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Topic:Diagnosis
Diagnosis in horses involves the systematic identification of diseases and conditions affecting equine health. This process relies on a combination of clinical evaluations, laboratory tests, imaging techniques, and other diagnostic tools to assess the health status of horses. Veterinarians utilize these methods to identify symptoms, determine the underlying causes of health issues, and formulate appropriate treatment plans. Diagnostic procedures in equine medicine can include blood tests, ultrasound, radiography, endoscopy, and more specialized tests such as genetic screening or advanced imaging modalities like MRI and CT scans. This page aggregates peer-reviewed research studies and scholarly articles that explore various diagnostic techniques, their applications, and advancements in the field of equine veterinary medicine.
Accuracy of Computed Tomography in Diagnosing Temporomandibular Joint Osteoarthritis Relative to Histopathological Findings-An Ex Vivo Study of 41 Horses. Computed tomography (CT) is used to support the diagnosis of equine temporomandibular joint (TMJ) disease; however, its diagnostic accuracy remains unclear. This study aimed to evaluate the relationship between CT findings and histopathological manifestations of osteoarthritis (OA) in equine TMJs. A total of 82 TMJs were CT-imaged, sampled, grouped into age-related and OA-related groups, and analyzed for frequency distributions, correlations, and CT-based TMJ OA diagnosis. CT findings were observed in 79% of joints, including 'CT anatomical variations' considering to reflect age-related remode...
Myofascial trigger points as a primary cause of equine lameness: a biomechanical, neurophysiological, and fascial review. Equine lameness diagnosis is dominated by a joint- and tendon-centric paradigm. The standard diagnostic algorithm relies on gait observation, perineural and intrasynovial anesthesia, and cross-sectional imaging. It is directed almost exclusively at skeletal and articular structures. Myofascial trigger points (MTrPs) are hypersensitive, hyperirritable loci within taut bands of skeletal muscle. They produce local and referred pain on compression or contraction. In horses, MTrPs are a clinically relevant but systematically overlooked source of primary lameness. This review synthesises evidence fr...
Verminous mastitis caused by Cephalobus cubaensis infection in a mare. A 7-y-old American Quarter Horse mare was presented to a veterinary hospital for ongoing reproductive monitoring and management of endometritis. During physical evaluation, several nodular lesions of unknown origin and duration were discovered in the mammae. Histologically, biopsies from the lesions were confirmed as severe granulomatous mastitis with intralesional rhabditid nematodes. A putative diagnosis of or infection was assigned, and ivermectin (1.2 mg/kg PO) treatment was given every 2 wk. When lesions persisted after the initial dose of ivermectin, PCR testing of and gene targe...
Functional and feasibility aspects of orthopedic exoprostheses in quadruped domestic animals: a systematic review. The use of prostheses in animals with partial limb amputation has emerged as an alternative to euthanasia, aiming to improve their quality of life. However, the fabrication and adaptation remain challenging in Veterinary Medicine. This study aims to evaluate, through a systematic review, the determinants of viability, outcomes, and limitations of exoprostheses in domestic animals of varying sizes. A literature search was conducted in ScienceDirect, PubMed, Scopus, Web of Science, and Google Scholar using structure search terms related to prosthesis, veterinary, amputation. After screening and ...
Heavy metals in horses: A review of the toxicity, clinical consequences and expected safe tissue concentrations. Trace elements arsenic, cadmium, lead, chromium, mercury, nickel, and zinc are high-density, naturally occurring metals notable for their toxicity and environmental persistence. Cadmium and mercury are particularly concerning due to their capacity for bioaccumulation and biomagnification within the food chain. Dispersed through both anthropogenic and natural sources, these elements pose significant threats to ecosystems and animal health. In equines, they induce oxidative stress by disrupting mitochondrial function, generating reactive oxygen species, and inhibiting antioxidant enzymes, leadin...
Unusual, fatal neck cancer in a foal: immunohistological investigations and differential diagnosis. Neck masses may represent a diagnostic challenge for equine veterinarians, since they may involve different structures with a similar clinical appearance. Whereas neck masses in foals mostly result from non-neoplastic conditions, including various congenital abnormalities, neoplastic cervical masses have been rarely documented. This report describes the unusual case of a rapidly growing neck cancer in a four-month-old colt, resulting in a fatal outcome. Gross and immunohistological findings were most consistent with a poorly differentiated thymic carcinoma with sarcomatoid features and multifo...
