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Topic:Disease Progression

Disease progression in horses involves the sequence of events that occur as a disease develops and advances over time. This process can vary widely depending on the specific disease, the individual horse, and environmental factors. Understanding disease progression helps in identifying stages of illness, recognizing symptoms, and implementing appropriate interventions. Various biological markers and physiological changes are monitored to assess the progression of diseases in equines. Studies often focus on the temporal changes in clinical signs, laboratory parameters, and imaging findings. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, stages, and clinical implications of disease progression in equine health.
Comparison of the use of scapular ultrasonography, physical examination, and measurement of serum biomarkers of bone turnover versus scintigraphy for detection of bone fragility syndrome in horses.
Journal of the American Veterinary Medical Association    December 14, 2012   Volume 242, Issue 1 76-85 doi: 10.2460/javma.242.1.76
Arens AM, Puchalski SM, Whitcomb MB, Bell R, Gardner IA, Stover SM.To define scintigraphic, physical examination, and scapular ultrasonographic findings consistent with bone fragility syndrome (BFS) in horses; develop indices of BFS severity; and assess accuracy of physical examination, scapular ultrasonography, and serum biomarkers for BFS diagnosis. Methods: Prospective case-control study. Methods: 48 horses (20 horses with BFS and 28 control horses). Methods: Horses underwent forelimb scintigraphic evaluation, physical examination, scapular ultrasonography, and serum collection. Scintigraphy was used as a reference standard to which physical examination, s...
Histological and morphometric lesions in the pre-clinical, developmental phase of insulin-induced laminitis in Standardbred horses.
Veterinary journal (London, England : 1997)    August 9, 2012   Volume 195, Issue 3 305-312 doi: 10.1016/j.tvjl.2012.07.003
de Laat MA, Patterson-Kane JC, Pollitt CC, Sillence MN, McGowan CM.Lamellar pathology in experimentally-induced equine laminitis associated with euglycaemic hyperinsulinaemia is substantial by the acute, clinical phase (∼48h post-induction). However, lamellar pathology of the developmental, pre-clinical phase requires evaluation. The aim of this study was to analyse lamellar lesions both qualitatively and quantitatively, 6, 12 and 24h after the commencement of hyperinsulinaemia. Histological and histomorphometrical analyses of lamellar pathology at each time-point included assessment of lamellar length and width, epidermal cell proliferation and death, base...
Standing CT and clinical progression of equine cholesterol granulomata.
The Veterinary record    March 1, 2012   Volume 170, Issue 11 289 doi: 10.1136/vr.100537
Finding E, Fletcher N, Avella C, Naylor RJ, Volk HA, Weller R, Dunkel B, Piercy RJ.No abstract available
Determination of MMP-2 and -9 activities in synovial fluid of horses with osteoarthritic and arthritic joint diseases using gelatin zymography and immunocapture activity assays.
Equine veterinary journal    December 20, 2007   Volume 40, Issue 3 266-271 doi: 10.2746/042516408X251921
Fietz S, Einspanier R, Hoppner S, Hertsch B, Bondzio A.Matrix metalloproteinases (MMPs)-2 and -9 activities have been found elevated in synovial fluid from various joint diseases in man. However, in the horse few data are available. Objective: To explore the clinical significance of MMP-2 and -9 activities in synovial fluid of horses with different forms of joint diseases. Methods: Gelatin zymography and MMP-2 and -9 immunocapture activity assays were applied on synovial fluids from control joints and joints with aseptic joint disease (AJD) and septic arthritis (SA). Additionally, MMP-2 and -9 activities were measured in samples from SA to monitor...
Antibodies to elastin peptides in sera of Belgian Draught horses with chronic progressive lymphoedema.
Equine veterinary journal    October 4, 2007   Volume 39, Issue 5 418-421 doi: 10.2746/042516407x205888
van Brantegem L, de Cock HE, Affolter VK, Duchateau L, Hoogewijs MK, Govaere J, Ferraro GL, Ducatelle R.Chronic progressive lymphoedema (CPL) is a recently recognised disease of the lymphatic system characterised by lesions in the skin of the lower legs in several draught horse breeds, including the Belgian Draught hourse. Clinical signs slowly progress and result in severe disfigurement of the limbs. Ideally, supportive treatment should be started early in the disease process. However early diagnosis and monitoring progression of CPL is still a challenge. Objective: Elastin changes, characterised by morphological alterations as well as increased desmosine levels, in the skin of the distal limbs...
Retinal Mueller glial cells trigger the hallmark inflammatory process in autoimmune uveitis.
