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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.
Acute laminitis: medical and supportive therapy.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 103-114 doi: 10.1016/j.cveq.2009.12.011
van Eps AW.Acute laminitis is a serious complication of many primary conditions in the horse. This article summarizes the most appropriate approach to management of the horse with acute laminitis, based on current information.
Chronic laminitis: strategic hoof wall resection.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 197-205 doi: 10.1016/j.cveq.2009.12.009
Rucker A.In the chronic-laminitic foot, severe soft-tissue compression and compromised circulation can result in osteitis and sepsis at the margin of the distal phalanx. Resultant inflammation and sepsis may cause the coronary corium to swell, drain, or separate from the hoof capsule, usually within 8 weeks of laminitis onset. Slow-onset cases of soft-tissue impingement can develop secondary to distal phalanx displacement due to lack of wall attachment. With either presentation, partial upper wall resection is required to reverse compression and vascular impingement by the hoof capsule. If the patholog...
Black walnut extract: an inflammatory model.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 95-101 doi: 10.1016/j.cveq.2009.12.007
Belknap JK.The black walnut extract (BWE) model was developed after the discovery that horses bedded on shavings from black walnut trees commonly developed laminitis. The first investigators that consistently induced laminitis with black walnut shavings established that it was only the heartwood of the tree that induced laminitis. The BWE model of laminitis has allowed investigators to determine many of the early pathologic signaling events likely to occur in the developmental and acute clinical stages of the disease process, and has brought inflammatory injury to the forefront of laminitis research. The...
Carbohydrate alimentary overload laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 65-78 doi: 10.1016/j.cveq.2010.01.006
Pollitt CC, Visser MB.In acute laminitis, the suspensory apparatus of the distal phalanx fails at the lamellar dermal/epidermal interface. A grading system for the histopathology of laminitis is based on the consistent pattern of histologic changes to the secondary epidermal lamellae, basal cells, and basement membrane that occur as carbohydrate-induced laminitis develops. The actual trigger factors of carbohydrate-induced laminitis remain unidentified.
Pathology of the distal phalanx in equine laminitis: more than just skin deep.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 155-165 doi: 10.1016/j.cveq.2009.12.001
Engiles JB.The etiopathogenesis of laminitis is complex and involves multiple tissue types. It may be initiated by biomechanical, traumatic, inflammatory, vascular, toxic, and metabolic factors. Although histopathologic changes occurring within the lamellae of experimental models of laminitis are well described and reported, histopathologic changes occurring in the distal phalanx are not, even though gross and radiographic evidence of disease are often apparent and bony lesions could be considered a significant source of pain. Recent scientific evidence indicates that the microenvironment of bone is an i...
Therapeutic hypothermia (cryotherapy) to prevent and treat acute laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 125-133 doi: 10.1016/j.cveq.2010.01.002
van Eps AW.Digital hypothermia successfully reduces the severity of experimentally induced laminitis. Continuous-distal limb cryotherapy may be a useful technique in clinical cases that are at risk of developing laminitis. This article examines the effects of hypothermia on tissue as well as the rationale, and suggested protocols for the usage of distal limb cryotherapy in the prevention and treatment of laminitis.
A historical perspective of laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 1-11 doi: 10.1016/j.cveq.2009.12.004
Heymering HW.The causes of laminitis are many-often interrelated, sometimes direct opposites. The history of laminitis has been a search for the cause or causes of laminitis and for effective treatment. Going in and out of fashion, many treatments have lasted for centuries, some for millennia, but very few have been proven.
80 causes, predispositions, and pathways of laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 13-19 doi: 10.1016/j.cveq.2009.12.003
Heymering HW.For most of history, the causes of laminitis have been based on observations. In the last 30 years or so, however, the number of theories has exploded, with only a few being confirmed by experiments. This article highlights these theories.
Equine venography and its clinical application in North America.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 167-177 doi: 10.1016/j.cveq.2009.12.008
Rucker A.The digital venogram uses contrast radiography to evaluate the soft tissues and vasculature of the foot, thus identifying pathology attributable to laminitis. Pathology can be detected before changes appear on plain-film radiographs. When used in conjunction with clinical and radiographic findings, information gained from a venographic study informs and directs treatment. Serial venograms assess the response to treatment and help determine prognosis early in the course of therapy. If the venographic contrast pattern does not improve, either the treatment needs to be altered, or the damage is s...
The lamellar wedge.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 179-195 doi: 10.1016/j.cveq.2010.01.004
Collins SN, van Eps AW, Pollitt CC, Kuwano A.In horses with chronic laminitis, an abnormal horn structure called the lamellar wedge develops within the lamellar region of the foot. This pathologic structure adversely affects normal foot function, and influences return to previous performance levels. Understanding the pathologic process that leads to the development of this structure is essential for correct supportive foot management of the horse with chronic laminitis. The ability to prevent or reduce the formation of the lamellar wedge may eventually lead to better outcomes in cases of laminitis.
