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Topic:Disease Diagnosis
Disease diagnosis in horses involves the identification and characterization of illnesses through various diagnostic methods and tools. This process is essential for effective veterinary care and management of equine health. Techniques used in diagnosing diseases in horses include clinical examinations, laboratory tests, imaging modalities such as ultrasonography and radiography, and molecular diagnostics. Blood tests are frequently utilized to assess parameters such as complete blood count and biochemical profiles, which can indicate underlying health issues. Additionally, advancements in genetic testing and biomarker identification have enhanced the ability to detect specific diseases early. This page aggregates peer-reviewed research studies and scholarly articles that explore diagnostic methodologies, their applications, and their impact on equine health management.
Hidden Tarsal Lesions: The Role of Flexed and Oblique Radiographs in Young Horses. Radiographically apparent tarsal lesions associated with developmental orthopedic disease and joint sepsis are common in young horses. Standard radiographic projections are routinely used to identify osseous changes but may fail to detect lesions due to superimposition and complex anatomy. This retrospective case series describes plantar trochlear ridge lesions in young horses that were not identified on standard four projection radiograph series but were detected using flexed lateromedial and flexed oblique projections. Cases were selected based on persistent clinical signs localizing to the ...
Depth and distribution of colonic sand accumulation in a desert population of horses and its association with diagnosis of sand colic. To describe patient and management characteristics associated with radiographic sand accumulation in a desert population of horses, as well as identify factors independently associated with a diagnosis of sand colic and need for surgical intervention. Unassigned: Horses were prospectively allocated into 3 groups: control horses, horses with sand colic, and horses with non-sand-associated colic. Signalment, radiographs, and management outcomes were compared between groups. Unassigned: Median depth of sand was significantly greater in horses diagnosed with sand colic compared to other groups (11...
Whole-genome characterization and phylogenetic analysis of Equine Rotavirus A isolated from Jeju Island, Korea. Equine Rotavirus A (ERVA) is a major cause of acute diarrhea in neonatal foals, leading to significant economic losses. Genetic variation and global transmission complicate disease control efforts. Objective: To analyze the complete genome of an ERVA strain from Jeju Island, Korea, and assess its genetic and phylogenetic relationships with global ERVA strains. Methods: Twenty-five fecal and swab samples were collected from diarrheic horses in Jeju during spring and summer 2025. Samples were screened using antigen testing and RT-PCR. One PCR-positive, antigen-test-positive sample was selected f...
Cycle length variation assists in differentiation of atrial, ventricular, and sinus arrhythmias in horses at rest. Criteria for arrhythmia classification in horses are insufficient, particularly when differentiating atrial premature complexes (APCs) from sinus arrhythmia (SA). This study investigated RR and PP interval changes between SA, APCs, and ventricular premature complexes (VPCs). Unassigned: 30 resting ECGs were reviewed: 10 each containing SA, APC, and VPC. Sequences of 10 RR and PP intervals were recorded for each arrhythmia (20 events/ECG). Percent RR and PP deviations were calculated (1) between sequential intervals (%ΔSEQPP and %ΔSEQRR, respectively) and (2) compared to averaged baseline int...
Evaluation of sequential serum amyloid A measurements for the prediction of sepsis and survival in critically ill neonatal foals. Single measurements of serum amyloid A (SAA) concentration at hospital admission has limited sensitivity for predicting sepsis and death. Objective: To determine whether differences in SAA during the first 2 days of hospitalization could predict sepsis and death in critically ill foals. Methods: One hundred twenty-seven critically ill neonatal foals, <14 days of age. Methods: Prospective cohort study. SAA was measured at hospital admission and on day 2 of hospitalization using a validated point-of-care test. Logistic regression was conducted to evaluate the predictive value of individual S...
Molecular Detection of Anaplasma spp. in Horses From Golestan Province, Northern Iran. Anaplasmosis is a bacterial zoonotic disease that affects both humans and many animals. In horses, anaplasmosis manifests as a seasonal, infectious, and febrile disease caused by bacteria of the genus Anaplasma. Since the transmission of this disease is primarily mediated by arthropods such as ticks, it holds significant public health importance. Objective: The present study aims to investigate the prevalence of anaplasmosis in horses in northern Iran (Golestan Province). Methods: A total of 350 blood samples were randomly collected from asymptomatic horses between December 2023 and April 2024...
Rethinking Equine Cystitis: Evidence from Four Atypical Clinical Presentations. In this case series, four equines were diagnosed with cystitis, resulting in divergent clinical outcomes. Three animals achieved complete clinical resolution without recurrence, whereas one required euthanasia due to progressive clinical deterioration. All diagnoses were established through a dual-modality investigative protocol comprising cystoscopic evaluation and histopathological examination of bladder mucosal biopsies. The cohort exhibited considerable etiological heterogeneity. One case was classified as chronic idiopathic cystitis, while another was attributed to an opportunistic bacter...
