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Topic:Insect Bite Hypersensitivity

Insect Bite Hypersensitivity (IBH) is an allergic reaction in horses caused by bites from certain insects, primarily Culicoides spp., also known as midges. It is characterized by intense itching, skin lesions, and discomfort, often leading to secondary infections due to self-trauma. The condition is seasonal and varies in severity depending on geographic location, insect prevalence, and individual horse sensitivity. IBH is a common dermatological issue in horses and serves as a model for studying allergic responses and immune regulation. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, management strategies, and genetic predispositions associated with insect bite hypersensitivity in equine populations.
Insect Bite Hypersensitivity in Horses is Associated with Airway Hyperreactivity.
Journal of veterinary internal medicine    September 18, 2017   Volume 31, Issue 6 1877-1883 doi: 10.1111/jvim.14817
Lanz S, Brunner A, Graubner C, Marti E, Gerber V.Genetic and epidemiologic evidence suggests that in horses, as in other species, different manifestations of hypersensitivity may occur together. Objective: Horses affected with insect bite hypersensitivity (IBH) show airway hyperreactivity (AH) to inhaled histamine, even in the absence of overt clinical signs of equine asthma (EA). Methods: Twenty-two healthy controls (group C), 24 horses suffering from IBH alone (group IBH), and 23 horses suffering from IBH and EA (group IBH/EA). Methods: The clinical histories were assessed using 2 standardized questionnaires, the Horse Owner Assessed Respi...
Genetic parameters of insect bite hypersensitivity in the Old Grey Kladruber horse.
Journal of animal science    February 9, 2017   Volume 95, Issue 1 53-58 doi: 10.2527/jas.2016.0745
Citek J, Vostry L, Vostra-Vydrova H, Brzakova M, Prantlova V.The objective of this study was to assess the genetic parameters of insect bite hypersensitivity (IBH) in the Old Grey Kladruber horse, an original Czech warmblood horse breed. Insect bite hypersensitivity is a recurrent allergic skin disease affecting horses worldwide. Its etiology is multifactorial. The defect is genetically controlled, and the starting impulse is a bite by midges of the spp. and less frequently spp. Knowledge about the associated genes is limited. Horses were kept by the National Stud in Kladruby (1,146 measurements) and by 10 private breeders (63 measurements). The horses ...
Activity of Culicoides spp. (Diptera: Ceratopogonidae) inside and outside of livestock stables in late winter and spring.
Parasitology research    January 4, 2017   Volume 116, Issue 3 881-889 doi: 10.1007/s00436-016-5361-2
Kameke D, Kampen H, Walther D.Culicoides Latreille, 1809 midge species are the putative vectors of Bluetongue virus (BTV) and Schmallenberg virus (SBV) in Europe. To gain a better understanding of the epidemiology of the diseases, basic knowledge about the overwintering of the vectors is needed. Therefore, we investigated culicoid activity in relation to air temperature at livestock stables during late winter and spring season. Ceratopogonids were captured weekly indoors and outdoors on three cattle farms, three horse farms and one sheep farm in the federal state of Brandenburg, Germany between January and May, 2015 by BG-...
Oral administration of transgenic barley expressing a Culicoides allergen induces specific antibody response.
Equine veterinary journal    December 16, 2016   Volume 49, Issue 4 512-518 doi: 10.1111/evj.12655
Jonsdottir S, Svansson V, Stefansdottir SB, Mäntylä E, Marti E, Torsteinsdottir S.Insect bite hypersensitivity is an immunoglobulin (Ig)E-mediated dermatitis of horses initiated by bites of midges of the genus Culicoides. Culicoides spp. are not indigenous to Iceland and the prevalence of insect bite hypersensitivity is much higher in horses born in Iceland and exported as compared to Icelandic horses born in a Culicoides rich environment. Immunotherapy is therefore needed. Objective: The aim of the study was to express an allergen from Culicoides in barley grain and investigate whether an immune response could be obtained in healthy Icelandic horses by oral treatment with ...
