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Topic:Allergies

Allergies in horses are immune-mediated responses to environmental antigens, such as pollen, dust, mold, food, or insect bites, that result in hypersensitivity reactions. These reactions can manifest as respiratory issues, skin conditions, or gastrointestinal disturbances, impacting the horse's overall health and performance. Common allergic conditions in horses include recurrent airway obstruction (RAO), urticaria, and insect bite hypersensitivity. Understanding the underlying mechanisms of equine allergies is crucial for developing effective management and treatment strategies. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, diagnosis, and management of allergies in horses, as well as their impact on equine welfare and performance.
Horse allergen sensitivity and respiratory symptoms among horse farm workers.
Turkish journal of medical sciences    June 23, 2020   Volume 50, Issue 4 910-916 doi: 10.3906/sag-1912-39
Baran Ketencioğlu B, Yilmaz I, Tutar N, Gülmez I, Oymak FS.Sensitivity and symptoms related to animal proteins have been investigated in various occupational groups. However, data from horse farm workers are limited. We aimed to determine horse allergen sensitivity in the horse farm workers, and to evaluate its relationship with respiratory symptoms and functional parameters. A total of 110 subjects were enrolled in the study. The study group consisted of 80 horse farm workers. Face-to-face surveys, skin prick tests (SPT), and pulmonary function tests (PFT) were performed in the study group. Control group consisted of 30 healthy subjects. SPT and PFTs...
Phenotype and function of IgE-binding monocytes in equine Culicoides hypersensitivity.
PloS one    May 22, 2020   Volume 15, Issue 5 e0233537 doi: 10.1371/journal.pone.0233537
Larson EM, Babasyan S, Wagner B.Human IgE-binding monocytes are identified as allergic disease mediators, but it is unknown whether IgE-binding monocytes promote or prevent an allergic response. We identified IgE-binding monocytes in equine peripheral blood as IgE+/MHCIIhigh/CD14low cells that bind IgE through an FcεRI αɣ variant. IgE-binding monocytes were analyzed monthly in Culicoides hypersensitive horses and nonallergic horses living together with natural exposure to Culicoides midges. The phenotype and frequency of IgE-binding monocytes remained consistent in all horses regardless of Culicoides exposure. All horses ...
Effects of hypersensitivity disorders and environmental factors on the equine intestinal microbiota.
The veterinary quarterly    March 20, 2020   Volume 40, Issue 1 97-107 doi: 10.1080/01652176.2020.1745317
Kaiser-Thom S, Hilty M, Gerber V. Recent evidence suggests that an altered intestinal microbiota, specifically a reduction of bacterial diversity or a shift in microbial composition, is associated with the development of hypersensitivity disorders in humans, but this is unknown for horses. In this study we hypothesized that horses affected by either Culicoides hypersensitivity or severe equine asthma or both show a decreased diversity of their intestinal microbiota. We also investigated environmental effects. Rectal swab samples of a total of 140 horses were collected and the owners completed a detailed questionnaire about th...
A Comparison of Multiple Allergen Simultaneous Tests Using Allergen-Specific IgE Concentration and Intradermal Skin Tests in Atopic Horses With Pollen Allergy.
Journal of equine veterinary science    March 17, 2020   Volume 90 102992 doi: 10.1016/j.jevs.2020.102992
Wilkołek P, Szczepanik M, Rodzik B, Sitkowski W, Pluta M, Taszkun I, Gołyński M.Intradermal tests (IDTs) and measurement of specific immunoglobulin E class (sIgE) levels in sera are the most common and reliable methods used in allergological clinical practice. The purpose of this study was to explore the sensitization of pollen allergy in atopic horses with pollinosis and to assess the diagnostic value of the multiple allergen simultaneous tests (MASTs) compared with that of the IDT. Twenty-one Malopolski horses with typical skin hypersensitivity symptoms during pollen seasons were enrolled. Intradermal tests were performed, and allergen-specific IgE concentrations in ser...
Fecal microbiota in horses with asthma.
Journal of veterinary internal medicine    March 4, 2020   Volume 34, Issue 2 996-1006 doi: 10.1111/jvim.15748
Leclere M, Costa MC.Gastrointestinal microbiota can be influenced by several factors, including diet and systemic inflammation, and in turn could act as a modulator of the allergic response. Fecal microbiota of horses with asthma has not been described. Objective: Analyze the bacterial fecal microbiota of horses with and without asthma under different environment and diet conditions, during both remission and exacerbation. Methods: Prospective observational study. Feces from 6 asthmatic and 6 healthy horses were collected under 3 different conditions: on pasture, housed indoors receiving good quality hay ("good h...