Health assessment of Tokara horses on Nakanoshima island: potential chronic hepatic dysfunction induced by Leopard plant (Farfugium japonicum) ingestion. We investigated the health of Tokara horses (n=34) on Nakanoshima as part of conservation efforts for this breed. Although the horses were clinically healthy, elevated white blood cell count, neutrophil count and gamma-glutamyl transferase (GGT) levels were observed, leading to suspicion of chronic hepatic dysfunction and infectious disease. A survey revealed that the caretakers had been feeding the horses Leopard plant, which contains toxic pyrrolizidine alkaloids (PAs). The abnormal GGT levels observed in these horses may suggest the possibility of chronic PA poisoning resulting from the con...
Hepatic encephalopathy associated with extensive hepatic diaphragmatic herniation in an adult horse. Diaphragmatic hernia in horses is a rare condition, most commonly presenting with signs of colic and, less frequently, respiratory compromise. Hepatic herniation through a diaphragmatic defect with secondary hepatic failure and encephalopathy has rarely been documented in horses. Methods: A 5-year-old Mangalarga Marchador stallion was evaluated for progressive neurological deterioration, including obtundation, head pressing, ataxia, and circling. Serum biochemistry revealed severe hepatobiliary dysfunction, characterised by increased gamma-glutamyl transferase and alkaline phosphatase activiti...
Central nervous system lymphoma and neurolymphomatosis in equids. Lymphoma affecting the central and peripheral nervous systems in equids is rarely reported. Objective: To describe the clinical presentation, neuroanatomical localization, laboratory and pathologic features, type of lymphoma, and outcome to further current knowledge. Methods: Fourteen equids (13 horses, 1 mule). Methods: Retrospective study. Medical records from a veterinary teaching hospital were reviewed (1993-2025). The inclusion criteria consisted of a definitive diagnosis of lymphoma of the nervous system. Data collected included signalment, neurologic findings, laboratory results, imagin...
Equine nuclear medicine: Current state of play. Equine nuclear medicine provides functional information on bone turnover, perfusion, inflammation and tracer biodistribution. Its role has evolved from planar scintigraphy toward SPECT, PET and quantitative imaging. This review synthesised the historical foundations and contemporary state of equine nuclear medicine, with emphasis on racehorse and performance-horse applications. Methods: A PRISMA-aligned systematic narrative review and evidence map were undertaken. MEDLINE via PubMed, Web of Science Core Collection and SciQuest were searched, supplemented by reference-list screening, forward ci...
Molecular detection of African horse sickness virus from selected areas in Ethiopia. Equines are vital to global economies and support millions of livelihoods. However, their productivity and welfare are severely hindered by infectious diseases such as African Horse Sickness, which causes major socio-economic losses in Ethiopia. A cross-sectional study was conducted from November 2022 to May 2023 to isolate and detect African horse sickness virus in equines across epidemic areas of Ethiopia. In total, 30 blood samples and 2 tissue representative specimens were aseptically collected from clinically sick and recently dead animals and transported under cold chain to the National ...
Vasopressin stimulation testing in hospitalized foals. Hypothalamic-pituitary-adrenal gland axis (HPAA) dysfunction impairs survival and can be diagnosed with an arginine vasopressin (AVP) stimulation test. Objective: Adrenocorticotropic hormone (ACTH) and cortisol response to an AVP stimulation test will be attenuated in hospitalized foals compared to healthy foals and associated with severity of disease. Methods: Fifteen healthy and 45 hospitalized foals: 19 septic, 26 sick non-septic (SNS). Methods: A prospective, observational case-control design was utilized to assess HPAA function and compare corticotropin-releasing hormone, ACTH, and cortis...
High-Throughput Equine Plasma Profiling Using Laser-Assisted Rapid Evaporative Ionisation Mass Spectrometry. Remnants of erythrocyte removal from blood constitute therapeutic plasma-a water-based solution containing mainly platelets, extracellular vesicles (EVs), protein and lipid complexes and ions. Plasma-based therapies, including their use to accelerate wound healing in human and animal patients, are increasingly gaining prominence in regenerative medicine; however, methods for the optimal preparation of individual plasma are still under development. Rapid and accurate analysis of plasma composition is essential for the development of therapeutic applications and for ensuring the quality of plasm...
Penile and preputial pythiosis in Saudi Arabian horses: clinicopathological features and surgical outcomes. Pythiosis, caused by , is a chronic granulomatous disease of horses characterized by invasive, ulcerative, and pyogranulomatous cutaneous lesions. Involvement of the external genitalia is uncommon and remains poorly characterized, particularly regarding environmental exposure and treatment outcomes. This study aimed to describe the epidemiological pattern, clinicopathological features, diagnostic findings, and surgical outcomes of penile and preputial genital pythiosis in a hospital-presented horse cohort. Unassigned: A retrospective study was conducted on 123 horses presented with cutaneous u...