Journal of proteome research    April 20, 2007   Volume 6, Issue 6 2121-2131 doi: 10.1021/pr060668y
Hauck SM, Schoeffmann S, Amann B, Stangassinger M, Gerhards H, Ueffing M, Deeg CA.Spontaneous equine recurrent uveitis (ERU) is an incurable autoimmune disease affecting the eye. Although retinal-autoantigen specific T-helper 1 cells have been demonstrated to trigger disease progression and relapses, the molecular processes leading to retinal degeneration and consequent blindness remain unknown. To elucidate such processes, we studied changes in the total retinal proteome of ERU-diseased horses compared to healthy controls. Severe changes in the retinal proteome were found for several markers for blood-retinal barrier breakdown and whose emergence depended upon disease seve...
Immune selection of equine infectious anemia virus env variants during the long-term inapparent stage of disease.
Virology    February 27, 2007   Volume 363, Issue 1 156-165 doi: 10.1016/j.virol.2007.01.037
Sponseller BA, Sparks WO, Wannemuehler Y, Li Y, Antons AK, Oaks JL, Carpenter S.The principal neutralizing domain (PND) of equine infectious anemia virus (EIAV) is located in the V3 region of SU. Genetic variation in the PND is considered to play an important role in immune escape and EIAV persistence; however, few studies have characterized genetic variation in SU during the inapparent stage of disease. To better understand the mechanisms of virus persistence, we undertook a longitudinal study of SU variation in a pony experimentally inoculated with the virulent EIAV(Wyo). Viral RNA isolated from the inoculum and from sequential sera samples was amplified by RT-PCR, clon...
Use of successive dynamic videoendoscopic evaluations to identify progression of recurrent laryngeal neuropathy in three horses.
Journal of the American Veterinary Medical Association    February 17, 2007   Volume 230, Issue 4 555-558 doi: 10.2460/javma.230.4.555
Davidson EJ, Martin BB, Parente EJ.3 racehorses were evaluated because of poor performance or abnormal noise originating from the upper portion of the respiratory tract. Results: During maximal exercise, initial dynamic videoendoscopy of the upper respiratory tract revealed complete arytenoid cartilage abduction in 2 horses and incomplete but adequate abduction of the left arytenoid cartilage in 1 horse. Subsequent exercising endoscopic evaluation revealed severe dynamic collapse of the left arytenoid cartilage and vocal fold in all 3 horses. Results: 2 horses were treated with prosthetic left laryngoplasty and raced successful...
Cartilage oligomeric matrix protein and hyaluronan levels in synovial fluid from horses with osteoarthritis of the tarsometatarsal joint compared to a control population.
Equine veterinary journal    November 28, 2006   Volume 38, Issue 6 502-507 doi: 10.2746/042516406x156073
Taylor SE, Weaver MP, Pitsillides AA, Wheeler BT, Wheeler-Jones CP, Shaw DJ, Smith RK.Quantification of cartilage oligomeric matrix protein (COMP) levels within synovial fluid from the tarsometatarsal joint has not previously been reported and an effective synovial fluid marker would allow monitoring of disease progression and treatment. Objective: To quantify levels of COMP and hyaluronan (HA) in synovial fluid from the tarsometatarsal joint, identify differences in levels from horses with osteoarthritis (OA) of the tarsometatarsal joint compared to a control population and to correlate levels with radiographic changes in horses with OA. Methods: Synovial fluid was collected f...
Measurement of skin desmosine as an indicator of altered cutaneous elastin in draft horses with chronic progressive lymphedema.
Lymphatic research and biology    July 1, 2006   Volume 4, Issue 2 67-72 doi: 10.1089/lrb.2006.4.67
De Cock HE, Affolter VK, Farver TB, Van Brantegem L, Scheuch B, Ferraro GL.Chronic progressive lymphedema in Clydesdale and Shire draft horses causes severe disability of the limbs which leads to premature death of these horses. Since appropriate function of lymph vessels is dependent on the presence of viable elastin fibers, the goal of this study was to document differences in skin elastin fibers in affected horse breeds, compared to a nonaffected draft horse breed. Results: Biochemical analysis of cutaneous desmosine, a cross-linking amino acid found only in elastin, was used to measure elastin in the skin from 110 draft horses. This included 7 normal, 38 mildly a...
Tail-base mass from a “horse of a different color”.
Veterinary clinical pathology    February 26, 2005   Volume 34, Issue 1 69-71 doi: 10.1111/j.1939-165x.2005.tb00014.x
LeRoy BE, Knight MC, Eggleston R, Torres-Velez F, Harmon BG.A 14-year-old bay Thoroughbred gelding was presented for evaluation of a mass at the base of the tail. The mass had been present for 1 year, and recently had begun to increase in size. Additional masses were found around the eye and shoulder. A fine-needle aspirate of the tail-base mass revealed highly anaplastic round to polyhedral cells containing dark green to black cytoplasmic granules interpreted to be melanin. Histologically, the mass was composed of pleomorphic, poorly pigmented, round to polyhedral cells interpreted to be neoplastic melanocytes. With immunohistochemistry, the cells wer...
