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FAQs about Health/Disease of Tangs 12
Related Articles: The Surgeonfish family,
Acanthurus, Ctenochaetus,
Naso, Paracanthurus,
Zebrasoma , Prionurus,
Surgeonfishes of Hawai'i,
Surgeonfishes for Reef Systems,
Related FAQs: Tang Health/Disease 1,
Tang Health/Disease 2, Tang
Health/Disease 3, Tang Health/Disease
4, Tang Disease 5,
Tang Disease 6,
Tang Disease 7, Tang Health 8,
Tang Health 9, Tang Disease 10,
Tang Disease 11, Tang Disease 13, &
Tangs/Rabbitfishes & Crypt,
Yellow Tang Disease, Black Spot
Disease, HLLE 1, Tangs
in General,
Tang ID,
Selection, Tang
Behavior,
Compatibility, Systems,
Feeding, Treating
Marine Disease, Marine Diseases 2, | 
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ID - Please Can you tell me what is hanging from my purple
tangs rear end?? It's certainly not the usual muck. Thank you,
Julie. <Mmm, appears to be a good-sized mass of worms... likely
Nematodes... though it might be Acanthocephalans... I would be
treating this fish/system with a vermifuge... Likely Levamisole...
please see WWM re such. Bob Fenner> | 
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Unusual growth on Purple Tang (Zebrasoma xanthurum) 12/10/07
Hello Crew, <Ron> Thanks for taking the time to review my query!
For the first time today, I noticed a dark fuzzy/hairy growth on my
Purple Tang (Zebrasoma xanthurum) -- passengers side near the tail. ; )
I have searched the web and WWM but can't seem to find anything that
fits the profile of a dark gray/black 'hairy' growth. <Could you
send along a well-resolved pic? Oh, I see the links below> Nobody in
my local Reef Club (RASOC) had any suggestion either. It seems that most
accounts of spots or growths on fish are white, unless it involves black
speckles or a generally discolored spot. Perhaps my search query is
lacking some keyword. However, I would definitely have to describe this
growth as hairy or fuzzy in appearance since it appears to be a cluster
of 'hairs'. When I look back at earlier pictures that I have taken, I
can see that this spot was there in some form a month ago. It is
approximately 2 mm in diameter. It doesn't seem to bother the Tang as
far as I can tell. I have an active Cleaner Shrimp and he doesn't seem
to be concerned about it either. Here are the best pics I can get of the
growth. I am providing a couple of flickr links in lieu of sending
pictures that may be too large (hope that is ok). Feel free to upload
and post if you desire.
http://farm3.static.flickr.com/2022/2098256828_b98c969b7d.jpg
http://farm3.static.flickr.com/2188/2097478823_335152a998.jpg Do you
have any idea what it could be?? If so, would you recommend treatment or
merely observation for now? Ron <")))>< Charlotte, NC <Might be
a crustacean parasite... looks in outline like a pair/two copepods... A
shame to stress this animal by netting, but if the occasion presents
itself, I would use two nets, capture this fish and gently try prising
off this mark with blunt nose tongs (ask your wife re maybe...). IF
there is any sign of blood from doing so, do daub (with a "Q tip") a bit
of mercurochrome/Merthiolate/Merbromin on to the spot. I see what
appears to be the antennae of a Lysmata sp. in the background... In
time, this cleaner may remove this mark... Otherwise, I doubt if it is
really debilitating, and strongly sense that it is not "catching".
Cheers, Bob Fenner>Re:
Unusual growth on Purple Tang (Zebrasoma xanthurum) 12/10/07 Bob,
<RonF> Thank you for the information you provided. The pictures
closely represent the view one gets with the naked eye. Perhaps I will
try to use my digital zoom to get a closer pic, in order to see if it is
indeed some sort of crustacean. I am hesitant to stress the Tang out by
netting it, as you alluded. For now, I will observe and hope that
the Cleaner ultimately resolves the issue. Ron <")))>< <Ahh! This
is what I would do as well. Cheers, BobF> | 
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Invincible Black Ich??? 12/10/07 Hi Bob, <Lane> I purchased
a Powder Brown Tang about 6 weeks ago. I placed the tang in QT and
treated with Cupramine for a week as preventative for ich. The fish also
had a few black spots which I thought might be black ich. <Appears
to be so> I hoped the copper would help with this as well, <Ah,
no. If anything, would hurt the host...> but it did not appear to do
anything. After week one I replaced all the water in QT and did a FW
dip. <For how long?> I thought it may take a few days for the
spots to go away, but after several days of observation the tang
appeared to be getting a few more spots. I did another FW dip this time
with methylene blue. Once again it did not seem to help. I then decided
to try Prazi Pro treatment. After about one week I still did not see any
improvement, <Wow!> so I decided to do another FW dip and then try
treating with Rid-Ich (malachite green and formalin) in the QT.
