Analyze Diet

Topic:Foals

"Foals" encompasses a stage in the lifecycle of equines with distinct physiological and developmental characteristics. Foals are young horses, typically under one year of age, undergoing rapid growth and development. They require specific nutritional, health, and management practices to support their transition to adulthood. This page compiles peer-reviewed research studies and scholarly articles that explore the growth, development, health challenges, and management practices associated with foals and horses, providing insights into their care and welfare across different life stages.
Transient increases in glutamate dehydrogenase (GLDH) activity occur in neonatal foals.
Veterinary clinical pathology    November 28, 2022   Volume 52, Issue 2 261-270 doi: 10.1111/vcp.13181
Hoffman M, Cheong SH, Stokol T.Liver analyte measurement is important in the evaluation of sick animals. Liver injury in horses is recognized by increased glutamate dehydrogenase (GLDH), sorbitol dehydrogenase (SDH), and aspartate aminotransferase (AST) activities, whereas biliary pathology is identified by increased alkaline phosphatase and γ-glutamyl transferase (GGT) activities or bilirubin concentrations. We have observed high GLDH, but not SDH, activities in neonatal foals admitted for conditions other than liver disease. Only one previous study have evaluated GLDH activity over time in healthy neonatal foals; however...
Evaluation of serum concentration of acute-phase proteins (haptoglobin and serum amyloid A) in the affected Arabian foals with rhodococcosis.
Veterinary medicine and science    November 24, 2022   Volume 9, Issue 1 144-149 doi: 10.1002/vms3.1005
Hassanpour A, Moghaddam S.Early detection of Rhodococcus equi pneumonia in foals is essential for horse health and for veterinarians. Objective: This study aimed to demonstrate the usefulness of assessing the serum concentration of acute-phase proteins (APPs) in the early diagnosis of pneumonia. Methods: The study evaluated APPs in 19 Arabian foals with R. equi pneumonia and compared them with 18 normal Arabian foals in equestrian clubs in Tabriz, Iran. Affected foals were identified through history, clinical findings and bacterial culture of tracheal washing. Biochemical methods and polymerase chain reaction tests wer...
Changes in serum total protein and immunoglobulin G concentrations and Brix percentages in neonatal Arabian foals from birth up to 21 days of age.
Veterinary immunology and immunopathology    November 24, 2022   Volume 255 110521 doi: 10.1016/j.vetimm.2022.110521
Akköse M, Karabulut E, İnal Ş, Dik GÇ, Özbeyaz C, Kaya U, Çam M, Topal B.The aim of this study was to evaluate changes in the serum immunoglobulin G (IgG) and serum total protein (STP) concentrations and serum Brix percentages of neonatal Arabian foals during first 3 weeks of life. Blood samples were collected from 12 apparently healthy foals by jugular venipuncture at birth and at 12-hours, 24-hours, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15 and 21 days of age. Serum IgG and STP concentrations and Brix percentages were measured by the radial immunodiffusion assay, and digital STP and Brix refractometers, respectively. Based on the serum IgG concentrations measured at 24 h, ...
Equine Coronaviruses.
The Veterinary clinics of North America. Equine practice    November 21, 2022   Volume 39, Issue 1 55-71 doi: 10.1016/j.cveq.2022.11.008
Pusterla N.Coronaviruses are a group of related RNA viruses that cause diseases in mammals and birds. In equids, equine coronavirus has been associated with diarrhea in foals and lethargy, fever, anorexia, and occasional gastrointestinal signs in adult horses. Although horses seem to be susceptible to the human severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) based on the high homology to the ACE-2 receptor, they seem to be incidental hosts because of occasional SARS-CoV-2 spillover from humans. However, until more clinical and seroepidemiological data are available, it remains important to m...
Effects of different grains on bacterial diversity and enzyme activity associated with digestion of starch in the foal stomach.
BMC veterinary research    November 17, 2022   Volume 18, Issue 1 407 doi: 10.1186/s12917-022-03510-2
Li XB, Huang XX, Li Q, Li XY, Li JH, Li C, He LJ, Jing HX, Yang KL.Compared with the stomach of ruminant cattle, the stomach of horse is small and mainly for chemical digestion, but the microorganisms in the stomach play an important role in maintaining the homeostasis of the internal environment. Due to the complexity of the microbes in the stomach, little is known about the diversity and structure of bacteria in the equine stomach. Grains are the main energy source for plant-eating livestock and energy is derived through enzymatic hydrolysis of grains into glucose or their microbial fermentation into Volatile fatty acids (VFA). However, the mechanism throug...
