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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.
Interrelationship between reproductive hormones and acute phase proteins during estrous cycle and pregnancy in Spanish purebred broodmares.
Veterinary and animal science    October 26, 2021   Volume 14 100212 doi: 10.1016/j.vas.2021.100212
Satué K, Calvo A, Muñoz A, Fazio E, Medica P.In some species, female steroid hormones modify the profile of acute phase proteins (APPs) during the estrous cycle and pregnancy, according to the ovulation, embryonic implantation and placental development; however, nowadays there's no experimental evidence for equine species. Objectives of this study were: to compare the serum amyloid A (SAA), haptoglobin (Hp) and C-reactive protein (CRP) concentrations between cyclic and pregnant mares, and to analyze the influence of estradiol-17β (E) during estrous cycle or estrone sulfate (E) during pregnancy, and progesterone (P) on these proteins to ...
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. ...
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 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...
[Determination of donkey skin ingredients in Asini Corii Colla by ultra-high performance liquid chromatography-tandem mass spectrometry].
Se pu = Chinese journal of chromatography    October 23, 2021   Volume 39, Issue 11 1255-1260 doi: 10.3724/SP.J.1123.2021.02003
Gong L, Shi F, Su S, Xie Q, Xian R, Hang B, Zhao Y.In recent years, due to the shortage of donkey skin resources, the price of Asini Corii Colla has seen a rapid increase. Consequently, fake gelatin prepared from horse, mules, pig, and cow skin has appeared in the market, resulting in unreliable quality of Asini Corii Colla. Therefore, there is an urgent need to develop an efficient and accurate method for improving the quality of Asini Corii Colla. Ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) was used to determine the donkey skin components in Asini Corii Colla. Accordingly, 0. l g of the evenly mixed sa...
Apoptosis versus survival of African horse sickness virus serotype 4-infected horse peripheral blood mononuclear cells.
Virus research    October 22, 2021   Volume 307 198609 doi: 10.1016/j.virusres.2021.198609
Faber E, Tshilwane SI, Van Kleef M, Pretorius A.Expanding on our previous work, this study used transcriptome analysis of RNA sequences to investigate the various factors that contributed to either inducing apoptosis that resulted in cell death or promoting the survival of African horse sickness virus serotype 4 (AHSV4)-infected horse peripheral blood mononuclear cells (PBMC) after 24 h. Apoptosis is a host defense mechanism that prevents virus replication, accumulation and spread of progeny viruses. AHSV4-infected PBMC were killed via the intrinsic and the perforin/granzyme pathways of apoptosis during the attenuated AHSV4 (attAHSV4) in v...
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 ...
West Nile virus seroprevalence and associated risk factors among horses in Egypt.
Scientific reports    October 22, 2021   Volume 11, Issue 1 20932 doi: 10.1038/s41598-021-00449-6
Selim A, Megahed A, Kandeel S, Alouffi A, Almutairi MM.Determination of the seroprevalence and risk factors that are associated with West Nile virus (WNV) in horses is essential for adoption of effective prevention strategies. Our objective in this study, therefore, was to determine the seroprevalence and to identify the risk factors associated with WNV infection in the most densely horse-populated governorates in Egypt. A cross-sectional study was conducted in 2018 on 930 horses, which were distributed over five governorates in the Nile delta of Egypt. The horses, which were randomly selected, were serologically tested through use of an ID screen...
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...
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...
History repeats itself: horse originated hyperimmune sera production against SARS CoV-2.
Turkish journal of medical sciences    October 21, 2021   Volume 51, Issue 5 2263-2273 doi: 10.3906/sag-2101-304
Pakdemirli A, Çalışkan E, Hacıoğlu S, Danyer E, Kardoğan Ö, Kurt ZE, Yıldırım Ö, Taşkaya H, Ündar B, Sezgin Y, Ergin G, Ekici H....SARS-CoV-2 disease was announced as a pandemic by The World Health Organization in early 2020. It is still threatening the world population. Here, we aimed to produce hyperimmune sera that contain immunoglobulin G and F(ab')2 fragments sourced from horse antibodies as an urgent response to the pandemic. SARS-CoV-2 was produced and inactivated with three different methods [formaldehyde (FA), formaldehyde, and binary ethylene amine (FA + BEI), and heat treatment]. After in vitro inactivation control, immunogens were mixed with Freund’s adjuvant, thereafter horses (n: 2 for FA, 4 for FA + BEI, ...