Interleukin 31 in insect bite hypersensitivity-Alleviating clinical symptoms by active vaccination against itch.
Allergy    February 6, 2020   Volume 75, Issue 4 862-871 doi: 10.1111/all.14145
Olomski F, Fettelschoss V, Jonsdottir S, Birkmann K, Thoms F, Marti E, Bachmann MF, Kündig TM, Fettelschoss-Gabriel A.Insect bite hypersensitivity (IBH) is the most common seasonal pruritic allergic dermatitis of horses occurring upon insect bites. In recent years, a major role for IL-31 in allergic pruritus of humans, monkeys, dogs, and mice was acknowledged. Here, we investigate the role of IL-31 in IBH of horses and developed a therapeutic vaccine against equine IL-31 (eIL-31). IL-31 levels were quantified in allergen-stimulated peripheral blood mononuclear cells (PBMCs) and skin punch biopsies of IBH lesions and healthy skin from IBH-affected and healthy horses. The vaccine consisted of eIL-31 covalently ...
Microbial transglutaminase alters the immunogenic potential and cross-reactivity of horse and cow milk proteins.
Journal of dairy science    January 9, 2020   Volume 103, Issue 3 2153-2166 doi: 10.3168/jds.2019-17264
Fotschki J, Wróblewska B, Fotschki B, Kalicki B, Rigby N, Mackie A.Horse milk is a valuable raw material and a very attractive alternative for scientific research to address the issue of cow milk (CM) allergy due to its protein profile. A decrease in immunoreactive properties can be achieved by thermal, enzymatic, and hydrolytic processing. Therefore, the aim of this study was to explore the possibility of reducing the immunoreactivity of horse milk proteins by microbial transglutaminase (TG) polymerization. To determine how TG linking alters immunoreactivity under simulated digestion of the examined milk, analyses were performed before, during, and after dig...
Science-in-brief: Latex in riding arenas and racetracks identified as a risk factor for equine respiratory health.
Equine veterinary journal    December 11, 2019   Volume 52, Issue 1 11-12 doi: 10.1111/evj.13201
Hannant D.This study investigates severe equine asthma (sEA), a significant health risk in horses similar to human asthma, identifying latex found in riding arenas and racetracks as a potential risk factor. […]
Evaluation of multiple allergen simultaneous (sIgE) testing compared to intradermal testing in the etiological diagnosis of atopic dermatitis in horses.
Journal of veterinary science    November 28, 2019   Volume 20, Issue 6 e60 doi: 10.4142/jvs.2019.20.e60
Wilkołek P, Szczepanik M, Sitkowski W, Rodzik B, Pluta M, Taszkun I, Gołyński M.Although intradermal testing (IDT) is commonly used in the etiological diagnosis of allergies, in vitro testing for specific IgE (sIgE) is an attractive alternative. Currently, new laboratory techniques in veterinary allergological practice, including multiple allergen simultaneous tests (MASTs), gradually supersede in vivo tests. Both, serological (sIgE) and IDTs in fourteen atopic Malopolski horses were performed. Correlation and agreement between test results were evaluated. Receiver operating characteristic analysis showed that sIgE to had the best diagnostic performance (Area under the R...
Toll-like receptor-ligand induced thymic stromal lymphopoietin expression in primary equine keratinocytes.
Veterinary dermatology    November 21, 2019   Volume 31, Issue 2 154-162 doi: 10.1111/vde.12813
Cvitas I, Galichet A, Ling SC, Müller EJ, Marti E.Thymic stromal lymphopoietin (TSLP) plays a key role in the development of allergic inflammation. Little is known about possible triggers of equine TSLP expression. Objective: To investigate TSLP expression in equine insect bite hypersensitivity (IBH) skin lesions. The capacity of TLR 1-8 ligands (L) and of atopic cytokine milieu as potential triggers of TSLP and of interleukin (IL)-6 as a downstream effector molecule of TLR signalling, were examined in primary equine keratinocyte cultures. Methods: Lesional skin from IBH-affected and healthy skin from control-horses (n = 9 each group) was s...