Prepubic Tendon Rupture and Uterine Herniation in a Late-Term Kurdish Mare: A Case Report. Prepubic tendon rupture (PPTR) is a rare but life-threatening complication in late-term pregnant mares. It results in abdominal wall failure, ventral oedema and a poor prognosis for both the mare and foetus. A 14-year-old multiparous Kurdish mare at approximately 310 days of gestation presented with acute ventral distension, reluctance to walk and cranial displacement of the udder. Clinical evaluation revealed tachycardia, pallor and Grade 3/4 ventral oedema. Haematology indicated leucocytosis and haemoconcentration. Transabdominal ultrasonography showed a viable foetus and severe thinning of ...
In vitro cultivation of Trypanosoma equiperdum: Comparison of in vitro and in vivo antigens for an ethical and sustainable serological diagnosis of Dourine. The protozoan Trypanosoma equiperdum is the causative agent of Dourine, a contagious sexually transmitted disease of equines that can manifest itself in chronic or acute form. Dourine has serious veterinary and economic implications, as there are no vaccines available for prevention and the management of the disease requires the culling of infected animals, together with rigorous sanitary control measures. This study compares the traditional production of T. equiperdum antigen grown in vivo, with an in vitro cultivation methodology developed to eliminate the use of animals. The in vitro and in...
Circulating microRNA profiles as diagnostic and prognostic biomarkers for acute and carrier Theileria equi infection. Equine piroplasmosis caused by Theileria equi exhibits a wide clinical spectrum ranging from acute disease to lifelong asymptomatic carriage, posing significant diagnostic and epidemiological challenges. In this cross-sectional case-control study, equines were classified as acutely infected, asymptomatic carriers, or uninfected controls based on clinical examination and quantitative PCR. Hematological and biochemical alterations were assessed, and plasma miRNA profiles were characterized using small RNA sequencing, followed by qRT-PCR validation of selected miRNAs. Cytokine gene expression in ...
Assessment of acute and chronic pain in working horses and donkeys in Egypt and the influence of observer training. Pain assessment can support monitoring welfare in working equids. Objective: To assess agreement of structured pain scores before and after training observers and to assess differences in pain scores between working equids with or without acute or chronic pain and to compare them to non-working equids. Methods: In part 1, eleven veterinarians and nine technicians performed pain scores before and after training. Agreement with reference scores was analyzed with Intra Class Correlation (ICC) analysis. In part 2, pain assessments were performed in 96 donkeys (n=40 fit-to-work, n=21 acute pain, n=...
Germline Pathogenic Variant in the APC Gene Suggestive of Gardner Syndrome in a Pony. A 12-year-old pony mare was presented for evaluation of dental disease and nasal discharge. At presentation, clinical signs included bilateral nasal discharge, cutaneous masses, and numerous hard enlargements involving the bones of the skull, maxilla, mandible, and cervical vertebrae. Oral exam revealed advanced dental disease with hard enlargements adjacent to and between numerous cheek teeth. Radiographs and computed tomography confirmed the presence of severe dental disease and proliferative bone lesions disseminated along the skull, hyoid apparatus, and cranial cervical vertebrae. The bony...
Transference of diagnostic thresholds for equine plasma ACTH from the Immulite 1000 to Immulite 2000XPi and Tosoh AIA systems. Diagnosis of PPID in horses relies on measurement of plasma adrenocorticotrophic hormone (ACTH) concentrations. Because measured ACTH values vary between analytical platforms, and published diagnostic thresholds apply almost exclusively to the Immulite 1000 chemiluminescent assay (CLA), there is a need for validated, assay-specific thresholds for contemporary analysers. This study aimed to transfer and validate established Immulite 1000 diagnostic thresholds for plasma ACTH to three contemporary systems (Immulite 2000XPi, Tosoh AIA-900, and Tosoh AIA-360) using the Clinical Laboratory Standard...
Complete atrioventricular septal defect in Thoroughbred foals: echocardiographic and postmortem findings. Complete atrioventricular septal defect (AVSD) is rarely reported in horses. We retrospectively reviewed three Thoroughbred foals (2017-2023) with necropsy-confirmed complete AVSD and summarized their clinical presentation, transthoracic echocardiographic findings, and postmortem anatomy. All foals showed early signs of congenital cardiac disease including weakness, failure to thrive and cardiac murmurs. Echocardiography demonstrated a common atrioventricular junction with a single atrioventricular valve and combined atrial and ventricular septal defects; all were classified as Rastelli type C...
Diffuse idiopathic skeletal hyperostosis in a Roman-period horse from Gerulata (Bratislava-Rusovce, Slovakia): Diagnostic Considerations. To evaluate pathological changes identified in a skeleton of a horse from Roman-period Gerulata, Slovakia. Methods: The remains consist of a partially preserved, articulated skeleton of an adult horse from today's southern urban district of Bratislava-Rusovce in southwestern Slovakia. Methods: The specimen underwent macroscopic analysis to assess taxonomic identification, biological profile, and pathological changes. Thoracolumbar lesions were further evaluated using computed tomography (CT). Radiocarbon dating determined the absolute age of the remains. Results: Species determination indicate...
