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Sorry koiboi31, I missed your post until now. Although a scale is 'alive' and fed by blood supply, it does not 'die' in the true sense of the world. I would describe it as becoming 'devitalized'. I have saved most scales when the pocket that the scale emerges from is saved.
The way aeromonas works is it enters the epidermis and works its way straight down into the dermis layer. The softer layer is then subject to lateral or horizontal attack. The infection moves in that direction until an entire area is infected. It is only then that you see an ulcer form. This explains how ulcers 'seem to appear' almost over night. They are festering for a while but only a pimple shows at the surface and then a bruise. Then the ulcer is exposed.
This dermis layer is also where the scales are anchored. They each are anchored in a special group of sturdy cells that form a pocket for the scale base. This is different material than dermal cells and more dense.
Obviously the base of scales that was in an ulcerated area are obliterated and there is no way to save that scale as it no longer has an anchor.
But scales on the margin of the ulcer still have a pocket. They may be loose and seem that they can be pulled out with great ease. Some of that 'fell' is due to localized swelling/fluids and some is actually the scale detaching. But in 90% of the cases, that particular scale can be saved if action is taken to specificially treat the scale. And the treatment is quite easy. You just need to address the infection building around the base of the scale. please note that PP or other harsh sterilizing agents should not be used. Instead, clean out both sides of the scale base with a Qtip dipped first in betadine solution, and then another q-tip dipped in a water proof antibiotic paste with steroid.
This should be helped along with injections of antibiotics to attack the problem internally at the point of blood circulation. Meanwhile, you will treat that scale each time you gently clean the ulcer and reapply the ointment. Very important, you will stop using betadine as soon as you are satisfied that there is no more dead tissue coming out of the pockets as evidenced by a clean Qtip after swabbing. From that point on, only use the ointment to pack the base of the scale. And do not be tempted to pull on or 'test' the scale! Especially early-on in treatment. Some scales will be too far gone and will come out during treatment. But most will 'tighten' as infection and swelling leave the area.
Depending on how soon you treated and how well the fish responded, scale lose should be minimal with a very few being lost other than the ones involved IN the ulcer itself.
JR
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