You Make The Diagnosis: Naked Bird

Ni is a female African Grey parrot of unknown age.  She loves to mimic noises.  Her repertoire includes meows, barks, trucks backing up and even a bomb drop.  She says "hello" in two different voices, a low masculine one and a soft feminine one.  Ni loves having her head scratched.   

About 50% of Ni's diet is Harrison's High Potency pellets.  The rest is primarily vegetables with a few fruits and nuts thrown in.  She has a large cage filled with toys, perches of various sizes and a box to hide in.  Even though Ni hates baths, she receives two or three a week.  She is toweled for her nail trims every 8 to 12 weeks.  Her wings are left untrimmed.  

Study her picture and answer the following questions:  What condition does she suffer from?  What causes it?  Are there any cures?  

 

DIAGNOSIS: FEATHER PICKING/PLUCKING

Unfortunately, feather picking or plucking is a common problem of African Grey parrots.  Notice the normal feathers on the head compared to the abnormal body feathers.  This condition is self-induced.  It starts with the bird chewing on a few feathers and progresses to large areas of baldness.  In severe cases, the bird might even mutilate themselves.  I had one patient chew through the skin and muscles along the keel.

There are a wide range of causes for this condition.  For convenience they are divided into two groups, medical and non-medical.  Medical causes include a wide range of disorders from nutritional deficiencies and food allergies to heavy metal toxicities and cancer.  Hormonal, behavioral and emotional factors make up the non-medical causes.  

Identifying the underlying cause is difficult.  My basic work-up for a feather picker/plucker is blood work, x-rays, gram stains of the crop, choana and cloaca, fecal check for parasites and a skin scrape.  If these tests do not reveal the answer, a feather follicle and skin biopsy is the next step.  Quite often, the cause is never identified.  All of Ni's test results were 'within normal limits'.

Feather picking/plucking has multiple treatments depending upon the cause.  For birds like Ni, the most common approach is behavioral modification therapy.  A combination of drugs, environmental changes and behavior techniques are used.  I reserve e-collars and body gloves for birds that mutilate themselves.  Unfortunately, nothing worked for Ni.  Hopefully a better treatment program will emerge in the near future, although I fear Ni's feather follicles might be too damaged to ever grow normal feathers again. 
 

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