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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Equid herpesvirus (EHV-1) live vaccine strain C147: efficacy against respiratory diseases following EHV types 1 and 4 challenges.
Veterinary microbiology    December 19, 2002   Volume 92, Issue 1-2 1-17 doi: 10.1016/s0378-1135(02)00358-9
Patel JR, Földi J, Bateman H, Williams J, Didlick S, Stark R.The temperature sensitive and host range mutant clone 147 of equine herpesvirus 1 (EHV-1) was assessed for its ability to protect conventional, susceptible adult horses against respiratory infection by EHV-1 and equine herpesvirus 4 (EHV-4). Intranasal (IN) vaccination with 5.2 log(10) TCID(50) did not cause adverse clinical reactions although a limited virus shedding and viraemia (leukocytes) was observed in 11 of 15 and 10 of 15 vaccinated horses respectively. All 15 vaccinated horses showed a significant seroresponse to both EHV-1 and EHV-4 for virus neutralising (VN) antibody. None of 14 c...
The influence of ageing and exercise on tendon growth and degeneration–hypotheses for the initiation and prevention of strain-induced tendinopathies.
Comparative biochemistry and physiology. Part A, Molecular & integrative physiology    December 18, 2002   Volume 133, Issue 4 1039-1050 doi: 10.1016/s1095-6433(02)00148-4
Smith RK, Birch HL, Goodman S, Heinegård D, Goodship AE.Strain-induced tendinopathy is a common injury in both human and equine athletes, with increasing incidence associated with greater involvement in sport and an increasingly aged population. This paper reviews our studies on the abundant non-collagenous protein, cartilage oligomeric matrix protein (COMP), in equine tendons. Its variation between tendon type and site, age and exercise has provided an insight into how age and exercise influence tendon growth and maturation. Tendons can be broadly divided into two types, reflecting their different matrix composition and function: the energy-storin...
Pharmacodynamics and enantioselective pharmacokinetics of racemic carprofen in the horse.
Journal of veterinary pharmacology and therapeutics    December 18, 2002   Volume 25, Issue 6 433-448 doi: 10.1046/j.1365-2885.2002.00436.x
Lees P, Landoni MF.Carprofen is a nonsteroidal anti-inflammatory drug of the 2-arylpropionate subclass. It contains a single chiral centre and exists in two enantiomeric forms. In this study rac-carprofen, at two dosages, 0.7 and 4.0 mg/kg, and placebo were administered i.v. to six New Forest horses in a three period cross-over study. The concentration-time profiles were established for R(-) and S(+)-carprofen for plasma and both inflamed (exudate) and noninflamed (transudate) tissue cage fluids. R(-)-carprofen was the predominant enantiomer in all three fluids, as indicated by plasma area under the curve (AUC) ...
Transmission of Anaplasma phagocytophila (human granulocytic ehrlichiosis agent) in horses using experimentally infected ticks (Ixodes scapularis).
Journal of veterinary medicine. B, Infectious diseases and veterinary public health    December 18, 2002   Volume 49, Issue 10 484-488 doi: 10.1046/j.1439-0450.2002.00598.x
Pusterla N, Chae JS, Kimsey RB, Berger Pusterla J, DeRock E, Dumler JS, Madigan JE.Most human granulocytic ehrlichiosis (HGE) studies carried out in horses use needle inoculation of infected leucocytes or cell cultures. This route of inoculation does not accurately reflect natural infection of the tick-borne agent. To investigate whether tick transmission influences the course of granulocytic ehrlichiosis in the horse model, experimental transmission through infected laboratory-reared Ixodes scapularis ticks was attempted into two healthy horses. One additional horse served as negative control and was exposed to uninfected ticks. Eleven days after exposure to nymphal or adul...
Chemotherapy of surra in horses and mules with diminazene aceturate.