In vitro effects of the toll-like receptor agonists monophosphoryl lipid A and CpG-rich oligonucleotides on cytokine production by equine cells.
Veterinary journal (London, England : 1997)    November 22, 2016   Volume 219 6-11 doi: 10.1016/j.tvjl.2016.11.013
Ziegler A, Gerber V, Marti E.Insect bite hypersensitivity (IBH) is an equine allergic dermatitis to Culicoides spp. antigens. Attempts at using allergen-specific immunotherapy (AIT) as a treatment for IBH have so far proven unsuccessful. Toll-like receptor (TLR) agonists can promote a shift in the immune response from the allergy-promoting T helper cell 2 (Th2) response towards a Th1 and/or regulatory response. The aim of this study was to evaluate two immunomodulatory TLR agonists in vitro as potential vaccine adjuvants for a more efficacious AIT in IBH. Peripheral blood mononuclear cells (PBMCs) from healthy and IBH-aff...
Protection of horse ears against Simulid parasitism: Efficacy of a mammal semiochemical solution over 10hours.
Veterinary parasitology    July 9, 2016   Volume 227 15-19 doi: 10.1016/j.vetpar.2016.07.007
Creton B, Pageat P, Robejean M, Lafont-Lecuelle C, Cozzi A.Hematophagous insects can be vectors of pathogens and cause significant economic loss in zootechnical production. Among biting insects, many dipteran species feed on horse blood. The black fly (Diptera: Simuliidae) group, is responsible for several disorders in horses and inflicts painful bites that lead to undesirable behaviours in horses, particularly when bites occur in sensitive areas such as the inner ear. A field study was conducted in a French equestrian center during which a semiochemical was applied on horses' ears to assess repellent efficacy against simulid infestation. During the f...
Using an Inbred Horse Breed in a High Density Genome-Wide Scan for Genetic Risk Factors of Insect Bite Hypersensitivity (IBH).
PloS one    April 12, 2016   Volume 11, Issue 4 e0152966 doi: 10.1371/journal.pone.0152966
Velie BD, Shrestha M, Franҫois L, Schurink A, Tesfayonas YG, Stinckens A, Blott S, Ducro BJ, Mikko S, Thomas R, Swinburne JE, Sundqvist M....While susceptibility to hypersensitive reactions is a common problem amongst humans and animals alike, the population structure of certain animal species and breeds provides a more advantageous route to better understanding the biology underpinning these conditions. The current study uses Exmoor ponies, a highly inbred breed of horse known to frequently suffer from insect bite hypersensitivity, to identify genomic regions associated with a type I and type IV hypersensitive reaction. A total of 110 cases and 170 controls were genotyped on the 670K Axiom Equine Genotyping Array. Quality control ...
Efficacy of the repellent N,N-diethyl-3-methyl-benzamide (DEET) against tabanid flies on horses evaluated in a field test in Switzerland.
Veterinary parasitology    March 18, 2016   Volume 221 64-67 doi: 10.1016/j.vetpar.2016.03.015
Herholz C, Kopp C, Wenger M, Mathis A, Wägeli S, Roth N.Female tabanid flies (Diptera: Tabanidae) can be a serious nuisance for horses because of their painful bites during blood feeding. They also play a primary role in mechanical transmission of a lentivirus causing Equine Infectious Anemia (EIA), a virus that has spread within Europe in recent years. According to the European law for products intended for use as a repellent on horses (recreational and sport horses), a field test is mandatory to demonstrate sufficient repellency of such a substance against the specific target fly species, but currently no agreed protocols are available for testin...
A preventive immunization approach against insect bite hypersensitivity: Intralymphatic injection with recombinant allergens in Alum or Alum and monophosphoryl lipid A.
