Topic:Chronic Diseases
Chronic diseases in horses encompass a range of long-term health conditions that can affect various systems within the equine body. These diseases often develop gradually and may require ongoing management rather than curative treatment. Common chronic diseases in horses include equine metabolic syndrome, chronic obstructive pulmonary disease (COPD), and osteoarthritis. These conditions can impact a horse's quality of life and performance capabilities. Research in this area focuses on understanding the pathophysiology, diagnosis, and management strategies for chronic diseases in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the prevalence, clinical features, and advancements in treatment and management of chronic diseases affecting equine health.
Pathogenesis of Borna disease. Borna disease represents a unique model of a virus-induced immunological disease of the brain. Naturally occurring in horses and sheep, the mechanisms of pathogenesis have been studied in experimental animals, namely in the rat. Many investigations have revealed that the infection of the natural hosts principally follows the same pathogenic pathways as observed in rats, leading to a severe encephalomyelitis. This affliction of the central nervous system results in severe neurological disorders that again, are fully comparable in laboratory animals to those in the natural and the different expe...
Temporal effects of plasmapheresis on serum proteins in horses. The temporal response of blood and serum proteins to chronic plasmapheresis was determined in 8 horses used in a commercial antibody enterprise. Plasmapheresis of between 4 and 11 L induced significant decreases in total protein, albumin, and IgG values. With the exception of a high hematocrit value for the first postplasmapheresis blood sample, there were no changes in erythrocyte or leukocyte measurements, and no changes in the proportions of serum protein in an electrophoretic profile. Regression equations generated for recovery of proteins after plasmapheresis indicated a return to preplas...
[The effectiveness of therapeutic horseback-riding in the treatment of chronic schizophrenic patients. Experimental results and clinical experiences]. After describing horse-riding as a facility in managing mentally ill patients, a program for chronic schizophrenic in-patients is presented. Clinical experience with this program and also results of a controlled study are reported. The therapeutic value and slope for horse-riding are discussed in relation to different diagnoses.
The ultrastructure of Strongylus vulgaris-mediated equine chronic mesenteric arteritis. Cells found in the intima and media of the cranial mesenteric artery of a mature mare with chronic arteritis were identified as smooth muscle cells and occurred in association with collagen and elastin fibres. As no fibroblasts were demonstrable within these regions, the smooth muscle cells were the likely source of the extracellular matrix. In contrast, the abnormal adventitis from the same artery contained abundant fibroblasts which are considered to be the source of the adventitial collagen.
Hoof injuries. Major surgery for wounds of the foot, compared with other parts of the body, requires a more detailed preparation and a more persistent aftercare. To approach severe hoof wounds with a routine applicable to drainage of a subsolar abscess is doomed to failure! Yet, in dealing with referral cases of hoof wounds, particularly those that have become chronic, the author has observed that the principles have been ignored and/or the routines inadequate. The hoof has a suitable capacity to heal, with complete reformation of hoof structures, if a healing environment is maintained for a long enough peri...
Hemorrhagic diathesis caused by multiple myeloma in a three-month-old foal. Multiple myeloma was diagnosed in a 3-month-old Quarter Horse foal with chronic weight loss, chronic bronchopneumonia, and epistaxis. The foal had pancytopenia, thrombocytopenia, and monoclonal beta-globulinemia. Bone marrow aspirates contained between 80 and 90% plasma cells.
Severe Synovitis in Two Horses due to the Use of Irrigating Solutions Containing Methanol and Formaldehyde. Two horses were examined because of chronic lameness, which followed arthroscopy in one case, and tendon sheath lavage in a second case. Clinical investigations linked both cases to the use of irrigating fluids containing preservatives. The clinical signs were reproduced in a Shetland pony by injection and lavage of the carpal joints with the same fluid. Lameness was slow in onset and accompanied by profound periarticular fibrosis. Postmortem examination confirmed the presence of a severe, erosive, noninfectious arthritis that may have an immune-mediated component. Clinicians should read produ...
Surgical reconstruction of chronic coronary band avulsions in three horses. Three adult horses were admitted with chronic coronary band avulsions of 2-, 3-, and 46-month durations, respectively. The hoof had a typical appearance in all 3 horses, with a spur of coronary band and associated horn growing at right angles to the hoof wall. Each horse was anesthetized, and the coronary band was reconstructed. Follow-up evaluation of the 3 horses (12, 15, and 23 months after surgery, respectively), revealed healing of all 3 avulsed coronary bands. Mild roughening of the hoof wall distal to the previous avulsion site was observed.