Hoof Matters: Developing an Athletic Thoroughbred Hoof.
Animals : an open access journal from MDPI    November 11, 2022   Volume 12, Issue 22 3119 doi: 10.3390/ani12223119
Hobbs SJ, Curtis S, Martin J, Sinclair J, Clayton HM.Conformation of the hooves and distal limbs of foals and factors influencing their morphological development have not been reported in detail for the Thoroughbred breed. In this paper we explore morphogenesis of the equine distal limb in Thoroughbred foals with emphasis on adaptations in response to weight bearing early in life that prepare the foal for an athletic career. Novel data from four studies are presented chronologically during key time periods to illustrate specific aspects of distal limb growth and adaptation. Dorsal epidermal thickness increased from 2.84 ± 0.41 mm in utero to 4....
Predictors of foaling outcomes in barren and maiden Thoroughbred mares in South Africa.
Journal of the South African Veterinary Association    November 8, 2022   Volume 93, Issue 2 doi: 10.36303/JSAVA.519
Scholtz M, Guthrie AJ, Fosgate GT, Schulman ML.Population demographics and reproductive performance of Thoroughbred populations have been described, but the most recent assessment of the South African Thoroughbred population was reported two decades ago. Objectives of this study were to report demographic data for selected Thoroughbred breeding populations and to analyse selected mare-level variables in association with foaling outcomes, as predictors of reproductive performance. The National Horseracing Authority of Southern Africa's stud health scheme requires annual screening of Thoroughbred stallions, maiden and barren mares for venere...
Plasma metabolome of healthy and Rhodococcus equi-infected foals over time.
Equine veterinary journal    November 3, 2022   Volume 55, Issue 5 831-842 doi: 10.1111/evj.13894
Sanclemente JL, Rivera-Velez SM, Horohov DW, Dasgupta N, Sanz MG.Foals that develop pulmonary ultrasonographic lesions on Rhodococcus equi (R. equi) endemic farms are treated with antibiotics because those at risk of developing clinical pneumonia (~20%) cannot be recognised early. Candidate biomarkers identified using metabolomics may aid targeted treatment strategies against R. equi. Objective: (1) To describe how foal ageing affects their plasma metabolome (birth to 8 weeks) and (2) to establish the effects that experimental infection with Rhodococcus equi (R. equi) has on foal metabolome. Methods: Experimental study. Methods: Nine healthy newborn foals...
The Equine Dental Pulp: Analysis of the Stratigraphic Arrangement of the Equine Dental Pulp in Incisors and Cheek Teeth.
Veterinary sciences    October 30, 2022   Volume 9, Issue 11 602 doi: 10.3390/vetsci9110602
Roßgardt J, Heilen LB, Büttner K, Dern-Wieloch J, Vogelsberg J, Staszyk C.In the crown pulp of brachydont teeth, a cell-free and a cell-rich zone are established beneath the odontoblastic layer, indicating a mature status. For the equine dental pulp, there are no descriptions which allow for a comparative analysis with regard to functional requirements in terms of lifelong secondary dentin production to compensate for occlusal wear. For histomorphological and immunohistological investigations, ten incisors and ten check teeth were used from seven adult horses and five foals. In the periphery of the equine dental pulp, a constant predentin and odontoblastic cell laye...
Clinical and imaging findings, treatment details and outcomes in foals with extensor tendon rupture-A multicentre retrospective study.
Equine veterinary journal    October 28, 2022   Volume 55, Issue 5 777-787 doi: 10.1111/evj.13893
Mokry A, Bernhard C, Faulkner J, Colgate VA, Dumoulin M, Pille F, Vanderperren K, Delling U, Oosterlinck M.Forelimb extensor tendon rupture (ETR) in foals is sparsely documented. Objective: To describe clinical and imaging findings, treatment details, and long-term outcome in foals with ETR. Methods: Multicentre retrospective case-series. Methods: Clinical record review of foals with ETR, presented to Faculty of Veterinary Medicine at Ghent University (Belgium), the Clinic for Horses at the University of Veterinary Medicine Hannover (Germany), and Rossdales Equine Hospital (UK) between 2009-2021. Long-term outcome based on structured telephone interview with the owner at the university hospitals an...