Veterinary immunology and immunopathology    March 2, 2016   Volume 172 14-20 doi: 10.1016/j.vetimm.2016.02.017
Jonsdottir S, Svansson V, Stefansdottir SB, Schüpbach G, Rhyner C, Marti E, Torsteinsdottir S.Insect bite hypersensitivity (IBH) is an IgE-mediated dermatitis of horses caused by bites of Culicoides insects, not indigenous to Iceland. Horses born in Iceland and exported to Culicoides-rich areas are frequently affected with IBH. The aims of the study were to compare immunization with recombinant allergens using the adjuvant aluminum hydroxide (Alum) alone or combined with monophosphoryl lipid A (MPLA) for development of a preventive immunization against IBH. Twelve healthy Icelandic horses were vaccinated intralymphatically three times with 10 μg each of four recombinant Culicoides nub...
Phospholipid analysis in sera of horses with allergic dermatitis and in matched healthy controls.
Lipids in health and disease    March 2, 2016   Volume 15 45 doi: 10.1186/s12944-016-0209-4
Hallamaa R, Batchu K.Lipids have become an important target for searching new biomarkers typical of different autoimmune and allergic diseases. The most common allergic dermatitis of the horse is related to stings of insects and is known as insect bite hypersensitivity (IBH) or summer eczema, referring to its recurrence during the summer months. This intense pruritus has certain similarities with atopic dermatitis of humans. The treatment of IBH is difficult and therefore new strategies for therapy are needed. Autoserum therapy based on the use of serum phospholipids has recently been introduced for horses. So far...
Culicoides (Diptera: Ceratopogonidae) and livestock in the Netherlands: comparing host preference and attack rates on a Shetland pony, a dairy cow, and a sheep.
Journal of vector ecology : journal of the Society for Vector Ecology    November 28, 2015   Volume 40, Issue 2 308-317 doi: 10.1111/jvec.12169
Elbers AR, Meiswinkel R.Culicoides (Diptera: Ceratopogonidae) host preferences and attack rates were quantified in early summer at a dairy farm in the Netherlands using livestock tethered at pasture. Midges were aspirated hourly over seven consecutive hours (17:00-23:00) from a dairy cow, a Shetland pony, and a sheep and correspondingly yielded seventeen, thirteen, and nine species. Of the 14,181 midges obtained, approximately 95% belonged to the C. obsoletus complex, C. dewulfi, C. chiopterus, and C. punctatus that together include all proven or potential vectors for arboviral diseases in livestock in northwestern E...
Can insecticide-treated netting provide protection for Equids from Culicoides biting midges in the United Kingdom?
Parasites & vectors    November 25, 2015   Volume 8 604 doi: 10.1186/s13071-015-1182-x
Baker T, Carpenter S, Gubbins S, Newton R, Lo Iacono G, Wood J, Harrup LE.Biting midges of the genus Culicoides Latreille, 1809 (Diptera: Ceratopogonidae) cause a significant biting nuisance to equines and are responsible for the biological transmission of African horse sickness virus (AHSV). While currently restricted in distribution to sub-Saharan Africa, AHSV has a history of emergence into southern Europe and causes one of the most lethal diseases of horses and other species of Equidae. In the event of an outbreak of AHSV, the use of insecticide treated nets (ITNs) to screen equine accomodation is recommended by competent authorities including the Office Interna...
Recombinant Culicoides obsoletus complex allergens stimulate antigen-specific T cells of insect bite hypersensitive Shetland ponies in vitro.
Veterinary dermatology    September 8, 2015   Volume 26, Issue 6 467-e109 doi: 10.1111/vde.12251
Meulenbroeks C, van der Meide NM, Willemse T, Rutten VP, Tijhaar E.Ponies may suffer from Insect bite hypersensitivity (IBH), an allergic IgE-mediated pruritic skin disorder, induced by allergens from biting midges of the Culicoides spp. Objective: To determine whether recombinant Culicoides obsoletus allergens are able to activate T cells of ponies exposed to C. obsoletus and whether these allergen-specific responses differ between IBH-affected and healthy ponies. Methods: Ten IBH-affected Shetland ponies and 10 age-matched healthy controls taken from the same stables, to ensure similar exposure to midges. Methods: Peripheral blood mononuclear cells (PBMC) w...
24-h sheltering behaviour of individually kept horses during Swedish summer weather.
