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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.
Circadian and Circannual Regulation in the Horse: Internal Timing in an Elite Athlete.
Journal of equine veterinary science    March 7, 2019   Volume 76 14-24 doi: 10.1016/j.jevs.2019.02.026
Murphy BA.Biological rhythms evolved to provide temporal coordination across all tissues and organs and allow synchronization of physiology with predictable environmental cycles. Most important of these are circadian and circannual rhythms, primarily regulated via photoperiod signals from the retina. Understanding the nature of physiological rhythms in horses is crucially important for equine management. Predominantly, they have been removed from exposure to their natural environmental stimuli; the seasonally changing photoperiod, continuous foraging and feeding activity, social herd interactions, and t...
Equine Assisted Therapy for Patients with Post Traumatic Stress Disorder: A Case Series Study.
Military medicine    March 7, 2019   Volume 184, Issue 9-10 394-399 doi: 10.1093/milmed/usz036
Shelef A, Brafman D, Rosing T, Weizman A, Stryjer R, Barak Y.Equine assisted therapy (EAT) which includes therapeutic horseback riding (THR), grooming, horsemanship and ground level work with horses, has been studied as treatment for children with special needs and/or autistic spectrum disorder. Preliminary evidence indicates that EAT is also effective for improving self-efficacy and self-esteem in adults with psychiatric disorders. Empowerment, bonding and building trust with the horses, may promote functioning of patients struggling with post traumatic stress disorder (PTSD).The authors performed a prospective, pilot open case series study to assess t...
A Standing Percutaneous Technique for Proximal Interphalangeal Joint Arthrodesis in Twelve Horses (2014-2017).
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    March 7, 2019   Volume 32, Issue 2 165-170 doi: 10.1055/s-0039-1677747
Heaton K, Farnsworth KD, Souza CRS, Jones ARE. This report describes the use of a minimally invasive standing pastern arthrodesis technique for the treatment of osteoarthritis in horses and documents its clinical outcome in 12 horses. Methods:  Medical records and radiographs of horses diagnosed with proximal interphalangeal joint osteoarthritis that underwent standing pastern arthrodesis using transarticular screws were reviewed. Follow-up information for determination of outcome was obtained via phone interview with the owners. Results:  Twelve horses (15 limbs) were included in the study. Radiographical findings revealed severe o...
The Use of Infrared Thermography (IRT) as Stress Indicator in Horses Trained for Endurance: A Pilot Study.
Animals : an open access journal from MDPI    March 7, 2019   Volume 9, Issue 3 84 doi: 10.3390/ani9030084
Redaelli V, Luzi F, Mazzola S, Bariffi GD, Zappaterra M, Nanni Costa L, Padalino B.The aim of this pilot study was to document the effects of endurance training at different intensities on heart rate (HR), blood count, serum cortisol, and maximal temperatures of different body locations, namely eye, crown, pastern pasterns, and muscle (, measured by infrared thermography technique (IRT) in horses trained for endurance. Possible associations among the studied parameters were also investigated. Our hypothesis was that temperature, measured by IRT after endurance training of different intensities would vary depending on the intensity and would be positively correlated with HR...
Problem of Pin Breakage in Equine Transfixation Pin Casting: Biomechanical Ex Vivo Testing of Four Different Pins.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    March 7, 2019   Volume 32, Issue 3 222-233 doi: 10.1055/s-0039-1678734
Keller SA, Valet S, Martens A, Weisse B, Fürst AE, Kümmerle JM. The aim of this study was to evaluate cyclic fatigue behaviour of a new pin with a thread run-out design in comparison with three other types of pins commonly used for equine transfixation pin casting. Methods:  Twenty-four pairs of equine cadaveric third metacarpal bones (MC3) equipped with one transfixation pin placed horizontally in the distal metaphysis were tested using a simplified model, mimicking the biomechanical situation of equine transfixation pin casting. A 6.3/8.0-mm Imex Duraface pin with thread run-out design (ITROP) was compared with a 6.1-mm smooth Steinmann pin (SSP), a...
Pathology in Practice.
