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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.
High prevalence of Mycoplasma equirhinis in Thoroughbred horses with respiratory symptoms in autumn 2018.
The Journal of veterinary medical science    November 4, 2021   Volume 83, Issue 12 1907-1912 doi: 10.1292/jvms.21-0163
Uchida-Fujii E, Kinoshita Y, Niwa H, Maeda T, Nukada T, Ueno T.Mycoplasma species are often isolated from horses with respiratory symptoms; however, the pathogenicity of Mycoplasma is still unclear. In autumn of 2018, we encountered an increase in cases with respiratory symptoms, mainly coughing, in a group of Thoroughbred racehorses in Japan. We examined tracheal wash samples obtained from 40 of those cases. Bacteria and viruses that commonly cause respiratory symptoms were investigated, and anaerobes were detected in only 5 cases and Streptococcus equi subsp. zooepidemicus (S. zooepidemicus) was detected in only 1 case of 40 cases with loop-mediated iso...
Equine Endometrosis Pathological Features: Are They Dependent on NF-κB Signaling Pathway?
Animals : an open access journal from MDPI    November 4, 2021   Volume 11, Issue 11 3151 doi: 10.3390/ani11113151
Jasiński T, Zdrojkowski Ł, Kautz E, Juszczuk-Kubiak E, Ferreira-Dias G, Domino M.Endometrosis is an important mares' disease which considerably decreases their fertility. As classic endometrial classification methods might be insufficient for tissue pathological evaluation, further categorization into active/inactive and destructive/non-destructive types was developed by Hoffmann and others. This study aimed to compare NF-κB pathway genes transcription among histopathological types of endometrosis, following Hoffmann and co-authors' classification. Endometrial samples, collected postmortem from cyclic mares ( = 100) in estrus or diestrus, were classified histologically an...
Inflammatory bowel disease characterized by multisystemic eosinophilic epitheliotropic disease (MEED) in a horse in Saskatchewan, Canada.
The Canadian veterinary journal = La revue veterinaire canadienne    November 4, 2021   Volume 62, Issue 11 1190-1194 
Villagrán CC, Vogt D, Gupta A, Fernández EA.A 3-year-old Quarter Horse gelding was evaluated for chronic weight loss, diarrhea, and pruritus. Physical examination revealed several ulcerative lesions on the skin and mucosal membranes. Diagnostic imaging findings were consistent with enteritis, typhlitis, and colitis. Multisystemic eosinophilic epitheliotropic disease (MEED) was diagnosed upon necropsy. This disease may be considered a form of equine inflammatory bowel disease complex which can be challenging to diagnose, requiring histological assessment, and in some cases, the use of immunohistochemical markers. Key clinical message: Mu...
Development and preliminary validation of a pain scale for ophthalmic pain in horses: The Equine Ophthalmic Pain Scale (EOPS).
Veterinary journal (London, England : 1997)    November 3, 2021   Volume 278 105774 doi: 10.1016/j.tvjl.2021.105774
Ortolani F, Scilimati N, Gialletti R, Menchetti L, Nannarone S.The purpose of this study was to describe the development and preliminary validation of a composite pain scale, called the Equine Ophthalmic Pain Scale (EOPS), to assess ocular pain in horses. Indicators associated with ocular pain were selected and classified as behavioural, physiological or ocular expressions. Eight horses diagnosed with ocular or adnexa diseases that required medical or surgical treatment were enrolled in the study (group P). The developed EOPS was applied at the baseline (T0) and 1 week later (T7). Moreover, the EOPS was applied twice, 1 week apart, to 15 healthy control h...
Computed tomographic myelography for assessment of the cervical spinal cord in ataxic warmblood horses: 26 cases (2015-2017).
Journal of the American Veterinary Medical Association    November 3, 2021   Volume 259, Issue 10 1188-1195 doi: 10.2460/javma.20.11.0614
Rovel T, Zimmerman M, Duchateau L, Adriaensen E, Mariën T, Saunders JH, Vanderperren K.To quantify the degree of dural compression and assess the association between site and direction of compression and articular process (AP) size and degree of dural compression with CT myelography. 26 client-oriented horses with ataxia. Spinal cord-to-dura and AP-to-cross-sectional area of the C6 body ratios (APBRs) were calculated for each noncompressive site and site that had > 50% compression of the subarachnoid space. Site of maximum compression had the largest spinal cord-to-dura ratio. Fisher exact test and linear regression analyses were used to assess the association between site an...
