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A. I would consider using an e-collar to deter licking and also having an in-house tissue cytology done to get more information on this so that you'll can move forward with a more tailored treatment of this area.
I would be suspicious of the following things:
1) A fungal component is there causing extreme itching
2) A foreign body just underneath the skin
3) The skin has not healed yet and is still itchy, possibly needing additional medications such as a steroid + antihistamine combination therapy and a good skin antibiotic (such as Simplicef)
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