Journal of the American Veterinary Medical Association    March 6, 2019   Volume 254, Issue 6 681-683 doi: 10.2460/javma.254.6.681
Pfisterer BR, Corps KN, Jennings SH.No abstract available
Determination of Salivary Cortisol in Donkey Stallions.
Journal of equine veterinary science    March 6, 2019   Volume 77 68-71 doi: 10.1016/j.jevs.2019.02.027
Bonelli F, Rota A, Aurich C, Ille N, Camillo F, Panzani D, Sgorbini M.Salivary cortisol provides information about free plasma cortisol concentration, and salivary sampling is a noninvasive well-tolerated procedure. The aim of this study was to validate a commercial enzyme immunoassay for the determination of salivary cortisol in donkeys. Saliva samples were collected in four donkey stallions on 13 nonconsecutive days at 8:30 AM to avoid circadian variation. Animals were already accustomed to be handled. Saliva was collected using a swab inserted at the angle of the lips, placed onto the tongue for 1 minute and returned into a polypropylene tube. Tubes were cen...
Evaluation of pulse co-oximetry to determine haemoglobin saturation with oxygen and haemoglobin concentration in anaesthetized horses: a retrospective study.
Veterinary anaesthesia and analgesia    March 6, 2019   Volume 46, Issue 4 452-457 doi: 10.1016/j.vaa.2019.02.005
Zoff A, Dugdale AHA, Scarabelli S, Rioja E.This study compared the values of variables measured by pulse co-oximetry (Masimo Radical 7; Masimo Europe Limited, UK) with those measured by a co-oximeter-enabled blood gas analyser (Siemens Rapid-point 500; Siemens Healthcare Limited, UK) in anaesthetized horses. Methods: Retrospective study. Methods: A total of 30 anaesthetized horses. Methods: In total, 47 heparinized arterial blood samples were collected for blood gas analysis to determine haemoglobin concentration (tHb, g L) and percentage of haemoglobin saturation with oxygen (SaO). Arterial haemoglobin saturation with oxygen was deter...
Biocompatible Three-Dimensional Printed Thermoplastic Scaffold for Osteoblast Differentiation of Equine Induced Pluripotent Stem Cells.
Tissue engineering. Part C, Methods    March 6, 2019   Volume 25, Issue 5 253-261 doi: 10.1089/ten.TEC.2018.0343
Baird A, Dominguez Falcon N, Saeed A, Guest DJ.Horses, like humans, can experience bone fractures and due to their large size and the need to bear weight on all limbs during the recovery period, they can be difficult to treat. Surgical techniques to improve fracture repair are improving, but to date, regenerative medicine technologies to aid fracture healing are not commonly applied in horses. We have previously demonstrated that equine induced pluripotent stem cells (iPSCs) can be differentiated into bone forming osteoblasts in 2D culture. In this study, we report on the use of a thermoplastic, 3D-printed polymer to provide a scaffold for...
First Report of Acute Bilateral Hyphema in a Theileria equi-Infected Kathiawari Horse.
Journal of equine veterinary science    March 6, 2019   Volume 77 72-74 doi: 10.1016/j.jevs.2019.02.021
Prasad A, Kumar V, Kumar B.Theileria equi is a tickborne hemoparasite that can cause severe illness in equids. In this report, we are describing a condition of acute bilateral hyphema in a 4-month-old Kathiawari filly infected with T. equi. The horse showed clinical signs such as fever, lethargy, icterus, tachycardia, tachypnea, and bilateral hyphema. Laboratory diagnosis revealed anemia and thrombocytopenia. Atypical clinical manifestation of bilateral hyphema, to our knowledge, has never been reported so far in equids infected with T. equi. The diagnosis was confirmed by microscopic examination of Geimsa-stained blo...
Viability of Equine Chondrocytes After Exposure to Mepivacaine and Ropivacaine In Vitro.