Postnatal Dynamics of Circulating Steroid Hormones in Mule and Equine Neonates.
Veterinary sciences    October 28, 2022   Volume 9, Issue 11 598 doi: 10.3390/vetsci9110598
Boakari YL, Legacki E, Alonso MA, Dos Santos ACF, Nichi M, Conley AJ, Fernandes CB.It is necessary to study hormonal patterns from mules to recognize alterations and neonatal maladaptation. Our objective was to evaluate concentrations of hormones in mule (n = 6) and equine foals (n = 6). Blood was collected at T0, 1, 6 and 12 h after birth. Hormone concentrations were evaluated using liquid chromatography tandem mass spectrometry. Effects of time, group and interactions and regression analysis were evaluated (p < 0.05). There was a cubic and quadratic decline in mule and equine foals, respectively, for 3β,20α-dihydroxy-DHP. Mule foals were born with lower circulating 3...
Energy endocrine physiology, pathophysiology, and nutrition of the foal.
Journal of the American Veterinary Medical Association    October 26, 2022   Volume 260, Issue S3 S83-S93 doi: 10.2460/javma.22.08.0348
Kinsella HM, Hostnik LD, Toribio RE.Most homeostatic systems in the equine neonate should be functional during the transition from intra- to extrauterine life to ensure survival during this critical period. Endocrine maturation in the equine fetus occurs at different stages, with a majority taking place a few days prior to parturition and continuing after birth. Cortisol and thyroid hormones are good examples of endocrine and tissue interdependency. Cortisol promotes skeletal, respiratory, cardiovascular, thyroid gland, adrenomedullary, and pancreatic differentiation. Thyroid hormones are essential for cardiovascular, respirator...
Enterococcus durans infection and diarrhea in Thoroughbred foals.
Journal of veterinary internal medicine    October 26, 2022   Volume 36, Issue 6 2224-2229 doi: 10.1111/jvim.16568
Williams NJ, Slovis NM, Browne NS, Troedsson MHT, Giguėre S, Hernandez JA.Diarrhea remains an important cause of morbidity and mortality in neonatal foals, and correct identification of etiologic agents is essential for effective disease management. Objective: To examine the association between diarrhea and detection of Enterococcus durans or other enteropathogens in neonatal foals on 1 breeding farm in Kentucky, USA. Methods: Fifty-nine Thoroughbred foals and their broodmares. Methods: Prospective observational study. Study foals and broodmares were sampled and tested for E. durans and other enteropathogens during the first 10 days after foaling. The frequency of...
Prognosis for survival to discharge and racing performance in Thoroughbred foals treated for single joint septic arthritis (2009-2016).
Equine veterinary journal    October 24, 2022   Volume 55, Issue 4 607-617 doi: 10.1111/evj.13892
Whisenant KD, Ruggles AJ, Stefanovski D, Woodie JB, Hopper SA, Embertson RM.Haematogenous septic arthritis is a major cause of morbidity and mortality in foals. Previous research has demonstrated a variable prognosis for athletic performance in foals diagnosed with septic arthritis. Objective: To determine the racing prognosis for Thoroughbred foals, 6 months of age or less with single septic joint of presumed haematogenous origin without recognised systemic sepsis or other serious comorbidity compared with a group of maternal sibling controls. Methods: Retrospective cohort study. Methods: Data were collected from Rood and Riddle Equine Hospital in-patient records fro...
Equine blood cultures: Can we do better?
Equine veterinary journal    October 18, 2022   Volume 55, Issue 4 584-592 doi: 10.1111/evj.13891
Giancola S, Hart KA.Blood culture is considered the gold standard test for documenting bacteraemia in patients with suspected bacterial sepsis in veterinary and human medicine. However, blood culture often fails to yield bacterial growth even though the clinical picture is strongly suggestive of bacterial sepsis, or contaminating organisms can overgrow the true pathogen, making accurate diagnosis and appropriate management of this life-threatening condition very challenging. Methodology for collecting blood cultures in equine medicine, and even in human hospitals, is not standardised, and many variables can affec...
