I'm glad to hear that you'll be taking Paulie to a specialist. Hopefully this doctor will finally be able to find out whats going on with Paulie. Good luck.

I only have experience with Storm losing the fur on his ears because he became very itchy from eating fish. I've also had some cats that would get feline acne on their chins from time to time even though I fed them out of stainless steel bowls.

My Pearl has Eosinophilic Granuloma Complex which causes her to break out on her lips and chin. It can be caused by an allergic reaction to fleas, a food allergy, or an airborne allergy. I think she may have a food allergy even though my vet said that this hasn't been proven to cause this disease. I treat all of my cats every month with advantage so no one has fleas. Pearl actually broke out again a few days ago so she's now on prednisolone for several weeks. The last time she broke out was on 4-1-08. I recently changed everyones diet so this may be the cause but it could also be just a coincidence.