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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.
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...
Active vaccination against interleukin-5 as long-term treatment for insect-bite hypersensitivity in horses.
Allergy    November 25, 2018   Volume 74, Issue 3 572-582 doi: 10.1111/all.13659
Fettelschoss-Gabriel A, Fettelschoss V, Olomski F, Birkmann K, Thoms F, Bühler M, Kummer M, Zeltins A, Kündig TM, Bachmann MF.Insect-bite hypersensitivity (IBH) in horses is a chronic allergic dermatitis caused by insect bites. Horses suffer from pruritic skin lesions, caused by type-I/type-IV allergic reactions accompanied by prominent eosinophil infiltration into the skin. Interleukin-5 (IL-5) is the key cytokine for eosinophils and we have previously shown that targeting IL-5 by vaccination reduces disease symptoms in horses. Here, we analyzed the potential for long-term therapy by assessing a second follow-up year of the previously published study. The vaccine consisted of equine IL-5 (eIL-5) covalently linked to...
The influence of hay steaming on clinical signs and airway immune response in severe asthmatic horses.
BMC veterinary research    November 15, 2018   Volume 14, Issue 1 345 doi: 10.1186/s12917-018-1636-4
Orard M, Hue E, Couroucé A, Bizon-Mercier C, Toquet MP, Moore-Colyer M, Couëtil L, Pronost S, Paillot R, Demoor M, Richard EA.Avoidance of antigenic stimuli was found to significantly reverse airway obstruction of horses with severe equine asthma (sEA). To date, no published study investigated the influence of steaming hay on lower airway condition of sEA-affected horses. The objectives were to determine the clinical, cytological and cytokine respiratory responses of both sEA and control (CTL) horses experimentally exposed to steamed or dry hay. Results: A cohort of 6 sEA horses and 6 CTL horses was involved in this field study. On day 0, both groups were fed with steamed hay for 5 consecutive days, followed by a was...
A prospective study on insect bite hypersensitivity in horses exported from Iceland into Switzerland.
Acta veterinaria Scandinavica    November 3, 2018   Volume 60, Issue 1 69 doi: 10.1186/s13028-018-0425-1
Torsteinsdottir S, Scheidegger S, Baselgia S, Jonsdottir S, Svansson V, Björnsdottir S, Marti E.Insect bite hypersensitivity (IBH) is an IgE-mediated dermatitis caused by bites of Culicoides spp., which occurs frequently in horses imported from Iceland to continental Europe. IBH does not occur in Iceland because Culicoides species that bite horses are not present. However, Simulium vittatum (S. vittatum) are found in Iceland. In Europe, blood basophils from IBH-affected horses release significantly more sulfidoleukotrienes (sLT) than those from healthy controls after in vitro stimulation with Culicoides nubeculosus (C. nubeculosus) and S. vittatum. Aims of the study were: (I) using the s...
Companion animals and human health: benefits, challenges, and the road ahead for human-animal interaction.
Revue scientifique et technique (International Office of Epizootics)    September 14, 2018   Volume 37, Issue 1 71-82 doi: 10.20506/rst.37.1.2741
Friedman E, Krause-Parello CA.There is ample evidence that human-animal interaction (HAI) is associated with health. Studies encompass three general categories: those that compare companion animal owners with individuals who do not own companion animals, those examining brief, 'one-off' contacts with animals, and those that review animal-assisted interventions. The health benefits demonstrated typically include reductions in depression and loneliness, while enhancing social interaction or social skills, and decreasing anxiety and arousal. Other health benefits associated with companion animals include the promotion of exer...
Long-term management of horses with atopic dermatitis in southeastern England: a retrospective questionnaire study of owners’ perceptions.
Veterinary dermatology    September 3, 2018   Volume 29, Issue 6 526-e176 doi: 10.1111/vde.12685
Loeffler A, Herrick D, Allen S, Littlewood JD.Allergic pruritus and urticaria in the horse are challenging for veterinarians and owners; little is known about their long-term management. Objective: To summarize intradermal allergen test results (IDT), and to assess owners' perceptions of skin disease and the effects of medical treatment and management changes in their atopic horses over time. Methods: Eighty two horses with atopic dermatitis in southeastern England between 2006 and 2011. Methods: The IDT results were reviewed retrospectively. Owners completed telephone questionnaires on skin changes, medication, effect of allergen-specifi...
Copy number variations in Friesian horses and genetic risk factors for insect bite hypersensitivity.
