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Topic:Cytology

Cytology in horses involves the microscopic examination of cells to diagnose various conditions, including infections, neoplasia, and inflammatory processes. This technique is used to assess samples from body fluids, tissues, and exudates, providing information on cell morphology, presence of infectious agents, and inflammatory patterns. Common applications of cytology in equine medicine include the evaluation of respiratory tract samples, joint fluid analysis, and examination of skin lesions. Cytology serves as a minimally invasive diagnostic tool that aids in the identification and management of equine diseases. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, diagnostic applications, and interpretative challenges of cytology in equine veterinary practice.
Bronchoalveolar Lavage Cytology Characteristics and Seasonal Changes in a Herd of Pastured Teaching Horses.
Frontiers in veterinary science    March 14, 2019   Volume 6 74 doi: 10.3389/fvets.2019.00074
Davis KU, Sheats MK.Equine asthma syndrome (EAS) is a common problem that affects horses of any age. Severe EAS is reported to affect 10-20% of adult horses in the northern hemisphere, while mild/moderate EAS is reported to affect 60-100% of adult horses, depending on the population and geographic region. For both severe and mild/moderate EAS, the presence of lower airway inflammation is attributed to airborne "triggers" such as dust, mold, and bacterial components that horses encounter in hay and stable-environments; and treatment recommendations for horses with EAS often include full-time pasture turnout. The c...
Impression cytology of the healthy equine ocular surface: Inter-observer agreement, filter preservation over time and comparison with the cytobrush technique.
Veterinary clinical pathology    March 12, 2019   Volume 48, Issue 1 61-66 doi: 10.1111/vcp.12711
Bonsembiante F, Perazzi A, Deganello A, Gelain ME, Iacopetti I.The cytobrush technique is commonly used to sample the equine ocular surface. Impression cytology (IC) is an innovative noninvasive method, which allows for the collection of superficial layers of ocular epithelium. Objective: The aims of this study were to compare the cytobrush and IC techniques on healthy equine ocular surfaces, to assess the agreement between observers with different levels of expertise, and to test the preservability of filters over time. Methods: Twenty-four horses were sampled within 10 minutes of slaughter using IC on the left eye and the cytobrush technique on the rig...
Equine airway inflammation in loose-housing management compared with pasture and conventional stabling.
The Veterinary record    March 9, 2019   Volume 184, Issue 19 590 doi: 10.1136/vr.104580
Hansen S, Klintoe K, Austevoll M, Baptiste KE, Fjeldborg J.Icelandic horses are often stabled in loose-housing systems, and to date this type of stabling has not been evaluated with regard to its potential impact on respiratory health. The objective was to assess if differences in management systems (eg, conventional stable, loose housing and pasture only) affect the degree of airway inflammation, evaluated by cytology of tracheal aspirate (TA) and bronchoalveolar lavage (BAL) fluid. In total, 84 Icelandic horses (aged 8.1±4.6 years) housed under three different management systems (conventional stables [n=29], loose-house systems [n=29] and pasture [...
An unusual case of giant cell tumor of soft parts in an American Warmblood horse.
Open veterinary journal    February 26, 2019   Volume 9, Issue 1 44-48 doi: 10.4314/ovj.v9i1.8
Zimmerman K, Almy F, Saunders G, Crisman M, Leonardi L.Fine needle aspiration and tissue biopsy samples were taken from a subcutaneous mass in the cranial stifle region of a 10-yr-old horse. Key cytologic features included numerous mildly to moderately pleomorphic histiocytic cells admixed with mononuclear inflammatory cells, occasional fibroblasts, multinucleated cells, and hemosiderin-laden macrophages. Based on these features, cytologic differentials included granulomatous inflammation with reactive fibroplasia, histiocytic sarcoma, giant cell tumor of soft parts (GCTSPs), and giant cell tumor of bone. The tissue biopsy supported a diagnosis of...
Leukocyte Esterase Reagent Strips for Stall-Side Diagnosis of Endometritis in Mares.