Evaluation of an Immunoturbidometric Assay for Measurement of Total Adiponectin Concentration in Equine Serum Samples. Total adiponectin (TA) is a marker of metabolic health in equids, with values below a critical decision point of < 7.9 μg/mL conferring increased risk of laminitis. Objective: To evaluate an IT assay to measure serum [TA] in equids and to assess its correlation with [high molecular weight adiponectin] (HMWA) measured by ELISA. Methods: Total serum adiponectin concentrations from 207 adult horses were measured using both an IT assay for TA and HMWA using a previously validated ELISA assay. Data were analyzed using Spearman correlation and Passing-Bablok regression. Intra- and inter-assa...
Evaluation of the Brix refractometer for diagnosing the failure of transfer of passive immunity in 12-h-old foals. Failure of transfer of passive immunity (FTPI) is the most important cause of sepsis and mortality in neonatal foals. Unassigned: This study aimed to evaluate the performance of the digital Brix refractometer for the diagnosis of FTPI in 12-h-old foals. Unassigned: Cross-sectional, diagnostic accuracy study. Unassigned: Jugular blood samples were collected from 124 foals at 12 ± 0.5 h after birth. IgG concentrations were estimated using a digital Brix refractometer and measured using the radial immunodiffusion test (RID). Correlation coefficients were calculated between serum Brix percentages...
Mares with severe equine asthma exhibit a narrower trachea than geldings in a retrospective radiographic study of 189 horses. To evaluate potential relationships between sex, asthma severity, and tracheal diameter in adult horses through the use of thoracic radiography. Unassigned: This was a retrospective case-control study of horses that underwent thoracic radiography at the Université de Montréal from 2018 through 2024. Horses were classified as control, mild/moderate asthma, or severe asthma (SEA) according to the latest consensus statement on equine asthma. To account for radiographic magnification and body size, standardized ratios of tracheal diameter relative to the fifth thoracic vertebral body length and ...
Altered gene expression in the liver and small intestine of horses with equine neuroaxonal dystrophy. Equine neuroaxonal dystrophy/degenerative myeloencephalopathy (eNAD/EDM) is the second most common diagnosis of spinal ataxia in horses in the United States. The disease develops due to a combination of vitamin E deficiency and an unknown genetic risk factor(s), and there currently is no effective treatment. Objective: We performed transcriptomic profiling of the liver and small intestine of horses with and without eNAD/EDM, as both tissues are the main locations for absorption, metabolism, and delivery of vitamin E to the nervous system. Methods: Case-control exploratory study. Methods: Post...
MUSCULAR SARCOCYSTIS INFECTIONS IN HORSES IN NORTH AMERICA: ETIOLOGY, CLINICAL DISEASE, PERSONAL PERCEPTION, AND DEPOSITION OF SPECIMENS IN THE SMITHSONIAN MUSEUM. Uncertainty shrouds the number and identity of the species of Sarcocystis infecting horses in the United States. Horses are intermediate hosts for Sarcocystis fayeri, for which the domestic dog is the definitive host. Clinical signs and lesions associated with S. fayeri are not defined. Granulomatous myositis, especially involving the chest and dysphagia, is one of the clinical presentations associated with S. fayeri infections. Whether S. fayeri is the sole species that forms sarcocysts in equine muscles in the United States is not clear. Little is known of the molecular diagnosis of Sarcocys...
Comparison of Rectal and Intraoperative Findings in Horses with Colic. Per rectum examination (PRE) is commonly used in the triage of horses with acute abdominal pain, despite reports of associated risk factors for both horses and personnel, but its diagnostic accuracy is questionable. This multicenter, observational study aimed to evaluate the agreement between PRE findings and surgical findings obtained via exploratory laparotomy in horses with colic. A total of 201 cases from four equine referral hospitals across Europe were included. Rectal findings were categorized as primary (most likely cause of colic) or additional. Agreement with surgical findings was as...
Correlation of Positron Emission Tomography and Low-Field Standing Magnetic Resonance Imaging in Horses With Forelimb Lameness Localized to the Foot. Low-field magnetic resonance imaging (LF-MRI) and positron emission tomography (PET) imaging can be obtained in the standing horse. There is potential for increased diagnostic capacity combining PET with MRI, given that PET assesses the metabolic activity of injured tissues, whereas MRI provides structural and functional details on both bone and soft tissue anatomy. This study aimed to describe 18-fluorine-fluorodeoxyglucose (F-FDG)-PET and 18-sodium fluoride (F-NaF)-PET imaging of horses with forelimb lameness localized to the foot and compare PET with LF-MRI. Fourteen horses with lameness lo...