Veterinary parasitology    December 17, 2002   Volume 110, Issue 3-4 227-233 doi: 10.1016/s0304-4017(02)00304-7
Tuntasuvan D, Jarabrum W, Viseshakul N, Mohkaew K, Borisutsuwan S, Theeraphan A, Kongkanjana N.During June-July 2000, an outbreak of surra occurred on an equine breeding farm in Khonkaen Province, Thailand. Forty-two percent of pregnant mares aborted or gave stillbirth and 40% (19/47) of horses and 10% (1/10) of mules died from surra. In August 2000 Trypanosoma evansi were detected in the remaining animals (28 horses and nine mules) on the farm by blood smear and/or the haematocrit centrifuge technique. All animals were treated with diminazene aceturate at 3.5 mg/kg body weight by intramuscular injection on days 0 and 41 of the study. Blood samples of eight randomly selected horses and ...
[Diagnostic validity of palpation in horses with back problems].
Berliner und Munchener tierarztliche Wochenschrift    December 17, 2002   Volume 115, Issue 11-12 420-424 
Ranner W, Gerhards H, Klee W.There is a regularly high proportion of x-ray findings indicating a pathological deterioration of the equine vertebral column which do not correlate with the clinical symptoms. Therefore, palpation remains one of the most important clinical examination methods to determine whether or not a horse is suffering from back pain. The aim of this study was to check the validity of palpation results of horses with an assumed back problem. The palpation results of 167 horses were evaluated in retrospect: If the palpation proceeds under following conditions, positive palpation results agree with an prim...
Microscopic localization of active gelatinases in equine osteochondritis dissecans (OCD) cartilage.
Osteoarthritis and cartilage    December 14, 2002   Volume 10, Issue 8 653-661 doi: 10.1053/joca.2002.0811
Al-Hizab F, Clegg PD, Thompson CC, Carter SD.To investigate the relationship between matrix metalloproteinase (MMP) activity and osteochondritis dissecans (OCD) in the equine joint. Methods: Equine articular cartilage was obtained from normal (N = 8) and osteochondrotic (OCD) (N = 6) femoropatellar joints from horses at necropsy. The activity of gelatinase MMPs was determined in sections of cartilage by in situ gelatin zymography. Results: Gelatinase activity was markedly increased in articular cartilage obtained from OCD samples and was particularly prominent in the deep cartilage zone. Activity was only seen in the pericellular area of...
Incidence and risk factors for exertional rhabdomyolysis in thoroughbred racehorses in the United Kingdom.
The Veterinary record    December 14, 2002   Volume 151, Issue 21 623-626 doi: 10.1136/vr.151.21.623
McGowan CM, Fordham T, Christley RM.Telephone surveys of 34 racing yards with 1276 horses in training were made to establish the overall incidence of exertional rhabdomyolysis in the previous year. A case-control study was used to investigate the risk factors for the syndrome in 12 yards selected on the basis of the routine confirmation of diagnoses by the evaluation of the serum activities of creatine kinase and aspartate aminotransferase. The overall incidence of the syndrome was 6.7 per cent and 80 per cent of the trainers had at least one affected horse. In 74 per cent of the affected horses it frequently recurred, with an a...
Surgical management of urolithiasis.
Endocrinology and metabolism clinics of North America    December 12, 2002   Volume 31, Issue 4 1065-1082 doi: 10.1016/s0889-8529(02)00033-6
Auge BK, Preminger GM.The surgical management of urinary calculus disease has changed dramatically in the past two decades. Minimally invasive options have made open stone surgery nearly obsolete. The development of shock wave lithotripsy, percutaneous nephrostolithotomy techniques and intracorporeal lithotripsy devices has conferred unprecedented management tools for upper tract stones. Moreover, transfusion rates, hospital costs, and convalescence periods have been markedly reduced when compared to open surgery. Likewise, the advent of fiberoptic technology has resulted in miniaturization of ureteroscopes making ...
Detection of inhaled salbutamol in equine urine by ELISA and GC/MS2.
Biomedical chromatography : BMC    December 11, 2002   Volume 16, Issue 8 513-516 doi: 10.1002/bmc.194
Eenoo PV, Delbeke FT.Salbutamol is a beta-adrenergic agonist that is used in the treatment of asthma in humans and chronic obstructive pulmonary disease in horses. Because of its stimulating and growth promoting properties, it is prohibited by horse racing authorities. Recently a number of adapters (eg Equinehaler) have been designed, allowing the use of metered dose inhalers (MDI) approved for human use. However, information on detection times of salbutamol after administration of salbutamol in therapeutic doses by inhalation is lacking. In this study, 2 mg salbutamol (Ventolin) was administered to four standardb...
