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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.
Equine Discomfort Ethogram.
Animals : an open access journal from MDPI    February 23, 2021   Volume 11, Issue 2 580 doi: 10.3390/ani11020580
Torcivia C, McDonnell S.In recent years, there has been a growing interest in and need for a comprehensive ethogram of discomfort behavior of horses, particularly for use in recognizing physical discomfort in domestically managed horses. A clear understanding of the physical discomfort behavior of horses among caretakers, trainers, and professional health care personnel is important to animal welfare and caretaker safety. This is particularly relevant to pain management for hospitalized equine patients. Various pain scale rubrics have been published, typically incorporating only a few classically cited pain behaviors...
Evaluation of key miRNAs during early pregnancy in Kazakh horse using RNA sequencing.
PeerJ    February 23, 2021   Volume 9 e10796 doi: 10.7717/peerj.10796
Liu L, Fang C, Sun Y, Liu W.miRNA has an important role in cell differentiation, biological development, and physiology. Milk production is an important quantitative trait in livestock and miRNA plays a role in the amount of milk produced. Methods: The role of regulatory miRNAs involved in equine milk production is not fully understood. We constructed two miRNA libraries for Kazakh horse milk production from higher-producing (H group) and lower-producing (L group) individuals, and used RNA-Seq technology to identify the differentially expressed miRNAs between the two milk phenotypes of Kazakh horses. Results: A total of ...
A review of current knowledge of myeloproliferative disorders in the horse.
Acta veterinaria Scandinavica    February 23, 2021   Volume 63, Issue 1 8 doi: 10.1186/s13028-021-00573-3
Satué K, Gardon JC, Muñoz A.Myeloid disorders are conditions being characterized by abnormal proliferation and development of myeloid lineage including granulocytes (neutrophils, eosinophils and basophils), monocytes, erythroids, and megakaryocytes precursor cells. Myeloid leukemia, based on clinical presentation and proliferative rate of neoplastic cells, is divided into acute (AML) and myeloproliferative neoplasms (MPN). The most commonly myeloid leukemia reported in horses are AML-M4 (myelomonocytic) and AML-M5 (monocytic). Isolated cases of AML-M6B (acute erythroid leukemia), and chronic granulocytic leukemia have al...
Comparison of Flowmetric Plethysmography and Forced Oscillatory Mechanics to Measure Airway Hyperresponsiveness in Horses.
Frontiers in veterinary science    February 22, 2021   Volume 7 511023 doi: 10.3389/fvets.2020.511023
Dixon CE, Bedenice D, Mazan MR.Airway hyperresponsiveness (AHR) is linked to airway inflammation and is considered a key manifestation of mild/moderate equine asthma (EA). The study purpose was to determine whether two modalities of non-invasive lung function testing (FOM-forced oscillatory mechanics vs. FP-flowmetric plethysmography) establish the same clinical diagnosis of AHR in horses, using histamine bronchoprovocation. Nineteen horses (3-25 years, 335-650 kg) with clinical signs suggestive of mild/moderate equine asthma were enrolled. FOM and FP testing was performed in each horse on two consecutive days, using a rand...
Comparison of body temperature in donkeys using rectal digital, infrared, and mercury-in-glass thermometers during the hot-dry season in a tropical savannah.
International journal of biometeorology    February 22, 2021   Volume 65, Issue 7 1053-1067 doi: 10.1007/s00484-021-02087-z
Zakari FO, Ayo JO.The study aimed at comparing variations in body temperature values recorded using rectal digital, infrared, and mercury-in-glass thermometers in donkeys during the hot-dry season, prevailing under tropical savannah conditions. Thirty donkeys that served as subjects were divided into three groups of adults, yearlings, and foals. Values of the body temperature of each donkey were recorded bihourly, starting from 06:00 h till 18:00 h, by digital (5-cm depth of insertion), mercury-in-glass (3 cm depth), and infrared thermometers. The values obtained by each type of the thermometer were compared wi...
Evaluation of Blood Glucose and Lactate Concentrations in Mule and Equine Foals.