<Yikes> After several days the spots still remained but the fish
appeared to be getting fin rot and what appeared to be stressed
breathing. <I can imagine> I decided to do a 100% water change
and another FW dip with methylene blue. After several days the fish was
healing nicely from the fin rot, but still has the dreaded black spots.
I decided once again to try treating with Prazi again, but this time I
increased the dosage from 2.5 mg/l to around 4 mg/l. It has been a week
and I am still not seeing any signs of improvement. <Very strange
indeed> The spots seem a little more pronounced than before, but the
fish does not scratch or seem overly affected. The fish loves algae and
is eating tons. <Good> The biggest thing is the fish has a very
pale body (semi-transparent). Is this something other than black ich?
<Can't tell w/o microscopic examination> How can I get rid of this?
<What you've done should have...> I really want to save this fish and
really want to get it into my display tank. Your thoughts and
suggestions are greatly appreciated. I have attached a picture for you.
Please disregard the white spots as they are just bubbles. Thanks again.
Lane <Mmm, a decision (as in nothing is decided until it is done)
needs to be made... whether to try re-doing a treatment regimen (if it
were me, with another source of Praziquantel or other vermifuge, see
WWM) OR just placing the Acanthurus japonicus directly in your
display... in the hope that the (likely) Paravortex will cycle off in
time, not infest other fishes there (not all are susceptible)... Which
will you choose? Bob Fenner> | 
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Tangs Health 12/7/07 Dear Wet Web Media Crew, First let me say
thank you for taking the time to answer my question. <You're
welcome.> I have a 75 gallon saltwater FOWLR aquarium and I'm having
trouble with my Purple and Blue Hippo (P. Hepatus) Tangs. Both tangs are
losing or have lost their fins (except for their pelvic fins) and losing
skin all over their bodies. At first I thought it was HLLE, but the
tissue loss doesn't seem to be confined to the lateral line. None of the
other fish in the tank are experiencing this problem. The tangs eat well
everyday and don't exhibit any behavioral problems or anomalies.
<They are sure exhibiting anomalies now.> The aquarium has been up
and running for 4 1/2 years, and I have had the Purple Tang for 4 years
and the Blue Hippo Tang for 18 months. Both fish have had this problem
for at least a year. <Kind of late to be inquiring now.> Here are
the particulars... Specific gravity: 1.024 Temp: A constant 78
degrees <I certainly do not want to sound rude, but the SG and
temperature isn't telling me very much about your water quality. There
are many more factors that can lead to the condition of your tangs such
as high nitrates, nitrites, low pH, etc. I'm pretty sure the problem was
caused by an environmental problem. Your tank is too small for these
fish and you did not state what your tank load is along with other water
parameters. It may be too late to do much for them, but for starters
I would change 50% of the water, discontinue the use of carbon and go
with a product like Chemi-Pure, which will do much more for water
quality than what carbon does.> Diet: 4 types of frozen food (Formula
1 and 2, Angel formula, VHP formula) soaked in garlic and Selcon, dried
Nori sheets given everyday. <A good diet.> Filtration: Rena
Filstar XP-2 canister filter Skimmer: Coralife Super skimmer
Maintenance: 10% water changes every 2 weeks, fresh activated carbon
every 4 weeks. I spent 2 years as an aquarist at a public aquarium
and I have been in the hobby for 10 years, but I have never seen
anything like this. I have read (and enjoyed) my copy of A Conscientious
Marine Aquarist but haven't found anything relevant to this problem in
the text. Any help you could offer would be most appreciated. <Danny,
the best thing you can do for the tangs is get them into larger quarters
and/or reduce your fish load. I would continue with a 50% water change
every two weeks. After four or five water changes, hopefully the fish
will look much better. I believe environmental stress and diet are one
of the major contributors to poor health. A friend of mine has a couple
