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Topic:Diagnostic Technique

Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Diagnostic evaluation and short-term outcome as indicators of long-term prognosis in horses with findings suggestive of inflammatory bowel disease treated with corticosteroids and anthelmintics.
Acta veterinaria Scandinavica    June 3, 2014   Volume 56, Issue 1 35 doi: 10.1186/1751-0147-56-35
Kaikkonen R, Niinistö K, Sykes B, Anttila M, Sankari S, Raekallio M.Recurrent colic and unexplained weight loss despite good appetite and adequate feeding and management practices are common conditions in the horse. However, little information has been published on the systematic diagnostic evaluation, response to treatment, prognostic factors or outcome of either presentation. The aims of this study were to 1) identify possible prognostic indicators and 2) report the short- and long-term response to treatment with corticosteroid therapy of a variety of horses with a presumptive diagnosis of inflammatory bowel disease (IBD). Thirty-six horses with a history of...
Challenges of thermal nociceptive threshold testing in the donkey.
Veterinary anaesthesia and analgesia    May 29, 2014   Volume 42, Issue 2 205-214 doi: 10.1111/vaa.12182
Grint NJ, Whay HR, Beths T, Yvorchuk K, Murrell JC.To evaluate a thermal nociceptive threshold (TNT) testing device in the donkey, and the influence of potential confounding factors on TNTs. Methods: Two groups (Group 1 and Group 2) of eight castrated male donkeys aged 4-9 years, weighing 105-170 kg. Methods: TNTs were measured by heating a thermal probe on skin until an end-point behaviour (threshold temperature) or a cut-out temperature (51 °C) was reached. The withers and the dorsal aspect of the distal limb were used as sites for TNT testing. The effects on TNT of different confounding factors: the limb tested; rate of heating; and amb...
Comparison of cardiac output determined by an ultrasound velocity dilution cardiac output method and by the lithium dilution cardiac output method in juvenile horses with experimentally induced hypovolemia.
American journal of veterinary research    May 29, 2014   Volume 75, Issue 6 565-571 doi: 10.2460/ajvr.75.6.565
Shih AC, Queiroz P, Vigani A, Da Cunha A, Pariaut R, Ricco C, Bornkamp J, Garcia-Pereira F, Bandt C.To assess the accuracy of an ultrasound velocity dilution cardiac output (UDCO) method, compared with that of the lithium dilution cardiac output (LiDCO) method, for determination of cardiac output (CO) in juvenile horses with experimentally induced hypovolemia. Methods: 12 anesthetized 2- to 6-month-old horses. Methods: For each anesthetized horse, CO was determined by the LiDCO and UDCO methods prior to any intervention (baseline state), after withdrawal of approximately 40% of the horse's blood volume (low CO state), after maintenance of hypovolemia and infusion of norepinephrine until mean...
Operative factors associated with short-term outcome in horses with large colon volvulus: 47 cases from 2006 to 2013.
Equine veterinary journal    May 29, 2014   Volume 47, Issue 3 279-284 doi: 10.1111/evj.12273
Gonzalez LM, Fogle CA, Baker WT, Hughes FE, Law JM, Motsinger-Reif AA, Blikslager AT.There is an important need for objective parameters that accurately predict the outcome of horses with large colon volvulus. Objective: To evaluate the predictive value of a series of histomorphometric parameters on short-term outcome, as well as the impact of colonic resection on horses with large colon volvulus. Methods: Retrospective cohort study. Methods: Adult horses admitted to the Equine and Farm Animal Veterinary Center at North Carolina State University, Peterson and Smith and Chino Valley Equine Hospitals between 2006 and 2013 that underwent an exploratory coeliotomy, diagnosed with ...
Reproducibility and feasibility of acoustoelastography in the superficial digital flexor tendons of clinically normal horses.
American journal of veterinary research    May 29, 2014   Volume 75, Issue 6 581-587 doi: 10.2460/ajvr.75.6.581
Ellison ME, Duenwald-Kuehl S, Forrest LJ, Vanderby R, Brounts SH.To evaluate the feasibility and repeatability of in vivo measurement of stiffness gradients by means of acoustoelastography in the superficial digital flexor tendons (SDFTs) of clinically normal horses. Methods: 15 clinically normal horses. Methods: For each horse, stiffness gradient index and dispersion values for SDFTs in both forelimbs were evaluated in longitudinal orientation by use of acoustoelastography at 3 sites (5, 10, and 15 cm distal to the accessory carpal bone) by 2 observers; for each observer, data were acquired twice per site. The left forelimb was always scanned before the ri...