Journal of equine veterinary science    March 6, 2019   Volume 77 80-85 doi: 10.1016/j.jevs.2019.02.019
Silva GB, De La Côrte FD, Brass KE, Palma HE, Gallio M, Cantarelli C, Bertolin K, Krause A, Wergutz J, Fontanari Krause LM, Antoniazzi AQ.Chondrocyte health is altered when exposed to local anesthetics, raising concerns as to the long-term effects of local anesthetics intra-articularly for diagnosis and analgesia. To investigate the drug with the lowest toxic potential, the effect of ropivacaine and mepivacaine on chondrocytes was evaluated. Articular cartilage from normal metacarpophalangeal joints of five equine cadaver specimens was used to establish chondrocyte cultures. Following seven days, chondrocytes were exposed to standard culture medium (DMEM), ropivacaine 7.5 mg/ml (ROP7.5), ropivacaine 10 mg/ml (ROP10), mepivacaine...
Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses.
BMC veterinary research    March 6, 2019   Volume 15, Issue 1 78 doi: 10.1186/s12917-019-1829-5
Kamus L, Rameau M, Theoret C.Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised functional and aesthetic outcomes. To date, there is no conventional method objectively proven to accelerate healing or to successfully prevent complications associated with second intention healing. Several effects of Negative Pressure Wound Therapy (NPWT) may be particularly useful to the management of wounds in horses. ...
Colic Prevention to Avoid Colic Surgery: A Surgeon’s Perspective.
Journal of equine veterinary science    March 6, 2019   Volume 76 1-5 doi: 10.1016/j.jevs.2019.02.023
Blikslager AT.Management factors associated with colic, particularly related to stall confinement and nutrition, have been linked to alterations in gastrointestinal mucosal transport, motility, and microbiome, which in turn creates conditions that induce colic. In particular, meal feeding creates large changes in water movement in and out of the colon and alters the microbiome. These conditions may in turn result in colic conditions such as large colon impaction or large colon volvulus. In addition, a range of management and nutritional factors have been found to place horses at risk of select colic conditi...
Utility of examining fallen stock data to monitor health-related events in equids: Application to an outbreak of West Nile Virus in France in 2015.
Transboundary and emerging diseases    March 6, 2019   Volume 66, Issue 3 1417-1419 doi: 10.1111/tbed.13150
Cazeau G, Leblond A, Sala C, Froustey M, Beck C, Lecollinet S, Tapprest J.Few studies about the use of quantitative equine mortality data for monitoring purposes are available. Our study evaluated the utility of monitoring emerging equine diseases using mortality data collected by rendering plants. We used approaches involving modelling of historical mortality fluctuations and detection algorithm methods to analyse changes in equine mortality in connection with the West Nile Virus (WNV) outbreak that occurred between July and September 2015 along the Mediterranean coast of France. Two weeks after the first equine WNV case was detected by clinical surveillance, detec...
The Effect of Autologous Protein Solution on the Inflammatory Cascade in Stimulated Equine Chondrocytes.
Frontiers in veterinary science    March 6, 2019   Volume 6 64 doi: 10.3389/fvets.2019.00064
Linardi RL, Dodson ME, Moss KL, King WJ, Ortved KF.Cartilage injury occurs commonly in equine athletes, often precipitating posttraumatic osteoarthritis (PTOA). Orthobiologics such as autologous conditioned serum (ACS) and autologous protein solution (APS) may be useful in decreasing posttraumatic inflammation, thereby preventing PTOA. The objective of this study was to quantify cytokine concentrations in ACS and APS and evaluate the protective effects of ACS and APS on inflamed chondrocytes cultured . We hypothesized that the combination of platelet-derived growth factors (PDGF) and anti-inflammatory cytokines present in APS would be superior...
Effect of circadian rhythm, age, training and acute lameness on serum concentrations of cartilage oligomeric matrix protein (COMP) neo-epitope in horses.