BMC genetics    July 30, 2018   Volume 19, Issue 1 49 doi: 10.1186/s12863-018-0657-0
Schurink A, da Silva VH, Velie BD, Dibbits BW, Crooijmans RPMA, Franҫois L, Janssens S, Stinckens A, Blott S, Buys N, Lindgren G, Ducro BJ.Many common and relevant diseases affecting equine welfare have yet to be tested regarding structural variants such as copy number variations (CNVs). CNVs make up a substantial proportion of total genetic variability in populations of many species, resulting in more sequence differences between individuals than SNPs. Associations between CNVs and disease phenotypes have been established in several species, but equine CNV studies have been limited. Aim of this study was to identify CNVs and to perform a genome-wide association (GWA) study in Friesian horses to identify genomic loci associated w...
Effect of antigen challenge on dynamics of CD62P and CD41/61 expression on platelets in horses with recurrent airway obstruction (RAO).
Veterinary immunology and immunopathology    July 18, 2018   Volume 202 172-180 doi: 10.1016/j.vetimm.2018.07.007
Iwaszko A, Borowicz H, Graczyk S, Slowikowska M, Pliszczak-Krol A, Niedzwiedz A.Recurrent airway obstruction (RAO), also known as heaves, is an allergic respiratory condition that develops in horses following an exposure to aeroallergens in hay and straw. This is manifested by airway hyperreactivity, inflammation, bronchoconstriction, as well as a leukocyte and platelet infiltration into the airways. Platelet activation and an increase in circulating platelet-leukocyte aggregates may lead to airway remodeling. The aim of this study was to explore the effect of seven-day antigen challenge on dynamics of platelet indices and CD41/61 and CD62 P expression on platelets in h...
Treating insect bite hypersensitivity in horses by using active vaccination against IL-5.
The Journal of allergy and clinical immunology    July 5, 2018   Volume 142, Issue 4 1060-1061 doi: 10.1016/j.jaci.2018.06.031
Wu AY, Sur S, Grant JA.No abstract available
Allergen immunotherapy in people, dogs, cats and horses – differences, similarities and research needs.
Allergy    May 27, 2018   Volume 73, Issue 10 1989-1999 doi: 10.1111/all.13464
Mueller RS, Jensen-Jarolim E, Roth-Walter F, Marti E, Janda J, Seida AA, DeBoer D.In human patients with seasonal allergic rhinoconjunctivitis sensitized to grass pollen, the first successful allergen immunotherapy (AIT) was reported in 1911. Today, immunotherapy is an accepted treatment for allergic asthma, allergic rhinitis and hypersensitivities to insect venom. AIT is also used for atopic dermatitis and recently for food allergy. Subcutaneous, epicutaneous, intralymphatic, oral and sublingual protocols of AIT exist. In animals, most data are available in dogs where subcutaneous AIT is an accepted treatment for atopic dermatitis. Initiating a regulatory response and a pr...
Barley produced Culicoides allergens are suitable for monitoring the immune response of horses immunized with E. coli expressed allergens.
Veterinary immunology and immunopathology    May 14, 2018   Volume 201 32-37 doi: 10.1016/j.vetimm.2018.05.005
Jonsdottir S, Stefansdottir SB, Kristinarson SB, Svansson V, Bjornsson JM, Runarsdottir A, Wagner B, Marti E, Torsteinsdottir S.Insect bite hypersensitivity is an allergic dermatitis of horses caused by bites of Culicoides midges. Sufficient amount of pure, endotoxin-free allergens is a prerequisite for development and monitoring of preventive and therapeutic allergen immunotherapy. Aims of the study were to compare the Culicoides nubeculosus (Cul n) allergens Cul n 3 and Cul n 4, produced in transgenic barley grains with the corresponding E. coli or insect cells expressed proteins for measuring antibody and cytokine responses. Allergen-specific IgG responses were measured by ELISA in sera from twelve horses not expose...
Treating insect-bite hypersensitivity in horses with active vaccination against IL-5.
The Journal of allergy and clinical immunology    April 4, 2018   Volume 142, Issue 4 1194-1205.e3 doi: 10.1016/j.jaci.2018.01.041
Fettelschoss-Gabriel A, Fettelschoss V, Thoms F, Giese C, Daniel M, Olomski F, Kamarachev J, Birkmann K, Bühler M, Kummer M, Zeltins A, Marti E....Insect-bite hypersensitivity is the most common allergic dermatitis in horses. Excoriated skin lesions are typical symptoms of this seasonal and refractory chronic disease. On a cellular level, the skin lesions are characterized by massive eosinophil infiltration caused by an underlying allergic response. To target these cells and treat disease, we developed a therapeutic vaccine against equine IL-5 (eIL-5), the master regulator of eosinophils. The vaccine consisted of eIL-5 covalently linked to a virus-like particle derived from cucumber mosaic virus containing the tetanus toxoid universal T-...
Comparison of serum concentrations of environmental allergen-specific IgE in atopic and healthy (nonatopic) horses.