In vivo effect of epidermal growth factor, interleukin-1beta, and interleukin-1RA on equine preovulatory follicles.
Biology of reproduction    December 11, 2002   Volume 68, Issue 5 1748-1754 doi: 10.1095/biolreprod.102.012138
Martoriati A, Duchamp G, Gérard N.Paracrine factors have significant effects during folliculogenesis. Because of various morphological features, the mare is a convenient model to study in vivo the effects of factors involved in periovulatory events. In the present work, epidermal growth factor (EGF; experiment 1, n = 49 mares) and interleukin-1beta and interleukin-1RA (IL-1beta and IL-1RA, respectively; experiment 2, n = 80 mares) were injected intrafollicularly to evaluate the influence of these factors on in vivo maturation of equine preovulatory follicles. A transvaginal ultrasound-guided injection was performed when the di...
Excessive degradation of type II collagen in articular cartilage in equine osteochondrosis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    December 11, 2002   Volume 20, Issue 6 1282-1289 doi: 10.1016/S0736-0266(02)00053-0
Laverty S, Okouneff S, Ionescu M, Reiner A, Pidoux I, Webber C, Rossier Y, Billinghurst RC, Poole AR.Articular osteochondrosis (OCD) occurs in both man and animals. The etiology remains to be determined. Studies of OCD lesions in animals may provide clues as to its pathogenesis. The aim of our study was to determine whether there was evidence for increased degradation namely proteoglycan (PG) release and type II collagen cleavage in articular cartilage harvested from OCD lesions. We examined ex vivo explants at post-mortem from equine OCD lesions and macroscopically normal site and age matched cartilage. These were cultured over a 10 day period in serum-free medium. Type II collagen cleavage ...
[Colic surgery in the horse: a retrospective study of 272 patients].
Tijdschrift voor diergeneeskunde    December 10, 2002   Volume 127, Issue 22 682-686 
Wiemer P, Bergman HJ, van der Veen H, Pruissen L.In the period from January 1995 until December 2000, 272 horses underwent a laparotomy for gastrointestinal disorders. The results of these surgeries were evaluated. From these 272 patients 176 (= 65%) were discharged in good health from the hospital. When the patients that were euthanized immediately after the start of the surgery, because of a fatal deterioration, were not taken into account, the short time survival rate was 77%. Strangulated small and large intestinal obstructions (48%) had a lower short time survival rate than non-strangulated obstructions (87%). Fatal postoperative compli...
Clenbuterol diminishes aerobic performance in horses.
Medicine and science in sports and exercise    December 10, 2002   Volume 34, Issue 12 1976-1985 doi: 10.1097/00005768-200212000-00018
Kearns CF, McKeever KH.The purpose of this 8-wk study was to examine the effect of therapeutic levels of clenbuterol on aerobic performance and hemodynamics associated with exercise. Methods: Twenty-three unfit Standardbred mares were divided into four experimental groups, clenbuterol (2.4 microg x kg(-1) body weight twice daily) plus exercise (20 min at 50% O2max; CLENEX; N = 6), clenbuterol only (CLEN; N = 6), exercise only (EX; N = 5), and control (CON; N = 6). All horses performed an incremental exercise test (GXT) to measure maximal oxygen consumption (O2max), blood lactate concentration, total plasma protein c...
The impact of a low dose, low volume, multi-site immunization on the production of therapeutic antivenoms in Thailand.
Toxicon : official journal of the International Society on Toxinology    December 7, 2002   Volume 41, Issue 1 57-64 doi: 10.1016/s0041-0101(02)00209-x
Sriprapat S, Aeksowan S, Sapsutthipas S, Chotwiwatthanakun C, Suttijitpaisal P, Pratanaphon R, Khow O, Sitprija V, Ratanabanangkoon K.Therapeutic antivenom against snakes was first produced by Albert Calmette in 1894. Since then antivenoms have saved the life of countless snakebite victims. However, there are still many problems associated with antivenom production, for example variable percentage of responder horses, low neutralizing potency of antivenom, the large amount of snake venom needed for immunization and the difficulties encountered in producing potent polyvalent antivenoms. These problems have led to shortage and high cost of antivenom and, in some cases, failure of treatment. In 1997, a new immunization protocol...