Bronchoalveolar lavage fluid cytokine, cytology and IgE allergen in horses with equine asthma.
Veterinary immunology and immunopathology    November 19, 2019   Volume 220 109976 doi: 10.1016/j.vetimm.2019.109976
Hansen S, Otten ND, Birch K, Skovgaard K, Hopster-Iversen C, Fjeldborg J.The pathophysiology of equine asthma (EA) is still not fully described, but the involvement of an allergic reaction is strongly suspected. This theory has led to the use of allergen-specific immunoglobulin (Ig)E tests to support a diagnosis of asthma. The objective of this descriptive study was to evaluate the correlation between four subgroups of EA (mastocytic mild equine asthma [MEA], neutrophilic MEA, mixed MEA, and severe equine asthma [SEA]), allergen specific IgE (measured in both serum and BALF) and mRNA expression of selected genes in bronchoalveolar lavage fluid (BALF). Serum and BAL...
Antigen array for serological diagnosis and novel allergen identification in severe equine asthma.
Scientific reports    October 23, 2019   Volume 9, Issue 1 15170 doi: 10.1038/s41598-019-51820-7
White SJ, Moore-Colyer M, Marti E, Hannant D, Gerber V, Coüetil L, Richard EA, Alcocer M.Severe equine asthma (sEA), which closely resembles human asthma, is a debilitating and performance-limiting allergic respiratory disorder which affects 14% of horses in the Northern Hemisphere and is associated with increased allergen-specific immunoglobulin E (IgE) against a range of environmental proteins. A comprehensive microarray platform was developed to enable the simultaneous detection of allergen-specific equine IgE in serum against a wide range of putative allergenic proteins. The microarray revealed a plethora of novel pollen, bacteria, mould and arthropod proteins significant in t...
Comparative Review of Asthma in Farmers and Horses.
Current allergy and asthma reports    October 10, 2019   Volume 19, Issue 11 50 doi: 10.1007/s11882-019-0882-2
Sheats MK, Davis KU, Poole JA.Farmers are routinely exposed to organic dusts and aeroallergens that can have adverse respiratory health effects including asthma. Horses are farm-reared large animals with similar exposures and can develop equine asthma syndrome (EAS). This review aims to compare the etiology, pathophysiology, and immunology of asthma in horses compared to farmers and highlights the horse as a potential translational animal model for organic dust-induced asthma in humans. Severe EAS shares many clinical and pathological features with various phenotypes of human asthma including allergic, non-allergic, late o...
Co-reactivity between related and unrelated environmental allergens in equine allergen-specific IgE serology testing in the UK.
Veterinary dermatology    August 29, 2019   Volume 30, Issue 6 544-e165 doi: 10.1111/vde.12786
Forsyth J, Halliwell RE, Harrand R.Identification of environmental allergens in horses with allergic disease facilitates allergen avoidance and targeted immunotherapy. Objective: To evaluate allergenic co-reactivity between 44 environmental allergens. Methods: Horses with suspected allergic disease (n = 344) whose sera were submitted for environmental allergen testing. Methods: Allergen-specific IgE serological assays were performed using 44 allergens divided into six taxonomically related groups: house dust/storage mites, moulds, insects, grass, tree and weed pollens. Using pairwise comparisons, odds ratios (ORs) were calcul...
Comparison of three clinical scoring systems for Culicoides hypersensitivity in a herd of Icelandic horses.
Veterinary dermatology    August 22, 2019   Volume 30, Issue 6 536-e163 doi: 10.1111/vde.12784
Miller JE, Mann S, Fettelschoss-Gabriel A, Wagner B.Culicoides hypersensitivity (CH), an intensely pruritic and seasonal allergic dermatitis, is a common allergic disease affecting horses worldwide. Currently, there is no validated clinical scoring system for the quantification of clinical signs associated with CH. Objective: To (i) determine the best cut-off point of three scoring systems, (ii) test the accuracy of each system when compared to the clinical diagnosis of an experienced veterinarian and (iii) assess agreement between systems. Methods: Icelandic horses (n = 20); eight with CH and 12 unaffected, from a research herd receiving no ...