Development of a loop-mediated isothermal amplification method for detecting Streptococcus equi subsp. zooepidemicus and analysis of its use with three simple methods of extracting DNA from equine respiratory tract specimens.
The Journal of veterinary medical science    May 28, 2014   Volume 76, Issue 9 1271-1275 doi: 10.1292/jvms.14-0140
Kinoshita Y, Niwa H, Katayama Y.Streptococcus equi subsp. zooepidemicus (S. zooepidemicus) is a dominant pathogenic bacterium in equine pneumonia. We developed a specific loop-mediated isothermal amplification (LAMP) method, which targets the gene encoding sorbitol-6-phosphate 2-dehydrogenase (sorD), for detecting S. zooepidemicus and examined the clinical efficacies of its use in combination with each of 3 DNA extraction methods easily used by veterinary practitioners, namely the Loopamp PURE DNA Extraction Kit, InstaGene Matrix and a conventional boiling method. The LAMP method plus the Loopamp PURE DNA Extraction Kit gave...
Control of the misuse of testosterone in castrated horses based on an international threshold in plasma.
Drug testing and analysis    May 28, 2014   Volume 7, Issue 5 414-419 doi: 10.1002/dta.1681
Ho EN, Kwok WH, Leung DK, Riggs CM, Sidlow G, Stewart BD, Wong AS, Wan TS.Testosterone is an endogenous steroid produced primarily in the testes. Trace levels of testosterone are found in urine samples from geldings, as testosterone is also secreted by the adrenal. An international threshold of free and conjugated testosterone in urine (20 ng/mL) was adopted by the International Federation of Horseracing Authorities (IFHA) in 1996 for controlling testosterone misuse in geldings. In view of the recent popularity of using blood in doping control testing, it is necessary to establish a threshold for testosterone in gelding plasma. A liquid chromatography-mass spectro...
Equine lamellar energy metabolism studied using tissue microdialysis.
Veterinary journal (London, England : 1997)    May 27, 2014   Volume 201, Issue 3 275-282 doi: 10.1016/j.tvjl.2014.05.030
Medina-Torres CE, Pollitt CC, Underwood C, Castro-Olivera EM, Collins SN, Allavena RE, Richardson DW, van Eps AW.Failure of lamellar energy metabolism may contribute to the pathophysiology of equine laminitis. Tissue microdialysis has the potential to dynamically monitor lamellar energy balance over time. The objectives of this study were to develop a minimally invasive lamellar microdialysis technique and use it to measure normal lamellar energy metabolite concentrations over 24 h. Microdialysis probes were placed (through the white line) into either the lamellar dermis (LAM) (n = 6) or the sublamellar dermis (SUBLAM) (n = 6) and perfused continuously over a 24 h study period. Probes were pl...
Objective classification of different head and neck positions and their influence on the radiographic pharyngeal diameter in sport horses.
BMC veterinary research    May 23, 2014   Volume 10 118 doi: 10.1186/1746-6148-10-118
Go LM, Barton AK, Ohnesorge B.Various head and neck positions in sport horses are significant as they can interfere with upper airway flow mechanics during exercise. Until now, research has focused on subjectively described head and neck positions. The objective of this study was to develop an objective, reproducible method for quantifying head and neck positions accurately. Results: Determining the angle between the ridge of the nose and the horizontal plane (ground angle) together with the angle between the ridge of nose and the line connecting the neck and the withers (withers angle) has provided values that allow preci...
A diagnostic evaluation of real-time PCR, fluorescent antibody and microscopic agglutination tests in cases of equine leptospiral abortion.