Equine veterinary journal    March 6, 2019   Volume 51, Issue 5 674-680 doi: 10.1111/evj.13082
Ekman S, Lindahl A, Rüetschi U, Jansson A, Björkman K, Abrahamsson-Aurell K, Björnsdóttir S, Löfgren M, Hultén LM, Skiöldebrand E.Molecular serum markers that can identify early reversible osteoarthritis (OA) in horses are lacking. Objective: We studied serum concentrations of a novel cartilage oligomeric matrix protein (COMP) neo-epitope in horses subjected to short-term exercise and with acute lameness. The effects of circadian rhythm and age were also evaluated. Methods: Longitudinal studies in healthy horses and cross-sectional comparison of lame and non-lame horses. Methods: Sera were collected from five horses before and after short-term interval exercise and during full-day box rest. Sera from 32 acutely lame hors...
Palmar/plantar approach for radiographic-guided injection of the equine distal interphalangeal joint collateral ligament insertion.
The Veterinary record    March 6, 2019   Volume 184, Issue 17 527 doi: 10.1136/vr.105027
Kirkpatrick CJ, Ernst NS, Trumble TN.There are limited radiographic-guided injection techniques of the insertion of the distal interphalangeal joint (DIPJ) collateral ligaments. The objective of this study was to develop and evaluate a palmar/plantar radiographic-guided injection of the collateral ligament insertion in cadavers. Fifty limbs were used to develop the technique and 24 additional limbs were used to evaluate accuracy. An 18 G, 9 cm spinal needle was placed in the depression between the palmar digital neurovascular bundle and arch of the ungular cartilage with dorsodistal advancement towards the distal phalanx collat...
Seasonal variation in equine follicular fluid proteome.
Reproductive biology and endocrinology : RB&E    March 6, 2019   Volume 17, Issue 1 29 doi: 10.1186/s12958-019-0473-z
Dutra GA, Ishak GM, Pechanova O, Pechan T, Peterson DG, Jacob JCF, Willard ST, Ryan PL, Gastal EL, Feugang JM.Proteomic studies of follicular fluid (FF) exist for several species, including the horse; however, the seasonal influence on FF proteome has not been explored in livestock. The application of high-throughput proteomics of FF in horse has the potential to identify seasonal variations of proteins involved in follicle and oocyte growth. Methods: This study (i) profiles the proteomes of equine FF collected from dominant growing follicles during the spring anovulatory season (SAN), and spring (SOV), summer (SUM), and fall (FOV) ovulatory seasons; and (ii) identifies season-dependent regulatory net...
Effect of Cobalt Chloride on Fermentation of Alfalfa and Smooth Bromegrass Hays by Horse Cecal Microorganisms.
Journal of equine veterinary science    March 6, 2019   Volume 77 75-79 doi: 10.1016/j.jevs.2019.02.020
Fehlberg LK, Lattimer JM, Drouillard JS, Douthit TL.Effects of Co on fiber digestibility in horses are largely unknown. Our objective was to evaluate effects of Co chloride on in vitro gas production, VFA production, and dry matter (DM) disappearance (IVDMD) using cecal fluid from 4 cannulated Quarter Horses. Five grams DM of alfalfa or smooth bromegrass hay were provided as substrate with Co added at 0.0, 0.5, 5.0, 25.0, or 50.0 mg/kg substrate DM. Ten milliliters cecal fluid and 140 mL McDougall's buffer were incubated in duplicate, and pH, VFA concentrations, and IVDMD were measured after 48 hours. Gas production, used as an indicator of...
Artifact Induced by a Transponder During In Vivo Magnetic Resonance Imaging on Horse Brain.
Journal of equine veterinary science    March 6, 2019   Volume 77 63-67 doi: 10.1016/j.jevs.2019.02.025
Ella A, Gomot G, Lévy I, Dominici C, Adriaensen H, Reigner F, Keller M, Guillaume D.Magnetic resonance imaging (MRI) is now widely used in equine veterinary practice. However, the mandatory European legislation regarding horse identification imposes the implantation of a transponder within the fatty tissue of the neck cervical ligament. While performing brain MRI for scientific purposes in ponies, we faced artifacts produced by such transponder and reported here this problem. Indeed, pony mares were anesthetized for 2 hours and placed, bedded on their back, in a 3T MRI scanner. A four-element flexible antenna positioned around the head was used. Three MRI sequences were perfo...
Use of Intravitreal Injection of Gentamicin in 71 Horses With Equine Recurrent Uveitis.
