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I agree with those who have mentioned flea allergies as something to look into. It might not be fleas... but I once had a cat with severe flea allergies and it looked a lot like your pictures.
Also, some cats can have terrible skin reactions to the spot-on flea products. That was the case with my flea allergy cat... he developed sores where the spot-on products touched his skin. He was much better after I switched to oral flea meds.
Flea products don't always work; cats can still have some fleas even if the products are being used on a regular schedule (and if you use them "every month or so," that may not be often enough, in any case).My family was given these flea drops to put on his nape area every month or so. As far as I know about them they're used to prevent fleas which is why I really doubt he has any fleas. Also, we've only brought them outside once ever into our front yard.
Also, some cats can have terrible skin reactions to the spot-on flea products. That was the case with my flea allergy cat... he developed sores where the spot-on products touched his skin. He was much better after I switched to oral flea meds.