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Topic:Equine Medicine

Equine Medicine encompasses the study and application of medical practices specifically related to the health and well-being of horses. This field involves the diagnosis, treatment, and prevention of diseases and disorders affecting equine species. It covers a wide range of topics, including internal medicine, surgery, reproduction, and pharmacology. Research in equine medicine often focuses on understanding the physiological and pathological processes unique to horses, as well as developing effective therapeutic interventions. This page aggregates peer-reviewed research studies and scholarly articles that explore various aspects of equine medicine, providing insights into the latest advancements and methodologies in the care and management of horse health.
Rutin prevents EqHV-8 induced infection and oxidative stress via Nrf2/HO-1 signaling pathway.
Frontiers in cellular and infection microbiology    April 25, 2024   Volume 14 1386462 doi: 10.3389/fcimb.2024.1386462
Chen L, Li S, Li W, Yu Y, Sun Q, Chen W, Zhou H, Wang C, Li L, Xu M, Khan MZ, Li Y, Wang T.The Nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1) signaling pathway has been extensively studied for its role in regulating antioxidant and antiviral responses. The Equid herpesvirus type 8 (EqHV-8) poses a significant threat to the equine industry, primarily manifesting as respiratory disease, abortions, and neurological disorders in horses and donkeys. Oxidative stress is considered a key factor associated with pathogenesis of EqHV-8 infection. Unfortunately, there is currently a dearth of therapeutic interventions available for the effective control of EqHV-8. R...
Arterial Blood Supply of the Stifle Joint in Horses.
Animals : an open access journal from MDPI    April 24, 2024   Volume 14, Issue 9 1279 doi: 10.3390/ani14091279
Schöpper H, Egerbacher M.The vascularization pattern of the equine stifle joint is insufficiently described in the literature, even though there is a growing need for knowledge of the exact blood supply, as (i) arthroscopy and endoscopic surgery techniques are increasingly performed in horses and (ii) ex vivo models of menisci need nutrient supply that mimic the in vivo situation. The aim of this study was to describe the vessels involved in the stifle joint supply and the exact branching pattern of the popliteal artery. Colored latex was injected into the arteries of nine pelvic limbs of equine cadavers (n = 6) to ev...
Tumor necrosis factor-α is transferred to equine neonates via colostrum but is not associated with their health status.
Research in veterinary science    April 23, 2024   Volume 173 105273 doi: 10.1016/j.rvsc.2024.105273
Vaske A, Gautier C, Winter J, Aurich C.We followed the hypothesis that equine neonates with reduced transfer of tumor necrosis factor-α (TNFα) are at increased risk of neonatal infection. We investigated TNFα concentrations in colostrum of healthy mares and blood of their neonates in a non-hospitalized population of Warmblood mares where delivery, neonatal adaptation and health was closely monitored by veterinarians. Concentration of TNFα and IgG was determined in colostrum respective milk and in neonatal blood collected immediately after delivery and 18 h thereafter in 97 foals that were assigned to groups failure of passive ...
Measuring tissue oxygen saturation in the orad intestinal segment during equine colic surgery may aid in predicting the occurrence of postoperative ileus.
American journal of veterinary research    April 19, 2024   Volume 85, Issue 7 ajvr.23.12.0286 doi: 10.2460/ajvr.23.12.0286
Verhaar N, Grages AM, Sauer FJ, Geiger T, Reineking W, Hewicker-Trautwein M, Geburek F, Kästner SBR.To assess the histological injury and intestinal microperfusion measured by laser Doppler flowmetry and spectrophotometry (LDFS) of the small intestine orad to a strangulation during colic surgery. Methods: Horses with naturally occurring small intestinal strangulations undergoing colic surgery were included. Methods: In this prospective clinical trial, intestinal tissue oxygen saturation (tSO2) and tissue blood flow (tBF) were measured by LDFS orad to the strangulation following release of the strangulation (n = 18). The number of horses with postoperative reflux (POR) and the cases that surv...
Prevalence and risk factors of gastrointestinal helminths infection in Brazilian horses: A retrospective study of a 12-year (2008-2019) diagnostic data.