Journal of equine veterinary science    February 22, 2021   Volume 101 103369 doi: 10.1016/j.jevs.2020.103369
Boakari YL, Alonso MA, Riccio AV, Affonso FJ, Losano JDA, Nichi M, Belli CB, Fernandes CB.Information about mule physiology is scarce. Glucose and lactate serve as prognostic tools in neonates; thus, real-time evaluations would be beneficial. Our main objective was to measure glucose and lactate concentrations from healthy mule and equine foals from birth to 720 hours. Glucose and lactate concentrations were evaluated with a benchtop Randox Daytona analyzer (LAB) using plasma and with an Accutrend Plus system (ACP) using whole blood. Data were analyzed using PROC MIXED (P < .05), intraclass coefficient correlation and Bland-Altman analysis. Glucose and lactate concentrations fro...
Horsing around: Escherichia coli ST1250 of equine origin harbouring epidemic IncHI1/ST9 plasmid with bla CTX-M-1 and an operon for short-chain fructooligosaccharides metabolism.
Antimicrobial agents and chemotherapy    February 22, 2021   Volume 65, Issue 5 e02556-20 doi: 10.1128/AAC.02556-20
Valcek A, Sismova P, Nesporova K, Overballe-Petersen S, Bitar I, Jamborova I, Kant A, Hrabak J, Wagenaar JA, Madec JY, Damborg P, van Duijkeren E....The relatedness of the equine-associated ST1250 and its single- and double-locus variants (ST1250-SLV/DLV), obtained from horses in Europe, was studied by comparative genome analysis. A total of 54 isolates of ST1250 and ST1250-SLV/DLV from healthy and hospitalized horses across Europe [Czech Republic (n=23), the Netherlands (n=18), Germany (n=9), Denmark (n=3) and France (n=1)] from 2008-2017 were subjected to whole-genome sequencing. An additional 25 draft genome assemblies of ST1250 and ST1250-SLV/DLV were obtained from the public databases. The isolates were compared for genomic feature...
Clock gene per 2 daily rhythm: Correlation with the serum level of uncoupling protein 1 (UCP1) in goat and horse.
Journal of thermal biology    February 22, 2021   Volume 97 102891 doi: 10.1016/j.jtherbio.2021.102891
Giannetto C, Arfuso F, Giudice E, Di Pietro S, Piccione G.Recent studies evidenced that the circadian rhythm of Per2 is involved in adaptive thermogenesis by the modulating transcription of uncoupling protein 1 (UCP1). For this purpose, we investigated the linkage between the daily rhythm of Per2 and UCP1 in ruminant and non-ruminant mammalian species. Five clinically healthy, not pregnant, and not lactating Maltese female goats and five clinically healthy, not pregnant, and not lactating Italian Saddle horses were enrolled in the study. All animals were housed under natural photoperiod (sunrise 05:05, sunset 20:55) and environmental temperature and ...
Four weeks of high-intensity training in moderate, but not mild hypoxia improves performance and running economy more than normoxic training in horses.
Physiological reports    February 22, 2021   Volume 9, Issue 4 e14760 doi: 10.14814/phy2.14760
Mukai K, Ohmura H, Takahashi Y, Kitaoka Y, Takahashi T.We investigated whether horses trained in moderate and mild hypoxia demonstrate greater improvement in performance and aerobic capacity compared to horses trained in normoxia and whether the acquired training effects are maintained after 2 weeks of post-hypoxic training in normoxia. Seven untrained Thoroughbred horses completed 4 weeks (3 sessions/week) of three training protocols, consisting of 2-min cantering at 95% maximal oxygen consumption under two hypoxic conditions (H16, F O  = 16%; H18, F O  = 18%) and in normoxia (N21, F O  = 21%), followed by 2 weeks of post-hypoxic traini...
The pelvic flexure separates distinct microbial communities in the equine hindgut.
Scientific reports    February 22, 2021   Volume 11, Issue 1 4332 doi: 10.1038/s41598-021-83783-z
Reed KJ, Kunz IGZ, Scare JA, Nielsen MK, Turk PJ, Coleman RJ, Coleman SJ.As hindgut fermenters, horses are especially dependent on the microbiota residing in their cecum and large intestines. Interactions between these microbial populations and the horse are critical for maintaining gut homeostasis, which supports proper digestion. The current project was motivated to determine if any features of the fecal microbiota are informative of the microbial communities from the cecum, ventral colon, or dorsal colon. Digesta from the cecum, ventral colon, dorsal colon and feces were collected from 6 yearling miniature horses. Microbial DNA was isolated and the microbiota fr...