Abdominal palpation per rectum is highly sensitive for identifying small versus large intestinal lesions in horses presenting for colic. To describe the sensitivity, specificity, predictive values, and accuracy of abdominal palpation per rectum in horses treated surgically for colic. Unassigned: Medical records were gathered over 5 years (2019 to 2024). Findings of abdominal palpation per rectum were collected and compared to surgical diagnosis, and cases were categorized as true or false positive and negative. Signalment, physical examination parameters, hematologic values, and years of examiner experience were recorded. Unassigned: Records of 453 horses were included. Overall sensitivity and positive predictive value were 86%...
Deep digital flexor tenotomy provides pain relief and clinical comfort in horses with chronic laminitis. This study evaluated the clinical application, outcomes, and prognostic indicators of deep digital flexor tenotomy (DDFT) in horses with chronic laminitis. Unassigned: A computer-generated search identified all possible cases of laminitis for horses referred to the George D. Widener Hospital for Large Animals at the University of Pennsylvania between 2010 and 2022. Medical records were reviewed for a diagnosis of laminitis by clinical examination and radiographs. The population was characterized by breed, age, clinical features, and radiographic findings. Poisson regression was performed to id...
Evidence of occipitoatlantoaxial malformations independent of the HOXD3 mutation in an Arabian horse. Occipitoatlantoaxial malformations (OAAM) are developmental disorders occurring at the occiput, atlas and axis. OAAM type 1 is a familial disorder affecting Arabian horses. Currently, a single genetic mutation in the HOXD3 gene region can be tested to confirm the diagnosis. This case describes a 3-year-old Arabian gelding affected with OAAM. Clinical examination revealed a proximal cervical deformation on the right side and severe stiffness of the neck in the sagittal plane without associated pain. Neurological examination demonstrated a generalized proprioceptive ataxia. Radiographs revealed ...
Evaluation and Management of the Horse with Head and Neck Disorders. Recognizing possible causes of equine head and neck problems requires a careful and systematic evaluation. While for some disorders reaching a diagnosis and treatment plan is relatively straightforward, for others this can be a complicated road requiring extensive diagnostic techniques, treatment trials, and management strategies. The ability to determine whether the patient is in a painful state, experiencing functional deficits, or in a combination of pain and dysfunction is critical to developing an effective treatment plan. Frequently, behavioral concerns often associated with pain must be...
Diagnostic Threshold Identification for Equine Laminitis Using Smoothed Receiver Operating Characteristic Analysis. Radiographic measurement parameters play a key role in diagnosing acute and subacute laminitis in horses, with diagnostic thresholds typically derived from empirical receiver operating characteristic (ROC) analysis. However, these methods often produce unstable results, particularly in small or noisy datasets. This study applies nonuniform rational B-spline (NURBS)-based ROC smoothing to radiographic data from laminitic and healthy horses to evaluate its effectiveness in refining diagnostic thresholds. Thresholds are determined using Youden's index based on NURBS-smoothed ROC curves and compar...
Successful Use of Vincristine in a Quarter Horse Gelding with Immune-Mediated Thrombocytopenia. This case reports the successful use of vincristine in a Quarter Horse with presumed immune-mediated thrombocytopenia. A 15-year-old Quarter Horse gelding presented for a pinch skin graft procedure on the left forelimb over the cannon bone. On day 10 of hospitalization, the horse developed a fever (102.6°F, RI: 99-101°F), and severe petechiae of the mucous membranes. A complete blood count (CBC) (Advia 2120i) revealed a severe thrombocytopenia (16,000 platelets/μL, RI:100,000-400,000/μL). Diagnostic testing was negative for Anaplasma phagocytophilum by PCR, Theileria equi and Babesia cabal...
Malignant Ovarian Teratoma in a Lusitano Filly: Diagnostic Challenges and Clinical Significance. An 8-month-old Lusitano filly (a young female horse) was referred with a five-day history of abdominal distension, respiratory distress, and hyporexia. Clinical and ultrasonographic examinations revealed ventral edema, anemia, leukocytosis, hypoalbuminemia, and bilateral pleural effusion. The filly subsequently developed progressive clinical deterioration, including persistent hyporexia, scant fecal output, and acute colic with nasogastric reflux, followed by sudden respiratory decompensation, collapse, and death. Post-mortem examination revealed a large, multilobulated abdominal mass involvin...