Research in veterinary science    April 18, 2024   Volume 173 105272 doi: 10.1016/j.rvsc.2024.105272
Molento MB, Pires LSA, Dall'Anese J, Yoshitani UY, Almeida T.Understanding gastrointestinal parasite distribution is crucial for effective control programs in horses. This study reports the prevalence of helminth infections in horses and selected risk factors (i.e., breed, age, climate, season) by analyzing 19,276 fecal samples from the Laboratory of Veterinary Clinical Parasitology, in Curitiba, Southern Brazil. The analyses were carried out from 2008 to 2019, coming from 153 stud farms located in 60 municipalities of nine Brazilian states. The parasite prevalence was 73.3%, with 72.1% present in the adult population and 80.6% in young horses. Strongyl...
Long-term performance of show-jumping horses and relationship with severity of ataxia and complications associated with myeloencephalopathy caused by equine herpes virus-1.
Journal of veterinary internal medicine    April 12, 2024   Volume 38, Issue 3 1799-1807 doi: 10.1111/jvim.17070
de la Cuesta-Torrado M, Velloso Alvarez A, Neira-Egea P, Cuervo-Arango J.Equine herpesvirus myeloencephalopathy (EHM) has severe impact on the sport horse population. Objective: Study the influence of EHM on the likelihood of affected horses to return to their previous performance and investigate the association of clinical variables with prognosis. Methods: Twenty-six horses positive for equine herpesvirus type 1 (EHV-1) were admitted to a veterinary teaching hospital (VTH) during a natural EHM outbreak at an international jumping event. Methods: Data collected from the VTH, the International Equestrian Federation, and surveys completed by the riders and horse own...
Comparison of veterinarians and a deep learning tool in the diagnosis of equine ophthalmic diseases.
Equine veterinary journal    April 3, 2024   doi: 10.1111/evj.14087
Scharre A, Scholler D, Gesell-May S, Müller T, Zablotski Y, Ertel W, May A.The aim was to compare ophthalmic diagnoses made by veterinarians to a deep learning (artificial intelligence) software tool which was developed to aid in the diagnosis of equine ophthalmic diseases. As equine ophthalmology is a very specialised field in equine medicine, the tool may be able to help in diagnosing equine ophthalmic emergencies such as uveitis. Methods: In silico tool development and assessment of diagnostic performance. Methods: A deep learning tool which was developed and trained for classification of equine ophthalmic diseases was tested with 40 photographs displaying various...
Horse populations are severely underestimated in a region at risk of Hendra virus spillover.
Australian veterinary journal    April 3, 2024   Volume 102, Issue 7 342-352 doi: 10.1111/avj.13331
Linnegar B, Kerlin DH, Eby P, Kemsley P, McCallum H, Peel AJ.To identify the size and distribution of the horse population in the Northern Rivers Region of NSW, including changes from 2007 to 2021, to better understand populations at risk of Hendra virus transmission. Methods: Census data from the 2007 Equine Influenza (EI) outbreak were compared with data collected annually by New South Wales Local Land Services (LLS) (2011-2021), and with field observations via road line transects (2021). Results: The horse populations reported to LLS in 2011 (3000 horses; 0.77 horses/km) was 145% larger than that reported during the EI outbreak in 2007 (1225 horses; ...
First confirmed case of equine pythiosis in Northern Veracruz, Mexico.
Acta tropica    March 27, 2024   Volume 254 107195 doi: 10.1016/j.actatropica.2024.107195
Chagoya-Fuentes JL, Gaona-López J, Hernández-Carbajal GR, Torres-Guerrero H, Lammoglia-Villagómez MA, Huerta-Peña J, Pérez-Brígido CD....A clinical case of an adult horse with invasive, ulcerative, proliferative, pyogranulomatous disease of the skin (tumor) in the shoulder region is presented. The mass had a granulomatous and crater-shaped appearance, with serosanguinous discharge and the presence of fistulas with caseous material. The tumor was removed by surgery and sent to the laboratory for diagnosis. Histopathology was performed using Grocott-Gomori methenamine silver stain. The presence of necrotic material, fibrosis, infiltrated cells, and brown-colored hyphae, characteristic of members of the genus Pythium, were observe...
Endogenous nature of estra-4,9-diene-3,17-dione in entire male horses.