Acta veterinaria Scandinavica    August 20, 2015   Volume 57, Issue 1 45 doi: 10.1186/s13028-015-0135-x
Hartmann E, Hopkins RJ, von Brömssen C, Dahlborn K.Provision of shelter for horses kept on summer pasture is rarely considered in welfare guidelines, perhaps because the benefits of shelter in warm conditions are poorly documented scientifically. For cattle, shade is a valued resource during summer and can mitigate the adverse effects of warm weather on well-being and performance. We found in a previous study that horses utilized shelters frequently in summer. A shelter with a roof and closed on three sides (shelter A) was preferred and can reduce insect pressure whereas a shelter with roof and open on three sides was not utilized. However, sh...
Genetic parameters and estimated breeding values of insect bite hypersensitivity in Belgian Warmblood horses.
Veterinary journal (London, England : 1997)    August 12, 2015   Volume 206, Issue 3 420-422 doi: 10.1016/j.tvjl.2015.08.012
Peeters LM, Janssens S, Brebels M, Buys N.Genetic factors involved in susceptibility to insect bite hypersensitivity (IBH) in Belgian Warmblood horses (BWP) were investigated. Data relating to 3409 horses were collected using a questionnaire, administered to owners during sport competitions, BWP breeding days, breeder visits and after phone calls. Horses were classified as IBH-affected or unaffected, based on two 'disease classifiers': a lifetime record, based on owner information (life_status) and another based on whether or not the horse was showing clinical signs at the time of questioning (clin_status). IBH prevalence was 10% base...
Oak processionary moth (Thaumetopoea processionea).
The Veterinary record    July 18, 2015   Volume 177, Issue 3 79-80 doi: 10.1136/vr.h3840
Carson A, Irvine R, Foster AP.No abstract available
Novel in vitro diagnosis of equine allergies using a protein array and mathematical modelling approach: a proof of concept using insect bite hypersensitivity.
Veterinary immunology and immunopathology    June 27, 2015   Volume 167, Issue 3-4 171-177 doi: 10.1016/j.vetimm.2015.06.013
Marti E, Wang X, Jambari NN, Rhyner C, Olzhausen J, Pérez-Barea JJ, Figueredo GP, Alcocer MJ.Insect bite hypersensitivity (IBH) is a seasonal recurrent skin allergy of horses caused by IgE-mediated reactions to allergens present in the saliva of biting insects of the genus Culicoides, and possibly also Simulium and Stomoxys species. In this work we show that protein microarrays containing complex extracts and pure proteins, including recombinant Culicoides allergens, can be used as a powerful technique for the diagnosis of IBH. Besides the obvious advantages such as general profiling and use of few microliters of samples, this microarray technique permits automation and allows the gen...
Genome-Wide Association Study of Insect Bite Hypersensitivity in Swedish-Born Icelandic Horses.
The Journal of heredity    May 29, 2015   Volume 106, Issue 4 366-374 doi: 10.1093/jhered/esv033
Shrestha M, Eriksson S, Schurink A, Andersson LS, Sundquist M, Frey R, Broström H, Bergström T, Ducro B, Lindgren G.Insect bite hypersensitivity (IBH) is the most common allergic skin disease in horses and is caused by biting midges, mainly of the genus Culicoides. The disease predominantly comprises a type I hypersensitivity reaction, causing severe itching and discomfort that reduce the welfare and commercial value of the horse. It is a multifactorial disorder influenced by both genetic and environmental factors, with heritability ranging from 0.16 to 0.27 in various horse breeds. The worldwide prevalence in different horse breeds ranges from 3% to 60%; it is more than 50% in Icelandic horses exported to ...
Developing a preventive immunization approach against insect bite hypersensitivity using recombinant allergens: A pilot study.
Veterinary immunology and immunopathology    May 15, 2015   Volume 166, Issue 1-2 8-21 doi: 10.1016/j.vetimm.2015.05.002
Jonsdottir S, Hamza E, Janda J, Rhyner C, Meinke A, Marti E, Svansson V, Torsteinsdottir S.Insect bite hypersensitivity (IBH) is an allergic dermatitis of horses caused by bites of midges (Culicoides spp.). IgE-mediated reactions are often involved in the pathogenesis of this disease. IBH does not occur in Iceland due to the absence of Culicoides, but it occurs with a high frequency in Icelandic horses exported to mainland Europe, where Culicoides are present. We hypothesize that immunization with the Culicoides allergens before export could reduce the incidence of IBH in exported Icelandic horses. The aim of the present study was therefore to compare intradermal and intralymphatic ...