Computed tomographic examination of the articular process joints of the cervical spine in warmblood horses: 86 cases (2015-2017).
Journal of the American Veterinary Medical Association    November 3, 2021   Volume 259, Issue 10 1178-1187 doi: 10.2460/javma.20.03.0105
Rovel T, Zimmerman M, Duchateau L, Delesalle C, Adriaensen E, Mariën T, Saunders JH, Vanderperren K.To describe articular process joints (APJs) of the cervical spine in horses on the basis of CT and to determine whether abnormalities were associated with clinical signs. 86 client-owned warmblood horses. Horses that underwent CT of the cervical spine between January 2015 and January 2017 were eligible for study inclusion. Medical records were reviewed for age, body weight, breed, sex, history, clinical signs, and CT findings. Horses were divided into 3 case groups and 1 control group on the basis of clinical signs. 70 warmblood horses were cases, and 16 were controls. Abnormalities were more ...
Corrigendum: Evidence in Practice – a Pilot Study Leveraging Companion Animal and Equine Health Data From Primary Care Veterinary Clinics in New Zealand.
Frontiers in veterinary science    November 1, 2021   Volume 8 789718 doi: 10.3389/fvets.2021.789718
Muellner P, Muellner U, Gates MC, Pearce T, Ahlstrom C, O'Neill D, Brodbelt D, Cave NJ.[This corrects the article DOI: 10.3389/fvets.2016.00116.].
Rapid Detection of Equine Piroplasms Using Multiplex PCR and First Genetic Characterization of Theileria haneyi in Egypt.
Pathogens (Basel, Switzerland)    October 31, 2021   Volume 10, Issue 11 1414 doi: 10.3390/pathogens10111414
Elsawy BSM, Nassar AM, Alzan HF, Bhoora RV, Ozubek S, Mahmoud MS, Kandil OM, Mahdy OA.Equine Piroplasmosis (EP) is an infectious disease caused by the hemoprotozoan parasites , , and the recently identified species . Hereby, we used a multiplex PCR (mPCR) targeting the 18S rRNA gene of and for the simultaneous detection of EP in Egyptian equids and examined the presence of infections in Egypt. Blood samples from 155 equids (79 horses and 76 donkeys) collected from different governorates of Egypt were examined by mPCR and PCR targeting . The mPCR method revealed a prevalence of of 20.3% in horses and of 13.1% in donkeys and a prevalence of . of 1.2% in horses. . was not de...
Lateral alveolar ridge augmentation using an equine-derived collagen-containing bone block: A prospective case series.
Clinical oral implants research    October 30, 2021   Volume 33, Issue 2 142-149 doi: 10.1111/clr.13873
Parvini P, Mihatovic I, Sahin D, Becker J, Schwarz F.To assess the clinical performance of an equine-derived collagen-containing bone block (CXBB) for lateral alveolar ridge augmentation and staged implant placement. Methods: A total of n = 16 patients (16 implants) had received a modified surgical protocol for lateral ridge augmentation using a size-adapted rigidly fixed CXBB and contour augmentation. After 26 weeks of submerged healing, the primary endpoint was defined as the final ridge width (RW26) sufficient to place an adequately dimensioned titanium implant at the respective sites. Secondary outcomes included the gain in ridge width (R...
Prevalence of the E321G MYH1 variant in Brazilian Quarter Horses.
Equine veterinary journal    October 28, 2021   Volume 54, Issue 5 952-957 doi: 10.1111/evj.13521
de Albuquerque AL, Zanzarini Delfiol DJ, Andrade DGA, Albertino LG, Sonne L, Borges AS, Valberg SJ, Finno CJ, Oliveira-Filho JP.In the Quarter Horse (QH), myosin heavy chain myopathy (MYHM), which is characterised by nonexertional rhabdomyolysis or immune-mediated myositis (IMM) with acute muscle atrophy, is strongly associated with the missense E321G MYH1 mutation. Objective: To document the existence of MYHM in the Brazilian QH population, this study includes a case report of two related QH foals with the E321G MYH1 mutation that had clinical signs of MYHM, with histological confirmation of IMM in one of the foals. This prompted an investigation the aim of which was to determine the allele frequency of the E321G MYH1...
