Help I dont know's wrong with my pink tail trigger

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Cory F

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His skin appears to bealmost dry looking with tiny white spots but they dont look like ich spots that ive seen im the past im so scared hes going to die. He is still eating anyway here is a pic its hard to make out but maybe itll help
20180227_095232.jpg
20180227_095125.jpg
 
Ive had 4 fish die this week from an illness that i dont recognize. Now my pink tail trigger and yellow tang have this same disease. Their skin appears to be almost dry looking with tiny white almost clear spots but they dont look like ich spots that ive seen im the past im so scared mofe fish as well as these two fish are going to die also . Their still eating so im desperate to figure out what is going on before i lose more fish here is a pic its hard to make out but maybe itll help
20180227_095232.jpg

20180227_095125.jpg
 
Definitely looks like velvet and it is a fast killer. Not sure if you have a quarantine tank set up. The link provided by Mede will provide good information on treatment, which should be done with haste if possible.
 
+ 1 on the velvet symptoms. Here's Humblefish's Emergency Treatment for Marine Velvet. Take a long look at the underlined and bolded sections. Humble has found survival rates increased with a bath in acriflavine products. Here's the entire thread for more information. https://www.reef2reef.com/threads/velvet-amyloodinium-ocellatum.217570/#post-2499399

Emergency Treatment for Marine Velvet Disease

I recently acquired 3 fish - Longnose Butterfly, Kole Tang, Naso Tang - with velvet. None showed visible physical symptoms right away, but they all came from a tank where velvet was known to be present so I just patiently waited. Before & after pictures will follow immediately after this write-up.

In short, the Butterflyfish didn’t make it; however the two tangs did. The only difference in their treatment was I used formalin (with Methylene Blue) on the butterfly in a bath solution, whereas the tangs got acriflavine (with NO Methylene Blue). It’s also worth noting that the butterfly & Kole Tang showed symptoms the worst, whereas the Naso only had moderate visible symptoms. Tangs are also generally considered hardier than butterflyfish, so there’s that factor to consider as well. Anyway, here is the treatment I used on them:

The short version:
  1. Acriflavine (preferred) - Do the bath for 75-90 minutes, but remove the fish immediately at the first sign of distress. Aerate heavily both before & during the bath, and temperature control the water. The following products contain acriflavine: Acriflavine-MS and Ruby Reef Rally. DO NOT mix acriflavine with any other chemicals. https://www.reef2reef.com/threads/acriflavine.282887/#post-3441660
  2. Formalin - Do the bath for 30-60 minutes max, but remove the fish immediately at the first sign of distress. Aerate heavily both before & during the bath, and temperature control the water. The following products contain formalin: Formalin-MS, Quick Cure, Aquarium Solutions Ich-X, Kordon Rid-Ich Plus. Use protection (rubber gloves, face mask, eye protection, etc.) whenever handling formalin as it is a known carcinogen! However, you can add Methylene Blue to the formalin bath (1 capful per 2-3 gallons of bath water.)
  • After the bath, place the fish in a QT pre-dosed at 80mg/gal using Chloroquine phosphate. In theory, copper (exs. Cupramine, Coppersafe, Copper Power) should work just as well as CP. However, due to how fast velvet can reproduce you don’t have the luxury of slowly ramping up the copper level as is normally advised. Therefore, the fish needs to be placed in a QT with copper already at minimum therapeutic levels. This is the advantage CP has over copper in this particular situation.
  • While in QT, use a wide spectrum antibiotic (exs. Seachem Kanaplex, Furan-2) for the first week to ward off any possible bacterial infections. Secondary bacterial infections are very common in fish with preexisting parasitic infestations such as velvet.
  • Keep the fish in CP or copper (at therapeutic levels) for one month. However, you can transfer the fish into a non-medicated holding tank for observation after just two weeks (explained below). DO NOT lower the CP or copper level before transferring.
 
Double post. Also in Tank Emergency forum.

+ 1 on the velvet symptoms. Here's Humblefish's Emergency Treatment for Marine Velvet. Take a long look at the underlined and bolded sections. Humble has found survival rates increased with a bath in acriflavine products. Here's the entire thread for more information. https://www.reef2reef.com/threads/velvet-amyloodinium-ocellatum.217570/#post-2499399

Emergency Treatment for Marine Velvet Disease

I recently acquired 3 fish - Longnose Butterfly, Kole Tang, Naso Tang - with velvet. None showed visible physical symptoms right away, but they all came from a tank where velvet was known to be present so I just patiently waited. Before & after pictures will follow immediately after this write-up.

In short, the Butterflyfish didn’t make it; however the two tangs did. The only difference in their treatment was I used formalin (with Methylene Blue) on the butterfly in a bath solution, whereas the tangs got acriflavine (with NO Methylene Blue). It’s also worth noting that the butterfly & Kole Tang showed symptoms the worst, whereas the Naso only had moderate visible symptoms. Tangs are also generally considered hardier than butterflyfish, so there’s that factor to consider as well. Anyway, here is the treatment I used on them:

The short version:
  1. Acriflavine (preferred) - Do the bath for 75-90 minutes, but remove the fish immediately at the first sign of distress. Aerate heavily both before & during the bath, and temperature control the water. The following products contain acriflavine: Acriflavine-MS and Ruby Reef Rally. DO NOT mix acriflavine with any other chemicals. https://www.reef2reef.com/threads/acriflavine.282887/#post-3441660
  2. Formalin - Do the bath for 30-60 minutes max, but remove the fish immediately at the first sign of distress. Aerate heavily both before & during the bath, and temperature control the water. The following products contain formalin: Formalin-MS, Quick Cure, Aquarium Solutions Ich-X, Kordon Rid-Ich Plus. Use protection (rubber gloves, face mask, eye protection, etc.) whenever handling formalin as it is a known carcinogen! However, you can add Methylene Blue to the formalin bath (1 capful per 2-3 gallons of bath water.)
  • After the bath, place the fish in a QT pre-dosed at 80mg/gal using Chloroquine phosphate. In theory, copper (exs. Cupramine, Coppersafe, Copper Power) should work just as well as CP. However, due to how fast velvet can reproduce you don’t have the luxury of slowly ramping up the copper level as is normally advised. Therefore, the fish needs to be placed in a QT with copper already at minimum therapeutic levels. This is the advantage CP has over copper in this particular situation.
  • While in QT, use a wide spectrum antibiotic (exs. Seachem Kanaplex, Furan-2) for the first week to ward off any possible bacterial infections. Secondary bacterial infections are very common in fish with preexisting parasitic infestations such as velvet.
  • Keep the fish in CP or copper (at therapeutic levels) for one month. However, you can transfer the fish into a non-medicated holding tank for observation after just two weeks (explained below). DO NOT lower the CP or copper level before transferring.
 
I agree and don’t have anything to add other than the fact that you are, unfortunately, dealing with marine velvet.
 

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