Repellent effect of topical deltamethrin on blood feeding by Culicoides on horses.
The Veterinary record    May 6, 2015   Volume 176, Issue 22 574 doi: 10.1136/vr.102800
Robin M, Archer D, McGowan C, Garros C, Gardès L, Baylis M.African horse sickness (AHS) is a vectorborne disease spread by Culicoides biting midges. The UK's Department for Environment, Food and Rural Affairs currently suggests using topical deltamethrin for AHS control; however, no data are available regarding its efficacy in the horse. The aims of this study were to investigate the effect of topical deltamethrin on blood feeding by Culicoides on horses and to investigate which Culicoides species blood fed on horses. Three pairs of horses were placed in partially enclosed cages that allowed samples representing the Culicoides interacting with individ...
Allergen-Specific Cytokine Polarization Protects Shetland Ponies against Culicoides obsoletus-Induced Insect Bite Hypersensitivity.
PloS one    April 22, 2015   Volume 10, Issue 4 e0122090 doi: 10.1371/journal.pone.0122090
Meulenbroeks C, van der Lugt JJ, van der Meide NM, Willemse T, Rutten VP, Zaiss DM.The immunological mechanisms explaining development of an allergy in some individuals and not in others remain incompletely understood. Insect bite hypersensitivity (IBH) is a common, seasonal, IgE-mediated, pruritic skin disorder that affects considerable proportions of horses of different breeds, which is caused by bites of the insect Culicoides obsoletus (C. obsoletus). We investigated the allergen-specific immune status of individual horses that had either been diagnosed to be healthy or to suffer of IBH. Following intradermal allergen injection, skin biopsies were taken of IBH-affected an...
Protection of horses against Culicoides biting midges in different housing systems in Switzerland.
Veterinary parasitology    April 18, 2015   Volume 210, Issue 3-4 206-214 doi: 10.1016/j.vetpar.2015.04.006
Lincoln VJ, Page PC, Kopp C, Mathis A, von Niederhäusern R, Burger D, Herholz C.Species belonging to the Culicoides complexes (Diptera, Ceratopogonidae), obsoletus and pulicaris, in Switzerland, are potential vectors of both bluetongue virus (BTV) and African horse sickness virus (AHSV). The epidemic of BTV in 2006 and 2007 in Europe has highlighted the risk of introduction and spread of vector-borne diseases in previously non-endemic areas. As a measure of prevention, as part of an integrated control programme in the event of an outbreak of African horse sickness (AHS), it is of utmost importance to prevent, or substantially reduce, contact between horses and Culicoides....
Ultrastructure of antennal sensory organs of horse nasal-myiasis fly, Rhinoestrus purpureus (Diptera: Oestridae).
Parasitology research    April 10, 2015   Volume 114, Issue 7 2527-2533 doi: 10.1007/s00436-015-4453-8
Liu XH, Li XY, Li K, Zhang D.Rhinoestrus purpureus (Brauer, 1858) (Diptera: Oestridae) is an economically important parasite that can cause severe nasal myiasis in equids or even attacking humans. The antennae of R. purpureus were examined using stereoscopic microscopy and scanning electron microscopy. The general morphology was provided detailedly, together with distribution, type, size, and ultrastructure of antennal sensilla. All the three antennal segments, antennal scape, pedicel, and funiculus, are interspersed by microtrichiae. Only mechanoreceptors are detected on antennal scape and pedicel. On antennal funiculus,...
Regulatory T cells in early life: comparative study of CD4+CD25high T cells from foals and adult horses.