Journal of equine veterinary science    March 6, 2019   Volume 77 93-97 doi: 10.1016/j.jevs.2019.02.018
Launois T, González Hilarión LM, Barbe F, Leurquin C, Bihin B, Hontoir F, Dugdale A, Vandeweerd JM.We report a retrospective evaluation of intravitreal gentamicin (6 mg in 0.3 mL solution) injection in 71 horses with equine recurrent uveitis between 2010 and 2016. Aqueous flare and hyalitis were scored at the baseline in all horses, then at 15, 30, 60, 90, 180, 365, and 730 in 37, 46, 30, 25, 22, 18, and 11 horses, respectively. Forty-two animals had a global score of inflammation (sum of scores for aqueous flare and hyalitis) of zero at the last examination (number of re-examinations per horse ranged from 1 to 5). Among the 29 remaining horses, four were not reassessed after the interven...
Optimization of donkey sperm vitrification: Effect of sucrose, sperm concentration, volume and package (0.25 and 0.5 mL straws).
Animal reproduction science    March 5, 2019   Volume 204 31-38 doi: 10.1016/j.anireprosci.2019.03.002
Diaz-Jimenez M, Dorado J, Consuegra C, Ortiz I, Pereira B, Carrasco JJ, Gomez-Arrones V, Domingo A, Hidalgo M.The aim of this study was to assess the effect of different factors affecting vitrification success of donkey sperm: extender, sperm concentration, volume and storage vessel type. In Experiment 1, sucrose supplementations at 0.25 and 0.1 M were compared using two base extenders (containing or not egg-yolk); in Experiment 2, three sperm concentrations were assessed: 100, 200 or 300 million sperm/mL; and in Experiment 3, three different sperm volumes (100, 160 and 200 μL) and two different storage vessels (0.25 and 0.5 mL straws) were assessed. Sperm motility variables (CASA), plasma memb...
Associations between pre-injury racing history and tibial and humeral fractures in Australian Thoroughbred racehorses.
Veterinary journal (London, England : 1997)    March 5, 2019   Volume 247 44-49 doi: 10.1016/j.tvjl.2019.03.001
Whitton RC, Walmsley EA, Wong ASM, Shannon SM, Frazer EJ, Williams NJ, Guerow JF, Hitchens PL.Long bone fractures in racehorses may present as stress fractures which have a good prognosis, or complete fractures, which often result in a fatal outcome. In order to identify differences in modifiable management practices that may contribute to these outcomes, racing histories of horses with humeral or tibial fractures and of matched controls were examined. A retrospective case-control study of Australian Thoroughbred racehorses diagnosed with a fracture of the humerus or tibia by scintigraphy or at post-mortem between 2002 and 2016 was undertaken. Control horses were matched from the same ...
Welfare Quality of Breeding Horses Under Different Housing Conditions.
Animals : an open access journal from MDPI    March 5, 2019   Volume 9, Issue 3 doi: 10.3390/ani9030081
Popescu S, Lazar EA, Borda C, Niculae M, Sandru CD, Spinu M.This paper investigates the effect of different housing conditions on the welfare quality of breeding horses. Using a welfare protocol that included health and behavioral parameters, 330 stallions (kept in tie-stall housing) and 365 broodmares (kept in extensive, mostly free housing) were assessed. The horses were categorized into four welfare categories ("not classified", "acceptable", "enhanced" and "excellent"), according to an individual welfare score calculated for each horse. The prevalence of stallions with dyspnea, tendon and joint swellings, abnormal gait and abnormal hoof horn qualit...
The role of embryo contact and focal adhesions during maternal recognition of pregnancy.
PloS one    March 5, 2019   Volume 14, Issue 3 e0213322 doi: 10.1371/journal.pone.0213322
Klohonatz KM, Nulton LC, Hess AM, Bouma GJ, Bruemmer JE.Maternal recognition of pregnancy (MRP) in the mare is an unknown process. In a non-pregnant mare on day 14 post-ovulation (PO), prostaglandin F2α (PGF) is secreted by the endometrium causing regression of the corpus luteum. Prior to day 14, MRP must occur in order to attenuate secretion of PGF. The embryo is mobile throughout the uterus due to uterine contractions from day of entry to day 14. It is unknown what signaling is occurring. Literature stated that infusing oil or placing a glass marble into the equine uterus prolongs luteal lifespan and that in non-pregnant mares, serum exosomes co...