Quantification and age-related distribution of articular cartilage degeneration in the equine fetlock joint.
Equine veterinary journal    December 3, 2003   Volume 35, Issue 7 697-701 doi: 10.2746/042516403775696357
Brommer H, van Weeren PR, Brama PA, Barneveld A.The equine fetlock joint has the largest number of traumatic and degenerative lesions of all joints of the appendicular skeleton. Objective: To gain insight into the distribution of cartilage degeneration across the articular surface in relation to age in order better to understand the dynamic nature and progression of osteoarthritis (OA). Objective: That there would be a specific age-related distribution pattern of cartilage degeneration in the equine metacarpophalangeal joint. Methods: The proximal articular cartilage surfaces of the first phalanges (P1) of 73 slaughter horses (age range 0.4...
Clinical and endoscopic evidence of progression in 152 cases of equine recurrent laryngeal neuropathy (RLN).
Equine veterinary journal    January 31, 2002   Volume 34, Issue 1 29-34 doi: 10.2746/042516402776181169
Dixon PM, McGorum BC, Railton DI, Hawe C, Tremaine WH, Pickles K, McCann J.Examination of the long-term histories and clinical findings was performed in 351 horses suffering from recurrent laryngeal neuropathy (RLN) to examine for possible evidence of progression of this disorder. Fifty-two out of 351 cases (15%) had evidence of progression of the degree of laryngeal dysfunction over a median period of 12 months (range 1.5-48 months) with the onset of progression occurring at median age 7 years. In 30 cases, there was both endoscopic (median deterioration of 3 endoscopic grades; range 1-5 grades) and clinical evidence, with 29 (97%) of these horses concurrently devel...
Genetic and biological variation in equine infectious anemia virus Rev correlates with variable stages of clinical disease in an experimentally infected pony.
Virology    January 9, 2001   Volume 279, Issue 1 185-200 doi: 10.1006/viro.2000.0696
Belshan M, Baccam P, Oaks JL, Sponseller BA, Murphy SC, Cornette J, Carpenter S.Genetic and biological variation in the regulatory protein Rev of equine infectious anemia virus (EIAV) were examined throughout a clinically dynamic disease course of an experimentally infected pony. Following infection with the virulent EIAV(Wyo), the pony underwent a variable disease course, including an acute fever episode at 12 days postinfection (DPI), multiple recurrent fever episodes until 135 DPI, a prolonged subclinical period, and two late fever episodes. Viral RNA was isolated from the inoculum and sequential sera samples, and the rev exon 2/gp45 overlapping ORFs were amplified, cl...
Clinical and pathological studies in horses with hepatic disease.
Equine veterinary journal    March 1, 1996   Volume 28, Issue 2 146-156 doi: 10.1111/j.2042-3306.1996.tb01607.x
West HJ.In horses with hepatic necrosis, lipidosis, neoplasia and cirrhosis, progression of the disease was studied by serial measurements of total serum bile acid concentrations and of plasma glutamate dehydrogenase (GD) and gamma glutamyl transferase (gamma GT) and by liver biopsy. Plasma ammonia concentrations were significantly elevated compared to clinically normal horses, but such changes were not always accompanied by a decline in plasma urea concentration. A fall in plasma glucose concentration carried a guarded prognosis. These were all invaluable aids in early diagnosis and throughout the di...
Lymphoid leukosis viruses, their recognition as ‘persistent’ viruses and comparisons with certain other retroviruses of veterinary importance.
Veterinary research communications    January 1, 1996   Volume 20, Issue 1 83-108 doi: 10.1007/BF00346580
Darcel C.Diseases caused by lymphoid leukosis virus (LLV), a retrovirus, take a long time after infection to develop and have a wide variety of pathological manifestations. This long latent period is characteristic of 'persistent virus infections'. Disease produced by LLV infection and its underlying mechanisms is compared with 'persistent' infections caused by other retroviruses in birds and mammals of veterinary importance. The diseases considered for comparison are those caused by reticuloendotheliosis, feline leukaemia, bovine leukosis and equine infectious anaemia viruses. There are significant ch...
[Radiologic follow-up examination of podotrochlosis].
Tierarztliche Praxis    February 1, 1995   Volume 23, Issue 1 46-52 
Keller H, Grundmann S.X-rays of 205 horses having navicular disease and having been reexamined up to six times are evaluated. For this, the x-rays of each foreleg are evaluated in the dorsopalmar (Oxspring) and lateromedial view. Additionally to changes of the navicular bone, changes of the distal part of the toe are also assessed. Differences can be found in the radiographic process in view of the limitation of vascular foramina and cyst-like lesions. Vascular foramina with sclerotic rim grow less frequent than poorly defined ones and therefore allow for easier prognostication. Cyst-like lesions with sclerotic rim...
