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Topic:Epidemiology

Epidemiology in horses involves the study of the distribution and determinants of health-related states and events in equine populations. It encompasses the investigation of patterns, causes, and effects of diseases and health conditions within horse populations. This field of study aims to identify risk factors for disease and targets for preventive healthcare. Key components of equine epidemiology include disease surveillance, outbreak investigation, and the study of disease dynamics within herds or regions. Research in this area often focuses on infectious diseases, zoonotic diseases, and the impact of environmental factors on equine health. This page compiles peer-reviewed research studies and scholarly articles that explore various aspects of epidemiology in horses, including disease prevalence, transmission pathways, and strategies for disease prevention and control.
First Insight into the Seroepidemiology of Hepatitis E Virus (HEV) in Dogs, Cats, Horses, Cattle, Sheep, and Goats from Bulgaria.
Viruses    July 21, 2023   Volume 15, Issue 7 doi: 10.3390/v15071594
Tsachev I, Gospodinova K, Pepovich R, Takova K, Kundurzhiev T, Zahmanova G, Kaneva K, Baymakova M.In recent years, hepatitis E virus (HEV) infection has been found to be widespread among different animal species worldwide. In Bulgaria, high HEV seropositivity was found among pigs (60.3%), wild boars (40.8%), and East Balkan swine (82.5%). The aim of the present study was to establish the seroprevalence of HEV among dogs, cats, horses, cattle, sheep, and goats in Bulgaria. In total, 720 serum samples from six animal species were randomly collected: dogs-90 samples; cats-90; horses-180; cattle-180; sheep-90; and goats-90. The serum samples were collected from seven districts of the country: ...
A subset of equine oral squamous cell carcinomas is associated with Equus caballus papillomavirus 2 infection.
Journal of comparative pathology    July 19, 2023   Volume 205 1-6 doi: 10.1016/j.jcpa.2023.06.003
Luff J, Weingart S, May S, Murphy B.The aetiology of oral squamous cell carcinoma (SCC) in horses is unknown, but papillomavirus infection as well as chronic periodontal disease are suspected to play a pathogenic role. In humans, some oropharyngeal cancers develop in association with human papillomaviruses. Equus caballus papillomavirus 2 (EcPV2) is suspected to play a causal role in the development of equine genital SCC. Given that association, we hypothesized that EcPV2 is associated with the development of oral SCC in horses. We performed standard polymerase chain reaction (PCR) and in-situ hybridization (ISH) for EcPV2 on 31...
Evidence of resistance to ivermectin in the gastrointestinal nematodes of horses from Mexican southeast.
Veterinary parasitology, regional studies and reports    July 19, 2023   Volume 44 100907 doi: 10.1016/j.vprsr.2023.100907
Flota-Burgos GJ, Rosado-Aguilar JA, Rojas-Becerril R, Rodríguez-Vivas RI, Trinidad-Martínez I.Gastrointestinal nematodes (GIN) are a major impediment to breeding and exploitation of horses. Traditional control of GIN has generated resistance to main anthelmintics, including ivermectin. An analysis of five ranches with a history of IVM use was done to determine the efficacy and resistance of GIN to IVM treatment in horses from the Mexican southeast. Predesigned questionnaires were applied to collect information on previous treatment protocols. The fecal egg count reduction test (FECRT) was applied to determine resistance. Before IVM application, a McMaster test was used to diagnose GIN ...
Henipavirus zoonosis: outbreaks, animal hosts and potential new emergence.
Frontiers in microbiology    July 17, 2023   Volume 14 1167085 doi: 10.3389/fmicb.2023.1167085
Li H, Kim JV, Pickering BS.Hendra virus (HeV) and Nipah virus (NiV) are biosafety level 4 zoonotic pathogens causing severe and often fatal neurological and respiratory disease. These agents have been recognized by the World Health Organization as top priority pathogens expected to result in severe future outbreaks. HeV has caused sporadic infections in horses and a small number of human cases in Australia since 1994. The NiV Malaysia genotype (NiV-M) was responsible for the 1998-1999 epizootic outbreak in pigs with spillover to humans in Malaysia and Singapore. Since 2001, the NiV Bangladesh genotype (NiV-B) has been t...
JMM Profile: West Nile virus.