Journal of equine veterinary science    January 30, 2019   Volume 81 102672 doi: 10.1016/j.jevs.2019.01.009
Kelley DE, Schnobrich MR, Gayer S, Scoggin C, Bradcamp E, Canisso IF.The objective of this study was to compare a commercially available leukocyte esterase strip test with endometrial cytology in diagnosing endometritis and establish a cutoff point, sensitivity, and specificity for the leukocyte esterase test (LET). Forty-six light breed mares presented for breeding management were enrolled in this study. Transrectal palpation and ultrasonography examinations were performed to determine when the mares were in estrus. Kalayjian endometrial swabs were used for culture, cytology, and the LET by using the cap to retrieve an endometrial scraping. Thirty-six mares ha...
Fungi in respiratory samples of horses with inflammatory airway disease.
Journal of veterinary internal medicine    December 21, 2018   Volume 33, Issue 2 968-975 doi: 10.1111/jvim.15397
Dauvillier J, Ter Woort F, van Erck-Westergren E.Fungi contribute to the inflammatory response of lungs in horses with recurrent airway obstruction and in some forms of asthma in humans. The role of fungi in inflammatory airway disease (IAD) has not been assessed. Objective: Evaluate the prevalence of fungi in the respiratory samples of horses diagnosed with IAD, describe clinical signs associated with the presence of fungi in respiratory samples, and assess the risk factors associated with IAD and with the presence of fungi in the airways. Methods: Seven-hundred thirty-one active horses referred to a specialized ambulatory practice for sign...
Bronchoalveolar lavage fluid from both lungs in horses: Diagnostic reliability of cytology from pooled samples.
Veterinary journal (London, England : 1997)    December 6, 2018   Volume 244 28-33 doi: 10.1016/j.tvjl.2018.12.002
Hermange T, Le Corre S, Bizon C, Richard EA, Couroucé A.Cytology of bronchoalveolar lavage fluid (BALF) from one lung may not predict findings in the contralateral lung of the same horse. The aim of this study was to determine whether a pooled BALF from both lungs was representative of corresponding individual samples. Fifty-one horses referred for poor performance and/or respiratory signs and for which a BALF was collected from both lungs, were included in the study. Cytology of pooled and individual BALF samples were performed using a masked protocol. Based on clinical signs and individual BALF cytologies, horses were classified as control (CTL),...
Cell Identity, Proliferation, and Cytogenetic Assessment of Equine Umbilical Cord Blood Mesenchymal Stromal Cells.
Stem cells and development    November 10, 2018   Volume 27, Issue 24 1729-1738 doi: 10.1089/scd.2018.0105
Alizadeh AH, Briah R, Villagomez DAF, King WA, Koch TG.The aim of the present work was to determine proliferation capacity, immunophenotype and genome integrity of mesenchymal stromal cells (MSCs) from horse umbilical cord blood (UCB) at passage stage 5 and 10. Passage 4 cryopreserved UCB-MSCs from six unrelated donors were evaluated. Immunophenotypic analysis of UCB-MSC revealed a cell identity consistent with equine MSC phenotype by high expression of CD90, CD44, CD29, and very low expression of CD4, CD11a/18, CD73, and MHC class I and II antigens. Proliferative differences were noted among the UCB-MSC cultures. UCB-MSCs karyotype characteristic...
Klossiella equi infection in a Cheval Canadien Mare.
Veterinary clinical pathology    October 15, 2018   Volume 47, Issue 4 654-659 doi: 10.1111/vcp.12660
Baker RE, Schlipf JW, Brady JV, Gorman ME.A 6-year-old Cheval Canadien mare was presented for clinical signs related to acute kidney injury after receiving a course of nonsteroidal anti-inflammatory therapy. Cytologic examination of concentrated urine revealed small protozoal organisms that were later identified as Klossiella equi. Both sporocysts and free-floating sporozoites were identified in the urine, which has not been previously documented. The mare responded well to intravenous fluid therapy, and as she regained tubular function, the presence of the protozoa in the urine also abated. The mare was discharged from the hospital a...
Ganglion Cytology: A Novel Rapid Method for the Diagnosis of Equine Dysautonomia.
Veterinary pathology    October 5, 2018   Volume 56, Issue 2 244-247 doi: 10.1177/0300985818806051
Piccinelli C, Jago R, Milne E.Equine dysautonomia (grass sickness) is characterized by autonomic neuronal degeneration and is often fatal. As outbreaks occur, rapid diagnosis is essential but confirmation currently requires histological examination. This study evaluated diagnostic accuracy of cytological examination of cranial cervical ganglion (CCG) scrapings for dysautonomia diagnosis. CCG smears from 20 controls and 16 dysautonomia cases were stained with May-Grünwald Giemsa (MGG), hematoxylin and eosin (HE), and cresyl fast violet (CFV), with HE-stained histological sections of CCG as gold standard for diagnosis. Exam...