Progression of femoropatellar osteochondrosis in nine young horses. Clinical, radiographic and arthroscopic findings.
Veterinary surgery : VS    November 1, 1993   Volume 22, Issue 6 515-523 doi: 10.1111/j.1532-950x.1993.tb00430.x
Dabareiner RM, Sullins KE, White NA.The clinical and radiographic progression, and arthroscopic findings for nine young horses (< 1 year of age) with femoropatellar osteochondrosis (OCD) are presented. Horses had a 2 to 12 week history of bilateral (8 horses) or unilateral (1 horse) hindlimb lameness. The most consistent clinical signs included femoropatellar joint distention and bilateral hindlimb lameness. At the onset of clinical signs, radiographic lesions were not present (4 horses) or subtle (5 horses), but were easily identified on radiographs taken 4 to 24 weeks later. Arthroscopic surgery was delayed until radiograph...
High prevalence of serum antibodies to equine infectious anemia virus reverse transcriptase.
AIDS research and human retroviruses    January 1, 1993   Volume 9, Issue 1 7-11 doi: 10.1089/aid.1993.9.7
DeVico AL, Issel CJ, Le Grice SF, Payne SL, Montelaro RC, Sarngadharan MG.The immunogenicity of the equine infectious anemia virus (EIAV) reverse transcriptase (RT) was examined by immunoblot assay with recombinant EIAV RT. All of the 19 sera from EIAV-infected horses tested contained antibodies that recognized EIAV RT and directly inhibited the polymerase activity of the enzyme. An examination of sera obtained sequentially from two experimentally infected animals revealed that anti-RT antibodies arise early in infection and increase in level. The appearance of the antibodies correlated with progression toward the asymptomatic period of infection.
Glycosaminoglycans in horses with osteoarthritis.
Equine veterinary journal    January 1, 1991   Volume 23, Issue 1 44-47 doi: 10.1111/j.2042-3306.1991.tb02712.x
Alwan WH, Carter SD, Bennett D, Edwards GB.Horse articular cartilage glycosaminoglycans (GAGs) were measured in synovial fluids from 48 joints affected with osteoarthritis (OA), 22 normal joints, four joints with osteochondritis, three joints with traumatic arthritis and seven joints infected with bacteria. Serum and urine from individual horses were also examined for the presence of GAGs. High levels of GAGs were found in synovial fluids (SF) from horses with OA. In each case, the level was higher in the synovial fluid than in the serum or urine from the same horse. Horses with OA showed high GAG levels in SF, serum and urine compared...
Cimetidine for treatment of melanomas in three horses.
Journal of the American Veterinary Medical Association    February 1, 1990   Volume 196, Issue 3 449-452 
Goetz TE, Ogilvie GK, Keegan KG, Johnson PJ.Cimetidine, an H2 histamine antagonist, was used in the clinical management of progressive, multifocal melanomatosis in 3 adult gray horses. Prior to treatment, the tumors had increased rapidly in size and number in 2 horses (duration of 6 and 27 months, respectively) and slowly in the third horse (duration of 48 months). All 3 horses were treated with cimetidine (2.5 mg/kg of body weight, PO, q 8 h) for 2 months to 1 year. During treatment, the number and size of the melanomas decreased substantially (50 to 90%). The progression of the disease was halted in 2 horses and controlled in the thir...
Monitoring the progression of renal failure in a horse with polycystic kidney disease: use of the reciprocal of serum creatinine concentration and sodium sulfanilate clearance half-time.
Journal of the American Veterinary Medical Association    September 1, 1987   Volume 191, Issue 5 565-568 
Bertone JJ, Traub-Dargatz JL, Fettman MJ, Wilke L, Wrigley RH, Jaenke R, Paulsen ME.Sequential reciprocals of serum creatinine concentration and sodium sulfanilate clearance half-times were used to monitor a horse with chronic renal failure. The horse was diagnosed as having polycystic kidney disease; at least one cyst was of distal tubular origin. Using the plots of the sequential data, a reasonably accurate prediction was made for complete renal decompensation to develop.
[Progressive course of spinal cord tumors].
Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952)    January 1, 1983   Volume 83, Issue 5 641-646 
Okladnikov GI.The main clinical varieties of spinal cord and equine tail tumors are reviewed. Of 221 cases, the progressive course of the disease was recorded in 76,9%, slow-progressive course was observed in 68,1% and rapid-progressive in 8,8% of cases. It is stressed that in the presence of the progressive course of the disease there may occur different manifestations of the tumorous process of the spinal cord, the examination of which makes it possible to improve the diagnosis, particularly in the early stage of the spinal oncological process.