of tangs in an overcrowded tank that were in poor health despite his
efforts in maintaining high water quality and diet. Since money
prohibited him from buying a larger tank at the time, I lent him a large
Rubbermaid tub and suggested he transfer the two tangs into this with a
circulation pump, some live rock for a bio-filter, a thin layer of coral
sand for substrate, a couple of inexpensive large ceramic hollow logs
for security, and then I suggested to maintain a good diet with food
soaked in Selcon along with a weekly water change. Lighting was provided
by a nearby window. Guess what? Within a month the tangs gained weight,
showed excellent color, and all fins looked good. Two weeks later they
were sold to my LFS for a fair price. It's been about three years now
and they are still alive and doing quite well in a customer's 450 gallon
reef tank. What I'm depicting here is that tangs just do much much
better in larger systems that offer little or no environmental stress. I
have a five foot long 85 gallon tank and as much as I'd like a Purple
Tang, I just won't do it...I know what lies ahead as the fish grows.>
Thank you very much! <You're welcome and sorry for the lengthy reply,
just got a little wound up.> Best regards, <And to you. James
(Salty Dog)> Danny
Distressed Tomini Tang... yes, exposure to Malachite, Formalin
12/7/07 I appreciate the time. I will try to keep as short as
possible. I've had a Tomini Tang that I got as a birthday gift 3
weeks ago. The first 2.5 weeks went great, he was eating up everything
in site. In the last couple days, he has started to show some white
spots on his fins and now on his body. <... a pic?> I gave him a
Furan-2 bath plus QuICK Cure (LFS recommended) for about 2 hours <! I
hope not too concentrated... the "Cure" is toxic, very> with water
from the tank. I put him back in and after a few hours he is looking
worse. <Formalin burned little doubt> I also did a water change
just in case, but not sure what to do next. He is breathing fine, but
his appetite is nowhere what it once was. <Poisoned...> I'm not
sure if this is a parasite, Cryptocaryon or protozoan? <Me neither...
again, an image... Please try to put yourself in my/our place... this is
a bad guessing game> His mouth also is white (not sure what that
could be from). <Some specimens just are... others from rubbing in
bags, tanks...> There is no scratching at all, so can I cancel out
ick? <... how would I be able to tell?> All other tank mates look
fine. <This is a good sign... Likely nothing contagious...> Any
help would be much appreciated! Thanks, Neil <Careful
observation... only at this point. Please show this note to whoever
advised the hours long Malachite Green/formalin exposure... NOT! Bob
Fenner>
Sail Fin Tang... HLLE and trematodes... -11/27/2007 I have a
Sail fin tang. He has small holes all over his body and fins. <I
see these in your photo> I thought it was Ick but have not had
any luck treating for Ick. <Are likely flukes... and neuromast
destruction...> The best way to describe is the holes with
something white in the middle of them. Something seems to be eating
away at the skin. I have attached a very large photo so you can zoom
in. Any help would be appreciated! Thanks, Brian Safian
<... I would treat... successively... with Metronidazole... then
Praziquantel... see WWM re the use of these compounds... AND you
need to address your water quality and nutrition... Something is
amiss here that has allowed the HLLE to advance... see WWM re HLLE
causes/cures... Write back with specific issues... Bob Fenner>
Re: Sail Fin Tang... hlth. f' 11/27/2007 Bob,
<Brian> I have been putting Metronidazole in food regularly for
about a month <This is MUCH too long for exposure to this
material> and I treated the tank with PraziPro. <This...
should have "done it"> Some folks have suggested I do the
formalin dip as that is also effective against Flukes and Ich and
maybe feed Metronidazole while the fish are in QT after formalin
dip. Basically, setup QT tank, do Formalin dips and then put fish
into QT tank for a while. My next question is, "Does the eel need
treatment." <...? What eel?> I know most flukes and worms can
be fairly species specific and this one might only go after tangs.