Equine veterinary journal    May 23, 2014   Volume 47, Issue 2 171-174 doi: 10.1111/evj.12281
Erol E, Jackson CB, Steinman M, Meares K, Donahoe J, Kelly N, Locke S, Smith JL, Carter CN.A comprehensive evaluation of the real-time PCR assay for leptospirosis in comparison with other diagnostic assays on a large-scale basis is fundamental in validating the assay and determining the causes of equine abortions. Objective: To compare and evaluate the diagnostic value of real-time PCR assay for leptospirosis with traditional methods in equine leptospiral abortions. Methods: Cross-sectional observational study. Methods: A Leptospira spp. fluorescent antibody test (FAT), microscopic agglutination test (MAT) and real-time PCR (targeting the LipL32 gene) were compared and evaluated in ...
Pharyngeal diameter in various head and neck positions during exercise in sport horses.
BMC veterinary research    May 23, 2014   Volume 10 117 doi: 10.1186/1746-6148-10-117
Go LM, Barton AK, Ohnesorge B.In equine athletes, dynamic stenotic disorders of the upper airways are often the cause for abnormal respiratory noises and/or poor performance. There are hypotheses, that head and neck flexion may influence the morphology and function of the upper airway and thus could even induce or deteriorate disorders of the upper respiratory tract. Especially the pharynx, without osseous or cartilaginous support is prone to changes in pressure and airflow during exercise. The objective of this study was to develop a method for measuring the pharyngeal diameter in horses during exercise, in order to analy...
Effect of intravenous administration of romifidine on intraocular pressure in clinically normal horses.
Veterinary ophthalmology    May 19, 2014   Volume 17 Suppl 1 149-153 doi: 10.1111/vop.12181
Marzok MA, El-Khodery SA, Oheida AH.To evaluate the effect of intravenous administration of romifidine on the intraocular pressure (IOP) in horses. Methods: Twenty-four horses with no ocular abnormalities. Methods: Horses were randomly assigned into two equal groups (treatment and control). All horses in the treatment group received an intravenous (IV) injection of romifidine (40 μg/kg). The horses in the control group were administrated an intravenous injection of 0.9% saline (0.4 mL/100 kg). In both groups, the IOP values were measured immediately (T0 ) pre-administration and at 5 (T5 ), 15 (T15 ), 30 (T30 ), 45 (T45 ), 60 (T...
Effects of sub-zero storage temperatures on endoparasites in canine and equine feces.
Veterinary parasitology    May 16, 2014   Volume 204, Issue 3-4 310-315 doi: 10.1016/j.vetpar.2014.05.008
Schurer J, Davenport L, Wagner B, Jenkins E.Fecal samples from wild and domestic carnivores are routinely frozen for three days at -80°C to kill eggs of Echinococcus spp., following recommendations from the World Health Organization (WHO) and World Organization for Animal Health (OIE). This is done to decrease the risk of zoonotic infection with these pathogenic cestodes. In addition, it is often necessary to freeze fecal samples collected for research prior to batch processing by a limited number of personnel, especially large numbers of samples or those collected in remote locations. The effect of freezing on the recovery of endopara...
Preliminary investigation of the treatment of equine medial femoral condylar subchondral cystic lesions with a transcondylar screw.
Veterinary surgery : VS    May 16, 2014   Volume 44, Issue 3 281-288 doi: 10.1111/j.1532-950X.2014.12199.x
Santschi EM, Williams JM, Morgan JW, Johnson CR, Bertone AL, Juzwiak JS.To determine if medial femoral condylar (MFC) subchondral cystic lesions (SCL) causing lameness will demonstrate radiographic evidence of healing and lameness reduction after placement of a transcondylar screw in lag fashion. Methods: Retrospective case series. Methods: Horses (n = 20) with lameness attributed to a MFC SCL. Methods: A 4.5 mm screw was inserted in lag fashion across MFC SCL in horses with hindlimb lameness. Post-operative radiography and lameness examinations were performed at 30-60 day intervals after surgery for 120 days, and SCL radiographic area and lameness were graded. Tr...
Spectral-domain optical coherence tomography evaluation of the cornea, retina, and optic nerve in normal horses.