Equine disease surveillance, October to December 2009.
The Veterinary record    April 13, 2010   Volume 166, Issue 15 447-450 doi: 10.1136/vr.c1697
No abstract available
Progression of venographic changes after experimentally induced laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 135-140 doi: 10.1016/j.cveq.2009.12.005
Baldwin GI, Pollitt CC.Venography (retrograde venous angiography) is a relatively simple and practical method for vascular assessment of the digits in the standing horse. The technique is a useful adjunct to routine radiography. The clinical use of the laminitis venogram has resulted in a more comprehensive understanding of the collateral pathology associated with distal phalanx displacement and abnormal hoof growth. The effectiveness of therapeutic procedures such as hoof wall resection, coronary band grooving, deep digital flexor tenotomy, and therapeutic shoeing can be assessed by serial venography. This article ...
Overview of current laminitis research.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 51-63 doi: 10.1016/j.cveq.2010.01.001
Eades SC.All cases of laminitis are characterized by failure of the attachment of the epidermal cells of the epidermal laminae to the underlying basement membrane of the dermal laminae despite the diversity of diseases that underlie the syndrome. The preponderance of evidence supports roles for inflammation, metabolic derangement, endothelial and venous dysfunction, and matrix degradation as causes of laminitis. Inflammation, oxidant stress, and matrix degradation may be factors common to each of these mechanisms that lead to the laminar damage of laminitis. The understanding of the pathophysiology and...
Clinical presentation, diagnosis, and prognosis of chronic laminitis in North America.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 141-153 doi: 10.1016/j.cveq.2009.12.006
Hunt RJ, Wharton RE.Chronic laminitis involves laminar morphologic changes resulting in digital collapse and can vary greatly in its clinical manifestation depending on duration, severity of lameness, and stability of the distal phalanx/hoof wall interface. Accurate assessment of the whole patient is mandatory and consideration must be given to signalment, occupation, and owner expectations, as well as history and etiology, which often predict the broad course of the disease. Diagnosis is made via physical examination with adjunctive serial radiographic evaluation and possibly venography. Eventual functionality o...
Laminitis treatment: a personal memoir.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 21-28 doi: 10.1016/j.cveq.2009.12.010
Walsh DM.The author has completed 40 years as a veterinarian treating horses with laminitis. The article is a recollection of his experiences with laminitis and the various treatment methods he came across while trying to treat the disease.
The pharmacologic basis for the treatment of developmental and acute laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 115-124 doi: 10.1016/j.cveq.2010.01.003
Belknap JK.The treatment of laminitis has been fraught with confusion and controversy for several decades, mainly because of a lack of understanding of the pathophysiology of the disease process. However, recent advances in laminitis research have greatly improved our understanding of the disease process. This article discusses the various treatment options for laminitis in the context of the findings of recent scientific investigations of laminitis pathophysiology.
Microbial events in the hindgut during carbohydrate-induced equine laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 79-94 doi: 10.1016/j.cveq.2010.01.007
Milinovich GJ, Klieve AV, Pollitt CC, Trott DJ.Equine laminitis is the most serious foot disease of the horse, often resulting in death or euthanasia. Laminitis has long been recognized as an affliction of horses, as has the association of this condition with the ingestion of carbohydrates. Research into the pathophysiology of this condition has been facilitated by the development of reliable models for experimentally inducing laminitis, and DNA-based techniques for profiling complex microbiomes have dramatically increased the knowledge of the microbiology of this disease. Recent studies have provided substantial evidence showing equine hi...
Isolation rates of meticillin-resistant Staphylococcus aureus in dogs, cats and horses in Ireland.
The Veterinary record    April 13, 2010   Volume 166, Issue 15 451-455 doi: 10.1136/vr.b4814
Abbott Y, Leggett B, Rossney AS, Leonard FC, Markey BK.A retrospective analysis and prospective surveillance study were conducted to determine isolation rates of meticillin-resistant Staphylococcus aureus (MRSA) in dogs, cats and horses in Ireland. Clinical samples that had been submitted to University College Dublin (UCD) for routine microbiological examination over a four-year period (2003 to 2006) were analysed in the retrospective analysis, which included clinical samples from 3866 animals. In the prospective surveillance study, samples from healthy animals presenting for elective surgery as well as from animals with a clinical presentation su...
Identification of differentially expressed genes associated with osteochondrosis in standardbred horses using RNA arbitrarily primed PCR.