<Likely so> I just do not know what the resistance to flukes is
by different fish or eels. <Many species are almost
commensals...> I know that in tank treatment is not recommended
by most, but having a fish only tank might be able to get away with
dosing Praziquantel in the tank? <Is done... frequently. Often
times with success... though the issue of co-interactions is
pertinent... may absorb the medicant/s> If it is not recommended,
what the life cycle of the fluke is and that way you know how long
your QT has to be for. <What?> Thanks, Brian Safian <See
WWM, the Net re Trematode diseases of fishes... BobF>
Re: Sail Fin Tang... hlth. 11/29/07 OK....Let me clarify. The
Sail Fin Tang is in a FO tank with a Naso tang and a Snowflake Eel.
The Naso and Eel have no signs parasites what so ever. Last
night I gave the Sail Fin a 45 Minute Formulin bath. <...
depending on strength/concentration, this is too long for formalin
exposure> It seems today that several, but not all the holes are
empty so it may have gotten some of the flukes off. Everyone seems
to think I should bring the tank into Hypo, which I may begin
stepping down today. Sorry for the confusion Brian <...
please, don't write; read instead... on WWM re hyposalinity... RMF> | 
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Powder Blue with a white blob on fin 11/26/07 Hi there
really appreciate all you guys do <Welcome> Wondered if you could
help me identify what if wrong with my powder blue? <I think so>
The blob is on his fin near the base, looks like a small spider egg sack
about 2mm in diameter just wondered if you knew of a treatment or what
it was because it looks like its starting to bother him and affect his
swimming other than that he is eating just fine. Keep up the good
work Many thanks Luke, Hertfordshire, UK <This apparently is a
not-uncommon "reaction spot" from a tweaking of the soft fin support and
membrane in this area... Nothing to do other than general good care.
Will resolve on its own in a few days to weeks. Bob Fenner> Ps levels
are all fine tank is 150g all my other fish are totally unaffected. | 
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Re: Anemone Lighting help!... Now... no prev. corr., summat about tang
hlth. 11/22/07 Thanks for the prompt response!
<Please... always send the prev. corr.... there are quite a few of us
here, many incoming/outgoing messages... and am feeble at
remembering/finding...> One quick follow-up, however: Will the
lights make the aquarium's temperature rise? <... possibly> Also,
the tang, although very active and a hearty eater, has developed some
slight redness around his mouth and tail. <Usually environmental>
I did around a 35% water change today and soaked his new algae food in
Maracyn. <Mmm... I would not start/use antibiotics in such an
indiscriminate manner> If the problem persists, I have a 5-gallon
bucket that I use as a quarantine tank that I will move him to, <Too
small to be stable, useful here> but I have no way to get any
medications other than the ones I have (Maracyn and QuICK Cure) until
the weekend. I live around 50 miles from the nearest LFS. Any
tips? Again, thanks for the quick response, and keep up the good
work! <... I really have no idea what your situation is other than
what is offered here in this msg. I would NOT treat an acanthurid given
what you list... with what you list... I would continue reading on WWM
re Tang Systems, Nutrition, Health. Bob Fenner>
Disease Help, Paravortex? 11/15/07 Greetings from Colorado
Again! <Howdy back at you from very nice and sunny San Diego>
I have an LT. Tang that has started showing signs that I thought
were Black Ich and it looks as if it is something else, I am
including a picture of him, he went as far as to letting the cleaner
shrimp hitch a ride on him while he cleaned. <The pic is not
well-resolved enough to make anything out> I have scoured the
search engines and have not come up on one thing it could be. My
water perimeters are excellent. It looks like black scratches and
his tail looks greenish and yellowish I hope that if you study the
picture you can tell me something. Ammonia- 0 Nitrite is at 0
Nitrate under 5ppm Ph at 8.4 Alkalinity is at 10 Gravity at
1022 Regards, Sharon <I'd not be concerned here... if this
is Paravortex (see WWM) it is not very debilitating... and easily
removed. Bob Fenner>
Re: Disease Help... Paravortex... Tang f's? 11/15/07 Hi
Bob- thanks so much! <Welcome Sharon> I am the one that wrote
you the other day regarding my Hippo and LT. Tang and when I removed
the Hippo then the black spot started to show up on my LT. It didn't
look like it at first because the Black spots seemed larger that
what Black ich looked like maybe it is a strain that is bigger if
there is such a thing? <No, not as far as I'm aware> I know
there is a New bigger and bad white ich out there that has to be
treated differently than white spot. I am scared to give him a
freshwater dip is there any way else to get rid of it other than
fresh water, I just don't want to start messing with chemistry of my
two tanks, I QT him last night to figure out what I am to do or do I
stick him back in my MD and treat him? I have inverts so I am
skeptical of all the reef safe products and advice that you have
would be so appreciative, would adding formalin to the QT fix the
problem and do Clown fish not get Paravortex they have been
unaffected so far and so no signs of disease. Respectfully,
Sharon <I would hold off period at this point. There is a very
good chance this is not pathogenic... BobF>
Re: Disease Help... Paravortex f' 11/16/07 Thanks, I
don't think that I will be able to save him. He is breathing rapidly
after I moved him and he got banged up trying to net him. <... I
would not have bagged this fish, moved it. I WOULD return it to the
main display, stat!> Although his mouth is okay he now has a
scrape on his side. It started to look elongated rather than
Paravortex, it seems as if it is a fungus his fins now have white on
then and the rest of his body looks as if someone has beat him up
horribly I have never seen a black fungus though have you by chance?