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....
Comprehensive metabolic study of IOX4 in equine urine and plasma using liquid chromatography/electrospray ionization Q Exactive high-resolution mass spectrometer for the purpose of doping control.
Drug testing and analysis    October 21, 2021   Volume 14, Issue 2 233-251 doi: 10.1002/dta.3172
Ishii H, Shibuya M, So YM, Wong JKY, Ho ENM, Kusano K, Sone Y, Kamiya T, Wakuno A, Ito H, Miyata K, Yamada M, Leung GN.IOX4 is a hypoxia-inducible factor prolyl hydroxylase (HIF-PHD) inhibitor, which was developed for the treatment of anemia by exerting hematopoietic effects. The administration of HIF-PHD inhibitors such as IOX4 to horses is strictly prohibited by the International Federation of Horseracing Authorities and the Fédération Équestre Internationale. To the best of our knowledge, this is the first comprehensive metabolic study of IOX4 in horse plasma and urine after a nasoesophageal administration of IOX4 (500 mg/day, 3 days). A total of four metabolites (three mono-hydroxylated IOX4 and one ...
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 ...
Comparative evaluation of tomosynthesis, computed tomography, and magnetic resonance imaging findings for metacarpophalangeal joints from equine cadavers.
American journal of veterinary research    October 21, 2021   Volume 82, Issue 11 872-879 doi: 10.2460/ajvr.82.11.872
Stewart HL, Kawcak CE, Inscoe CR, Puett C, Lee YZ, Lu J, Zhou OZ, Selberg KT.To describe the technique and assess the diagnostic potential and limitations of tomosynthesis for imaging of the metacarpophalangeal joint (MCPJ) of equine cadavers; compare the tomosynthesis appearance of pathological lesions with their conventional radiographic, CT, and MRI appearances; and evaluate all imaging findings with gross lesions of a given MCPJ. Methods: Distal portions of 4 forelimbs from 4 equine cadavers. Methods: The MCPJs underwent radiography, tomosynthesis (with a purpose-built benchtop unit), CT, and MRI; thereafter, MCPJs were disarticulated and evaluated for the presence...
DPF3, A Putative Candidate Gene For Melanoma Etiopathogenesis in Gray Horses.
Journal of equine veterinary science    October 21, 2021   Volume 108 103797 doi: 10.1016/j.jevs.2021.103797
Druml T, Brem G, Horna M, Ricard A, Grilz-Seger G.Melanoma prevalence in gray horses reaches up to 50% and more. Several studies have documented a genetic melanoma predisposition which is referred to the 4.6 kb duplication in intron 6 of STX17 and its surrounding haplotype. However, the genetic background and mechanisms responsible for differences in etiopathogenesis of equine dermal melanomatosis still remain unknown. In the current study, we performed a genome wide association analysis in 141 Lipizzan horses and subsequently identified one candidate gene on chromosome 24 putatively involved in melanoma pathogenesis in gray horses. The assoc...
Ancient DNA reveals long-sought homeland of modern horses.
Science (New York, N.Y.)    October 21, 2021   Volume 374, Issue 6566 384-385 doi: 10.1126/science.acx9390
Gibbons A.No abstract available
Effect of Mare Age on Transcript Abundance of Connexins-37 and -43, Zona Pellucida Proteins, and Sperm Binding.
Journal of equine veterinary science    October 21, 2021   Volume 108 103796 doi: 10.1016/j.jevs.2021.103796
Bresnahan DR, Lupole RE, Stilz CR, Carnevale EM.Zona pellucida (ZP) proteins are important for fertilization and sperm binding and are closely associated with cumulus cells. Communication between cumulus and oocytes is facilitated by intracellular membrane channels composed of connexins. The extent aging impacts potential differences in fertilization and reductions in fertility is not well understood. This study characterized age-related differences in transcript abundance of ZP proteins and connexins in cells from ovarian follicles. Additionally, differences in sperm binding to oocytes from old and young mares was evaluated. For experiment...
Investigation of an injectable gold nanoparticle extracellular matrix.