Drug testing and analysis    March 26, 2024   Volume 17, Issue 1 75-87 doi: 10.1002/dta.3685
Ho HSM, Ho ENM, Wong WT.Estra-4,9-diene-3,17-dione (dienedione) is an anabolic androgenic steroid (AAS) sold as a bodybuilding supplement. It is prohibited in both human and equine sports. With no report of 4,9-diene configuration in endogenous steroids, dienedione has long been considered a synthetic AAS. Nevertheless, the reoccurring detection of dienedione in colt (entire male horse) urine samples lead to the investigation of its possible endogenous nature in horses. This paper describes (i) the detection of naturally occurring dienedione in colts, (ii) the conjugation study of dienedione and (iii) the population ...
Training of Veterinary Students in Trans Rectal Palpation of Equids: A Comparison of Live Versus Cadaver Models.
Journal of veterinary medical education    March 25, 2024   Volume 51, Issue 2 240-247 doi: 10.3138/jvme-2023-0010
Vázquez Bringas FJ, Porcar LB, Franco SF, Martinez CM, Lasheras AR, Moraiz AV.Transrectal palpation (TP) is a basic skill in equine practice. Traditional TP learning methods include instructor-assisted TP in live animals, but this approach presents animal welfare concerns, especially when it needs to be used with large numbers of students. The main objective of this study is to compare two learning methods of TP: traditional methodology with live horses (LH) and alternative methodology using a cadaver with its flanks dissected (CDV). Twenty students with no previous equine TP experience were randomly assigned to two groups: LH ( = 10) and CDV ( = 10). Both groups receiv...
Putting the cart before the horse: mixed-methods participatory investigation of working equid harnessing practices in three selected towns of the Oromia national regional state in Ethiopia.
BMC veterinary research    March 22, 2024   Volume 20, Issue 1 113 doi: 10.1186/s12917-024-03967-3
Merridale-Punter MS, Elias B, Wodajo AL, El-Hage CM, Zewdu H, Tesfaye R, Hailegebreal G, Sori T, Wiethoelter AK, Hitchens PL.Millions of working equids provide socio-economic support for many low-income communities worldwide. With the prevalence of harness-related wounds reported as higher than 60%, this study aims to describe the equipment used by working equids in three locations of the Ethiopian national regional state of Oromia (Fiche, Bishoftu and Shashamene), and the attitudes and practices of equid owners, users and harness makers regarding work equipment. This mixed-methods study consists of cross-sectional surveying of working equids used for taxi or transport of goods or water, as well as cart-driver quest...
Isotopic biographies reveal horse rearing and trading networks in medieval London.
Science advances    March 22, 2024   Volume 10, Issue 12 eadj5782 doi: 10.1126/sciadv.adj5782
Pryor AJE, Ameen C, Liddiard R, Baker G, Kanne KS, Milton JA, Standish CD, Hambach B, Orlando L, Chauvey L, Schiavinato S, Calvière-Tonasso L....This paper reports a high-resolution isotopic study of medieval horse mobility, revealing their origins and in-life mobility both regionally and internationally. The animals were found in an unusual horse cemetery site found within the City of Westminster, London, England. Enamel strontium, oxygen, and carbon isotope analysis of 15 individuals provides information about likely place of birth, diet, and mobility during the first approximately 5 years of life. Results show that at least seven horses originated outside of Britain in relatively cold climates, potentially in Scandinavia or the West...
Cushing’s treatment for horses.
The Veterinary record    March 15, 2024   Volume 194, Issue 6 219 doi: 10.1002/vetr.4066
No abstract available
‘First, do no harm’: systematic program evaluation of an equine veterinary service-learning initiative with Indigenous communities in Canada.
BMC medical education    March 14, 2024   Volume 24, Issue 1 287 doi: 10.1186/s12909-024-05234-3
Tan JY, Pratt YP, Danyluk P.Veterinary students have historically lacked meaningful experiential learning opportunities in equine medicine. At the same time, there are barriers to accessing veterinary care in Indigenous communities stemming from colonial injustices. In 2018-2019, a partnership was initiated where University of Calgary students began to provide equine veterinary services to Indigenous communities. As the first-documented equine veterinary service-learning initiative in Indigenous communities embedded in a veterinary curriculum, the purpose of the study is to systematically evaluate the program for its pot...
Evaluation of remote assistance for point-of-care ultrasonography in a large animal hospital: a controlled randomized trial.