Animal biotechnology    April 10, 2010   Volume 21, Issue 2 135-139 doi: 10.1080/10495391003608316
Austbø L, Røed KH, Dolvik NI, Skretting G.The aim of this study was to investigate genes for differential expression in cartilage of foals predisposed to osteochondrosis (OC). Tissue was sampled from the cranial part of the distal intermediate ridge of the tibia in the tarso-crural joint. Foals were considered predisposed to OC when parents had OC at the distal intermediate ridge of the tibia. RNA was isolated and subjected to arbitrarily primed PCR (RAP-PCR) followed by fingerprinting to screen for differentially expressed genes. By verification of results from the RAP-PCR fingerprint screening using real-time RT-PCR, we identified t...
Neuropathogenic and non-neuropathogenic variants of equine herpesvirus 1 in France.
Veterinary microbiology    April 9, 2010   Volume 145, Issue 3-4 329-333 doi: 10.1016/j.vetmic.2010.03.031
Pronost S, Léon A, Legrand L, Fortier C, Miszczak F, Freymuth F, Fortier G.Equine herpesvirus 1 (EHV-1) is a common pathogen of the horse which may induce mild respiratory distress, abortion, neonatal death and neurological disease. A single nucleotide polymorphism in the EHV-1 DNA polymerase (ORF30 A(2254) to G(2254)) has been associated with clinical signs of Equine herpes myeloencephalopathy (EHM). The aim of this work was to analyze the ORF30 genomic region among a panel of EHV-1 DNA extract in order to estimate the prevalence of the EHV-1 neuropathogenic genotype in France. Samples coming from cases associated with EHM, horses with respiratory symptoms and abort...
Novel markers for tying-up in horses by proteomics analysis of equine muscle biopsies.
Comparative biochemistry and physiology. Part D, Genomics & proteomics    April 8, 2010   Volume 5, Issue 2 178-183 doi: 10.1016/j.cbd.2010.03.009
Bouwman FG, van Ginneken MM, van der Kolk JH, van Breda E, Mariman EC.The aim of the study was to identify new biomarkers for acute tying-up in horses. Skeletal muscle biopsies were taken from 3 horses suffering from acute tying-up and 3 healthy horses. We performed 2D gel electrophoresis and mass spectrometry for identification of proteins that are differentially expressed in tying-up. 2D gel electrophoresis of skeletal muscle sequential extracts yielded more than 350 protein spots on each gel, of which 14 were differentially expressed more than two-fold (p<0.05). In-gel digestion followed by peptide mass fingerprinting enabled identification of three significa...
Surfactant alterations in horses with recurrent airway obstruction at various clinical stages.
American journal of veterinary research    April 7, 2010   Volume 71, Issue 4 468-475 doi: 10.2460/ajvr.71.4.468
Christmann U, Hite RD, Tan RH, Thatcher CD, Witonsky SG, Werre SR, Buechner-Maxwell VA.To evaluate the phospholipid composition and function of surfactant in horses with recurrent airway obstruction (RAO) at various clinical stages and compare these properties with findings in horses without RAO. Methods: 7 horses with confirmed RAO and 7 without RAO (non-RAO horses). Methods: Pairs of RAO-affected and non-RAO horses were evaluated before, during, and after exposure to hay. Evaluations included clinical scoring, lung function testing, airway endoscopy, and bronchoalveolar lavage fluid (BALF) absolute and differential cell counts. Cell-free BALF was separated into crude surfactan...
Comparison between horse and rabbit antithymocyte globulin as first-line treatment for patients with severe aplastic anemia: a single-center retrospective study.
Annals of hematology    April 7, 2010   Volume 89, Issue 9 851-859 doi: 10.1007/s00277-010-0944-y
Atta EH, Dias DS, Marra VL, de Azevedo AM.The best antithymocyte globulin preparation for first-line immune suppression in patients with severe aplastic anemia is still not clear. The aim of this study was to compare hematological response and overall survival in patients submitted to horse or rabbit antithymocyte globulin as first-line treatment for severe aplastic anemia. We retrospectively compared 71 consecutive patients with severe aplastic anemia, classified according to the antithymocyte globulin preparation. Analyses included variables related to patients and to immune suppression. Forty two patients (59.1%) received horse and...
Evaluation of a new enzyme-linked immunosorbent assay to detect keratan sulfate in equine serum.
The Japanese journal of veterinary research    April 7, 2010   Volume 57, Issue 4 207-212 
Lettry V, Kawasaki H, Sugaya K, Hosoya K, Takagi S, Okumura M.This study aimed to evaluate a system that identifies cartilage turn over and/or degradation through measurement of a new keratan sulfate (KS) epitope concentration in equine sera. Blood samples were collected from 30 horses, 1 (n = 15) and 2 year-olds (n = 15). Serum samples were analyzed for an epitope of keratan sulfate by 1/20/5D4 (KS5D4) and new epitopes of keratan sulfate using high sensitive keratan sulfate (HSKS), measured by two respective enzyme-linked immunosorbant assays (ELISAs). There was no correlation in serum concentration of KS evaluated using 5D4 and HSKS. Age had no signifi...