Intravenous lidocaine and small-intestinal size, abdominal fluid, and outcome after colic surgery in horses.
Journal of veterinary internal medicine    December 6, 2002   Volume 16, Issue 6 736-741 doi: 10.1892/0891-6640(2002)016<0736:ilassa>2.3.co;2
Brianceau P, Chevalier H, Karas A, Court MH, Bassage L, Kirker-Head C, Provost P, Paradis MR.Twenty-eight horses with the diagnosis of an intestinal disorder requiring surgical intervention were randomly assigned to lidocaine (n = 13) or saline (control, n = 15) treatment groups. After induction of anesthesia, treated horses received a loading dose of 2% lidocaine (0.65 mg/kg) intravenously, followed by a continuous rate of infusion of 1% lidocaine (0.025 mg/kg/min) until the discontinuation of anesthesia. Upon recovery from anesthesia, a 2nd loading dose of 2% lidocaine (1.3 mg/kg) was administered, followed by an infusion of 1% lidocaine (0.05 mg/kg/min) for 24 hours postoperatively...
Treatment with pergolide or cyproheptadine of pituitary pars intermedia dysfunction (equine Cushing’s disease).
Journal of veterinary internal medicine    December 6, 2002   Volume 16, Issue 6 742-746 doi: 10.1892/0891-6640(2002)016<0742:twpoco>2.3.co;2
Donaldson MT, LaMonte BH, Morresey P, Smith G, Beech J.Medical records of 27 horses (including 13 ponies) treated with pergolide or cyproheptadine for pituitary pars intermedia dysfunction were reviewed to determine the effect of treatment on plasma ACTH, insulin, and glucose concentrations and clinical signs. Prior to treatment, the most common clinical signs were laminitis, hirsutism, and abnormal body fat distribution. The median pergolide dose was 3.0 microg/kg p.o. q24h (range, 1.7-5.5 microg/kg). All horses treated with cyproheptadine were given 0.25 mg/kg p.o. q24h. After pergolide treatment, ACTH concentrations (n = 20; median = 30.4 pg/ml...
Temporohyoid osteoarthropathy in 33 horses (1993-2000).
Journal of veterinary internal medicine    December 6, 2002   Volume 16, Issue 6 697-703 doi: 10.1892/0891-6640(2002)0162.3.co;2
Walker AM, Sellon DC, Cornelisse CJ, Hines MT, Ragle CA, Cohen N, Schott HC.A retrospective study of the medical records of 33 horses was performed to determine the clinical and diagnostic abnormalities associated with temporohyoid osteoarthropathy. Data collected from medical records included signalment, presenting complaints, history, physical examination findings, laboratory data, results of diagnostic imaging studies, and treatments. Follow-up information was obtained from a review of case records; by telephone conversation with the owner, veterinarian, or trainer; or by both methods. Of 33 horses with temporohyoid osteoarthropathy, 29 presented with facial nerve ...
Seasonal serum concentrations of melatonin in cycling and noncycling mares.
Journal of animal science    December 5, 2002   Volume 80, Issue 11 2949-2952 doi: 10.2527/2002.80112949x
Diekman MA, Braun W, Peter D, Cook D.To determine whether secretory patterns of melatonin change throughout the seasons in mares, blood samples were drawn byvenipuncture from nine mares at noon and midnight for five successive days at monthly intervals from August through July at the University of Missouri in Columbia, MO. In addition, during September, December, March, and June, blood samples were drawn from indwelling catheters at 2-h intervals for 48 or 72 h. Mares were predominantly Quarter Horses weighing approximately 450 kg and ranged from 3 to 12 yr of age. Mares were housed in outdoor paddocks with three-sided run-in she...
Dopaminergic and opioidergic regulation of gonadotropin and prolactin release in stallions.