Journal of the American Veterinary Medical Association    March 7, 2024   Volume 262, Issue 5 680-684 doi: 10.2460/javma.23.09.0511
Leduc L, Underwood C, Stefanovski D, Hurcombe S, Navas de Solis C.To assess whether remote assistance is beneficial to the accuracy of point-of-care ultrasound (POCUS) examinations during equine emergency evaluations. Methods: Adult horses presenting to a tertiary care large animal emergency service for respiratory or gastrointestinal clinical signs. Methods: Prospective, randomized, controlled, clinical study. Cases were assigned to receive POCUS with remote assistance ("POCUS-R" group) or POCUS with no assistance ("POCUS" group). Accuracy of diagnosis, duration of sonograms and survival to discharge were the objective outcomes compared between groups. Perc...
Modulation of Equid Herpesvirus-1 Replication Dynamics In Vitro Using CRISPR/Cas9-Assisted Genome Editing.
Viruses    March 6, 2024   Volume 16, Issue 3 409 doi: 10.3390/v16030409
Hassanien RT, Thieulent CJ, Carossino M, Li G, Balasuriya UBR.(1) Background: equid alphaherpesvirus-1 (EHV-1) is a highly contagious viral pathogen prevalent in most horse populations worldwide. Genome-editing technologies such as CRISPR/Cas9 have become powerful tools for precise RNA-guided genome modifications; (2) Methods: we designed single guide RNAs (sgRNA) to target three essential (ORF30, ORF31, and ORF7) and one non-essential (ORF74) EHV-1 genes and determine their effect on viral replication dynamics ; (3) Results: we demonstrated that sgRNAs targeting essential lytic genes reduced EHV-1 replication, whereas those targeting ORF74 had a negligi...
The impact of skin preparation method on electrocardiogram quality in horses.
The Canadian veterinary journal = La revue veterinaire canadienne    March 4, 2024   Volume 65, Issue 3 245-249 
McCrae P, Spong H, Mahnam A, Bashura Y, Pearson W.Several skin preparation techniques are used in electrocardiogram (ECG) monitoring of horses. The objective of this study was to determine which methods produce the greatest signal quality using textile electrodes and standard silver/silver chloride (Ag/AgCl) electrodes. Electrocardiogram data were collected using textile and Ag/AgCl electrodes simultaneously for 4 skin preparation techniques in 6 horses. The effects of skin preparation (cleansing with isopropyl alcohol, with or without shaving the hair) and the effects of the application of a conductive gel were assessed using metrics of sign...
Review of skin grafting in equine wounds: indications and techniques.
Equine veterinary education    February 28, 2024   Volume 36, Issue 9 484-493 doi: 10.1111/eve.13964
Williams ZJ, Pezzanite LM, Hendrickson DA.Skin grafting is a simple technique that can be performed by equine practitioners to improve cosmetic outcomes in wounds with large skin defects that would not heal functionally or cosmetically with standard wound therapy interventions. Successful skin grafting is not difficult but relies upon appropriate preparation of the wound bed and effective immobilisation of the grafted area after skin graft placement. Prior to grafting, the wound bed should be treated with a moist wound healing dressing to prepare the granulation tissue bed to receive the graft. For best results, skin grafts should be ...
Ulcerative and Spreading Nodular Lesion of Epizootic Lymphangitis in Adult Black Horse in Gondar, Ethiopia: Case Report and Wound Treatment.
Case reports in veterinary medicine    February 26, 2024   Volume 2024 2478774 doi: 10.1155/2024/2478774
Abebaw B.An adult male black horse was presented to the UOG veterinary clinic with swelling, discharge, and skin wounds on the chest wall and the right front leg; then, it goes to the lateral and medial hind leg. Inspection and palpation were carried out, and we revealed that the skin was swelled, thickened and hard on clinical examination. There was also nodule rupture, and discharge on the limb and chest skin. Different therapy was applied starting from washing the wound with water-diluted potassium permanganate and then 0.9% NaCl together with paraffin topically placed on the wound. 10% povidone-iod...
Performance of three techniques for diagnosing equine tapeworm infection.