Polish journal of veterinary sciences    April 4, 2018   Volume 20, Issue 4 789-794 doi: 10.1515/pjvs-2017-0099
Wilkołek P, Sitkowski W, Szczepanik M, Adamek Ł, Pluta M, Taszkun I, Gołyński M, Malinowska A.Allergic responses in humans, horses and other species are mediated by immunoglobulin E (IgE) antibodies. Serum testing to detect allergen-specific IgE antibodies has been developed for dogs, cats and horses; this allows for the identification of allergens and determination of appropriate allergen- specific immunotherapies. This study compared serum allergen-specific IgE concentrations in atopic and healthy horses. The study was performed on Malopolski breed atopic (n=21) and nonatopic (n=21) clinically healthy horses. Allergen-specific IgE serum concentrations were measured in summer seasons ...
Molecular allergen profiling in horses by microarray reveals Fag e 2 from buckwheat as a frequent sensitizer.
Allergy    February 27, 2018   Volume 73, Issue 7 1436-1446 doi: 10.1111/all.13417
Einhorn L, Hofstetter G, Brandt S, Hainisch EK, Fukuda I, Kusano K, Scheynius A, Mittermann I, Resch-Marat Y, Vrtala S, Valenta R, Marti E, Rhyner C....Companion animals are also affected by IgE-mediated allergies, but the eliciting molecules are largely unknown. We aimed at refining an allergen microarray to explore sensitization in horses and compare it to the human IgE reactivity profiles. Methods: Custom-designed allergen microarray was produced on the basis of the ImmunoCAP ISAC technology containing 131 allergens. Sera from 51 horses derived from Europe or Japan were tested for specific IgE reactivity. The included horse patients were diagnosed for eczema due to insect bite hypersensitivity, chronic coughing, recurrent airway obstructio...
Effect of ionization, bedding, and feeding on air quality in a horse stable.
Journal of veterinary internal medicine    February 27, 2018   Volume 32, Issue 3 1234-1240 doi: 10.1111/jvim.15069
Siegers EW, Anthonisse M, van Eerdenburg FJCM, van den Broek J, Wouters IM, Westermann CM.Organic dust is associated with Equine asthma. Ionization should reduce airborne dust levels. Objective: To determine the effect of ionization of air, type of bedding, and feed on the levels of airborne dust, endotoxin, and fungal colonies in horse stables. Methods: 24 healthy University-owned horses occupied the stables. Methods: A randomized controlled cross-over study. Four units with 6 stables were equipped with an ionization installation (25 VA, 5000 Volt Direct Current). Horses were kept either on wood shavings and fed haylage (2 units), or on straw and fed dry hay (2 units). Measurement...
Modeling asthma: Pitfalls, promises, and the road ahead.
Journal of leukocyte biology    February 16, 2018   Volume 104, Issue 1 41-48 doi: 10.1002/JLB.3MR1117-436R
Rosenberg HF, Druey KM.Asthma is a chronic, heterogeneous, and recurring inflammatory disease of the lower airways, with exacerbations that feature airway inflammation and bronchial hyperresponsiveness. Asthma has been modeled extensively via disease induction in both wild-type and genetically manipulated laboratory mice (Mus musculus). Antigen sensitization and challenge strategies have reproduced numerous important features of airway inflammation characteristic of human asthma, notably the critical roles of type 2 T helper cell cytokines. Recent models of disease induction have advanced to include physiologic aero...
A Pilot Qualitative Investigation of Stakeholders’ Experiences and Opinions of Equine Insect Bite Hypersensitivity in England.
Veterinary sciences    January 9, 2018   Volume 5, Issue 1 3 doi: 10.3390/vetsci5010003
Lomas HR, Robinson PA.Equine insect bite hypersensitivity (IBH), commonly known as sweet itch or summer eczema, is a frustrating recurrent skin disease in the equine industry involving an immune reaction to the bites of spp. midges. To investigate the impact of IBH in the field, an exploratory pilot study was conducted with equine stakeholders in one region of central England. Nine semi-structured, face-to-face interviews were conducted with horse owners and an equine veterinarian. The aim was to gain an understanding of experiences with IBH, and to gauge opinions on the value of the various management strategies ...
A comparison of nanoparticullate CpG immunotherapy with and without allergens in spontaneously equine asthma-affected horses, an animal model.
Immunity, inflammation and disease    November 1, 2017   Volume 6, Issue 1 81-96 doi: 10.1002/iid3.198
Klier J, Geis S, Steuer J, Geh K, Reese S, Fuchs S, Mueller RS, Winter G, Gehlen H.New therapeutic strategies to modulate the immune response of human and equine allergic asthma are still under extensive investigation. Immunomodulating agents stimulating T-regulatory cells offer new treatment options beyond conventional symptomatic treatment or specific immunotherapy for human and equine allergic airway diseases, with the goal of a homoeostatic T-helper cell balance. The aim of this study was to evaluate the effects of a nebulized gelatin nanoparticle-CpG formulation (CpG-GNP) with and without specific allergens for the treatment of spontaneous allergic equine asthma as a mo...