Veterinary ophthalmology    May 14, 2014   Volume 17 Suppl 1 140-148 doi: 10.1111/vop.12180
Pinto NI, Gilger BC.To determine the feasibility of using a handheld spectral-domain optical coherence tomography (SD-OCT) instrument to characterize normal corneal, retinal, and optic nerve head anatomy in vivo in standing horses. Methods: Clinically normal horses under sedation, palpebral nerve blockage, and pharmacologically induced mydriasis were imaged with a SD-OCT instrument (Envisu SD-OCT, Bioptigen, Inc., Morrisville, NC). Radial volumes from the cornea (axial, superior, inferior, nasal, and temporal), and rectangular volumes from the retina (dorsal, ventral, nasal, and temporal) and optic nerve head wer...
Identification of Bartonella henselae in the liver of a thoroughbred foal with severe suppurative cholangiohepatitis.
Journal of veterinary internal medicine    May 9, 2014   Volume 28, Issue 4 1341-1345 doi: 10.1111/jvim.12372
Setlakwe EL, Sweeney R, Engiles JB, Johnson AL.No abstract available
Ultrafiltration of equine digital lamellar tissue.
Veterinary journal (London, England : 1997)    May 9, 2014   Volume 202, Issue 2 314-322 doi: 10.1016/j.tvjl.2014.05.007
Underwood C, Collins SN, van Eps AW, Allavena RE, Medina-Torres CE, Pollitt CC.There are no experimentally validated pharmacological means of preventing laminitis; however, locally acting pharmaceutical agents with the potential to prevent laminitis have been identified. Demonstrating therapeutic drug concentrations in lamellar tissue is essential for evaluating the efficacy of these agents. The aim of this study was to develop an experimental technique for repeatedly sampling lamellar interstitial fluid. A technique for placing ultrafiltration probes was developed in vitro using 15 cadaver limbs. Subsequently, lamellar ultrafiltration probes were placed in one forelimb ...
Epidemiology and reproductive outcomes of EHV-1 abortion epizootics in unvaccinated Thoroughbred mares in South Africa.
Equine veterinary journal    May 9, 2014   Volume 47, Issue 2 155-159 doi: 10.1111/evj.12264
Schulman ML, Becker A, van der Merwe BD, Guthrie AJ, Stout TA.Equine herpesvirus 1 (EHV-1) is one of the most common causes of infectious abortion in mares. Analysing the demography of outbreaks and detailing subsequent reproductive performance of affected mares will assist in the management of future (threatened) epizootics. Objective: To examine the epidemiology and reproductive outcomes of 2 EHV-1 abortion epizootics with very different patterns of morbidity. Methods: Epidemiological and reproductive data were analysed retrospectively following abortion epizootics associated with EHV-1, but initiated via different routes, among unvaccinated mares on 2...
Equine intradermal test threshold concentrations for house dust mite and storage mite allergens and identification of stable acari fauna.
Veterinary dermatology    May 7, 2014   Volume 25, Issue 2 124-e36 doi: 10.1111/vde.12113
Roberts HA, Hurcombe SD, Hillier A, Lorch G.House dust mite (HDM) and storage mite (SM) stable fauna and their associated equine intradermal test (IDT) threshold concentrations (TCs) for the midwestern region of the USA are unknown. Objective: To determine IDT TCs and serum IgE concentrations for two HDM and three SM species in clinically normal horses over two seasons, and to identify the mite taxa and habitats in a stable. Methods: Thirty-eight clinically normal horses. Methods: Threshold concentrations for HDMs and SMs were determined using IDT subjective measurements and a statistical model. An enzyme-linked immunosorbent assay was ...
Development of a peptide ELISA for the diagnosis of Equine arteritis virus.
Journal of virological methods    May 4, 2014   Volume 205 3-6 doi: 10.1016/j.jviromet.2014.04.018
Metz GE, Lorenzón EN, Serena MS, Corva SG, Panei CJ, Díaz S, Cilli EM, Echeverría MG.A peptide-based indirect ELISA was developed to detect antibodies against Equine arteritis virus (EAV). Two peptides for epitope C of protein GP5 and fragment E of protein M were designed, synthesized, purified and used as antigens either alone or combined. Ninety-two serum samples obtained from the 2010 Equine viral arteritis outbreak, analyzed previously by virus neutralization, were evaluated by the ELISA here developed. The best resolution was obtained using peptide GP5. The analysis of the inter- and intraplate variability showed that the assay was robust. The results allow concluding tha...
Effect of limb positioning on the radiographic appearance of the distal and proximal interphalangeal joint spaces of the forelimbs of horses during evaluation of dorsopalmar radiographs.