Evaluation of totally implantable catheters in healthy horses.
BMC veterinary research    October 26, 2021   Volume 17, Issue 1 339 doi: 10.1186/s12917-021-03052-z
de Souza Garcia AF, Ribeiro G, de Assis Arantes J, Reginato GM, Xavier NV, Carregaro AB, Silva TJF, Grigoletto R, de Freitas SH, Dória RGS.For horses requiring prolonged daily cephalic intravenous regional limb perfusion (IVRLP), the use of a totally implantable catheter (TIC) could be indicated to reduce complications associated with frequent venipuncture or external catheterization. This study aims to evaluate the implantation technique of the TIC in the cephalic vein of horses for IVRLP, describe the complications associated with the device's placement and use, and assess its viability up to 60 days after implantation. Totally implantable catheters, cut to 15 cm (n = 5) and 46 cm (n = 5) in length, were implanted...
Severe Inhibition of Long-Chain Acyl-CoA Enoylhydratase (EC 4.2.1.74) in a Newborn Foal Suffering From Atypical Myopathy.
Frontiers in veterinary science    October 26, 2021   Volume 8 765623 doi: 10.3389/fvets.2021.765623
Sander J, Terhardt M, Janzen N.In horses, congenital defects of energy production from long-chain fatty acids have not been described so far. In contrast, inhibition of fatty acid degradation caused by the toxins hypoglycin A and methylenecyclopropylglycine from various maple species are observed frequently. These non-proteinogenic aminoacids are passed on placentally to fetuses or with collostrum or milk to newborn foals. Nevertheless, newborn foals become very rarely symptomatic. Vertical transmission apparently is not sufficient to induce clinical disease without a particular genetic constellation being present. One of t...
Development of homology model, docking protocol and Machine-Learning based scoring functions for identification of Equus caballus’s butyrylcholinesterase inhibitors.
Journal of biomolecular structure & dynamics    October 25, 2021   Volume 40, Issue 24 13693-13710 doi: 10.1080/07391102.2021.1994012
Ganeshpurkar A, Singh R, Kumar D, Gutti G, Sardana D, Shivhare S, Singh RB, Kumar A, Singh SK.Machine learning (ML), an emerging field in drug design, has the potential to predict toxicity, shape-based analysis of inhibitors, scoring function (SF) etc. In the present study, a homology model, docking protocol, and a dedicated SF have been developed to identify the inhibitors of horse butyrylcholinesterase (BChE) enzyme. Horse BChE enzyme has homology with human BChE and is a substitute for the screening of inhibitors. The developed homology model was validated and the active site residues were identified from Cavityplus to generate grid box for docking. The validation of docking invol...
Equine vitiligo-like depigmentation in grey horses is related to genes involved in immune response and tumor metastasis.
BMC veterinary research    October 25, 2021   Volume 17, Issue 1 336 doi: 10.1186/s12917-021-03046-x
Druml T, Brem G, Velie B, Lindgren G, Horna M, Ricard A, Grilz-Seger G.In horses, the autoimmune disease vitiligo is characterized by the loss of melanocytes and results in patchy depigmentation of the skin around the eyes, muzzle and the perianal region. Vitiligo-like depigmentation occurs predominantly in horses displaying the grey coat colour and is observed at a prevalence level of 26.0-67.0% in grey horses compared with only 0.8-3.5% in non-grey horses. While the polygenetic background of this complex disease is well documented in humans, the underlying candidate genes for this skin disorder in horses remain unknown. In this study we aim to perform a genome-...
The Frequency of Communication Between the Synovial Compartments of the Equine Temporomandibular Joint: A Contrast-Enhanced Computed Tomographic Assessment.