High-resolution population structure and runs of homozygosity reveal the genetic architecture of complex traits in the Lipizzan horse.
BMC genomics    March 5, 2019   Volume 20, Issue 1 174 doi: 10.1186/s12864-019-5564-x
Grilz-Seger G, Druml T, Neuditschko M, Dobretsberger M, Horna M, Brem G.The sample ascertainment bias due to complex population structures remains a major challenge in genome-wide investigations of complex traits. In this study we derived the high-resolution population structure and levels of autozygosity of 377 Lipizzan horses originating from five different European stud farms utilizing the SNP genotype information of the high density 700 k Affymetrix Axiom™ Equine genotyping array. Scanning the genome for overlapping runs of homozygosity (ROH) shared by more than 50% of horses, we identified homozygous regions (ROH islands) in order to investigate the gene ...
Bone marrow oedema-type signal in the proximal phalanx of Thoroughbred racehorses.
The Journal of veterinary medical science    March 4, 2019   Volume 81, Issue 4 593-597 doi: 10.1292/jvms.18-0530
Mizobe F, Nomura M, Ueno T, Yamada K.This study focused on 8 Thoroughbred racehorses showing bone marrow oedema-type signal in the proximal sagittal groove of the proximal phalanx, with the aim of understanding its clinical significance. Standing magnetic resonance imaging played an important role in assessing osseous abnormalities that were not radiographically identifiable. Further, a histopathological result from one of the cases showed there was oedema surrounding adipose tissues with increase in density of trabecular scaffolding. This may indicate presence of osseous injury within the area of decreased elasticity due to subc...
Modulation of TNF-α, IL-1Ra and IFN-γ in equine whole blood culture by glucocorticoids.
Veterinary immunology and immunopathology    March 4, 2019   Volume 210 1-5 doi: 10.1016/j.vetimm.2019.03.002
Rütten S, Schrödl W, Abraham G.Glucocorticoids are important drugs in the treatment of many inflammatory, autoimmune and allergic diseases in humans and animals. We investigated the effects of hydrocortisone and dexamethasone on TNF-α, IL-1Ra and INF-γ release in stimulated whole blood cell culture from healthy horses. Whole blood cell cultures proved to be useful for the characterization of the anti-inflammatory properties of new drugs. Diluted equine whole blood was exposed to lipopolysaccharide (LPS) and PCPwL (a cocktail consisting of phythemagglutinin E, concanavalin A, pokeweed mitogen and lipopolysaccharide) in the...
Longitudinal evaluation of immunological responses to allergen-specific immunotherapy in horses with IgE associated dermatological disease, a pilot study.
Veterinary dermatology    March 4, 2019   Volume 30, Issue 3 255-e78 doi: 10.1111/vde.12732
Radwanski NE, Morris DO, Boston RC, Cerundolo R, Lee KW.The long-term effects of allergen specific immunotherapy (ASIT) on concentrations of circulating immunoglobulin E (IgE) and immunoglobulin G (IgG) in horses have not been reported. Objective: To document changes in clinical severity of horses with atopic dermatitis (AD) and to monitor allergen-specific IgE and IgG concentrations during a two-year course of ASIT. Methods: Nineteen client-owned horses with a conditional diagnosis of AD. Methods: Three ASIT groups were randomly assigned based upon results obtained by either intradermal testing (IDT) for regional allergens (n = 7); enzyme-linked...
Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine.
Veterinary surgery : VS    March 4, 2019   Volume 48, Issue 5 786-794 doi: 10.1111/vsu.13184
Pye J, Espinosa-Mur P, Roca R, Kilcoyne I, Nieto J, Dechant J.To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Methods: Retrospective case series. Methods: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, d...