Veterinary parasitology    February 24, 2024   Volume 327 110152 doi: 10.1016/j.vetpar.2024.110152
Anderson HC, Warner SF, Ripley NE, Nielsen MK.Tapeworm infection in horses can cause serious health concerns, and recent data have documented treatment failures in the most common species, Anoplocephala perfoliata. The threat of anthelmintic resistance in A. perfoliata is of particular concern because of poor diagnostic performance of standard egg counting techniques for detecting this parasite. This study compared the performance of three diagnostic techniques 1) Mini-FLOTAC, 2) Cornell-Wisconsin, and 3) Proudman and Edwards used to detect and quantify A. perfoliata eggs in naturally infected horses. Eighteen adult female horses from the...
Metabarcoding study to reveal the structural community of strongylid nematodes in domesticated horses in Thailand.
BMC veterinary research    February 24, 2024   Volume 20, Issue 1 70 doi: 10.1186/s12917-024-03934-y
Hamad MH, Islam SI, Jitsamai W, Chinkangsadarn T, Naraporn D, Ouisuwan S, Taweethavonsawat P.Mixed strongylid infections significantly impact equine health and performance. Traditional microscopy-based methods exhibit limitations in accurately identifying strongylid species. Nemabiome deep amplicon sequencing approach previously succeeded in describing the strongylid communities in livestock including equids. However, there are no available studies that describe the structural communities of strongylid parasites in horses in Thailand. Therefore, this study was undertaken encompassing the ITS-2 rDNA metabarcoding assay to characterize strongylid species within horse fecal samples colle...
Patterns of Equine Small Strongyle Species Infection after Ivermectin Intervention in Thailand: Egg Reappearance Period and Nemabiome Metabarcoding Approach.
Animals : an open access journal from MDPI    February 8, 2024   Volume 14, Issue 4 574 doi: 10.3390/ani14040574
Hamad MH, Islam SI, Jitsamai W, Chinkangsadarn T, Naraporn D, Ouisuwan S, Taweethavonsawat P.The indiscriminate use of anthelmintics to control parasitic nematodes in horses has led to the emergence of anthelmintic resistance worldwide. However, there are no data available on using ivermectin for treating strongyle infections within domesticated horses in Thailand. Therefore, this study aimed to use the fecal egg count reduction (FECR) test to determine the strongylid egg reappearance period (ERP). Additionally, the nemabiome metabarcoding approach is incorporated to study patterns of strongyle species infection following ivermectin treatment. The study results indicate that, although...
The Behavioral Cost of Care: Changes in Maintenance Behavior during Equine-Assisted Interventions.
Animals : an open access journal from MDPI    February 6, 2024   Volume 14, Issue 4 536 doi: 10.3390/ani14040536
Fournier AK, French M, Letson EA, Hanson J, Berry TD, Cronin S.This study examined human-animal symbiosis in an animal-assisted intervention through observations of animal maintenance behaviors. The rise of psychotherapy, learning, and recreation incorporating animals warrants exploration of the welfare of the animals involved in these interventions. The analysis of welfare in multispecies engagements can be discussed in terms of symbiosis. Regarding an intervention's animal provider (e.g., therapy horse) and human recipient (psychotherapy client), the balance of cost and benefit is important. Research describing human and animal during interventions is ...
Expression of recombinant Florida clade 2 hemagglutinin in baculovirus expression system: A step for subunit vaccine development against H3N8 equine influenza virus.
Open veterinary journal    January 31, 2024   Volume 14, Issue 1 350-359 doi: 10.5455/OVJ.2024.v14.i1.32
Atwa AS, Gomaa L, Elmenofy W, Amer HM, Ahmed BM.Equine influenza (EI) is a transmissible viral respiratory sickness of the family. Two viruses, H7N7 and H3N8 caused EI; however, H7N7 has not been detected for decades. H3N8 has circulated and bifurcated into Eurasian and American lineages. The latter subsequently diversified into Kentucky, South America, and Florida sub-lineages. Florida clade 1 (FC1) and Florida clade 2 (FC2) strains are the only circulating EI viruses (EIVs) in the meantime. Immunization is considered the major means for the prevention and control of EI infection. Using disparate technologies and platforms, several vaccin...
Molecular phylogenetic analysis of Echinococcus multilocularis from horses raised in Canada or Japan, using mitochondrial cytochrome b gene-targeted PCR.