Frontiers in veterinary science    October 25, 2021   Volume 8 753983 doi: 10.3389/fvets.2021.753983
Pimentel KL, Carmalt JL. There is conflicting evidence regarding communication between the two compartments of the equine temporomandibular joint (TMJ). Understanding the inter-relationship between TMJ compartments is critical for diagnostic and clinical management purposes. To determine the frequency of communication between the discotemporal joint (DTJ) and the discomandibular joint (DMJ) of the equine TMJ in horses free of overt disease. A randomized, blinded, controlled cadaveric study. Equine cadaver heads ( = 20), with no reported history of potential TMJ disease, were collected and stored frozen until use. ...
Equine Arteritis Virus (EAV) Outbreak in a Show Stallion Population.
Viruses    October 24, 2021   Volume 13, Issue 11 doi: 10.3390/v13112142
Otzdorff C, Beckmann J, Goehring LS.(1) Background: Equine arteritis virus (EAV) infection causes reproductive losses and systemic vasculitis in susceptible equidae. The intact male becomes the virus' reservoir upon EAV infection, as it causes a chronic-persistent infection of the accessory sex glands. Infected semen is the main source of virus transmission. (2) Here, we describe acute EAV infection and spread in a stallion population after introduction of new members to the group. (3) Conclusions: acute clinical signs, acute phase detection of antigen via (PCR) nasal swabs or (EDTA) blood, and seroconversion support the idea of...
Inter- and intra-observer agreement for grading radiographs of thoracolumbar spinous processes in healthy horses during a pre-purchase examination.
The Veterinary record    October 23, 2021   Volume 190, Issue 6 e1065 doi: 10.1002/vetr.1065
Looijen MGP, Hanousek K, Maree JTM, Visser MC, Berner D.There is wide variability in radiographic grading systems in thoracolumbar spinous processes in horses. The aim of this study was to determine the agreement of grading different parameters, and combinations of those, in radiographs of the spinous processes of the equine thoracolumbar spine in the scope of a pre-purchase examination. We hypothesized that agreement is variable and interpretation of these radiographs is difficult. Methods: Radiographs of the thoracolumbar spine of healthy horses (N = 100) were assessed by three observers. Spinous processes were separately graded for interspinou...
Antimicrobial Resistance in Equine Reproduction.
Animals : an open access journal from MDPI    October 22, 2021   Volume 11, Issue 11 doi: 10.3390/ani11113035
Malaluang P, Wilén E, Lindahl J, Hansson I, Morrell JM.Bacteria develop resistance to antibiotics following low-level "background" exposure to antimicrobial agents as well as from exposure at therapeutic levels during treatment for bacterial infections. In this review, we look specifically at antimicrobial resistance (AMR) in the equine reproductive tract and its possible origin, focusing particularly on antibiotics in semen extenders used in preparing semen doses for artificial insemination. Our review of the literature indicated that AMR in the equine uterus and vagina were reported worldwide in the last 20 years, in locations as diverse as Euro...
Horses affected by EPM have increased sCD14 compared to healthy horses.
Veterinary immunology and immunopathology    October 22, 2021   Volume 242 110338 doi: 10.1016/j.vetimm.2021.110338
Hay AN, Wagner B, Leeth CM, LeRoith T, Cecere TE, Lahmers KK, Andrews FM, Werre SR, Johnson AL, Clark CK, Pusterla N, Reed SM, Lindsay DS, Taylor S....Equine protozoal myeloencephalitis (EPM) is a debilitating neurologic disease affecting horses across the Americas. Gaps in understanding the inflammatory immune response in EPM-affected horses create difficulties with diagnosis and treatment, subsequently negatively impacting the prognosis of affected horses. The purpose of the current study was to evaluate circulating levels of the inflammatory immune marker soluble CD14 (sCD14), in horses with EPM (n = 7) and determine if they differed from healthy neurologically normal horses (n = 6). Paired sera and cerebrospinal fluid (CSF) samples were ...
Synchrotron CT of an equine digit at the Australian Synchrotron Imaging and Medical Beamline.
Journal of synchrotron radiation    October 22, 2021   Volume 28, Issue Pt 6 1769-1777 doi: 10.1107/S1600577521010493
Montgomery JB, Klein M, Boire JR, Beck C, Häusermann D, Maksimenko A, Hall CJ.Laminitis is an extremely painful and debilitating condition of horses that can affect their athletic ability and even quality of life. The current gold standard for assessment of laminar tissue is histology, which is the only modality that enables detailed visualization of the lamina. Histology requires dissection of the hoof and therefore can only represent one specific time point. The superior spatial and contrast resolution of synchrotron computed tomography (sCT), when compared with readily available imaging modalities, such as radiographs and conventional CT, provides an opportunity for ...