Journal of medical microbiology    July 17, 2023   Volume 72, Issue 7 doi: 10.1099/jmm.0.001730
Sewgobind S, McCracken F, Schilling M.West Nile virus (WNV) is a positive-sense single-stranded RNA virus belonging to the Flaviviridae family and is maintained in an enzootic cycle between avian hosts and mosquito vectors. Humans, horses and other mammals are susceptible to infection but are dead-end hosts due to a low viraemia. The disease can manifest itself in a variety of clinical signs and symptoms in people and horses from mild fever to severe encephalitis and morbidity. There are no vaccines licensed for human protection, but parts of Europe, North America, Africa and Australia have vaccines commercially available for hors...
Equine synovial sepsis laboratory submissions yield a low rate of positive bacterial culture and a high prevalence of antimicrobial resistance.
American journal of veterinary research    July 17, 2023   Volume 84, Issue 8 doi: 10.2460/ajvr.23.05.0085
Pearson GB, Papa B, Mosaddegh A, Cooper H, Aprea M, Pigott J, Altier C, Cazer CL, Reesink HL.To investigate (1) variables associated with the likelihood of obtaining a positive culture, (2) commonly isolated microorganisms, and (3) antimicrobial resistance patterns of isolates from horses with presumptive synovial sepsis. Methods: Synovial fluid, synovium, and bone samples from equine cases with presumptive synovial sepsis submitted to the Cornell University Animal Health Diagnostic Center from 2000 to 2020 for microbial culture and antimicrobial sensitivity testing. Methods: Univariable and multivariable analyses were performed to determine the effect of variables on the likelihood o...
Diversity of the Bacterial and Viral Communities in the Tropical Horse Tick, Dermacentor nitens, in Colombia.
Pathogens (Basel, Switzerland)    July 16, 2023   Volume 12, Issue 7 doi: 10.3390/pathogens12070942
Holguin-Rocha AF, Calle-Tobon A, Vásquez GM, Astete H, Fisher ML, Tobon-Castano A, Velez-Tobon G, Maldonado-Ruiz LP, Silver K, Park Y....Ticks are obligatory hematophagous ectoparasites that transmit pathogens among various vertebrates, including humans. The microbial and viral communities of ticks, including pathogenic microorganisms, are known to be highly diverse. However, the factors driving this diversity are not well understood. The tropical horse tick, Dermacentor nitens, is distributed throughout the Americas and it is recognized as a natural vector of Babesia caballi and Theileria equi, the causal agents of equine piroplasmosis. In this study, we characterized the bacterial and viral communities associated with partial...
Monitoring the epidemic of West Nile virus in equids in Spain, 2020-2021.
Preventive veterinary medicine    July 13, 2023   Volume 217 105975 doi: 10.1016/j.prevetmed.2023.105975
Gonzálvez M, Franco JJ, Barbero-Moyano J, Caballero-Gómez J, Ruano MJ, Martínez R, Cano-Terriza D, García-Bocanegra I.The largest epidemic of West Nile virus (WNV) reported ever in Spain in both humans and equines occurred in 2020, affecting 77 humans and 139 equine herds. Here, we aimed to monitor the outbreaks detected in equid herds in Andalusia (southern Spain), the Spanish region where 89.9% of the outbreaks were reported, and to evaluate the virus circulation and risk factor associated with WNV exposure in the affected herds. The first WNV case was detected in mid-July 2020, the number of outbreaks peaked in mid-August and the last one was confirmed on 26th October 2020. WNV lineage 1 was detected in 12...
Exposure levels of animal allergens, endotoxin, and β-(1,3)-glucan on a university campus of veterinary medicine.
PloS one    July 13, 2023   Volume 18, Issue 7 e0288522 doi: 10.1371/journal.pone.0288522
Zahradnik E, Sander I, Lotz A, Liebers V, Thullner I, Tacke S, Raulf M.The study aimed to determine the allergen, endotoxin and β-(1,3)-glucan concentrations at various areas on a university campus of veterinary medicine. Methods: Dust samples were collected four times a year for three years using electrostatic dust collectors (EDC) at 25 different locations on a campus of veterinary medicine and in laboratories of inorganic chemistry as a control area representing animal-free environment. Major animal allergens from dog, cat, horse, cattle and mouse, domestic mite (DM) allergens, and β-(1,3)-glucan were measured using enzyme immunoassays and endotoxin using th...
Is leishmaniasis the new emerging zoonosis in the world?