Equine bone marrow: a quantitative analysis of erythroid maturation. The equine bone marrow responds to blood loss by increased erythropoiesis, only releasing reticulocytes into the peripheral circulation in severe chronic anemia. We have used morphometric analysis based on electron microscopy of the equine marrow to examine the maturation and release of reticulocytes. Developing red cells in the bone marrows of normal and chronically anemic horses were divided into four stages: early, intermediate, late-stage erythroblasts, and reticulocytes. Morphometric analysis of each stage included volume density of mitochondria per micron3 of cytoplasm, surface area of t...
Effect of altered ambient temperature on breathing in ponies. The objective was to determine the effect of moderate changes in ambient temperature (TA) on breathing and body temperature in ponies chronically exposed to a TA of 21 degrees C in the summer and 5 degrees C in the winter. Normal (n = 6) and chronic carotid body-denervated (n = 6, 1-2 yr) ponies were studied during 1) winter months over 3-4 days at 5 (control TA) and 23 degrees C and 2) summer months over 2-4 days at 21 (control TA), 30, and 12 degrees C. Neither rectal nor arterial temperature changed with any alteration of TA (P greater than 0.10). Skin temperature (Tsk) always changed by 2-...
Equine infectious anemia virus: immunopathogenesis and persistence. Equine infectious anemia (EIA) is a chronic, relapsing infectious disease of horses caused by a nononcogenic retrovirus. Virus persists in infected animals for life and can be reliably detected by serologic tests that measure levels of antibody to the major structural protein of the virus. Periodic virus replication in macrophages leads to an immunologically mediated acute disease characterized primarily by severe anemia. Recrudescence of acute EIA is the result of antigenic variation of the surface glycoprotein of EIA virus. The frequency and severity of clinical episodes of EIA decrease in m...
Primary renal cell carcinoma in a horse. A case of primary renal cell carcinoma in a 16-year-old mare is reported. The main presenting signs of chronic weight loss and diarrhoea as well as the initial laboratory examination did not directly indicate renal involvement. Follow-up investigations were strongly suggestive of avain tuberculosis. Further laboratory investigation revealed neoplasia, which was confirmed at autopsy.
Fecal leukocytes and epithelial cells in horses with diarrhea. Fecal samples from 74 horses with diarrhea were examined microscopically for leukocytes and epithelial cells. The diarrhea was categorized as either acute (less than two weeks) or chronic, Salmonella positive or negative, and mild or severe (based on the fecal consistency). A large number of fecal leukocytes was strongly suggestive of salmonellosis; however, approximately 1/3 of the horses with Salmonella-negative diarrhea also shed fecal leukocytes. Fecal leukocytes were more common in horses with acute and/or severe diarrhea regardless of cause. Numbers of fecal colonic mucosal epithelial ce...
Insulin tolerance in laminitic ponies. Sensitivity to insulin was assessed in ponies episodically affected with chronic laminitis by measurement of blood glucose and arterial blood pressure during insulin tolerance tests. In terms of blood glucose values, laminitic ponies were significantly less sensitive to insulin than controls. Conversely, a post-insulin decline in diastolic, systolic and mean blood pressure values was significantly greater in laminitic ponies than in controls.
A study of the effects of lasering on chronic bowed tendons at Wheatley Hall Farm Limited, Canada, January, 1983. Chronic bowed tendons of horses have been lasered with an infrared 904-nm laser at Wheatley Hall Farm Limited since 1980. A sample of 42 single injury/single treatment standardbreds which were racing within 120 days of laser treatment and met certain criteria, were evaluated for final race times, last quarter race times, and class changes. Results indicate that a significant percent of the standardbreds raced with similar or improved times and classes. Lasering bowed tendons presents a safe and less expensive alternative to traditional treatment methods which often requires a year layoff for t...
Turnover of 131I-labelled albumin in horses with gastrointestinal disease. Four horses with a history of chronic diarrhoea and weight loss were studied. Three of them revealed malabsorption, as indicated by decreased absorption of D(+)-xylose. Three patients had distinct hypoalbuminaemia, and 131I-albumin turnover rates of these three horses were increased, compared to two normal control horses. However, the increases were not very marked, probably because actual signs of enteric disease were few in the patients, all of which were studied during convalescence. It is suggested that the observed hypoalbuminaemia is due to a gastrointestinal protein loss during the chro...
Granulomatous enteritis in a young standardbred mare. Granulomatous enteritis was diagnosed in a 4-year-old Standarbred mare suffering from chronic weight loss, depression, dependent oedema but not diarrhoea. There was hypoproteinaemia (hypoalbuminaemia), lymphocytopaenia and neglibible carbohydrate absorption from the small intestine. Pathological changes in almost the entire small intestine included proprial infiltration resulting in partial villous atrophy, and granuloma formation beneath the muscularis which was most severe in the ileum. Slight infiltration occurred in the stomach and the colon. The cells were predominantly lymphocytes and hi...