Serum amyloid A as a marker to detect sepsis and predict outcome in hospitalized neonatal foals.
Journal of veterinary internal medicine    October 14, 2022   Volume 36, Issue 6 2245-2253 doi: 10.1111/jvim.16550
Hoeberg E, Sånge A, Saegerman C, Bohlin A, Nostell K, Durie I, Husted L, Öhman A, Jacobsen S, Berg L, Laursen SH, van Galen G.Serum amyloid A (SAA) has been reported to hold promise as diagnostic and prognostic marker in foals. This has not been investigated thoroughly. Objective: Evaluate admission SAA concentrations as predictor of sepsis and outcome. Methods: Five hundred and ninety hospitalized foals <14 days old. Methods: Retrospective multicenter study. Foals were scored with sepsis and survival scores, grouped according to health category (septic, sick but nonseptic, uncertain sepsis status) and outcome; septic foals were further categorized according to severity (normal sepsis, severe sepsis, and septic sho...
Optimizing Health – Integrative Medicine & Poor Performance.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 463-474 doi: 10.1016/j.cveq.2022.08.001
Henneman K.Addressing poor performance issues in horses is a common yet challenging request to veterinarians. Often, there are limited field diagnostic or therapy choices. Growing lay popularity in integrative therapies, as well as increasing clinical incorporation, is creating more awareness of their clinical applications. Many modalities are showing increasing evidence of positive outcomes with minimal harm, but additional safety and efficacy evaluation is needed. Integrative modalities have unique ways of perceiving disease patterns that are different from more modern approaches, and these different p...
Evidence of maternal and paternal age effects on speed in thoroughbred racehorses.
Royal Society open science    October 5, 2022   Volume 9, Issue 10 220691 doi: 10.1098/rsos.220691
Sharman P, Young AJ, Wilson AJ.Effects of parental age on offspring viability have been reported in a wide range of species. However, to what extent parental age influences offspring traits beyond viability remains unclear. Moreover, previous research has primarily focused on maternal age effects. The purpose of this study was to test for paternal and maternal age effects on offspring speed in thoroughbred racehorses. We analysed over 900 000 race performances by over 100 000 horses on British racecourses between 1996 and 2019. With knowledge of the age of all 41 107 dams and 2 887 sires at offspring conception, we jointly ...
The Influence of Age and Gender on the Serum XOR Activity, Leukocyte Gene Expression of XOR and MPO, and Biochemical Parameters in Newborn Foals.
Journal of equine veterinary science    October 3, 2022   Volume 119 104134 doi: 10.1016/j.jevs.2022.104134
Ghaeli T, Karimi B, Kojouri GA, Dehkordi RR, Ahadi AM.One of the initial responses of the host's innate immunity of newborns against pathogens is the use of oxidative enzymes. This study aimed to evaluate changes in serum xanthine oxidoreductase (XOR) activity, the leukocyte myeloperoxidase (MPO) and XOR genes expression, and some biochemical parameters in healthy Darehshuri newborn foals up to 60 days of life. Blood samples were collected from 16 foals at 1, 7, 15, 30, and 60 days and used for detecting XOR activity, biochemical parameters, and also gene expression by real-time RT-PCR. High activity of XOR was observed at birth, explained by phy...
Weaned horses, especially females, still prefer their dam after five months of separation.
Animal : an international journal of animal bioscience    September 29, 2022   Volume 16, Issue 10 100636 doi: 10.1016/j.animal.2022.100636
Lansade L, Lévy F, Parias C, Reigner F, Górecka-Bruzda A.Under natural conditions, foals stop nursing from their dam at approximately-9 months old, but their bond persists until 1.5-2.5 years of age. In contrast, in horse breeding, foals are generally artificially weaned and totally separated from their dam at 5-7 months. However, it is not known whether the bond between the dam and her foal is maintained after artificial weaning. The aim of this study was (1) to assess whether foals still recognise and prefer their dam over other familiar mares several months after weaning and (2) to evaluate whether the preference for the dam is more pronounce...
Single-incision drilling technique to achieve hemiepiphysiodesis of the distal metacarpus – complications and outcome in 207 foals with metacarpophalangeal varus deformities.