Fundamentals of arrhythmogenic mechanisms and treatment strategies for equine atrial fibrillation.
Equine veterinary journal    October 21, 2021   Volume 54, Issue 2 262-282 doi: 10.1111/evj.13518
Premont A, Balthes S, Marr CM, Jeevaratnam K.Atrial fibrillation (AF) is the most common pathological arrhythmia in horses. Although it is not usually a life-threatening condition on its own, it can cause poor performance and make the horse unsafe to ride. It is a complex multifactorial disease influenced by both genetic and environmental factors including exercise training, comorbidities or ageing. The interactions between all these factors in horses are still not completely understood and the pathophysiology of AF remains poorly defined. Exciting progress has been recently made in equine cardiac electrophysiology in terms of diagnosis ...
Three-Dimensional Segmentation and in silico Comparison of Equine Deep Digital Flexor Tendon Pathology in Horses Undergoing Repeated MRI Examination.
Frontiers in veterinary science    October 21, 2021   Volume 8 706046 doi: 10.3389/fvets.2021.706046
Trolinger-Meadows KD, Biedrzycki AH, He H, Werpy N.The use of magnetic resonance imaging (MRI) has led to increased clinical and research applications using 3D segmentation and reconstructed volumetric data in musculoskeletal imaging. Lesions of the deep digital flexor tendon (DDFT) are a common pathology in horses undergoing MRI. Three-dimensional MRI reconstruction performed for volumetric tendon analysis in horses has not previously been documented. The aim of this proof-of-concept study was to evaluate the 3D segmentation of horses undergoing repeated MRI at several time points and to perform an analysis of the segmented DDFTs across time....
Comparison of single-breath continuous positive airway pressure manoeuvre with inhaled salbutamol to improve oxygenation in horses anaesthetized for laparotomy.
Veterinary anaesthesia and analgesia    October 21, 2021   Volume 49, Issue 1 85-94 doi: 10.1016/j.vaa.2021.06.018
Dupont J, Gougnard A, Salciccia A, Detilleux J, Serteyn D, Sandersen C.To compare the efficacy of single-breath continuous positive airway pressure manoeuvre (CPAP-M) with inhaled salbutamol, and a combination of both. Methods: Randomized, clinical study. Methods: A total of 62 client-owned horses (American Society of Anesthesiologists status III-V) anaesthetized for laparotomy. Methods: Horses were premedicated with intravenous (IV) xylazine (0.4-0.6 mg kg), anaesthesia was induced with midazolam (0.06 mg kg IV) and ketamine (2.2 mg kg IV) and maintained with isoflurane in oxygen using volume-controlled ventilation without positive end-expiratory pressure. If Pa...
The Presence of Treponema spp. in Equine Hoof Canker Biopsies and Skin Samples from Bovine Digital Dermatitis Lesions.
Microorganisms    October 20, 2021   Volume 9, Issue 11 doi: 10.3390/microorganisms9112190
Marčeková P, Mad'ar M, Styková E, Kačírová J, Sondorová M, Mudroň P, Žert Z.Equine hoof canker and bovine digital dermatitis are infectious inflammatory diseases of the hooves with an unknown etiology. However, anaerobic spirochetes of the genus Treponema are considered to be potential etiological agents. The aim of this study was to find a suitable way to isolate DNA and to detect the presence of treponemal DNA in samples of equine hoof canker and bovine digital dermatitis. DNAzol®® Direct and column kits were used to isolate DNA from samples of equine hoof canker and bovine digital dermatitis. The presence of Treponema spp. was detected using PCR and Sanger sequen...
Serum symmetric dimethylarginine concentration in healthy neonatal Thoroughbred foals.
