It is possible for two normal-looking cats to produce a Scottish Fold kitten that will develop health issues. This is because the gene responsible for the folded ears is a dominant gene, meaning that even if a cat only carries one copy of the gene (heterozygous), it will express the folded ear trait and the associated health problems. The disease will occur as long as they carry the gene, regardless of how many generations have passed.

If two seemingly normal cats produce a Scottish Fold kitten, it indicates that at least one of the parents carries the gene for folded ears. While not all carriers will develop the disease, the incidence of osteochondrodysplasia, the genetic disorder affecting cartilage and bone, is high in Scottish Folds. This is a genetic condition for which there is generally no cure.
Age of Onset for Scottish Fold Health Issues
Scottish Fold cats have a high predisposition to developing osteochondrodysplasia. The symptoms and severity of this disease vary greatly from cat to cat. Some Scottish Folds may exhibit signs such as a thick, short, and stiff tail that cannot bend; others may display limb deformities, and some may exhibit pain, limping, or an unwillingness to walk due to cartilage degeneration. If these signs of pain are observed, it’s important to consider supplements to improve joint lubrication and pain medication. If the cat has difficulty walking, veterinary imaging should be considered to check for bone spurs or severe bone growth. If the cat's quality of life is severely compromised because they cannot walk due to significant bone changes, euthanasia may be recommended. Additionally, Scottish Folds are also prone to other congenital issues, including heart problems and polycystic kidney disease. It's important to observe for any abnormalities, such as wobbliness, lethargy or any other unusual behavior, and seek veterinary care to rule out these conditions and start treatment as needed. Source:5D Pet World
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