Veterinary surgery : VS    September 25, 2022   Volume 52, Issue 1 26-32 doi: 10.1111/vsu.13888
Boorman S, Rodgerson DH.To report the outcome of foals treated for metacarpophalangeal varus deformity with a single-incision drilling technique for hemiepiphysiodesis of the distal lateral metacarpal physis. Methods: Retrospective case-control cohort study. Methods: Thoroughbred foals (n = 207), 171 age- and sex-matched maternal siblings. Methods: Medical records (2017-2020) were reviewed for signalment, limb(s) treated, location of the surgery, and any reported complications. Follow-up radiographs obtained for the yearling sale were assessed for abnormalities. Horses were matched to maternal siblings using an onl...
Characterisation of the Faecal Microbiome of Foals from 0-5 Months of Age and Their Respective Mares across Five Geographic Locations.
Frontiers in bioscience (Elite edition)    September 23, 2022   Volume 14, Issue 3 22 doi: 10.31083/j.fbe1403022
O'Reilly GC, Holman DB, Muscat K, Muscatello G, Parra MC, Meale SJ, Chaves AV.A foal undergoes considerable growth and development from birth to weaning, progressing from a milk-based diet to complete herbivory. The symbiotic relationships between bacteria, archaea and fungi substantiate this energy demand by colonising the hindgut and remaining flexible throughout the diet transitions. A total of 70 faecal samples were collected from 14 mares and their foals across five studs in NSW as they aged from 0 to 5 months old. DNA was extracted from faecal samples and underwent amplification and sequencing of the 16S rRNA gene V4 hypervariable region of archaea and bacteria, a...
Date of birth and purchase price as foals or yearlings are associated with Thoroughbred flat race performance in the United Kingdom and Ireland.
Veterinary record open    September 23, 2022   Volume 9, Issue 1 e43 doi: 10.1002/vro2.43
Arango-Sabogal JC, Mouncey R, de Mestre AM, Verheyen K.Thoroughbred breeders aim to have foals born early in the season, but scientific evidence on the advantages for race performance is scarce and contradictory. Unassigned: The association between date of birth and purchase price as foal/yearling, with race performance by the end of the second and third years of life of Thoroughbreds racing in flat races in the United Kingdom (UK) and Ireland (IRE) was assessed using negative binomial and zero-inflated negative binomial models on the entire 2014-2015 UK/IRE foal crops ( = 28,282). Unassigned: In total, 6666 and 9456 horses raced in UK/IRE flat r...
High-Risk Pregnancy Is Associated With Increased Alpha-Fetoprotein Concentrations in the Amniotic Fluid and Foal Plasma.
Journal of equine veterinary science    September 23, 2022   Volume 119 104124 doi: 10.1016/j.jevs.2022.104124
Lanci A, Mariella J, Ellero N, Canisso IF, Dondi F, Castagnetti C.This study aimed to determine alpha-fetoprotein (AFP) concentrations in amniotic fluid, plasma of mares and respective foals: carrying normal pregnancies and delivering healthy foals (n = 20; Group 1); carrying apparently normal pregnancies and delivering sick foals (n = 15; Group 2); carrying high-risk pregnancies and delivering sick foals (n = 14; Group 3). High-risk pregnancy was defined by a history of premature udder development/lactation or increased of the combined thickness of the uterus and placenta, or vulvar discharge and/or mares' systemic illness. Sick foals were affected by...
Effectiveness of immunization with multi-component bacterial immunomodulator in foals at 35th day of life.
Scientific reports    September 22, 2022   Volume 12, Issue 1 15795 doi: 10.1038/s41598-022-17532-1
Anna M, Łukasz M, Adam O, Chełmońska-Soyta A.The aim of the study was to investigate the mechanisms leading to immunization through the use of a multicomponent bacterial immunomodulator and to find out the relationship between the TLR 4 receptor with selected parameters of innate immunity and to acquire immunity. The study was conducted on 18 Polish Pony Horses foals divided into two study groups: control (n = 9) and experimental (n = 9). Foals from the experimental group received intramuscular duplicate injection of 5 ml of multi-component bacterial immunomodular at 35 and 40 days of age. RNA isolated from venous blood was use...
Evaluation of refractometry methods for estimating passive immunity status in neonatal foals.