Journal of the American Veterinary Medical Association    May 3, 2014   Volume 244, Issue 10 1186-1190 doi: 10.2460/javma.244.10.1186
Contino EK, Barrett MF, Werpy NM.To determine the effect of limb positioning on the radiographic appearance of the distal and proximal interphalangeal joint spaces of the forelimbs of horses during evaluation of dorsopalmar radiographs. Methods: Evaluation study. Methods: 14 forelimbs from 9 adult horses. Methods: Each horse was in standing position with its forelimbs positioned on blocks. Dorsopalmar radiographs of each foot were obtained with the forelimbs positioned squarely (the metacarpus of both forelimbs was perpendicular to the ground as determined by visual examination [abducted 0°]; baseline) and abducted 5° and 1...
The effects of intravenous romifidine on intraocular pressure in clinically normal horses and horses with incidental ophthalmic findings.
Veterinary ophthalmology    May 2, 2014   Volume 17 Suppl 1 134-139 doi: 10.1111/vop.12172
Stine JM, Michau TM, Williams MK, Kuebelbeck KL, Stengard ME.Original study. Objective: To evaluate the effect of sedation with romifidine hydrochloride 1% (Sedivet: Boehringer-Ingelheim) on intraocular pressure (IOP) in the normal horse and horses with incidental ophthalmic findings as measured by applanation tonometry. Methods: Nineteen clinically normal horses (13 geldings, six mares) and eight horses (three geldings, five mares) with incidental ophthalmic findings were included in this study. Methods: All horses underwent complete ophthalmic examination with pharmacologic mydriasis a minimum of 2 weeks prior to IOP evaluation. Baseline intraocular p...
Coprologically diagnosing Anoplocephala perfoliata in the presence of A. magna.
Veterinary parasitology    May 2, 2014   Volume 204, Issue 3-4 396-401 doi: 10.1016/j.vetpar.2014.04.023
Bohórquez A, Meana A, Pato NF, Luzón M.Current copro-diagnostic tests for Anoplocephala perfoliata show high variation in their sensitivity and given the morphological similarity of Anoplocephala spp. eggs, this could be related to the presence of Anoplocephala magna alone or co-existing with A. perfoliata. In the present study, coprology was significantly more sensitive (p<0.01) at detecting A. magna than A. perfoliata. This difference was independent of the parasite burden and was greater when testing was limited to horses with mature or gravid tapeworms. A. magna infection was strongly linked to young horses (≤ 2 years). The e...
A new method of producing casts for anatomical studies.
Anatomical science international    May 1, 2014   Volume 89, Issue 4 255-265 doi: 10.1007/s12565-014-0240-3
De Sordi N, Bombardi C, Chiocchetti R, Clavenzani P, Trerè C, Canova M, Grandis A.The objective of the present study was to verify if polyurethane foam is a suitable material to make accurate casts of vessels and viscera, and to develop a method based on its use for anatomical studies. This new technique has been tested primarily on the lungs of different animals, but also on the renal, intestinal and equine digital vessels. It consisted of three steps: specimen preparation, injection of the foam and corrosion of the cast. All structures injected with foam were properly filled. The bronchial tree and the vessels could be observed up to their finer branches. The method is in...
Electroretinogram evaluation of equine eyes with extensive ‘bullet-hole’ fundic lesions.
Veterinary ophthalmology    April 30, 2014   Volume 17 Suppl 1 129-133 doi: 10.1111/vop.12169
Allbaugh RA, Ben-Shlomo G, Whitley RD.To evaluate the impact of extensive bullet-hole nontapetal fundic lesions in horses on retinal function as measured by full-field electroretinography (ERG). Methods: Full-field ERG was performed on two horses with numerous bullet-hole lesions in the nontapetal fundus of both eyes. The ERG was first recorded from the eye with the more extensive lesions in response to a low-intensity light stimulus (0.03 cd s/m(2) ) that was given at times (T) T = 5, 10, 15, 20 min of dark adaptation. Consecutively, combined rod-cone response was evaluated bilaterally in response to high-intensity light stimulus...
Comparison of the sensitivity of coprological methods in detecting Anoplocephala perfoliata invasions.