[Is summer eczema predictable in imported Icelandic horses?].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    August 21, 2019   Volume 47, Issue 4 271 doi: 10.1055/a-0975-5197
Hampe M.Torsteinsdottir S, Scheidegger S, Baselgia S et al. A prospective study on insect bite hypersensitivity in horses exported from Iceland into Switzerland. Acta Vet Scand 2018; 60: 69 BEIM SOMMEREKZEM HANDELT ES SICH UM EINE IGE-VERMITTELTE DERMATITIS INFOLGE EINER ALLERGISCHEN REAKTION AUF DEN SPEICHEL STECHENDER INSEKTEN (Z. B. CULICOIDES SPP.). BIS ZU 50 % DER AUS ISLAND NACH KONTINENTALEUROPA IMPORTIERTEN TIERE ERKRANKEN, DAGEGEN NUR 3–10 % DER AUF DEM FESTLAND GEBORENEN ISLäNDER. IN ISLAND GIBT ES DIE ERKRANKUNG NICHT, DA DIE VERURSACHENDEN GNITZEN DORT NICHT VORKOMMEN. HAT EINE SENSIBIL...
Development of a comprehensive protein microarray for immunoglobulin E profiling in horses with severe asthma.
Journal of veterinary internal medicine    August 20, 2019   Volume 33, Issue 5 2327-2335 doi: 10.1111/jvim.15564
White S, Moore-Colyer M, Marti E, Coüetil L, Hannant D, Richard EA, Alcocer M.Severe asthma in horses, known as severe equine asthma (SEA), is a prevalent, performance-limiting disease associated with increased allergen-specific immunoglobulin E (IgE) against a range of environmental aeroallergens. Objective: To develop a protein microarray platform to profile IgE against a range of proven and novel environmental proteins in SEA-affected horses. Methods: Six SEA-affected and 6 clinically healthy Warmblood performance horses. Methods: Developed a protein microarray (n = 384) using protein extracts and purified proteins from a large number of families including pollen, ba...
[Equestrian related injuries and pathologies].
Revue medicale suisse    August 15, 2019   Volume 15, Issue 658 1383-1386 
Hochart É, Fournier Y.Equestrian sports are widely practiced in Switzerland as hobbies. Horses are imposing and unpredictable. As a result, traumatisms associated with horseback riding are common and cause serious injuries. Cranial traumatisms are among the most frequently encountered injuries and are associated with high rates of hospitalization and mortality. Helmet use decreases the severity of intracranial lesions. Close contact with horses can lead to the development of infectious diseases and respiratory allergies. Although infrequent in Europe, these infections occur sporadically and should be known by gener...
Genomic Regions Associated with IgE Levels against Culicoides spp. Antigens in Three Horse Breeds.
Genes    August 8, 2019   Volume 10, Issue 8 doi: 10.3390/genes10080597
François L, Hoskens H, Velie BD, Stinckens A, Tinel S, Lamberigts C, Peeters L, Savelkoul HFJ, Tijhaar E, Lindgren G, Janssens S, Ducro BJ, Buys N....Insect bite hypersensitivity (IBH), which is a cutaneous allergic reaction to antigens from Culicoides spp., is the most prevalent skin disorder in horses. Misdiagnosis is possible, as IBH is usually diagnosed based on clinical signs. Our study is the first to employ IgE levels against several recombinant Culicoides spp. allergens as an objective, independent, and quantitative phenotype to improve the power to detect genetic variants that underlie IBH. Genotypes of 200 Shetland ponies, 127 Icelandic horses, and 223 Belgian Warmblood horses were analyzed while using a mixed model approach. No s...
Effects of allergen-specific immunotherapy on peripheral blood regulatory T cells and serum concentrations of cytokines and immunoglobulins in horses with allergic dermatitis.
International immunopharmacology    June 10, 2019   Volume 74 105674 doi: 10.1016/j.intimp.2019.105674
Marteles D, Verde MT, Conde T, Pereboom D, Casanova Á, Villanueva-Saz S, Ortín A, Fernández A.The aim of this study was to assess the effect of allergen-specific immunotherapy (ASIT) on the immunological responses of horses. Blood samples were taken from thirty-two horses with allergic dermatitis treated with ASIT and 10 healthy control horses at 0, 3, 6, 9 and 12 months to investigate the evolution of the percentage of regulatory T cells (Treg) in the peripheral blood and the serum levels of cytokines and immunoglobulins. Clinical improvement was appreciated by the majority of the horses' owners (56.6%). No effect of ASIT on CD4CD25 Treg cells was found during the one year treatment...