Journal of immunological methods    September 17, 2022   Volume 510 113359 doi: 10.1016/j.jim.2022.113359
Akköse M, Karabulut E, Yılmaz İÇ, Dik Ç, İnal Ş, Özbeyaz C, Çam M, Çınar EM, Orakçı D, Durmaz M.The objective of this cross-sectional study was to determine the accuracy of the digital Brix and serum total protein (TP) refractometers for estimating different passive immunity status in neonatal foals. In total, 18- to 40-h old purebred Arabian foals (n = 185) were used. Serum TP concentrations, total solid percentages and IgG concentrations were measured with a digital serum TP refractometer, digital Brix refractometer and the gold standard radial immunodiffusion (RID) assay, respectively. Correlation coefficients were calculated between the refractometer and RID assay results. A receiv...
Successful in vitro fertilization in the horse: production of blastocysts and birth of foals after prolonged sperm incubation for capacitation†.
Biology of reproduction    September 16, 2022   Volume 107, Issue 6 1551-1564 doi: 10.1093/biolre/ioac172
Felix MR, Turner RM, Dobbie T, Hinrichs K.Methods for standard in vitro fertilization have been difficult to establish in the horse. We evaluated whether prolonged sperm pre-incubation would support subsequent fertilization. Fresh sperm were pre-incubated with penicillamine, hypotaurine, and epinephrine (PHE) for 22 h. Co-incubation of cumulus-oocyte complexes (COCs) for 6 h yielded 43% fertilization; culture of presumptive embryos yielded 21% blastocysts. Sperm incubated similarly, but without PHE, did not fertilize oocytes. Use of extended semen in the system yielded 54% blastocysts and was applied in subsequent experiments. Trans...
Suspected chlamydial foetal loss highlights the need for standardised on-farm protocols.
Australian veterinary journal    September 7, 2022   Volume 100, Issue 12 600-604 doi: 10.1111/avj.13206
Anstey SI, Jenkins C, Jelocnik M.Chlamydia psittaci is a recognised cause of late-term equine foetal loss and poses a zoonotic risk in Australia. However, a management strategy is lacking to protect at-risk humans handling infected aborted material and pregnant mares. This study proposes a protocol for approaching C. psittaci foetal loss after investigating four foetal losses that occurred on a horse stud in the Hunter Valley, Australia in 2021. Swabs from the foetal loss cases (n = 4), close contact mares (n = 59), and foals of the close contact mares (n = 33) were collected and tested for C. psittaci using both isothe...
Infection of young foals with Equine Parvovirus-Hepatitis following a fatal non-biologic case of Theiler’s disease.
Veterinary microbiology    September 5, 2022   Volume 274 109557 doi: 10.1016/j.vetmic.2022.109557
Meister TL, Arroyo LG, Shanahan R, Papapetrou MA, Reinecke B, Brüggemann Y, Todt D, Stang A, Hazlett M, Baird JD, Steinmann E.Theiler's disease (TD) is a (sub-)acute hepatitis in adult horses and one of the most common causes of acute hepatic failure. Recent findings indicate that equine parvovirus hepatitis (EqPV-H) likely causes TD and that its transmission occurs via iatrogenic and/or natural routes. Following the death of an EqPV-H positive mare with TD, close-contact mares and foals in the same paddock were monitored to evaluate if there was any evidence of EqPV-H. For this purpose, the serum of close contact horses was examined 6 and 42 days after the mare's death for the presence of EqPV-H DNA and changes in l...
Fetoplacental pathology of equine abortion, premature birth, and neonatal loss due to Chlamydia psittaci.
Veterinary pathology    September 5, 2022   Volume 59, Issue 6 983-996 doi: 10.1177/03009858221120008
Begg AP, Carrick J, Chicken C, Blishen A, Todhunter K, Eamens K, Jenkins C.This report describes the fetoplacental pathology of associated abortion, premature birth, and neonatal loss in 46 of 442 equine abortion investigations between 2015 and 2019. Seven abortions, 26 premature births, and 13 neonatal deaths with positive polymerase chain reaction (PCR) were evaluated. In 83% of cases (38/46), infection was considered as the primary cause of loss based on quantitative PCR (qPCR) confirmation, pathological findings, and exclusion of other causes, and was supported by immunolabeling in fetoplacental lesions. Lymphohistiocytic placentitis with vasculitis (36/38) af...
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