Parasitology research    April 29, 2014   Volume 113, Issue 6 2401-2406 doi: 10.1007/s00436-014-3919-4
Tomczuk K, Kostro K, Szczepaniak KO, Grzybek M, Studzińska M, Demkowska-Kutrzepa M, Roczeń-Karczmarz M.The autopsy of 487 slaughter horses revealed the presence of Anoplocephala perfoliata in 36 animals. The invasions varied in the intensity (3 to 2,069 tapeworms) and in the level of tapeworms' proglottid maturity. Twenty nine horses were found to contain tapeworms with gravid proglottid. Fecal samples collected from the rectum were tested using following techniques: flotation with solution-saturated NaCl, decantation, McMaster's, and modified sedimentation-flotation methods (50 g feces samples, flotation solution-saturated NaCl and sucrose, specific gravity 1.25 g/ml). The number of A. perfoli...
Plasma adrenomedullin concentrations in critically ill neonatal foals.
Journal of veterinary internal medicine    April 28, 2014   Volume 28, Issue 4 1294-1300 doi: 10.1111/jvim.12358
Toth B, Slovis NM, Constable PD, Taylor SD.Bacterial sepsis remains a leading cause of morbidity and mortality in neonatal foals, but accurate diagnostic and prognostic markers are lacking. Adrenomedullin (AM) is a polypeptide with diverse biologic effects on the cardiovascular system that increases in septic humans and laboratory animals. Objective: Plasma AM concentration (p[AM]) is increased in septic neonatal foals compared to sick nonseptic and healthy control foals, and p[AM] is predictive of survival in septic neonatal foals. Methods: Ninety critically ill (42 septic, 48 sick nonseptic) and 61 healthy foals <1 week of age. Metho...
PCR based differentiation between Streptococcus dysgalactiae subsp. equisimilis strains isolated from humans and horses.
Comparative immunology, microbiology and infectious diseases    April 26, 2014   Volume 37, Issue 3 169-172 doi: 10.1016/j.cimid.2014.04.001
Preziuso S, Pinho MD, Attili AR, Melo-Cristino J, Acke E, Midwinter AC, Cuteri V, Ramirez M.Streptococcus dysgalactiae subsp. equisimilis (SDSE) can be severely pathogenic in humans and is increasingly isolated from horses with respiratory, reproductive or other diseases, although it is often considered a commensal bacterium. Here a PCR protocol is described for identifying SDSE recovered from humans. A multiplex PCR targeting the 16S rRNA and the streptokinase precursor gene has been optimized for differentiating between SDSE strains isolated from humans and those isolated from horses. Previously, the sequence of the streptokinase precursor gene of SDSE recovered from horses has bee...
Comparison of tear pH in dogs, horses, and cattle.
American journal of veterinary research    April 26, 2014   Volume 75, Issue 5 494-499 doi: 10.2460/ajvr.75.5.494
Beckwith-Cohen B, Elad D, Bdolah-Abram T, Ofri R.To determine baseline tear pH in dogs, horses, and cattle by use of a microelectrode. Methods: 28 dogs, 24 horses, and 29 cattle. Methods: Under manual restraint, tears were collected from each subject's left eye with cotton spears. A Schirmer tear test was performed in the right eye. Tears were extracted from the spears by centrifugation. Tear volume was measured, pH was determined with a microelectrode, and total solids (TS) concentration was measured by refractometry. Results: Mean ± SD pH of tears in cattle, dogs, and horses was 8.32 ± 0.14, 8.05 ± 0.26, and 7.84 ± 0.30, respectively. ...
Chronic progressive lymphoedema in draught horses.
Equine veterinary journal    April 20, 2014   Volume 47, Issue 3 260-266 doi: 10.1111/evj.12256
de Keyser K, Janssens S, Buys N.The objective of this review was to summarise and evaluate the current state of knowledge about chronic progressive lymphoedema in draught horses. Clinical signs of this multifactorial disorder are mainly restricted to the lower limbs, comprising progressively deteriorating skin, swelling and deformation. Although typical lesions were first reported at the beginning of the 20th century, chronic progressive lymphoedema was recognised as a specific syndrome only in 2003, and since then research has driven forward. Despite the high prevalence in some breeds and the serious economic impact, the pa...