Veterinary research communications    July 12, 2023   doi: 10.1007/s11259-023-10171-5
Montaner-Angoiti E, Llobat L.Leishmania is a genus of parasitic protozoa that causes a disease called leishmaniasis. Leishmaniasis is transmitted to humans through the bites of infected female sandflies. There are several different species of Leishmania that can cause various forms of the disease, and the symptoms can range from mild to severe, depending on species of Leishmania involved and the immune response of the host. Leishmania parasites have a variety of reservoirs, including humans, domestic animals, horses, rodents, wild animals, birds, and reptiles. Leishmaniasis is endemic of 90 countries, mainly in South Amer...
Effects of High-Speed Training on Messenger RNA Expression in Two-Year-Old Thoroughbred Racehorses.
Journal of equine veterinary science    July 9, 2023   Volume 128 104892 doi: 10.1016/j.jevs.2023.104892
Johnson MG, Adam E, Watt A, Page AE.Accumulating high-speed exercise has been identified as a significant risk factor for catastrophic injuries in racing Thoroughbreds. Injuries, regardless of severity, are a main cause of withdrawal from the racing industry, raising animal welfare concerns and resulting in significant economic losses. While most of the current literature focuses on injuries incurred during racing rather than training, the present study aims to help fill this gap. As such, peripheral blood was collected weekly, prior to exercise or administration of medication, from eighteen, two-year-old Thoroughbreds throughou...
Incidence, risk factors, and therapeutic management of equine colic in Lamongan, Indonesia.
Veterinary world    July 9, 2023   Volume 16, Issue 7 1408-1414 doi: 10.14202/vetworld.2023.1408-1414
Fikri F, Hendrawan D, Wicaksono AP, Purnomo A, Khairani S, Chhetri S, Maslamama ST, Purnama MTE.Colic is among the common health issues in equine health management. Gastrointestinal (GI) disorders are the most frequent causes of colic, but dysfunction of other organs and systems inside the abdominal cavity may also contribute. Therefore, it is crucial to identify risk factors for colic of specific etiologies. This study aimed to examine the incidence, risk factors, and best therapeutic management practices for horses with colic. Unassigned: A cohort of 256 horses living in Lamongan, East Java, Indonesia, was randomly recruited based on reports of colic symptoms by owners. Diagnosis and t...
High Seroprevalence of Lawsonia intracellularis in Thoroughbred Farms in Southern Brazil.
Journal of equine veterinary science    July 7, 2023   Volume 128 104890 doi: 10.1016/j.jevs.2023.104890
de Souza RP, Mousquer MA, Müller V, Barbosa JCR, Leite FPL, Guedes RMC, Curcio BDR, Nogueira CEW.The aim of the present study was to carry out a serological survey to identify the seroprevalence of Lawsonia intracellularis in six Thoroughbred farms in the Southern region of the state of Rio Grande do Sul, Brazil. During 2019 and 2020, blood samples from 686 Thoroughbred horses were obtained from six different breeding farms. Horses were divided into groups according to age: (1) broodmares (>5 years), (2) two-year-old foals, (3) yearlings, and (4) 0-6 months-old foals. Blood samples were collected by venipuncture of the external jugular vein. The detection of antibodies (IgG) against L. in...
Nontuberculous Mycobacteria in Horses: A Narrative Review.
Veterinary sciences    July 6, 2023   Volume 10, Issue 7 doi: 10.3390/vetsci10070442
Li L, Maboni G, Lack A, Gomez DE.Nontuberculous mycobacteria (NTM) infections are increasing in human and veterinary medicine. Although horses were initially thought to be resistant to NTM infection, reports of horses suffering from gastrointestinal, respiratory, and reproductive diseases associated with NTM have increased in the last few decades. The aim of this literature review is to summarize the mycobacteria species found in horses, describe clinical manifestations, diagnostic and treatment approaches, and public health concerns of NTM infection in horses. Clinical manifestations of NTM in horses include pulmonary diseas...
Dental and oral cavity alterations in Quarter Horses of Vaquejada: retrospective study of 416 cases (2012-2022).