<... most "funguses" of marines are bacterial... some are not-white,
yes> My water chemistry is more than perfect and ideal there is
no mucus at all and this has just started in the last two days and
his top fin is still down and only goes up when he is concerned is
there anything that you might know. Respectfully Devastated,
Sharon <Sharon... please review our prev. corr.... Why are you
stressing this animal? BobF>
Re: Disease Help, tangs 11/19/07 Hi Again, <Sharon>
I wanted to let you know the status of my LT. Tang... He is doing
wonderfully. My LFS finally was open on Friday and explained to me
that this is a parasite that mainly attacks the LT. Tangs
<Interesting... perhaps a more rather than less species specific
trematode is speculated here> and I on Friday put Revive in the
Main Tank and I also treated for Ich... <... Mmmm... with what?>
I noticed a huge improvement come Saturday and he is doing very well
today he is eating and swimming around and waits at the end of the
tank for me. I supplement with Selcon and Garlic and his immune
system seems to be up and running. None of my Inverts have been
dazed by this treatment and you can watch the parasite die off him
and the cleaner shrimp are lined up and ready to be at his service
they are cleaning the inside of his mouth as I write. Thank you and
when I get the name of the Parasite I will write you back Bob and
let you know. Happy Holidays. Gratefully, Sharon in Colorado
<Thank you my friend. BobF>
Re: Disease Help... "reef-safe" med.s 11/19/07 Hi Bob,
I treated with Revive and No Ich from Fish Vet. <... am very
leery of such products that claim to leave only "beautiful"
invertebrates intact, while eliminating undesireables... AND
further, don't list their ingredients> It has worked so far
<This is the operative term> and treating him for bacterial as
well as for parasite infestation. He has mellowed out and is eating
very hardy. This stuff does not mess with your water Chemistry, I
have tested everyday and it has been clean. I had to take out the
carbon and the zeolite for five days than I will do a 20% water
change I slowed the skimmer down rather than turn it completely off
I turned it off the day I medicated than started it back up at
minimal the next day... So my method worked so far so good a very
happy person right now! thank you much. The stuff that I used is
Invert safe and reef safe and works well... Sharon <I do hope
it works for you... Instead of some natural remission, cycling
off... and returning of the causative organisms here. Bob Fenner> | 
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Tang Spots... reading on WWM 11/1/07 Hey Guys, Happy
Halloween, I have a few questions for you today, and thank you for
all your help in the past. First off, I have a 125 gallon reef ready
Saltwater tank, with 120# live rock, and 140# live sand. I have a med
tomato clown (tank raised), 2 baby hippo tangs (Had for about a month
1/2), and a med size Naso Tang, small clam, and a med feather duster. My
parameters are perfect ammonia 0, nitrate 0, and nitrite less than 5
ppm., specific gravity 1.022, <This is a bit low...> ph 8.2,
calcium 400, temp 76.5-77.5, with a 1000 watt metal halide lighting
system, skimmer and 25 watt UV, 1000 watt titanium heater, in sump.