New World camelids are sentinels for the presence of Borna disease virus.
Transboundary and emerging diseases    February 21, 2021   Volume 69, Issue 2 451-464 doi: 10.1111/tbed.14003
Malbon AJ, Dürrwald R, Kolodziejek J, Nowotny N, Kobera R, Pöhle D, Muluneh A, Dervas E, Cebra C, Steffen F, Paternoster G, Gerspach C, Hilbe M.Borna disease (BD), a frequently fatal neurologic disorder caused by Borna disease virus 1 (BoDV-1), has been observed for decades in horses, sheep, and other mammals in certain regions of Europe. The bicoloured white-toothed shrew (Crocidura leucodon) was identified as a persistently infected species involved in virus transmission. Recently, BoDV-1 attracted attention as a cause of fatal encephalitis in humans. Here, we report investigations on BoDV-1-infected llamas from a farm in a BD endemic area of Switzerland, and alpacas from holdings in a region of Germany where BD was last seen in the...
Racehorse Trainer Mental Health: Prevalence and Risk Factors.
Journal of equine veterinary science    February 21, 2021   Volume 101 103423 doi: 10.1016/j.jevs.2021.103423
King L, Cullen SJ, O'Connor S, McGoldrick A, Pugh J, Warrington G, Losty C.Racehorse trainers play an important role within the horseracing industry. Despite this, scarce empirical information exists regarding the mental health of this population. Thus, the purpose of the present study was to explore the prevalence of symptoms related to common mental disorders (CMDs) and their associations with specific risk factors for CMD. Participants completed an anonymous online questionnaire. CMDs were assessed including distress, depression, generalized anxiety and adverse alcohol use. The risk factors examined included career dissatisfaction, social support and financial dif...
Comparison of gluteus medius muscle activity in Haflinger and Noriker horses with polysaccharide storage myopathy.
Journal of animal physiology and animal nutrition    February 20, 2021   Volume 105, Issue 3 549-557 doi: 10.1111/jpn.13504
Zsoldos RR, Khayatzadeh N, Soelkner J, Schroeder U, Hahn C, Licka TF.Type 1 polysaccharide storage myopathy caused by genetic mutation in the glycogen synthase 1 gene is present in many breeds including the Noriker and Haflinger horses. In humans, EMG has already been used to document changes in the muscle activity patterns of patients affected by human glycogen storage disorders. Therefore, the aim of the present study was to describe gluteus muscle activity with surface electromyography (sEMG) in Haflinger and Noriker horses with known GYS1 mutation status during walk and trot. Thirty-two horses (11 Haflinger and 21 Noriker horses) with homozygous non-affecte...
Current genetic conservation of Chinese indigenous horses revealed with Y-chromosomal and mitochondrial DNA polymorphisms.
G3 (Bethesda, Md.)    February 20, 2021   Volume 11, Issue 2 jkab008 doi: 10.1093/g3journal/jkab008
Liu S, Fu C, Yang Y, Zhang Y, Ma H, Xiong Z, Ling Y, Zhao C.To investigate the genetic diversity of Chinese indigenous horses and determine the genetic status of extant horse breeds, novel Y chromosomal microsatellite markers and known Y chromosomal SNPs and mtDNA loop sequences, were employed to study the genetic diversity levels of 13 Chinese indigenous horse populations and four introduced breeds. Sixteen Y-chromosomal microsatellite markers, including seven newly identified loci, were used in the genotyping. The results showed that 4 out of the 16 loci were highly polymorphic in Chinese indigenous horse populations, in which the polymorphisms of 3 ...
Pharmacokinetics and bioavailability of tildipirosin following intravenous and subcutaneous administration in horses.
Journal of veterinary pharmacology and therapeutics    February 20, 2021   Volume 44, Issue 4 544-551 doi: 10.1111/jvp.12958
Abu-Basha EA, Bani Ismail Z, Ababneh MM, Hamzeh E, Gehring R.This study was designed to investigate the safety and pharmacokinetic (PK) profile of tildipirosin in horses after intravenous (i.v.) and subcutaneous (s.c.) injection of a single dose at 4 mg/kg of body weight (b.w.). A total of 12 healthy mixed breed horses were used in the study. Horses were monitored for systemic and local adverse effects, and whole blood samples were collected for hematology and plasma biochemistry analysis at time (0) and at 6, 24, and 72 h after drug administration. For PK analysis, blood samples were collected at pre-determined times before and after tildipirosin adm...