Reproduction in domestic animals = Zuchthygiene    December 5, 2002   Volume 37, Issue 6 335-340 doi: 10.1046/j.1439-0531.2002.00370.x
Aurich C, Gerlach T, Aurich JE, Hoppen HO, Lange J, Parvizi N.In the non-breeding season, LH release is reduced via dopaminergic systems in the ram. On the other hand, our previous studies demonstrated an opioidergic inhibition of LH release in stallions outside the breeding season. Thus, in the present study we investigated the dopaminergic regulation of LH and prolactin secretion in stallions, considering interactions between dopamine and opioids. To achieve this, stallions (n=8) were treated with the dopamine antagonist sulpiride (0.6 mg/kg), the opioid antagonist naloxone (0.5 mg/kg), sulpiride plus naloxone or saline in December, March and June. Two...
Disseminated pulmonary adiaspiromycosis caused by Emmonsia crescens in a horse.
Equine veterinary journal    December 5, 2002   Volume 34, Issue 7 749-752 doi: 10.2746/042516402776250342
Pusterla N, Pesavento PA, Leutenegger CM, Hay J, Lowenstine LJ, Durando MM, Magdesian KG.Adiaspiromycosis is a fungal disease of the lung caused by the saprophytic soil mould Emmonsia crescens or, more rarely, E. p a rv a. The fungus affects lower order mammals, mostly rodents, and rarely man, although the organism is distributed worldwide (Sigler 1998). In veterinary medicine, the disease has been reported as an incidental histopathological finding in the lungs of one goat and 2 dogs (Al-Doory et al. 1971; Koller et al. 1976; Koller and Helfer 1978). The term adiaspiromycosis derives from the conidia of this fungus, the adiaconidia, which exhibit the unique property of progressiv...
Rhodococcus equi pneumonia in a mare in Turkey.
The Veterinary record    December 5, 2002   Volume 151, Issue 20 613 doi: 10.1136/vr.151.20.613
Ozgur NY, Ikiz S, Bagcigil F, Carioglu B, Ilgaz A, Takai S.No abstract available
Characterization of the beta2-microglobulin gene of the horse.
Immunogenetics    December 5, 2002   Volume 54, Issue 10 725-733 doi: 10.1007/s00251-002-0514-0
Tallmadge RL, Lear TL, Johnson AK, Guérin G, Millon LV, Carpenter SL, Antczak DF.A clone containing beta(2)-microglobulin (beta(2)-m), the light chain of the major histocompatibility complex class I cell surface molecule, was isolated from an equine bacterial artificial chromosome library. This clone was used as a template for polymerase chain reaction (PCR) and unidirectional sequencing to elucidate the genomic sequence and intron/exon boundaries. We obtained 7,000 bases of sequence, extending from 1,100 nucleotides (nt) upstream of the coding region start through 1,698 nt downstream of the stop codon. The sequence contained regulatory elements in the region upstream of t...
Matua bromegrass hay for mares in gestation and lactation.
Journal of animal science    December 5, 2002   Volume 80, Issue 11 2960-2966 doi: 10.2527/2002.80112960x
Guay KA, Brady HA, Allen VG, Pond KR, Wester DB, Janecka LA, Heninger NL.Matua bromegrass hay (Bromus willdenowii Kunth) is a high quality forage, but its value for mares during gestation and lactation is not well known. Intake, rate of passage, performance, and reproduction by gestating and lactating Quarter Horse mares fed the hay was investigated. In this experiment, 12, 2- to 12-yr-old gravid mares (mean BW = 553 kg, SD = 36) were fed Matua hay (CP = 11.5%) or alfalfa hay (Medicago sativa L.) (CP = 15.4%) for variable days prepartum (mean 59.9 d; SD = 23.5) and for 70 d postpartum. Matua and alfalfa hay were fed as the roughage portion of the diet with a grain ...
Leptin in horses: tissue localization and relationship between peripheral concentrations of leptin and body condition.
Journal of animal science    December 5, 2002   Volume 80, Issue 11 2942-2948 doi: 10.2527/2002.80112942x
Buff PR, Dodds AC, Morrison CD, Whitley NC, McFadin EL, Daniel JA, Djiane J, Keisler DH.Obesity has been a major concern in the horse industry for many years, and the recent discovery of leptin and leptin receptors in numerous nonequine species has provided a basis for new approaches to study this problem in equine. The objectives were to: 1) clone a partial sequence ofthe equine leptin and leptin receptor genes so as to enable the design of primers for RT-PCR determination of leptin and leptin receptor gene presence and distribution in tissues, 2) develop a radioimmunoassay to quantify peripheral concentrations of leptin in equine, 3) determine if peripheral concentrations of le...