Haematology as an aid to prognosis of chronic laminitis. A COMMON progression of chronic laminitis is ischaemic
necrosis with secondary infection a frequent complication.
For 6 years we have performed a complete blood count
(CBC) on all hospitalised horses (at the University of Missouri
Veterinary Hospital) every Monday, Wednesday and Friday.
Preliminary scrutiny of the results indicated that persistent
elevation of the total white blood cell count (WBC) and
neutrophilia was consistent with poor prognosis in horses
affected with laminitis. Because of these considerations we
decided to perform a retrospective examination of the blood
cell d...
Plasma clearance of [51Cr] albumin into the intestinal tract of normal and chronically diarrheal horses. Five clinically normal, mature horses and 11 with chronic diarrhea were given 51Cr-tagged Cohn fraction V equine albumin intravenously. All urine and feces were collected separately, and blood for plasma analysis was taken periodically for 5 to 8 days after injection of the isotope. Plasma clearance of albumin into the intestinal tract of normal horses was calculated as 0.67 +/- 0.23 (SD) ml/kg of body weight/day, with 1.33 +/- 0.69% of the 51Cr dose appearing in the feces in 5 days. Of the 11 diarrheal horses, 8 had a plasma clearance of 0.49 +/- 0.21 ml/kg/day with 1.12 +/- 0.68% of the dose...
Chronic tenosynovitis of the extensor tendons and tendon sheaths of the carpal region in the horse. Seven cases of chronic tenosynovitis affecting the extensor carpi radialis or lateral digital extensor tendon and their sheaths are described. All cases were chronic and in 4 of the cases previous treatment by drainage and local corticosteroid injection had been ineffective. Surgical exploration of 6 cases demonstrated a distinct lesion and specific surgical treatment was carried out.
Invagination of the caecum into the colon in a Welsh pony. A chronic wasting disease in a 16 month old Welsh pony filly is described. The animal died 26 days after the onset of illness which commenced with a sub-acute colic and was characterised by progressive loss of appetite and weight. Post-mortem examination revealed a total invagination of the caecum into the colon and it seemed logical to assume this invagination occurred at the start of the illness. A review of the literature showed that total caecal invagination produces 2 distinct clincal syndromes. It can occur either as an acute illness characterised by severe colic and death after about 10...
Effect of bile acid on hepatic excretion and storage of bilirubin in ponies. Endogenous bilirubin uptake from plasma and biliary bilirubin excretion were determined in ponies with chronic biliary T-tube fistulas. Excreted bile was quantitatively recovered. Uptake was calculated from the plasma disappearance of 14C-labeled bilirubin. Biliary bilirubin excretion was determined directly in excreted bile. When bile acid excretion was low (during continuous drainage without bile acid replacment), bilirubin excretion was 37% less than uptake. Uptake and excretion were essentially identical when taurocholic acid was infused to replace bile acids. After depletion of the bile a...
Serum immunoglobulin, dermal response, and lymphocyte transformation studies in horses with chronic diarrhea. Serum specimens from 12 sick and 20 normal horses were examined for levels of different classes of immunoglobulin (Ig) by a single radial immunodiffusion. The level of IgA in the sera of sick horses was about 50% lower than in the sera of normal horses. By contrast, the level of serum IgG was higher in sick than in normal horses. Phytohemagglutinin (PHA) responsiveness of blood lymphocytes showed transient suppression during the stage of severe diarrhea. The regaining of PHA responsiveness of lymphocytes was observed simultaneously with the recovery process. However, the responsiveness of lymp...
Angiographic appearance of the normal equine foot and alterations in chronic laminitis. The angiographic appearance of the normal equine foot was compared with the appearance of equine feet affected with chronic laminitis. The normal foot was characterized by complete filling of the terminal arch, 8 to 10 main branches between 0.1 and 0.2 cm in diameter, a symmetrical netlike vascular pattern in the corium of the hoof, and numerous fine vessels in the corium of the coronary band. The feet affected with chronic laminitis were characterized by poor filling of the terminal arch, larger and less numerous primary branches, an irregular vascular pattern in the corium of the hoof, areas...
Quantitation of immunoglobulin-bearing lymphocytes and lymphocyte response to mitogens in horses persistently infected by equine infectious anemia virus. A defect in lymphocyte function could be responsible for persistent infection by the equine infectious anemia virus. The number of lymphocytes bearing surface immunoglobulin, as detected by immunofluorescence, and lymphocyte response to mitogens were the same in uninfected and equine infectious anemia-infected animals. A defect in T or B lymphocyte numbers or ability to respond to stimuli was not detected in this chronic virus disease.