A Comparative Review of Autologous Conditioned Serum and Autologous Protein Solution for Treatment of Osteoarthritis in Horses.
Frontiers in veterinary science    February 19, 2021   Volume 8 602978 doi: 10.3389/fvets.2021.602978
Camargo Garbin L, Morris MJ.Many alternative treatments aimed at modulating osteoarthritis (OA) progression have been developed in the past decades, including the use of cytokine inhibitors. IL-1β is considered one of the most impactful cytokines in OA disease and therefore, its blockage offers a promising approach for the modulation of OA. Interleukin-1 receptor antagonist (IL-1Ra) is a naturally occurring anti-inflammatory protein belonging to the IL-1 family that competes with IL-1β for occupancy of its receptors, without triggering the same downstream inflammatory response. Because of its natural anti-inflammatory ...
B-Scan Biometry and Color Doppler Ultrasound Imaging of the Eye in Clinically Normal Donkeys (Equus asinus): Effect of Laterality, Maturity and Gender.
Journal of equine veterinary science    February 19, 2021   Volume 101 103419 doi: 10.1016/j.jevs.2021.103419
Wafy MN, Hassan EA, El-Maaty AMA, Abu-Seida AM.Despite the extensive research on ocular ultrasonography, there is paucity of information regarding ocular biometry and color Doppler imaging of the donkey's eye. This study establishes B-scan ocular biometry and color Doppler ultrasonographic reference values in normal donkeys and describes effect of laterality, maturity and gender on ocular biometry and vasculature. Forty (80 eyes) clinically normal immature and mature donkeys of both sexes were included. Transpalpebral ocular ultrasonography was made using a 12-MHz linear transducer. Biometric ocular measurements were made including the ant...
Equine simplified acute physiology score: Personalised medicine for the equine emergency patient.
The Veterinary record    February 19, 2021   Volume 189, Issue 5 e136 doi: 10.1002/vetr.136
de Barros AMC, Silva AFR, Zibordi M, Spagnolo JD, Corrêa RR, Belli CB, de Camargo MM.Scoring models are useful tools that guide the attending clinician in gauging the severity of disease evolution and in evaluating the efficacy of treatment. There are few tools available with this purpose for the non-human patient, including horses. We aimed (i) to adapt the simplified acute physiology score 3 (SAPS-3) model for the equine species, reaching a margin of accuracy greater than 75% in the calculation of the probability of survival/death and (ii) to build a decision tree that helps the attending veterinarian in assessment of the clinical evolution of the equine patient. Methods: Fr...
Transcriptome study underling difference of milk yield during peak lactation of Kazakh horse.
Journal of equine veterinary science    February 19, 2021   Volume 102 103424 doi: 10.1016/j.jevs.2021.103424
Yu X, Fang C, Liu L, Zhao X, Liu W, Cao H, Lv S.This study was designed to provide a basis for further understanding of the mechanism of lactation based on mRNA expression differences in milk fat between different milk yields in Kazakh horses. Total RNA was extracted from the milk fat during the peak of lactation period. A total of 310 differentially expressed genes (DEGs) were identified by comparative transcriptome analysis of the high-yield and low-yield group. These DEGs regulate lactation by participated in AMPK signaling pathway, FoxO signaling pathway, ErbB signaling pathway, VEGF signaling pathway. In addition, we performed quantita...
An Accurate Image Analysis Method for Estimating Body Measurements in Horses.
Journal of equine veterinary science    February 19, 2021   Volume 101 103418 doi: 10.1016/j.jevs.2021.103418
Freitag GP, de Lima LGF, Jacomini JA, Kozicki LE, Ribeiro LB.This study proposes a standardized image analysis method for assessing horse conformation. A total of 34 adult American Quarter Horses (mean age = 6.7 ± 2.9 years, body weight = 489 ± 44 kg) were used. Reference angular measurements were performed using a digital goniometer, and reference linear measurements were determined using a standard measuring tape. For image analysis, photographs from the animal's left profile were taken at a distance of 3 m using eight markers to facilitate visualization. Images were processed using ImageJ software. Reference and estimated values showed great ac...