Immunomodulatory asthma therapy in the equine animal model: A dose-response study and evaluation of a long-term effect.
Immunity, inflammation and disease    May 29, 2019   Volume 7, Issue 3 130-149 doi: 10.1002/iid3.252
Klier J, Bartl C, Geuder S, Geh KJ, Reese S, Goehring LS, Winter G, Gehlen H.Equine asthma represents a naturally occurring animal model for human allergic neutrophilic asthma. Inhalative nanoparticle-bound cytosine-phosphate-guanosine (CpG-GNP) immunotherapy, independent of specific allergens, has already shown promising clinical and immunological results in previous studies and offers the possibility to treat the underlying cause of the disease. This study analyses the relationship between dose and response, and evaluates a possible long-term effect. In the prospective, randomised, double-blind clinical field study, 29 horses suffering from equine asthma received 10 ...
Assessment of serum allergen-specific IgE levels in horses with seasonal allergic dermatitis and recurrent airway obstruction in Spain.
Acta veterinaria Hungarica    March 30, 2019   Volume 67, Issue 1 11-21 doi: 10.1556/004.2019.002
Marteles D, Odriozola L, Verde MT, Conde T, Fernández A.Allergic conditions are prevalent equine diseases that can be diagnosed by clinical examination alone, but definitive diagnosis is more likely with laboratory testing. The ELISA Allercept© test was used to analyse the serum samples of 73 horses with allergic diseases. Sixty-one horses (83.5%) had allergen-specific IgE levels ≥ 150 ELISA Units (EU), the cut-off defined by the assay. Fifty-four horses had allergic dermatitis (AD) with high IgE levels to Tyrophagus putrescentiae (51.9%), Rumex crispus (48.1%), Tabanus (46.3%) and Dermatophagoides farinae/ D. pteronyssinus (40.7%). Seven horses...
Insights into animal models for cell-based therapies in translational studies of lung diseases: Is the horse with naturally occurring asthma the right choice?
Cytotherapy    March 29, 2019   Volume 21, Issue 5 525-534 doi: 10.1016/j.jcyt.2019.02.010
Lange-Consiglio A, Stucchi L, Zucca E, Lavoie JP, Cremonesi F, Ferrucci F.Human asthma is a widespread disease associated with chronic inflammation of the airways, leading to loss of quality of life, disability and death. Corticosteroid administration is the mainstream treatment for asthmatic patients. Corticosteroids reduce airway obstruction and improve quality of life, although symptoms persist despite treatment in many patients. Moreover, available therapies failed to reverse the lung pathology present in asthma. Animal models, mostly rats and mice, in which the disease is experimentally induced, have been studied to identify new therapeutic targets for human as...
Pollens destroy respiratory epithelial cell anchors and drive alphaherpesvirus infection.
Scientific reports    March 18, 2019   Volume 9, Issue 1 4787 doi: 10.1038/s41598-019-41305-y
Van Cleemput J, Poelaert KCK, Laval K, Impens F, Van den Broeck W, Gevaert K, Nauwynck HJ.Pollens are well-known triggers of respiratory allergies and asthma. The pollen burden in today's ambient air is constantly increasing due to rising climate change and air pollution. How pollens interact with the respiratory mucosa remains largely unknown due to a lack of representative model systems. We here demonstrate how pollen proteases of Kentucky bluegrass, white birch and hazel selectively destroy integrity and anchorage of columnar respiratory epithelial cells, but not of basal cells, in both ex vivo respiratory mucosal explants and in vitro primary equine respiratory epithelial cells...
Longitudinal evaluation of immunological responses to allergen-specific immunotherapy in horses with IgE associated dermatological disease, a pilot study.
Veterinary dermatology    March 4, 2019   Volume 30, Issue 3 255-e78 doi: 10.1111/vde.12732
Radwanski NE, Morris DO, Boston RC, Cerundolo R, Lee KW.The long-term effects of allergen specific immunotherapy (ASIT) on concentrations of circulating immunoglobulin E (IgE) and immunoglobulin G (IgG) in horses have not been reported. Objective: To document changes in clinical severity of horses with atopic dermatitis (AD) and to monitor allergen-specific IgE and IgG concentrations during a two-year course of ASIT. Methods: Nineteen client-owned horses with a conditional diagnosis of AD. Methods: Three ASIT groups were randomly assigned based upon results obtained by either intradermal testing (IDT) for regional allergens (n = 7); enzyme-linked...