Cytological and bacteriological sampling from filters used for embryo recovery to evaluate the uterine status of donor mares.
Acta veterinaria Hungarica    September 29, 2018   Volume 66, Issue 3 462-473 doi: 10.1556/004.2018.041
Pérez-Marín CC, Vizuete G, Borge C, Galisteo JJ.While testing for uterine bacterial infection is usually performed prior to artificial insemination (AI), samples taken during or after embryo flushing are generally not assessed either in subfertile and old mares or in fertile mares, even though knowledge of the status of the uterine environment in which the embryo is to develop would help to predict the outcome of embryo transfer programmes. The presence of bacteria and inflammatory cells in the liquid retained in the filter after uterine flushing in donors was determined at the moment of embryo recovery. Primarily, a group of mares (n = 8) ...
Metabolomics of tracheal wash samples and exhaled breath condensates in healthy horses and horses affected by equine asthma.
Journal of breath research    September 27, 2018   Volume 12, Issue 4 046015 doi: 10.1088/1752-7163/aade13
Bazzano M, Laghi L, Zhu C, Magi GE, Serri E, Spaterna A, Tesei B, Laus F.The present work characterized the metabolomic profile of tracheal wash (TW) and exhaled breath condensate (EBC) in healthy horses and horses with respiratory disease. Six asthma-affected horses (group A) and six healthy controls (group H) underwent clinical, endoscopic and cytologic examinations of upper airways to confirm the active phase of asthma. TW and EBC samples were collected from each animal and investigated by proton nuclear magnetic resonance (H-NMR) metabolomic analysis. A total of ten out of 38 metabolites found in the TW were significantly different between the groups (p < ...
Effect of topical application of 0.5% proparacaine on corneal culture results from 33 dogs, 12 cats, and 19 horses with spontaneously arising ulcerative keratitis.
Veterinary ophthalmology    September 7, 2018   Volume 22, Issue 4 415-422 doi: 10.1111/vop.12604
Edwards SG, Maggs DJ, Byrne BA, Kass PH, Lassaline ME.To investigate the effect of topically applied proparacaine on bacterial and fungal culture results and to compare cytologic and culture results in patients with ulcerative keratitis. Methods: Corneal samples were collected from 33 dogs, 19 horses, and 12 cats with spontaneously arising ulcerative keratitis. Samples for bacterial (dogs, cats, horses) and fungal (horses) cultures were collected prior to and following application of 0.5% proparacaine or saline. All patients then received a topical anesthetic, and samples were collected for cytology. Frequency of cultivatable bacteria before (Swa...
Induction of Synovitis Using Interleukin-1 Beta: Are There Differences in the Response of Middle Carpal Joint Compared to the Tibiotarsal Joint?
Frontiers in veterinary science    August 31, 2018   Volume 5 208 doi: 10.3389/fvets.2018.00208
Colbath AC, Dow SW, Hopkins LS, Phillips JN, McIlwraith CW, Goodrich LR. The effects of recombinant interleukin-1β (rIL-1β) have been described for the middle carpal joint (MCJ). However, we are unaware of any studies that have described the cytological response of the tibiotarsal joint (TTJ) to rIL-1β or compared the clinical and cytological responses of the MCJ to the TTJ following the administration of intra-articular rIL-1β. Such information is critical for researchers planning to use rIL-1β to create acute synovitis models in horses. To compare the clinical and cytological responses of the MCJ to the TTJ following administration of intra-articular rIL-1...
Bronchoalveolar lavage fluid cytology and airway hyper-reactivity in clinically normal horses.
Australian veterinary journal    August 22, 2018   Volume 96, Issue 8 291-296 doi: 10.1111/avj.12721
Cullimore AM, Secombe CJ, Lester GD, Robertson ID.To characterise the relationship between bronchoalveolar lavage fluid (BALF) cytology and pulmonary function testing with histamine bronchoprovocation (HBP) methods in a population of clinically normal horses. Methods: Cross-sectional study METHODS: Clinically normal adult horses (n = 33) underwent pulmonary function testing and HBP with a commercial flowmetric plethysmography system. BAL was performed 1-5 days later. Statistical analysis was used to assess associations between BALF cell concentration, relative inflammatory cell percentages and categorisation, and airway hyper-reactivity...
