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You asked "What are the cures?" This appears to be a subject of debate since many say HLLE can be stopped but not reversed. I am not convinced either way, but when my tang was showing signs of HLLE while in a QT tank for 9 week he started to show signs due to poor water quality. A year later after going back into the display all evidence of any HLLE is gone and he is back to normal. However, this was hardly a severe case. I have done a lot of research and experimenting trying to find the proper balance of nutrition, diversity, and palatability, especially for hard to keep fishes to help combat some of the nutritional deficiencies encountered in a home aquarium.
I would suggest a varied diet rich in nutrients, and marine based ingredients. If you can get him eating high grade seaweed that is very dense in vitamins and anti-oxidants as well. Obviously I am biased and think fresher is better, such as with our probiotic foods so I cannot help but throw it out there for the sake of the fish's long term health.
Shameless plug: Currently our foods are used by one of the most elite fish collectors in the hobby such as "Humaguy" on RC. Last week marine biologist Karen Brittain posted a blog about her 130 day old captive bred angels being fed our food as a "first choice" non-live food. I'm throwing it out there cause this is an Angel thread and the blog post is a pretty amazing advancement with these juveniles making it this far.
Karen's Blog: "Raising Purple Mask Angelfish" Rising Tide Conservation Updates: Larval Rearing of the Purple Mask Angelfish
I am not a big fan of terrestrial veggies in a marine diet, however articles have mentioned that broccoli flowers are rich in Vitamin A&D and when blanched (to aid digestion of the cellulose) offer benefits.
This article demonstrates what I am referring to:
Dietary Control Of HLLE In Blue Tangs
By Steve Collins, Curator Indianapolis Zoo-Aquarium
The occurrence of head and lateral line erosion, (HLLE) is a common problem with certain reef fish, particularly tangs and surgeonfish. We experienced and epidemic amoung our blue tang (Acanthurus coeruleus) population six years ago,(1989), in our 25,00 gallon reef exhibit here at the Indianapolis Zoo-Aquarium. Other surgeonfish were affected, but the angelfish in the exhibit were not.
Water quality was dismissed as a likely cause of the problem. Good water quality was maintained by a combination of use of sand filters, ozone, and periodic water exchanges with saltwater mixed from Instant Ocean sea salt. We do not use activated carbon. Normal nitrate levels were maintained in the range of 15 to 20 milligrams per liter ,(mg/l), Nitrate Nitrogen , (N03-N). pH averaged 8.25 and salinity was 32 parts per thousand, or a specific gravity of 1.023. At the onset of the HLLE, salinity was dropped to inhibit parasite reproduction, in case this was the cause. The erosion continued and salinity was eventually brought back up to 1.023.
In reviewing other possible causes for theis malady we next focused on possible dietary deficiencies, because no obvious pathogens were found. Our fish were receiving a varied diet including romaine lettuce and spinach. Initially we tried elevating the level of vitamin C by incorporating a supplement into a gelatin based food, but this had no effect. We next considered supplementing the level of vitamin A. According to the Applied Nutrition and Diet Therapy, page 852, "One of the most important functions of vitamin A is to maintain the integrity of the epithelial cells....As a result, surfaces of the skin and membranes lining all passages that open to the exterior of the body, as well as glands and their ducts, are susceptible to disease." This was the basis for trying increased amounts of vitamin A after the vitamin C supplement by itself failed to produce results. It was our feeling that the laining of the lateral line ducts had deteriorated.
We were concerned with the possible toxicity of high vitamin A levels that has been reported for certain animals. Upon reviewing the nutritional value of different types of lettuce, we found them to be very low in nutrients and began researching the nutritional value of other green vegetables. Spinach appeared to be higher than lettuce, but it does not hold up well in sea water. Carrots were found to be a good natural food, but they had to be shredded and were quite messy to feed. Still, we fed carrots solely for six to eight weeks and observed a resolution of the HLLE. A more complete literature review made broccoli an obvious choice. It is well balanced in many vitamins in addition to the high level of vitamin A, and also has other features that make it acceptable. It holds up very well in the aquarium. Many fish like the flowerettes when they are first added. Only the larger fish could break open the woody layer on the stalks, but once opened small fish feed on the softer pulp material. We replaced the carrots with broccoli, and we are currently using it as a well-balanced maintenance diet.
After replacing the lettuce diet with first carrots and then fresh broccoli, the HLLE improved to the extent that only a few scars remained on the most severely affected fish. After nearly eight years in the exhibit, most of the original batch of blue tangs are still alive. Broccoli, supplemented with peas and other prepared foods, dominates the diet. No HLLE sypmtoms are evident in any of the fish in the exhibit.
***END***
Whatever food you choose, I would recommend you follow the advice by previous posters and feed a varied diet and also take advantage of the beneficial food soaks on the market.
Since this is an Angel lovers thread, I figured I would post a few pics of ours...Just kidding...LOL. These images are courtesy of Ted, AKA "Humaguy."
This is a screenshot of Karen's P. venusta little guy, when they were still eating live feeds.