Ethanol-Soluble Carbohydrates of Cool-Season Grasses: Prediction of Concentration by Near-Infrared Reflectance Spectroscopy (NIRS) and Evaluation of Effects of Cultivar and Management.
Journal of equine veterinary science    February 19, 2021   Volume 101 103421 doi: 10.1016/j.jevs.2021.103421
Kramer KJ, Kagan IA, Lawrence LM, Smith SR.Ethanol-soluble carbohydrates (ESCs) of cool-season grasses include mono- and disaccharides and sometimes short-chain fructans, which may exacerbate the risk of pasture-associated laminitis. A calibration for prediction of ESC concentrations by near-infrared reflectance spectroscopy (NIRS) was developed from 323 samples of four cool-season grass species (orchardgrass, Kentucky bluegrass, tall fescue, and perennial ryegrass) across 10 cultivars collected in central Kentucky in the morning and afternoon over two growing seasons. The calibration, which had accuracy above 95%, was used to predict ...
Balloon catheter occlusion of the maxillary, internal, and external carotid arteries in standing horses.
Veterinary surgery : VS    February 19, 2021   Volume 50, Issue 3 546-555 doi: 10.1111/vsu.13580
Genton M, Farfan M, Tesson C, Laclaire AL, Rossignol F, Mespoulhes-Rivière C.To assess the feasibility of balloon catheter occlusion of the internal carotid artery (ICA), external carotid artery (ECA), and maxillary artery (MA) in standing horses. Methods: Experimental and clinical cases series. Methods: Eight healthy horses (phase 1) and 11 clinical cases (phase 2). Methods: Occlusions were performed on standing horses under sedation and local anesthesia. In phase 1, four horses underwent bilateral ICA balloon catheter occlusion, and four horses underwent balloon catheter occlusion of the ECA and MA. In phase 2, horses were treated by occlusion of ICA (n = 7), ECA (n ...
Nonlinear Models to Describe the Testicular Size Growth Curve of Mangalarga Marchador Stallions.
Journal of equine veterinary science    February 19, 2021   Volume 102 103422 doi: 10.1016/j.jevs.2021.103422
Silva DEC, Penitente-Filho JM, Souza Netto DL, Waddington B, de Oliveira RR, Guimarães JD.This study aimed to describe the testicular growth curve in Mangalarga Marchador stallions fitting nonlinear models to data of total scrotal width (TSW) and testicular volume (TV). A cross-sectional study was conducted with 120 stallions, aging from 1.75 to 21.93 years. The parameters of nonlinear models (Brody, Gompertz, Hill, Logistic I and II, Meloun I and II, Michaelis-Menten, Mitscherlich, and von-Bertalanffy) were estimated by Gauss-Newton iterative process. Goodness of fit was evaluated by the corrected Akaike (AICc) and Bayesian (BIC) information criteria, adjusted R, error sum of squa...
Corrigendum to “Antimicrobial-Resistant Enterococcus faecium and Enterococcus faecalis Isolated From Healthy Thoroughbred Racehorses in Japan” [Journal of Equine Veterinary Science 94 (2020) 103232].
Journal of equine veterinary science    February 19, 2021   Volume 99 103391 doi: 10.1016/j.jevs.2021.103391
Sukmawinata E, Sato W, Uemura R, Kanda T, Kusano K, Kambayashi Y, Sato T, Ishikawa Y, Toya R, Sueyoshi M.No abstract available
The Safety and Efficacy in Horses of Certain Nutraceuticals that Claim to Have Health Benefits.
The Veterinary clinics of North America. Equine practice    February 19, 2021   Volume 37, Issue 1 207-222 doi: 10.1016/j.cveq.2020.11.002
Vervuert I, Stratton-Phelps M.Equine nutraceuticals are promoted as useful therapies to help optimize health and athletic performance, often without the benefit of independent research to support product efficacy and safety. This review focuses on 4 main categories of equine supplements that are frequently used as nutraceuticals: (i) supplements to support metabolic health, (ii) gastric support products, (iii) common ingredients that are included in supplements designed to support hoof health, and (iv) supplements to support joint health.