Use of positive contrast radiography to identify synovial involvement in horses with traumatic limb wounds.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 1 20-23 doi: 10.1111/evj.12985
Bryant HA, Dixon JJ, Weller R, Bolt DM.The diagnostic value of positive contrast radiography in the work-up of suspected synovial infection in horses with limb wounds near synovial structures has yet to be systematically evaluated. Objective: To determine the specificity, sensitivity and positive and negative predictive values of positive contrast radiography for identification of synovial infection in a population of horses with limb wounds. Methods: Retrospective case study comparing the performance of positive contrast radiography to the gold standard of synovial fluid cytology in horses presenting with limb wounds in the vicini...
Exhaled breath condensate hydrogen peroxide, pH and leukotriene B4 are associated with lower airway inflammation and airway cytology in the horse.
Equine veterinary journal    July 19, 2018   Volume 51, Issue 1 24-32 doi: 10.1111/evj.12979
du Preez S, Raidal SL, Doran GS, Prescott M, Hughes KJ.Exhaled breath condensate (EBC) analysis is a noninvasive method to assess the lower respiratory tract. In human subjects, EBC hydrogen peroxide (H O ), pH and leukotriene B (LTB ) are useful for detection and monitoring of inflammatory lung diseases, including asthma. Objective: To determine associations between EBC biomarkers and cytological and endoscopic definitions of lower airway inflammation (LAI) while controlling for sampling and environmental variables. Methods: Prospective, cross-sectional study. Methods: Clinical, endoscopic and airway cytological findings from 47 horses were compa...
The prevalence of Dermatophilus congolensis in horses with pastern dermatitis using PCR to diagnose infection in a population of horses in southern USA.
Veterinary dermatology    June 21, 2018   Volume 29, Issue 5 435-e144 doi: 10.1111/vde.12659
Aufox EE, Frank LA, May ER, Kania SA.Dermatophilus congolensis is a facultative anaerobic actinomycete that causes papular to exudative dermatitis with crusting in horses. This organism is frequently implicated as a cause of pastern dermatitis, but few data are available validating the organism's association with this disease. Objective: The aim of this study was to evaluate if D. congolensis is associated with pastern dermatitis in horses utilizing RT-qPCR. Methods: Fifteen client-owned horses diagnosed with pastern dermatitis and eight client-owned unaffected control horses were utilized for this study. Methods: A cross-sectio...
Effects of on-slide fixation on the cell quality of cytocentrifuged equine bronchioalveolar lavage fluid.
Veterinary clinical pathology    June 8, 2018   Volume 47, Issue 3 513-519 doi: 10.1111/vcp.12623
Bertram CA, Dietert K, Pieper L, Erickson NA, Barton AK, Klopfleisch R.During bronchoalveolar lavage fluid (BALF) sample preparation in horses, several technical aspects can affect sample variability. To date, the effects of different fixatives on prepared equine BALF films have been insufficiently investigated. Objective: This study aimed to determine the effect of various on-slide fixation methods on cell quality, including spray fixation of wet films, and acetone and methanol fixation of air-dried samples in comparison with unfixed, air-dried films. Methods: Cytocentrifuged BALF samples from 5 horses were fixed in a wet state using a commercially available fix...
In vivo confocal microscopy characteristics of equine epithelial and subepithelial nonulcerative keratomycosis.
Veterinary ophthalmology    May 2, 2018   Volume 22, Issue 2 168-176 doi: 10.1111/vop.12576
Ledbetter EC, Irby NL, Teixeira LBC.To describe the in vivo confocal microscopy features of horses with epithelial and subepithelial nonulcerative keratomycosis. Methods: Four horses with a clinical diagnosis of epithelial or subepithelial keratomycosis. Methods: Horses were examined on one or more occasions by in vivo laser scanning confocal microscopy of the cornea. Confocal microscopic examination characteristics were correlated with clinical, cytological, and histopathological findings for the horses. Results: All horses had an irregular corneal epithelial surface during slit-lamp biomicroscopy examination. Epithelial or s...