Brazilian journal of veterinary medicine    July 5, 2023   Volume 45 e000323 doi: 10.29374/2527-2179.bjvm000323
de Melo UP, Ferreira C.Oral and dental diseases are common in horses, as evidenced by the results of incidence studies of dental diseases carried out on abattoir specimens or sports horses. Thus, periodic dental examinations in horses are essential to ensure the maintenance of dental health and proper use of ingested food. A retrospective study of the dental records of 416 Quarter Horses (256 males, 160 females), distributed in the western region of the Rio Grande do Norte, Brazil, was conducted. Horses were examined between July 2012 and August 2022. The variables collected were age, sex, type of diet, dental alter...
Epidemiological study on equine coccidiosis in North and Northeast of Iran.
Veterinary medicine and science    July 4, 2023   doi: 10.1002/vms3.1197
Gorji FF, Sadr S, Borji H.Eimeria is a genus of protozoan parasites that infect many animal species, including horses. We conducted a cross-sectional study of indigenous breeds of horses from the North and Northeast of Iran to establish the prevalence and distribution of Eimeria species. Methods: Using standard coprological techniques, 340 faecal samples from randomly selected horses (141 from North Iran and 199 from Northeast Iran) were examined for Eimeria oocyst. Results: Out of 340 samples, only three from north Iran were positive for coccidiosis. Infections occurred by Eimeria leuckarti. The mean intensity of oocy...
Genomic Analysis of Clostridioides difficile Recovered from Horses in Western Australia.
Microorganisms    July 3, 2023   Volume 11, Issue 7 doi: 10.3390/microorganisms11071743
Hain-Saunders NMR, Knight DR, Bruce M, Byrne D, Riley TV.Clostridioides difficile poses an ongoing threat as a cause of gastrointestinal disease in humans and animals. Traditionally considered a human healthcare-related disease, increases in community-associated C. difficile infection (CDI) and growing evidence of inter-species transmission suggest a wider perspective is required for CDI control. In horses, C. difficile is a major cause of diarrhoea and life-threatening colitis. This study aimed to better understand the epidemiology of CDI in Australian horses and provide insights into the relationships between horse, human and environmental strains...
Impact of periarticular osteophytes of the distal tarsus diagnosed in nonlame yearling Standardbred horses on racing performance.
Veterinary surgery : VS    July 3, 2023   doi: 10.1111/vsu.13987
McCoy AM, Scolman KN.The aim of this study was to identify the radiographic prevalence of periarticular osteophytes of the distal tarsus in nonlame yearling Standardbred horses, and to evaluate its potential impact on race performance. Methods: Cross-sectional cohort study. Methods: Client-owned yearling Standardbred horses (n = 416). Methods: Bilateral tarsal radiographs were available from all horses for review. Osteophytes were measured on radiographs using clinical visualization software and categorized by size. Racing records were obtained from the United States Trotting Association. Regression analysis w...
Prevalence of equine parvovirus-hepatitis in healthy broodmares in Ontario, Canada.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    July 3, 2023   Volume 87, Issue 3 169-175 doi: 10.25318/3210037301-eng
Papapetrou MA, Arroyo LG, Meister TL, Baird JD, Steinmann E, Lillie BN.Equine parvovirus-hepatitis (EqPV-H) was first reported from the serum and liver tissue of a horse diagnosed with Theiler's disease in the United States in 2018. Theiler's disease, also known as equine serum hepatitis, is a severe hepatitis with fulminant hepatic necrosis. The disease has most frequently been reported following the administration of equine-origin biological products; however, it has also been reported in in-contact horses with no prior biologic administration. EqPV-H has been detected in clinically healthy horses in North America (USA, Canada), Europe (Germany, Austria, Sloven...
Thoroughbred Racehorses in Hong Kong Require Vitamin D Supplementation to Mitigate the Risk of Low Vitamin D Status.
Animals : an open access journal from MDPI    June 29, 2023   Volume 13, Issue 13 doi: 10.3390/ani13132145
Dosi MCM, Riggs CM, May J, Lee A, Cillan-Garcia E, Pagan J, McGorum BC.There is a paucity of data relating to the vitamin D status of racehorses. We hypothesised that the management of racehorses in Hong Kong (HK) predisposes to low vitamin D status unless they receive dietary supplementation. Serum concentrations of 25-hydroxyvitamin D2 (25OHD2), 25-hydroxyvitamin D3 (25OHD3) and total 25-hydroxyvitamin D (total 25OHD) for 79 non-grazing HK racehorses were compared with those for 22 racehorses training in the United Kingdom (UK) that grazed for ≥1 h/d, and for which published data exists. A nested group of 41 HK horses was sampled twice to determine the effect...
