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It's very thin and steadily coming out. I used a spray that the vet recommended, and it made the spots worse (certain spots had more pus and bled). The shampoo I have seems to help a lot. But I'm not sure what is making it spread across her back and causing her to lose her hair the way it is. She's an outside dog.",[20,24,25],{},"This has been going on for weeks now. Any suggestions on what to do?\" —Desiree",[15,27,29],{"id":28},"what-might-be-behind-the-hair-loss","What Might Be Behind the Hair Loss",[20,31,32],{},"When handled properly, hot spots can often be managed at home. With Desiree's dog, though, an underlying condition likely needs attention.",[34,35,37],"h3",{"id":36},"flea-allergy","Flea Allergy",[20,39,40],{},"Fleas would be the first thing to consider given the combination of hair loss and hot spots. Is the dog receiving an effective flea preventive? For allergic dogs, a single flea bite can trigger both hair loss and hot spots. 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