Saprolegnia often presents as a secondary infection that is diagnosed by the appearance of white or grey cotton-like tufts that, when out of water, have a somewhat mucoid appearance. Typical disease signs are visible circular or crescent-shaped, cotton-wool like, white or grey patches of filamentous mycelia on the fish skin. The lesions appear mainly around the head and the caudal, adipose and anal fins. Lesions may spread over the body until adjacent lesions coalesce.

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