Journal of biomaterials applications    October 21, 2021   Volume 36, Issue 7 1289-1300 doi: 10.1177/08853282211051586
Snider C, Grant D, Grant SA.Post-traumatic osteoarthritis (PTOA) is a progressive articular degenerative disease that degrades articular cartilage and stimulates apoptosis in chondrocyte cells. An injectable decellularized, extracellular matrix (ECM) scaffold, that might be able to combat the effects of PTOA, was developed where the ECM was conjugated with 20 nm gold nanoparticles (AuNP) and supplemented with curcumin and hyaluronic acid (HA). Porcine diaphragm ECM was decellularized and homogenized; AuNPs were conjugated using chemical crosslinking followed by mixing with curcumin and/or HA. Injection force testing and...
The impact of grade of laryngeal function immediately prior to laryngoplasty and ipsilateral ventriculocordectomy on postoperative performance: 623 Thoroughbred racehorses (1998-2013).
Equine veterinary journal    October 21, 2021   Volume 54, Issue 5 856-864 doi: 10.1111/evj.13523
Broyles AH, Embertson RM, Brett Woodie J, Machado V.There is persistent concern among some trainers, owners and veterinarians regarding the effect of preoperative laryngeal function grade on the outcome of laryngoplasty and ventriculocordectomy (LPVC). Objective: To determine the effect of laryngeal function grade prior to LPVC on postoperative performance. Methods: Retrospective case-series. Methods: Medical and race records of Thoroughbred racehorses diagnosed with recurrent laryngeal neuropathy (RLN) and treated with LPVC between 1998 and 2013 were reviewed. Horses were placed into three groups based on preoperative laryngeal function grade ...
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...
The equine mesenchymal stromal cell secretome inhibits equid herpesvirus type 1 strain Ab4 in epithelial cells.
Research in veterinary science    October 20, 2021   Volume 141 76-80 doi: 10.1016/j.rvsc.2021.10.012
Harman RM, Churchill KA, Jager MC, Van de Walle GR.Equid herpesvirus 1 (EHV-1) outbreaks occur when virus spreads from infected horses to in-contact horses, primarily via nasal shedding. This study evaluated the efficacy of factors secreted by equine peripheral blood derived mesenchymal stromal cells (PB-MSCs), collectively named the secretome, to inhibit the growth of EHV-1 in (i) 2D epithelial cell cultures (RK-13) in vitro, (ii) 3D equine nasal explants in vitro and (iii) an EHV-1 infection mouse model in vivo. The PB-MSC secretome was found to inhibit EHV-1 in RK-13 cells as well as in the epithelium of equine nasal explants. Although the ...
A threshold volume of 10 ml is suggested for detecting articular cartilage defects in equine carpal joints using CT arthrography: Ex vivo pilot study. McQuillan S, Kearney C, Hoey S, Connolly S, Rowan C.Computed tomographic arthrography (CTA) has been described as a method for detecting articular cartilage defects in equine carpal joints; however, published studies on the effects of contrast volume for lesion detection are currently lacking. The purpose of this prospective, experimental, pilot study was to determine a threshold volume of iodinated contrast for CTA of the antebrachiocarpal (ABC) and middle carpal (MC) joints for detection of articular cartilage surface defects. Articular cartilage defects were iatrogenically created in the surfaces of the ABC and MC joints of 20 equine cadaver...
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...
The origins and spread of domestic horses from the Western Eurasian steppes.
Nature    October 20, 2021   Volume 598, Issue 7882 634-640 doi: 10.1038/s41586-021-04018-9
Librado P, Khan N, Fages A, Kusliy MA, Suchan T, Tonasso-Calvière L, Schiavinato S, Alioglu D, Fromentier A, Perdereau A, Aury JM, Gaunitz C....Domestication of horses fundamentally transformed long-range mobility and warfare. However, modern domesticated breeds do not descend from the earliest domestic horse lineage associated with archaeological evidence of bridling, milking and corralling at Botai, Central Asia around 3500 BC. Other longstanding candidate regions for horse domestication, such as Iberia and Anatolia, have also recently been challenged. Thus, the genetic, geographic and temporal origins of modern domestic horses have remained unknown. Here we pinpoint the Western Eurasian steppes, especially the lower Volga-Don regi...
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...
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 ...