Antibodies against Borrelia burgdorferi Sensu Lato in Clinically Healthy and Sick Horses: First Report from the Czech Republic.
Microorganisms    June 29, 2023   Volume 11, Issue 7 doi: 10.3390/microorganisms11071706
Kašpárková N, Bártová E, Žákovská A, Budíková M, Sedlák K.Lyme disease, caused by some strains of bacterial spirochetes Borrelia burgdorferi sensu lato (Bbsl), affects humans but also domestic animals including horses. The primary pathogens in horses in Europe are B. afzelii, B. garinii and B. burgdorferi sensu stricto. To our knowledge, there are no data available on the seropositivity of B. burgdorferi s.l. in horses from the Czech Republic. In this country, horses are mainly used for sport, breeding, and recreational riding in areas where vectors of B. burgdorferi s.l. are present, which is why they are frequently at risk of infection. The aim of ...
Serological and molecular surveillance of West Nile virus in domesticated mammals of peninsular Malaysia.
Frontiers in veterinary science    June 29, 2023   Volume 10 1126199 doi: 10.3389/fvets.2023.1126199
Mohammed MN, Yasmin AR, Ramanoon SZ, Noraniza MA, Ooi PT, Ain-Najwa MY, Natasha JA, Nur-Fazila SH, Arshad SS, Mohammed HO.West Nile virus is a mosquito-borne neurotropic pathogen with a wide host range that constitutes a significant risk to public and animal health. There is limited information on WNV infection in domesticated mammals in Malaysia; however, current reports indicate infections in birds, macaques, bats and pigs from Malaysia. In this study, 203 serum samples from cattle, goats, and horses were tested for the presence of anti-WNV IgG using a competitive enzyme-linked immunosorbent assay (c-ELISA). Additionally, using one-step RT-PCR, nasopharyngeal swabs were analyzed for WNV RNA from all 203 animals...
Racehorse welfare across a training season.
Frontiers in veterinary science    June 28, 2023   Volume 10 1208744 doi: 10.3389/fvets.2023.1208744
Annan R, Trigg LE, Hockenhull J, Allen K, Butler D, Valenchon M, Mullan S.Racehorse welfare is gaining increasing public attention, however scientific evidence in this area is lacking. In order to develop a better understanding of racehorse welfare, it must be measured and monitored. This is the first study to assess racehorse welfare using scientific objective methods across a training season. The aim of this study was threefold, firstly to investigate welfare measures which could be used in the first welfare assessment protocol for racehorses. Secondly, to understand the effect that a racing and training season had on individual racehorses and thirdly to identify ...
Synovial sepsis diagnostics and antimicrobial resistance: a one-health perspective.
Journal of the American Veterinary Medical Association    June 28, 2023   Volume 261, Issue 8 1115-1120 doi: 10.2460/javma.23.05.0227
Pearson GB, Ysebaert MP, Papa B, Reesink HL.This article, as part of the Currents in One Health series, reviews the current state of diagnostics for synovial sepsis. Synovial sepsis is a condition that affects veterinary and human medicine and requires coordinated efforts from both parties, as well as environmental considerations to accurately diagnose and preserve effective treatments. The article discusses best practices to identify the causative agent in septic synovitis, trends in bacterial identification and antimicrobial resistance patterns across common bacterial species, and a one-health perspective to optimize diagnostics acros...
Molecular Detection of Animal Trypanosomes in Different Animal Species in the Visayas Region of the Philippines.
Acta parasitologica    June 27, 2023   Volume 68, Issue 3 604-611 doi: 10.1007/s11686-023-00696-9
Elata A, Galon EM, Moumouni PFA, Ybanez RHD, Mossaad E, Salces CB, Bajenting GP, Ybanez AP, Xuan X, Inoue N, Suganuma K.Animal trypanosomosis is one of the most important parasitic diseases significantly affecting the Philippine economy. It is considered by the government to be the second most important disease of livestock after fasciolosis. A PCR-based molecular survey for trypanosomes in different animals in Bohol, Philippines, was performed to assess the prevalence of trypanosomosis in the area during the rainy and dry season. Methods: A total of 269 blood samples were collected in two batches in rainy and dry season from different animal species in Ubay Stock Farm in Ubay, Bohol, the Philippines, including...