Incidence, recurrence, and outcome of postrace atrial fibrillation in Thoroughbred horses.
Journal of veterinary internal medicine    February 19, 2021   Volume 35, Issue 2 1111-1120 doi: 10.1111/jvim.16063
Nath LC, Elliott AD, Weir J, Curl P, Rosanowski SM, Franklin S.Atrial fibrillation (AF) impacts performance and horse and jockey safety. Understanding the outcomes of AF identified postrace will better inform regulatory policy. Objective: To investigate the outcomes after episodes of AF identified postrace and determine whether affected horses are at increased risk of additional episodes compared to the general racing population. Methods: Total of 4684 Thoroughbred racehorses. Methods: Race records for Thoroughbred horses racing in Hong Kong from 2007 to 2017 were reviewed. Horses that performed below expectation were examined by cardiac auscultation and ...
Fibrinogen heterogeneity in horses.
Journal of veterinary internal medicine    February 19, 2021   Volume 35, Issue 2 1131-1139 doi: 10.1111/jvim.16065
Russell EB, Courtman NF, Santos LL, Tennent-Brown BS.Fibrinogen heterogeneity has been observed in humans and can influence fibrinogen measurements when using the modified Clauss assay. We hypothesized that fibrinogen heterogeneity also exists in horses. Objective: To determine whether fibrinogen heterogeneity exists in horses. Methods: Five clinically healthy horses from the university equine teaching herd. Methods: Presumed fibrinogen was purified from pooled citrated plasma and electrophoresis performed. The purified protein was subjected to Western blotting using sheep antiserum against human fibrinogen, and liquid chromatography-tandem ma...
Polyaxial pedicle screw external fixation to stabilize oblique mandibular fractures in three standing, sedated horses.
Veterinary surgery : VS    February 19, 2021   Volume 50, Issue 3 659-667 doi: 10.1111/vsu.13587
Nelson BB, Easley J, Steward SKT, Smanik LE, Koch DW, Rawlinson JE, Easley JT.To report the radiographic, surgical and postoperative features in horses with unstable oblique mandibular fractures secured with polyaxial pedicle screws (PPS) external fixation construct and intraoral wiring. Methods: Three client-owned horses. Methods: Short case series. Methods: Two horses each had a unilateral fracture, which did not improve after conservative management, and one horse had bilateral fractures. Clinical and radiographic features were documented. Polyaxial pedicle screw external fixators and intraoral tension band wiring were applied in standing horses after combining sedat...
Fluid Analysis in the Equine Patient: Cerebrospinal, Synovial, and Peritoneal Fluids.
The Veterinary clinics of North America. Equine practice    February 19, 2021   S0749-0739(21)00002-X doi: 10.1016/j.cveq.2021.01.002
Conrado FO, Beatty SSK.Fluid analysis is an important part of the diagnostic work-up of equine patients presenting with disorders of the nervous system, musculoskeletal system, and abdominal cavity. Proper specimen handling and processing are paramount for complete and accurate interpretation of fluid samples. Normal cerebrospinal fluid is a low-cellularity, low-protein fluid requiring specific sample handling to ensure accurate results. Joint and abdominal fluid analyses are completed in practice or submitted for analysis to a reference laboratory. This article discusses fluid sample handling and processing conside...
Markers of muscle atrophy and impact of treatment with pergolide in horses with pituitary pars intermedia dysfunction and muscle atrophy.
Domestic animal endocrinology    February 18, 2021   Volume 76 106620 doi: 10.1016/j.domaniend.2021.106620
Banse HE, Whitehead AE, McFarlane D, Chelikani PK.Pituitary pars intermedia dysfunction (PPID) is a common endocrine disorder of aged horses, with muscle atrophy as one of the clinical signs. We sought to compare muscle mass and regulation of skeletal muscle proteolysis between horses with PPID and muscle atrophy to older horses without PPID, and to assess the impact of treatment with pergolide (dopaminergic agonist) on PPID horses. We hypothesized that PPID-associated muscle atrophy is a result of increased proteolysis, and that markers of muscle atrophy and proteolysis would improve over time with pergolide treatment. Markers of muscle atro...