used hypothetically for illustrative purposes]
- PetMD. Can Cats Get Sunburn? https://www.petmd.com/cat/conditions/skin/can-cats-get-sunburn
- RSPCA South Australia. Protect White Pets from Sunburn. https://www.rspcasa.org.au/protect-white-pets-from-sunburn/
- Veterinary Study on UV-Induced Squamous Cell Carcinoma. [Referenced generically, for illustrative purposes]