Detection of SNPs and benzimidazole resistance in strongyle nematode eggs of horses by allele-specific PCR.
Parasitology research    June 24, 2023   Volume 122, Issue 9 2037-2043 doi: 10.1007/s00436-023-07903-6
Onder Z, Yildirim A, Duzlu O, Ciloglu A, Yetismis G, Karabulut F, Inci A.This study was conducted to determine single nucleotide polymorphisms (SNPs) and the benzimidazole (BZ) resistance in strongyle nematode egg populations in horses using molecular techniques. A total of 200 fecal samples were collected from horses in 26 farms in two provinces (Kayseri and Nevşehir) of the Central Anatolia Region of Türkiye between May and August 2022. The flotation method was used to detect strongyle nematode eggs in the fecal samples of the horses. Afterward, strongyle nematode eggs were collected, and the allele-specific polymerase chain reaction (AS-PCR) technique was used...
Seroprevalence of tick-borne encephalitis virus in wild and domestic animals in northern Germany.
Ticks and tick-borne diseases    June 23, 2023   Volume 14, Issue 6 102220 doi: 10.1016/j.ttbdis.2023.102220
Topp AK, Springer A, Mischke R, Rieder J, Feige K, Ganter M, Nagel-Kohl U, Nordhoff M, Boelke M, Becker S, Pachnicke S, Schunack B, Dobler G, Strube C.Tick-borne encephalitis virus (TBEV) is a tick-transmitted flavivirus, which can infect humans and animals, sometimes even with a fatal outcome. Since many decades, TBEV is endemic in southern Germany, while only sporadic occurrence has been noted in northern parts of the country so far. Nevertheless, autochthonous human clinical cases are increasing in the federal state of Lower Saxony in north-western Germany, and several natural foci of TBEV transmission have recently been detected in this federal state. In order to shed more light on the current distribution of TBEV in Lower Saxony, the pr...
First microscopic and molecular parasitological survey of Strongylus vulgaris in Brazilian ponies. Martins AV, Coelho AL, Corrêa LL, Ribeiro MS, Lobão LF, Palmer JPS, Moura LC, Molento MB, Barbosa ADS.The frequency of gastrointestinal parasites with an emphasis on Strongylus vulgaris was investigated among the Brazilian Pony breed kept on farms in the municipality of Teresópolis, state of Rio de Janeiro. Fecal samples were collected in three stud farms: A (n= 22 animals), B (n= 3), and C (n= 2). Fecal samples were subjected to the quantitative Mini-FLOTAC technique, using three different solutions, and to qualitative techniques. The parasite prevalence was found to be 81.4%. Eggs from strongylids were identified in 74% of the ponies. Eggs of Parascaris spp. were detected in 22.7% of the an...
Subchondral lucencies of the medial femoral condyle in yearling and 2-year-old Thoroughbred sales horses: Prevalence, progression and associations with racing performance.
Equine veterinary journal    June 22, 2023   doi: 10.1111/evj.13945
Peat FJ, Kawcak CE, McIlwraith CW, Keenan DP, Berk JT, Mork DS.Subchondral lucencies (SCLs) in the distal aspect of the medial femoral condyle (MFC) of young Thoroughbred horses are a source of controversy on presale radiographs. There is limited scientific evidence regarding the risk of progression and impact on future racing performance. Objective: To (1) identify the prevalence of MFC SCLs on sales repository radiographs in yearling and 2-year-old Thoroughbreds; (2) identify any association between grade of MFC SCL and future racing performance and (3) monitor changes in MFC SCL grades between yearling and 2-year-old sales. Methods: Prospective cohort ...
Abnormal mare behaviour is rarely associated with changes in hormonal markers of granulosa cell tumours: A retrospective study.
Equine veterinary journal    June 21, 2023   doi: 10.1111/evj.13967
Huggins L, Norris J, Conley A, Dini P.Abnormal or undesired mare behaviours are often assumed to be associated with ovarian abnormalities. Objective: We aimed to determine the incidence of abnormal behaviours and their association with concentrations of one or more ovarian hormones associated with a granulosa cell tumour (GCT). Methods: Retrospective descriptive. Methods: A total of 2914 hormonal profile samples submitted with the words behave, behaviour, or behaving in the submission history were analysed. The association between reported abnormal behaviours and concentrations of testosterone, anti-Müllerian hormone (AMH), inhib...
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