Development of lateral flow assays for the rapid diagnosis of glanders in equids. Glanders is a contagious zoonotic disease caused by that primarily affects horses, donkeys, and mules. It remains endemic in parts of Asia, Africa, the Middle East, and South America, where increasing case reports highlight the need for accessible diagnostic tools. Conventional diagnostic methods are limited by high costs and specialized laboratory requirements, whereas lateral flow assays (LFAs) offer practical, user-friendly, and rapid alternatives. In this study, we developed three LFAs targeting antibodies against the antigens Hcp1, GroEL, and whole-cell lysate (WCL), previously identifi...
Diagnostic Ultrasound of the Equine Liver. Ultrasound is readily available to most practitioners and can be used in a straightforward manner to assess the liver. The liver can be assessed for size, shape, echogenicity, and architecture. Findings such as masses, cysts, granulomas, and biliary distention can be relatively specific as to suspected disease process. Other findings may be nonspecific but are useful to confirm concerns and aid in refining differential diagnosis. Findings should be interpreted considering the clinicopathologic picture and sampling performed when appropriate. Ultrasound can and should be used to identify optima...
A new single-antigen serological test accurately detects horses infected with Streptococcus equi subsp equi. To develop an accurate serological test for detecting horses infected with Streptococcus equi subsp equi (SEE). Unassigned: The study was designed as a prospective experiment. First, 89 proteins either expressed on the surface or secreted by SEE were cloned, expressed in a cell-free culture system, and printed onto a microarray. Microarrays were probed with serum from 30 horses with strangles, 30 horses with no history of infection or immunization against SEE, and 18 horses infected with Streptococcus equi subsp zooepidemicus (SEZ); serum samples were collected between 2020 and 2021 from Texas...
Influence of collection site on cerebrospinal fluid test results in horses with equine protozoal myeloencephalitis. Cerebrospinal fluid (CSF) analysis is a critical component in the diagnosis of equine protozoal myeloencephalitis (EPM). Test results obtained may differ based on different collection sites. Objective: Compare results of EPM-specific diagnostic tests obtained from different collections sites in EPM-affected and non-EPM affected horses. Methods: Twenty control and 7 EPM-affected horses. Methods: Prospective observational study. CSF was collected from the lumbosacral (LS) and cranial sites (atlantooccipital or C1-2) in 27 horses and EPM-specific diagnostic tests were performed. Data were summari...
Validation of an improved insect bite hypersensitivity severity score for allergic equine insect bite hypersensitivity in horses. Insect bite hypersensitivity (IBH) is the most common allergic skin disease in horses, but existing clinical scoring systems lack extensive validation, limiting standardized disease monitoring and therapeutic evaluation. Objective: Develop and validate a standardized, sensitive, and reproducible clinical scoring system for IBH in horses. Methods: Forty-four privately-owned horses with clinically diagnosed IBH examined under field conditions in Switzerland. Methods: In this prospective field validation study, the equine IBH severity score (EqIS) integrates a lesion severity score and an area sc...
Synovial fluid oxidative stress index as a biomarker for arthritis severity in thoroughbred racehorses. Arthritis is a major cause of lameness in racehorses. Even when lameness improves, it may recur after training resumes, making it difficult to determine the disease state and when to end treatment. This retrospective observational study examined whether oxidative stress in synovial fluid could assess arthritis status in racehorses. Synovial fluid samples obtained during routine clinical practice from horses with arthritis and control samples obtained from horses without clinical or radiographic evidence of carpal joint disease were retrospectively analyzed. A total of 72 Thoroughbreds in Japan...
An Investigation of the Role of Ridden Exercise, Including Application of the Ridden Horse Pain Ethogram, in Pre-Purchase Examinations of Sports Horses. Many horses undergo a pre-purchase examination (PPE) prior to acquisition by a new owner; however, despite evidence that lameness and canter dysfunction may only be apparent during ridden exercise, ridden exercises assessing gait quality is not a routine part of PPEs. The objectives were to determine the influence of the results of ridden exercise on decision-making concerning risk assessment for purchase and to establish the long-term performance of horses. Twenty-five sports horses underwent PPEs including ridden exercises to assess gait quality and to apply the Ridden Horse Pain Ethogram (R...
Circulating microRNAs as potential predictive biomarkers of equine metabolic syndrome. Equine Metabolic Syndrome (EMS) is a complex endocrine disorder characterized by insulin dysregulation (ID), and an increased risk of developing laminitis, often accompanied by generalized or regional adiposity. Despite growing awareness of EMS, early and accurate diagnosis remains challenging. In this pilot study, we investigated changes in the levels of circulating microRNAs (miRNAs) in plasma samples from horses diagnosed with EMS (n=13), compared to overweight/obese (OW/OB) non-ID horses (n=16) and healthy controls (n=16). Using a targeted OpenArray, followed by a Kruskal-Wallis and Dunn's...