Mapping of equine potassium chloride co-transporter (SLC12A4) and amino acid transporter (SLC7A10) and preliminary studies on associations between SNPs from SLC12A4, SLC7A10 and SLC7A9 and osmotic fragility of erythrocytes.
Animal genetics    December 5, 2002   Volume 33, Issue 6 455-459 doi: 10.1046/j.1365-2052.2002.00907.x
Hanzawa K, Lear TL, Piumi F, Bailey E.Consensus DNA sequences from human, mouse and/or rat were used to design oligonucleotide primers for equine homologues of exons 16, 17 and 20-23 of potassium chloride co-transporter (SLC12A4) and exons 10, 11 and 3, 4, respectively, for two amino acid transporters (SLC7A10 and SLC7A9). DNA sequences of the PCR products showed high sequence identity to these regions. Equine BAC clones were obtained for SLC12A4 and SLC7A10 and mapped to equine chromosomes ECA3p13 and ECA10p15, respectively, by fluorescence in situ hybridization (FISH). Several single nucleotide polymorphisms (SNP) were found. Su...
Nasal adenocarcinoma with diffuse metastases involving the orbit, cerebrum, and multiple cranial nerves in a horse.
Journal of the American Veterinary Medical Association    December 3, 2002   Volume 221, Issue 10 1460-1420 doi: 10.2460/javma.2002.221.1460
Davis JL, Gilger BC, Spaulding K, Robertson ID, Jones SL.A 9-year-old Trakehner gelding was examined because of right exophthalmus. Clinical findings included a lack of menace response in the right eye, reduced direct and consensual right pupillary light reflexes, ventrolateral strabismus of the right eye, mild right-sided facial asymmetry, a head tilt to the left, and increased extensor tone in the right limbs. Findings were suggestive of a multifocal lesion affecting the right forebrain; right optic, oculomotor, and facial nerves; and left vestibulocochlear nerve. Ultrasonographic examination of the right eye revealed a vascular retrobulbar mass. ...
What is your diagnosis? Cervical esophageal stricture.
Journal of the American Veterinary Medical Association    December 3, 2002   Volume 221, Issue 10 1395-1396 doi: 10.2460/javma.2002.221.1395
Kraus BM, Baird AN, Baird DK.No abstract available
Molecular characterization of the equine testis-specific protein 1 (TPX1) and acidic epididymal glycoprotein 2 (AEG2) genes encoding members of the cysteine-rich secretory protein (CRISP) family.
Gene    December 3, 2002   Volume 299, Issue 1-2 101-109 doi: 10.1016/s0378-1119(02)01018-1
Giese A, Jude R, Kuiper H, Raudsepp T, Piumi F, Schambony A, Guérin G, Chowdhary BP, Distl O, Töpfer-Petersen E, Leeb T.The cysteine-rich secretory protein (CRISP) family consists of three members called acidic epididymal glycoprotein 1 (AEG1), AEG2, and testis-specific protein 1 (TPX1), which share 16 conserved cysteine residues at their C-termini. The CRISP proteins are primarily expressed in different sections of the male genital tract and are thought to mediate cell-cell interactions of male germ cells with other cells during sperm maturation or during fertilization. Therefore, their genes are of interest as candidate genes for inherited male fertility dysfunctions and as putative quantitative trait loci fo...
Intradermal skin tests in equine dermatology: a study of 83 horses.
Equine veterinary journal    November 29, 2002   Volume 34, Issue 7 666-671 doi: 10.2746/042516402776250469
Lebis C, Bourdeau P, Marzin-Keller F.Allergic diseases are often diagnosed clinically in the horse without performing diagnostic tests. The purpose of this work was to contribute to the validation of intradermal skin tests in the horse. Eighty-three horses, 14 showing skin or respiratory signs of supposed allergic origin, were subjected to an intradermal skin test using 6 different allergens, positive and negative controls. The tests were read for all animals after 20 min, and for 29 horses after 1 and 4 h. Additionally, 19 horses were tested a few months apart. The comparison after 20 min of the cutaneous reactions to allergens ...