Transcriptional changes associated with recurrent airway obstruction in affected and unaffected horses.
American journal of veterinary research    April 7, 2010   Volume 71, Issue 4 476-482 doi: 10.2460/ajvr.71.4.476
Venugopal CS, Mendes LC, Peiró JR, Laborde SS, Stokes AM, Moore RM.To identify differentially expressed genes in pulmonary tissues of horses affected with summer pasture-associated obstructive pulmonary disease (SPAOPD), which is a form of recurrent airway obstruction (RAO), compared with those of unaffected horses. Methods: 6 horses with SPAOPD-RAO and 6 unaffected (healthy) horses. Methods: Horses were assigned to 2 groups on the basis of medical history, clinical score, and transpleural pressure. Total RNA from each of the 5 lung lobes of each of the 6 SPAOPD-RAO-affected horses was extracted and pooled. Similarly, total RNA from unaffected horses was pool...
Clinical aspects of multinodular pulmonary fibrosis in two warmblood horses.
The Veterinary record    April 7, 2010   Volume 166, Issue 14 426-430 doi: 10.1136/vr.b4811
Niedermaier G, Poth T, Gehlen H.Two warmblood horses with a history of chronic weight loss and inappetence were referred to the Faculty of Veterinary Medicine, Ludwig-Maximilians University of Munich, Germany, for further examination. The clinical signs in horse 1 were fever, tachycardia and tachypnoea, and chronic ulcerative keratopathy of both eyes. Horse 2 had severe oral ulcerations and was coughing during feeding. In both horses, increased bronchovesicular sounds were heard during auscultation of the lungs. Laboratory findings included mild anaemia, lymphopenia and hypoalbuminaemia. Radiographic examination of the thora...
Validation of a commercial enzyme immunoassay for detection of Clostridium difficile toxins in feces of horses with acute diarrhea.
Journal of veterinary internal medicine    April 6, 2010   Volume 24, Issue 3 628-632 doi: 10.1111/j.1939-1676.2010.00506.x
Medina-Torres CE, Weese JS, Staempfli HR.Clostridium difficile infection (CDI) is a recognized cause of colitis in the horse. Identification of its toxins is important for management of individual cases and for prevention of transmission and zoonosis. In humans, CDI diagnosis is performed with enzyme immunoassays, none of which have been validated for horses. Objective: (1) Establish which test for CDI diagnosis was more frequently used by diagnostic laboratories, (2) determine the identified test's performance, sensitivity, and specificity, and (3) validate its use in diarrheic horses. Methods: Samples were obtained from 72 horses p...
[African horse sickness and equine encephalosis: must Switzerland get prepared].
Schweizer Archiv fur Tierheilkunde    April 3, 2010   Volume 152, Issue 4 165-175 doi: 10.1024/0036-7281/a000039
Zimmerli U, Herholz C, Schwermer H, Hofmann M, Griot C.African horse sickness (AHS) of equines is partly transmitted by the same culicoides species as Bluetongue (BT) disease in even-toed ungulates. Horses normally get seriously sick, with a high case fatality rate. Equine Encephalosis is another, but less-known viral disease of equines, caused by viruses of the same genus as BT and AHS. Like BT of serotype 8 in 2006, both diseases could theoretically be introduced to Europe anytime and spread rapidly then. After the lessons learnt from the most recent bluetongue outbreaks in Europe, the regulations and AHS-contingency plans in force must be updat...
[Swiss warmblood horse with symptoms of hereditary equine regional dermal asthenia without mutation in the cyclophylin B gene (PPIB)].
Schweizer Archiv fur Tierheilkunde    April 3, 2010   Volume 152, Issue 4 188-192 doi: 10.1024/0036-7281/a000042
Rüfenacht S, Straub R, Steinmann B, Winand N, Bidaut A, Stoffel MH, Gerber V, Wyder M, Müller E, Roosje PJ.Hereditary equine dermal asthenia (HERDA) is an autosomal recessive skin disease that affects predominantly Quarter Horses and related breeds. Typical symptoms are easy bruising and hyperextensible skin on the back. The prognosis is guarded, as affected horses cannot be ridden normally and are often euthanised. In the Quarter Horse, HERDA is associated with a mutation in cyclophilin B (PPIB), an enzyme involved in triple helix formation of collagen. Here we describe the case of a Swiss Warmblood filly with symptoms of HERDA without PPIB-mutation and in which we also could exclude Ehlers-Danlos...
Equine metabolic syndrome.
Journal of veterinary internal medicine    April 2, 2010   Volume 24, Issue 3 467-475 doi: 10.1111/j.1939-1676.2010.0503.x
Frank N, Geor RJ, Bailey SR, Durham AE, Johnson PJ.No abstract available