Food and waterborne parasitology    January 13, 2024   Volume 34 e00219 doi: 10.1016/j.fawpar.2024.e00219
Hifumi T, Tanaka T, Suzu I, Sato M, Akioka K, Fujimata C, Shinkai R, Maeda T, Kusakisako K, Ikadai H, Miyoshi N.Alveolar echinococcosis is a zoonotic disease caused by a larval-stage infection. Geographical haplotyping targeting the parasite's mitochondrial cytochrome () gene has been reported for isolates from definitive and intermediate hosts (wild canids and rodents); however, there are limited reports on strain typing for the dead-end host, the horse, which could act as a sentinel for E. Accordingly, we investigated the diversity of in isolates obtained from slaughtered Japanese and Canadian horses originating from the Iburi and Hidaka regions in Hokkaido and from Alberta, respectively, with PCR ...
Measurement of 8-hydroxy-2′-deoxyguanosine in serum and cerebrospinal fluid of horses with neuroaxonal degeneration and other causes of proprioceptive ataxia.
Journal of veterinary internal medicine    January 11, 2024   Volume 38, Issue 2 1207-1213 doi: 10.1111/jvim.16988
Palmisano M, Kulp J, Bender S, Stefanovski D, Robinson M, Johnson A.Eight-hydroxy-2'-deoxyguanosine (8-OHdG), a biomarker of oxidative damage evaluated in human neurodegenerative disease, has potential to correlate with postmortem diagnosis of neuroaxonal dystrophy/degenerative myeloencephalopathy (NAD/DM) in horses. Objective: We hypothesized that 8-OHdG will be higher in CSF and serum from NAD/DM horses compared with horses with other neurologic diseases (CVSM, EPM) and a control group of neurologically normal horses. We also hypothesized that 8-OHdG will be higher in CSF compared with serum from NAD/DM horses. Methods: Fifty client-owned horses with postmor...
Visualization of anatomical structures in the fetlock region of the horse using cone beam computed tomography in comparison with conventional multidetector computed tomography.
Frontiers in veterinary science    January 5, 2024   Volume 10 1278148 doi: 10.3389/fvets.2023.1278148
Bierau J, Cruz AM, Koch C, Manso-Diaz G, Büttner K, Staszyk C, Röcken M.Cone-beam computed tomography (CBCT) is regarded as a convenient and suitable alternative to conventional computed tomography. However, in the horse, the quality of obtained data sets needs to be evaluated. Therefore, the aim of this study was to compare the visibility and accessibility of clinically relevant anatomical structures displayed in CBCT and conventional multidetector computed tomography (MDCT). Unassigned: Twenty-nine limbs from horses euthanized for reasons unrelated to this study were used. Native and intraarticular contrast scans of the fetlock (CBCT vs. MDCT) were performed. Th...
Hematological reference values of horses in Western Libya and their relationship to breed, age, and management.
Open veterinary journal    December 31, 2023   Volume 13, Issue 12 1696-1707 doi: 10.5455/OVJ.2023.v13.i12.18
Sawesi OK, Elbaz AK, Mahmoud AS, Duro EM, Alteab AA, Milad KK, Bennuor EM.Hematological evaluation is an important step for health assessment in equine medicine. Besides biochemical tests, that evaluation could be pivotal for diagnosis, prognosis, and treatment monitoring. In Libya, the horse population has drastically increased in the last years, and hitherto, no report addressed the reference hematological values for the existing equine breeds. Unassigned: This study aimed to establish the reference for hematological indices of traditional equestrian and stud-farm equine breeds in Western Libya in regard to some variables such as individual characteristics, manage...
Plants Causing Toxic Myopathies.
The Veterinary clinics of North America. Equine practice    December 26, 2023   Volume 40, Issue 1 45-59 doi: 10.1016/j.cveq.2023.11.001
Sponseller B, Evans T.Boxelder and sycamore maple contain hypoglycin A (HGA), the toxic metabolite of which, MCPA-CoA, inhibits fatty acid β-oxidation, causing seasonal pasture myopathy (SPM) or atypical myopathy (AM), respectively. White snakeroot and rayless goldenrod contain multiple benzofuran ketones (BFKs). The identity/toxicity of BFKs appear variable, possibly involving interactions between toxins/toxic metabolites, but ultimately inhibit cellular energy metabolism. Unthrifty horses grazing sparse pastures during the fall appear predisposed to these plant-associated, frequently fatal, toxic myopathies. Tox...
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