Longitudinal analysis of allergen-specific IgE and IgG subclasses as potential predictors of insect bite hypersensitivity following first exposure to Culicoides in Icelandic horses.
Veterinary dermatology    October 5, 2017   Volume 29, Issue 1 51-e22 doi: 10.1111/vde.12493
Ziegler A, Hamza E, Jonsdottir S, Rhyner C, Wagner B, Schüpbach G, Svansson V, Torsteinsdottir S, Marti E.Insect bite hypersensitivity (IBH) is an allergic dermatitis of horses caused by bites of Culicoides spp. IBH does not occur in Iceland because of the absence of Culicoides, but the prevalence is high in horses imported from Iceland to environments where Culicoides are present. Objective: Test, in a longitudinal study before and after Culicoides exposure, whether a primary sensitizing Culicoides allergen can be identified and if an increase of allergen-specific immunoglobulin (Ig)E or IgG subclasses precedes clinical signs of IBH. Methods: Thirty two horses imported from Iceland to Europe; 16 ...
Ultrasensitive and rapid immuno-detection of human IgE anti-therapeutic horse sera using an electrochemical immunosensor.
Analytical biochemistry    September 14, 2017   Volume 538 13-19 doi: 10.1016/j.ab.2017.09.008
Prado IC, Souza ALA, Provance DW, Cassella RJ, De-Simone SG.Antivenom allergy disease mediated by patient IgE is an important public health care concern. To improve detection of hypersensitive individuals prior to passive antibody therapy, an amperometric immunosensor was developed to detect reactive human IgE. Whole horse IgG3 (hoIgG3) was immobilized onto the surface of carbon or gold screen-printed electrodes through a cross-linking solution of glutaraldehyde on a chitosan film. Sera from persons with a known allergic response to hoIgG3 or non-allergic individuals was applied to the sensor. Bound human IgE (humIgE) was detected by an anti-humIgE ant...
Development of an elisa for the diagnosis of reactive IgE antibodies anti-therapeutic horse sera.
Toxicon : official journal of the International Society on Toxinology    August 12, 2017   Volume 138 37-42 doi: 10.1016/j.toxicon.2017.08.012
De-Simone SG, Souza ALA, Aguiar AS, Melgarejo AR, Provance DW.Hypersensitive diseases that involve IgE reactivity are important concern of public, especially those encompassing the potential pathogenesis from the administration of horse serum-based therapeutics such as antivenoms. A method for the definitive diagnosis of reactive IgE is important for identifying allergic patients to control severe collateral effects during planned and emergency application of immunotherapies when the allergy source cannot be avoided for treatment. To date, no tests have been developed to accompany the wide range of antivenoms produced from horse sera. The aim of this was...
Anaphylaxis to horses and epinephrine use: Increasing awareness among pediatric patients and families.
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology    August 7, 2017   Volume 28, Issue 6 608-610 doi: 10.1111/pai.12753
Cosme-Blanco W, López-Medina E, Morales-Bronner S, Blouin W, Hernandez-Trujillo V.No abstract available
Determination of irritant threshold concentrations of multiple tree, grass, weed and mould allergens for intradermal testing of horses residing in the southern USA.
Veterinary dermatology    July 18, 2017   Volume 28, Issue 6 604-e147 doi: 10.1111/vde.12472
Lane MJ, Pucheu-Haston CM, Kearney MT, Woodward M.Appropriate allergen threshold concentrations (TCs) for intradermal testing (IDT) have not been established in horses for many pollen and mould allergens. Objective: To determine the TCs in non-allergic horses and describe the frequency of late phase reactions for 26 allergens, including trees, grasses, weeds and moulds in horses residing in the southern Unites States. Methods: Twenty four clinically normal horses in the southern United States. Methods: Threshold concentrations for different allergens were determined using IDT subjective measurements at 30 minutes. Delayed reactions were evalu...
Tolerance Induction of Horse Allergy by Horse Contact with Curly Horses.
Pneumologie (Stuttgart, Germany)    July 12, 2017   Volume 71, Issue 7 480-483 doi: 10.1055/s-0043-108137
Mitlehner W, Mitlehner HC.A horse allergic rider completed 60 riding lessons on Curly Horses within six months. This rider has become clinically tolerant to normal horse breeds within this time. This case may indicate that riding and brushing ABCR Curly Horses after 60 riding hours facilitates tolerance induction. Our data indicate that this could be a valid alternative to the common recommendation to strictly avoid horse riding. Eine pferdeallergische Reiterin erhielt 60 Reitstunden auf „Curly Horses“ innerhalb von 6 Monaten. Die Reiterin tolerierte die Allergenexposition mit Pferden anderer Rassen innerhalb diese...