Comparison of 3 corneal cytology collection methods for evaluating equine ulcerative keratitis: Cytobrush, kimura platinum spatula, and handle edge of scalpel blade.
Veterinary ophthalmology    April 24, 2018   Volume 22, Issue 2 153-160 doi: 10.1111/vop.12574
Proietto L, Beatty SS, Plummer CE.To compare corneal cytology samples from three common sampling techniques: cytobrush (CB), Kimura platinum spatula (KS), and the handle edge of a scalpel blade (SB). Methods: Equine patients presenting to the University of Florida College of Veterinary Medicine with ulcerative keratitis were included. Following diagnosis of corneal ulcer and sampling for microbial culture, two cytology samples per technique were collected with sterile CB, KS, and SB in a randomized order. Cytologic evaluation was performed by two observers masked to collection method. Objective measures of sample cellularity, ...
Association of neutrophil morphology with bacterial isolates in equine tracheal wash samples.
Equine veterinary journal    April 17, 2018   Volume 50, Issue 6 752-758 doi: 10.1111/evj.12837
Jocelyn NA, Wylie CE, Lean M, Barrelet A, Foote AK.Tracheal wash sample neutrophilia is common in lower airway inflammation of various causes; however, relevance of cytomorphological features to culture of bacterial pathogens has not been established. Objective: To investigate whether the presence of nondegenerate or degenerate neutrophils in tracheal washes is associated with culture of bacteria and, if so, whether this is influenced by age or temporal factors. Methods: Cross-sectional study. Methods: Tracheal wash samples submitted to Rossdales LLP from 1/1/2013 to 31/7/2015 were evaluated using set criteria. Neutrophilia and degenerate neut...
Diagnostic methods to detect uterus illnesses in mares.
Theriogenology    April 9, 2018   Volume 114 285-292 doi: 10.1016/j.theriogenology.2018.03.042
Rua MAS, Quirino CR, Ribeiro RB, Carvalho ECQ, Bernadino MLA, Bartholazzi Junior A, Cipagalta LF, Barreto MAP.Uterine illnesses are the major problem in horse reproductive programs. The diagnosis of these pathologies is often neglected or does not provide enough information about the cause. The aim of this study was to evaluate different diagnoses to provide more accurate information about endometritis and the real endometrial profile at the beginning of a breeding season. Fifty-one mares with reproductive failure were evaluated. Two different uterine cytology diagnoses, culture of uterine flush material and biopsy assay, were performed. The data were analyzed by the Chi-squared test to compare differ...
Comparison of Tracheal Wash and Bronchoalveolar Lavage Cytology in 154 Horses With and Without Respiratory Signs in a Referral Hospital Over 2009-2015.
Frontiers in veterinary science    March 26, 2018   Volume 5 61 doi: 10.3389/fvets.2018.00061
Rossi H, Virtala AM, Raekallio M, Rahkonen E, Rajamäki MM, Mykkänen A.Most equine lower respiratory diseases present as increased airway neutrophilia, which can be detected in tracheal wash (TW) or bronchoalveolar lavage fluid (BALF) cytology samples. The aim was to compare the TW and BALF results in a population of client-owned horses with and without clinical respiratory disease signs. A secondary aim was to determine the sensitivity (Se) and specificity (Sp) of TW and BALF neutrophilia in detecting respiratory disease. The cutoff values for neutrophils were also evaluated. Retrospective data from 154 horses of various breeds that had been subject to both TW a...
Influence of dental materials on cells of the equine periodontium.
Equine veterinary journal    November 3, 2017   Volume 50, Issue 3 363-369 doi: 10.1111/evj.12768
Ringeisen H, Pöschke A, Krähling B, Schröck C, Stoll M, Vogelsberg J, Failing K, Staszyk C.Therapy for equine periodontal disease can include filling of the periodontal pockets and widened interproximal spaces. Recommended dental materials are generally adopted from human dentistry. Objective: To evaluate the biocompatibility of dental materials for equine periodontal fillings in vitro. Methods: In vitro experiments. Methods: Four different dental materials (PeriCare , Provicol , Calxyl and Honigum) were tested on equine periodontal fibroblasts. Possible cytotoxic effects were assessed microscopically and by MTT assay, and the expression of inflammatory marker genes was measured by...
Bioavailability and tolerability of nebulised dexamethasone sodium phosphate in adult horses.