Coexistence of seminoma and leiomyoma in the testis of an Arabian-Barbe stallion: A case report. Testicular tumors are rare in horses, with seminoma being the most frequently described in the literature. In Morocco, many stallions used for Tbourida are intentionally kept intact, as uncastrated horses are traditionally viewed as symbols of prestige and cultural pride. This cultural practice increases the likelihood of detecting testicular pathology in mature stallions. Unassigned: A 15-year-old Arabian-Barbe stallion used in Tbourida was presented for evaluation after the owner noticed a slow, progressive enlargement of the right testis over a period of more than 1 year. Clinical examinati...
Diagnosis and Surveillance of West Nile Virus Infection in Horses: Current Methods, Challenges, and Future Directions. West Nile virus (WNV) is a mosquito-borne flavivirus of growing importance for both human and equine health in Europe. Horses are highly susceptible to neurological disease and, because they share ecological exposure with humans, they represent valuable sentinels for detecting local viral circulation within a One Health framework. However, diagnosis of WNV infection in equines is complicated by the short and low-level viraemia, which limits the sensitivity of molecular assays, and by serological cross-reactivity with related flaviviruses and the confounding effects of vaccination. In this narr...
Physical vs. Behavioral Clinical Signs in Horses with Squamous and Glandular Gastric Ulcers. Equine Gastric Ulcer Syndrome is a highly prevalent condition, yet its clinical diagnosis remains challenging due to the nonspecific nature of many associated signs. The relationship between the anatomical location of gastric ulcers and clinical presentation is still poorly defined. This retrospective study aimed to evaluate the association between gastric ulcer location and the clinical signs observed in horses. Medical records of 52 horses diagnosed with gastric ulcers by gastroscopy were retrospectively reviewed. Clinical signs were classified as physical, behavioral, or mixed, and ulcer lo...
Multi-state equine botulism outbreak in the United States linked to contaminated feed: an epidemiologic, clinicopathologic, and regulatory investigation. A multi-state outbreak of equine botulism occurred between December 2022 and March 2023 in the United States. Follow-up and testing were performed on 42 horses, including 24 that died or were euthanized in the outbreak that affected ~98 horses. Affected horses had all been exposed to the same commercial feed. Clinical signs included progressive muscle weakness and tremors, recumbency, and colic. No significant gross or microscopic abnormalities were observed on autopsy. Feces and gastrointestinal content were tested for various infectious agents, including botulinum toxin; fecal samples from 2...
Sex determination and genetic screening of equine embryos with whole genome amplification and real-time PCR. Reliable pre-implantation sex determination and genetic screening enables informed embryo transfer decisions in equine breeding while avoiding later interventions. We developed a streamlined workflow that couples rapid whole genome amplification (WGA) with a multiplex real-time PCR targeting ETSTY5 as a Y-specific marker and UBC as an autosomal control. On purified equine DNA, sex was correctly assigned down to 10 pg gDNA and to a single fibroblast cell. Direct testing of embryo biopsies without WGA yielded inconsistent results, whereas introducing a short WGA step produced tight allelic-discr...
Metastatic adenocarcinoma in the parotid gland in a horse – clinical and pathological findings. This case report details the findings of a metastatic adenocarcinoma of the parotid gland, a rare neoplasm in horses with limited treatment options. A 12-year-old, Criollo breed, gelding was presented with an enlarged left parotid gland that had been previously treated for 6 months without response to treatment. Based on the results of the diagnostic procedures performed, the horse underwent a total sialadenectomy and died of hypovolemic shock in the recovery room. Post-mortem examination revealed metastatic neoplastic infiltration of the submandibular lymph nodes and the lymphatic network at ...
New Diagnostic Score for Sepsis in Adult Horses with Acute Gastrointestinal Disease. Colic is a leading cause of mortality in horses, particularly when associated with systemic inflammation and organ dysfunction. In human medicine, these complications are associated with sepsis, defined as organ dysfunction caused by a dysregulated, life-threatening host response to infection. However, no consensus sepsis score exists for adult horses. This retrospective study aimed to develop a diagnostic sepsis score for adult horses. Medical records from 295 horses admitted for colic to the Oniris equine emergency department (Nantes, France) between July 2011 and November 2021 were analyzed...
Multicentric Malignant Melanoma in a Grey Mare: A Case Report. Grey coat color in horses, resulting from a 4.6 kb copy number variation (CNV) within the syntaxin 17 (STX17) gene (Grey locus), is linked to progressive hair depigmentation and a markedly increased risk of melanoma, likely to its function as a melanocyte-specific enhancer. Objective: This report details the clinical, pathological, and genomic findings of a 26-year-old flea-bitten grey mare with multiple melanocytic tumors, progressive dyspnea, and congestive heart failure. Due to the poor prognosis the horse was euthanized and submitted for necropsy to the Long Island University - Lewyt Colle...