Equine veterinary journal    October 20, 2021   Volume 54, Issue 5 958-964 doi: 10.1111/evj.13520
Gough RL, McGovern KF.Symmetric dimethylarginine (SDMA) is widely used in other species as a marker of renal dysfunction and is considered a more sensitive indicator of glomerular filtration rate than creatinine. Reference ranges are established in healthy adult horses (≤14 μg/dL) and concentrations are increased in horses with acute kidney injury (median 32 μg/dL; range 15-92). Objective: To establish the normal range of SDMA concentrations in neonatal Thoroughbreds. Methods: Cross-sectional. Methods: Blood samples were collected from Thoroughbred foals <36 h old deemed healthy by physical examination. E...
Isolation of Rhodococcus equi from the gastrointestinal contents of earthworms (family Megascolecidae).
Letters in applied microbiology    October 20, 2021   Volume 74, Issue 1 27-31 doi: 10.1111/lam.13577
Takai S, Sudo M, Sakai M, Suzuki K, Sasaki Y, Kakuda T, Suzuki Y.Rhodococcus equi was isolated from the gastrointestinal contents of earthworms (family Megascolecidae) and their surrounding soil collected from pastures of two horse-breeding farms in Aomori Prefecture, outdoor pig pens, forest in Towada campus, orange groves and forest where wild boars (Sus scrofa) are established in Tanabe, Wakayama Prefecture. The number of R. equi in the lower gastrointestinal contents of 23 earthworms collected from our campus was significantly larger than that of the upper gastrointestinal content. The mean numbers of R. equi from the gastrointestinal contents of earthw...
Investigation of Three Newly Identified Equine Parvoviruses in Blood and Nasal Fluid Samples of Clinically Healthy Horses and Horses with Acute Onset of Respiratory Disease.
Animals : an open access journal from MDPI    October 19, 2021   Volume 11, Issue 10 3006 doi: 10.3390/ani11103006
Pusterla N, James K, Barnum S, Delwart E.Three newly identified equine parvoviruses (equine parvovirus hepatitis (EqPV-H), equine parvovirus CSF (EqPV-CSF) and equine copivirus (Eqcopivirus)) have recently been discovered in horses with respiratory signs. However, the clinical impact of these three equine parvoviruses has yet to be determined. Nasal fluid samples and blood from 667 equids with acute onset of fever and respiratory signs submitted to a diagnostic laboratory were analyzed for the presence of common equine respiratory pathogens (equine influenza virus, equine herpesvirus-1/-4, equine rhinitis A and B virus, subspecies )...
Anatomy and Physiology of the Equine Foot.
The Veterinary clinics of North America. Equine practice    October 19, 2021   Volume 37, Issue 3 529-548 doi: 10.1016/j.cveq.2021.07.002
Gerard MP.This article provides an overview of foot anatomy and physiology, with a focus on fundamental knowledge. The foot is defined as the epidermal hoof capsule and all structures enveloped by the capsule. The anatomy is described using terminology published in Nomina Anatomica Veterinaria.
“Feeding the Foot”: Nutritional Influences on Equine Hoof Health.
The Veterinary clinics of North America. Equine practice    October 19, 2021   Volume 37, Issue 3 669-684 doi: 10.1016/j.cveq.2021.07.004
Burns TA.Nutrition plays an important role in equine health, including that of the foot. Deficiencies and excesses of dietary components can affect the growth and function of the foot and have been associated with important podiatric diseases. The recognition, prevention, and treatment of specific notable nutritional diseases of the foot are discussed, as well as information regarding specific ingredients included in supplements meant to improve equine hoof quality. Ensuring provision of a balanced diet, maintaining horses in appropriate body condition, and seeking guidance from an equine nutritionist ...
Endocrinopathic Laminitis.
The Veterinary clinics of North America. Equine practice    October 19, 2021   Volume 37, Issue 3 619-638 doi: 10.1016/j.cveq.2021.08.001
Grenager NS.Endocrinopathic laminitis (EL) primarily occurs because of insulin dysregulation (ID) mediated through downstream effects of insulin on IGF-1R in lamellar tissues. There is likely contributing vascular and metabolic dysfunction within the lamellae, but EL is relatively non-inflammatory. EL is associated with lamellar stretching, proliferation, and failure, ultimately causing failure of the suspensory apparatus of the distal phalanx. Proper education regarding mitigating risk factors makes this a largely preventable cause of laminitis. Annual hoof evaluation plus screening geriatric horses for ...
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