Equine veterinary journal    August 12, 2017   Volume 50, Issue 1 85-90 doi: 10.1111/evj.12724
Haspel AD, Giguère S, Hart KA, Berghaus LJ, Davis JL.Nebulisation of the injectable dexamethasone sodium phosphate (DSP) would offer an inexpensive way of delivering a potent corticosteroid directly to the lungs of horses with asthma. However, this approach would be advantageous only if systemic absorption is minimal and if the preservatives present in the formulation do not induce airway inflammation. Objective: To investigate the bioavailability of nebulised DSP and determine whether it induces airway inflammation or hypothalamic-pituitary-adrenal (HPA) axis suppression in healthy adult horses. Methods: Randomised crossover experiment. Methods...
Successful medical treatment of an Aspergillus terreus mycetoma of the nostril/lip in a 16-year-old Fjord pony gelding with pituitary pars intermedia dysfunction.
Veterinary dermatology    July 23, 2017   Volume 28, Issue 6 629-e155 doi: 10.1111/vde.12471
Randleff-Rasmussen PK, Mosca M, Knoerr F, Pin D, Desjardins I.Mycetoma is a chronic, proliferative lesion of cutaneous/subcutaneous tissue characterized by draining tracts and granules in the discharge caused by actinomycetes (actinomycetoma) or filamentous fungi (eumycotic mycetoma). Objective: This case report describes the unusual finding of a cutaneous mycetoma of the lateral wing of the right nostril in a gelding. Methods: A 16-year-old Fjord gelding with suspected pituitary pars intermedia dysfunction (PPID) was presented for evaluation of a nonpainful, firm and raised mass involving the lateral wing of the right nostril and the lip. Results: Cytol...
Association between exercise-induced pulmonary hemorrhage and inflammatory airway disease in polo ponies.
Journal of equine science    July 6, 2017   Volume 28, Issue 2 55-59 doi: 10.1294/jes.28.55
da Silva KM, Otaka JNP, Gonçalves CAP, Silva EGA, de Alencar NX, Lessa DAB.The respiratory system is essential for health and high athletic performance in horses. Respiratory diseases have been recognized as having a major impact on training equine animals and are commonly cited as the second most common cause of wasted training time. Inflammatory airway disease (IAD) is an important cause of poor performance in young racehorses. Exercise-induced pulmonary hemorrhage (EIPH) is considered a major issue for the equine industry because of its high prevalence and association with reduced athletic performance. In Brazil, polo is a growing equestrian sport, but studies on ...
A quantitative swab is a good non-invasive alternative to a quantitative biopsy for quantifying bacterial load in wounds healing by second intention in horses.
Veterinary journal (London, England : 1997)    June 19, 2017   Volume 225 63-68 doi: 10.1016/j.tvjl.2017.06.004
Van Hecke LL, Hermans K, Haspeslagh M, Chiers K, Pint E, Boyen F, Martens AM.The aim of this study was to evaluate different techniques for diagnosing wound infection in wounds healing by second intention in horses and to assess the effect of a vortex and sonication protocol on quantitative bacteriology in specimens with a histologically confirmed biofilm. In 50 wounds healing by second intention, a clinical assessment, a quantitative swab, a semi-quantitative swab, and a swab for cytology were compared to a quantitative tissue biopsy (reference standard). Part of the biopsy specimen was examined histologically for evidence of a biofilm. There was a significant, high c...
Effect of Dexamethasone and Fluticasone on Airway Hyperresponsiveness in Horses With Inflammatory Airway Disease.
Journal of veterinary internal medicine    May 31, 2017   Volume 31, Issue 4 1193-1201 doi: 10.1111/jvim.14740
Léguillette R, Tohver T, Bond SL, Nicol JA, McDonald KJ.Airway hyperresponsiveness (AWHR), expressed as hypersensitivity (PC R ) or hyperreactivity (slope of the histamine dose-response curve), is a feature of inflammatory airway disease (IAD) or mild equine asthma in horses. Glucocorticoids are used empirically to treat IAD. Objective: To determine whether dexamethasone (DEX) (0.05 mg/kg IM q24h) and inhaled fluticasone (FLUT) (3,000 μg q12h) administered by inhalation are effective in decreasing AWHR, lung inflammation, and clinical signs in horses with IAD. Methods: A randomized crossover study design was used. Eight horses with IAD were assign...
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