Levels of horse allergen Equ c 4 in dander and saliva from ten horse breeds.
Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology    February 27, 2019   Volume 49, Issue 5 701-711 doi: 10.1111/cea.13362
Victor S, Binnmyr J, Lampa E, Rask-Andersen A, Elfman L.Horses are an important source of allergens, but the distribution of horse allergens is poorly understood. Five horse allergens have been identified, Equ c 1-4 and 6. Equ c 4 seems to be an important allergen, with an IgE-binding frequency of 77% in horse-sensitized individuals. The aim of this study was to investigate levels of horse allergen Equ c 4 in dander, saliva and urine from ten horse breeds. The study population included 170 horses (87 mares, 27 stallions, 56 geldings) from ten breeds. Horse dander, saliva and urine samples were collected. Levels of horse allergen Equ c 4 were quanti...
A cream containing omega-3-fatty acids, humectants and emollients as an aid in the treatment of equine Culicoides hypersensitivity.
Veterinary dermatology    February 6, 2019   Volume 30, Issue 2 155-e46 doi: 10.1111/vde.12728
Huhmann R, Mueller RS.Topical application of polyunsaturated fatty acids (PUFAs) has shown satisfactory results in dogs and humans with allergic skin diseases. Urea and glycolic acid act as keratolytics and moisturizers. Culicoides hypersensitivity is the most common equine hypersensitivity disorder and only limited treatment options exist. Objective: To evaluate the effect of a cream containing topical PUFAs, humectants and emollients on clinical signs of equine Culicoides hypersensitivity. Methods: Privately owned horses (n = 28) with clinical signs of Culicoides hypersensitivity. Methods: For a period of four ...
A Comparison of Intradermal Skin Testing and Serum Insect Allergen-specific IgE Determination in Horses With Insect Bite Hypersensitivity From 2008 to 2016.
Journal of equine veterinary science    February 1, 2019   Volume 75 65-68 doi: 10.1016/j.jevs.2019.01.007
Wilkołek P, Szczepanik M, Sitkowski W, Adamek Ł, Pluta M, Taszkun I, Gołyński M.New techniques in equine veterinary allergy testing include multiple allergen simultaneous tests (MASTs) that cover insect bite hypersensitivity (IBH), respiratory and atopic allergic diseases. The in vivo intradermal test (IDT) method is one of the most widely used techniques in veterinary practice, but recently, in vitro methods have been introduced as possible alternatives. This study was designed to assess the correlation between IDTs and MASTs based on IgE determination in serum. The study was performed on Malopolski breed horses with IBH (n = 26). IDTs were performed, and allergen-spe...
Lower allergen levels in hypoallergenic Curly Horses? A comparison among breeds by measurements of horse allergens in hair and air samples.
PloS one    December 12, 2018   Volume 13, Issue 12 e0207871 doi: 10.1371/journal.pone.0207871
Zahradnik E, Janssen-Weets B, Sander I, Kendzia B, Mitlehner W, May C, Raulf M.Exposure to horses can cause severe allergic reactions in sensitized individuals. The breed, American Bashkir Curly Horse is categorized as hypoallergenic, primarily due to reports of allergic patients experiencing fewer symptoms while handling this special breed. The possible reasons for this phenomenon could be lower allergen production and/or reduced allergen release into the air because of increased sebum content in their skin and hair compared to other breeds. Therefore, the aim of the current study was to compare different horse breeds in relation to allergen content in hair and airborne...
Allergen-specific immunoglobulin E in sera of horses affected with insect bite hypersensitivity, severe equine asthma or both conditions.
Journal of veterinary internal medicine    December 6, 2018   Volume 33, Issue 1 266-274 doi: 10.1111/jvim.15355
Verdon M, Lanz S, Rhyner C, Gerber V, Marti E.Genetic, epidemiologic, and clinical evidence suggests that, in horses, there are manifestations of hypersensitivity that can occur together. Objective: To investigate whether concurrent insect bite hypersensitivity (IBH) and severe equine asthma (EA) is associated with higher allergen-specific and total serum immunoglobulin E (IgE) concentrations than only EA or IBH. Methods: Healthy control horses (C, n = 40), horses with IBH (IBH, n = 24), severe EA (EA, n = 18), and both conditions (IBH/EA, n = 23) were included. Methods: In our retrospective comparative study, sera from ho...