My question is my Naso has had white color spots on his bottom area, not
welts like ich, but just small white color spots. <How large is this
specimen? Nasos can/do show such spotting when stressed, particularly
when small/er> He is eating algae sheets, seaweed salad, spinach,
lettuce, <I would not feed terrestrial greens> and picks at the
rocks all day. He swims all over, mostly across the front back and
forth. His breathing is normal and he acts normal. I know that Nasos
will have color change and some is normal, but I was just wandering if
you had any other ideas about it. <Mmm, no> Next my 2 baby regal
tangs (about 1 1/2") have been having white spots on them lately, (sort
of looks like ich) but then they will go away, and come back a few days
later. <You have a resident Crypt infestation... all three of these
comments are expanded on WWM...> They have always been very active,
eat seaweed salad, lettuce, spinach, pick at rocks, copepods in a bottle
(dead), flake food. Always willing to eat, and always active. They never
sit around and breath heavy like ich will do. But it does look like ich
spots. What can I do to get rid or prevent that from coming again.
Lastly, lately my feather duster "Feathers" have seemed to "Slim down?"
They don't seem as full and thick as usual. <Yes. Good observation>
None have fallen off but just seemed to have thinned out. I feed it the
same food I feed my clam. He only seems to come out when the lights are
off. I rarely see him in the daytime. Again thanks for all your help,
it is greatly appreciated. Aaron <Keep reading. Bob Fenner>
Unknown disease on Naso and Unicorn Tangs 10/25/07
Hello, <Hi there> I have had multiple Unicorn and Naso tangs,
both Hawaiian and Blonde, in my 500 gallon aquarium which are dying
of an unknown disease. No one in my area can identify the problem.
Water quality is excellent. First, they get a white cotton-like
grain around the face area. After about a week, the grain opens and
flesh is seen. The open wound can grow to be 3" on a 10" Tang. More
cotton-like material develops in the open flesh area and the fish
stops eating and dies. I know it is not a parasite because copper
(Cupramine) is not effective. <Mmm... not really> Is it a
fungus? If so, what medication should I use? Please help...I would
like to have more of these tangs in the future. Thanks, Jeff
<I would take a scraping, look w/o staining under a low-power
microscope. I suspect this/these are flukes (monogenetic
trematodes), but could possibly be copepods... treatment is either
with a vermifuge (e.g. Praziquantel) or an organophosphate... in the
meanwhile, in addition, I would bolster their immune systems with
HUFA and vitamin soaking on their algal diets. Bob Fenner>
Re: Unknown disease on Naso and Unicorn Tangs 10/25/07 Hello
Bob, <Jeff> Thanks for your quick reply. <Welcome> Which
of the 2 remedies are more effective and where can I get either
Praziquantel or Organophosphate? <Posted on WWM. BobF> Jeff
Re: Unknown disease on Naso and Unicorn Tangs – 10/30/2007
Hello Mr. Bob Fenner, <Jeff> I have been using Prazipro for 3
days and it seems to be not working. Attached is a picture of
the fish and disease. Let me know if I am using the right
medication. If I'm not, please guide me in the right direction.
Again, thanks for all of your help. Jeff <Mmm, this eruptive
condition looks like HLLE... neuromast destruction. Do you have
these fishes under constant copper exposure? Is it possible that
there is a vitamin deficiency syndrome here? Please read:
http://wetwebmedia.com/hllefaqs3.htm and the linked files above.
Bob Fenner, who would still like to see a micrograph... to exclude
Hexamita here...>
Re: Unknown disease on Naso and Unicorn Tangs 10/30/07 Hello
Rob, <Jeff> thanks for your reply. I know for sure it is not
HLLE. I have had the fish for about 2 months and eats a lot of
Spirulina. Water quality is good. <Mmm... well, the pattern of
involvement closely matches the arrangement of the lateralis system.
Again, have these Acanthurids been exposed to copper?> I will
treat for Hexamita and hope this is the problem. Thanks, Jeff
<Okay. BobF>
Re Unknown disease on Naso and Unicorn Tangs... still not reading,
Cu poisoning 10/31/07 Yes, I had cuprimine in the water
at .05 ppm. <... Please see WWM re Acanthuroids and copper
exposure... This is very likely the root cause of the neuromast
destruction here> Possibly a fungus or Bacterial infection?
Furan 2 or Fungus Cure as a medication? <... no, no, and no>
Thanks, Jeff <Please... read. Bob Fenner> | 
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