PloS one    March 19, 2015   Volume 10, Issue 3 e0120661 doi: 10.1371/journal.pone.0120661
Hamza E, Mirkovitch J, Steinbach F, Marti E.The immune system of mammals is subject to continuous development during the postnatal phase of life. Studies following the longitudinal development of the immune system in healthy children are limited both by ethical considerations and sample volumes. Horses represent a particular valuable large animal model for T regulatory (Treg) cells and allergy research. We have recently characterised Treg cells from horses, demonstrated their regulatory capability and showed both their expansion and induction in vitro. Insect bite hypersensitivity (IBH) is a common allergy in horses resembling atopic de...
Efficacy of alphacypermethrin-treated high density polyethylene mesh applied to jet stalls housing horses against Culicoides biting midges in South Africa.
Veterinary parasitology    February 19, 2015   Volume 210, Issue 1-2 84-90 doi: 10.1016/j.vetpar.2015.02.007
Page PC, Labuschagne K, Venter GJ, Schoeman JP, Guthrie AJ.The efficacy of alphacypermethrin-treated high density polyethylene (HDPE) mesh applied to jet stalls against Culicoides biting midges (Diptera: Ceratopogonidae) was determined by mechanical aspiration of midges from horses and using Onderstepoort 220 V downdraught black light traps in four blocks of a 3 × 2 randomised design under South African field conditions. The alphacypermethrin-treated HDPE mesh applied to the stall significantly (P = 0.008) reduced the number of Culicoides midges, predominantly Culicoides (Avaritia) imicola Kieffer, mechanically aspirated from horses housed in the sta...
Cloning and expression of recombinant equine interleukin-3 and its effect on sulfidoleukotriene and cytokine production by equine peripheral blood leukocytes.
Veterinary immunology and immunopathology    December 3, 2014   Volume 163, Issue 3-4 202-209 doi: 10.1016/j.vetimm.2014.11.012
Janda J, Lehmann M, Luttmann W, Marti E.Interleukin-3 is a growth and differentiation factor for various hematopoietic cells. IL-3 also enhances stimulus-dependent release of mediators and cytokine production by mature basophils. Function of IL-3 has not been studied in horses because of lack of horse-specific reagents. Our aim was to produce recombinant equine IL-3 and test its effect on sulfidoleukotriene and cytokine production by equine peripheral blood leukocytes (PBL). Equine IL-3 was cloned, expressed in E. coli and purified. PBL of 19 healthy and 20 insect bite hypersensitivity (IBH)-affected horses were stimulated with Culi...
Development and Oviposition Preference of House Flies and Stable Flies (Diptera: Muscidae) in Six Substrates From Florida Equine Facilities.
Journal of medical entomology    November 1, 2014   Volume 51, Issue 6 1144-1150 doi: 10.1603/ME14040
Machtinger ET, Geden CJ, Hogsette JA, Leppla NC.House flies, Musca domestica L., and stable flies, Stomoxys calcitrans (L.), (Diptera: Muscidae), common pests on equine facilities, were studied in the laboratory to determine the success and duration of larval development and oviposition preferences on six substrates commonly found on equine facilities. Substrates tested were hay soiled with urine and manure, fresh horse manure, pine shaving bedding soiled with urine and manure (72 h in a manure pile), builders sand bedding soiled with urine and manure aged 3 d, and soil from an overgrazed pasture mixed with urine and manure of variable age....
Multiple hypersensitivities including recurrent airway obstruction, insect bite hypersensitivity, and urticaria in 2 warmblood horse populations.
Journal of veterinary internal medicine    September 30, 2014   Volume 29, Issue 1 320-326 doi: 10.1111/jvim.12473
Kehrli D, Jandova V, Fey K, Jahn P, Gerber V.Multiple hypersensitivities (MHS) have been described in humans, cats, and dogs, but not horses. Objective: Horses suffering from recurrent airway obstruction (RAO), insect bite hypersensitivity (IBH), or urticaria (URT) will have an increased risk of also being affected by another one of these hypersensitivities. This predisposition for MHS also will be associated with decreased shedding of strongylid eggs in feces and with a single nucleotide polymorphism (SNP BIEC2-224511), previously shown to be associated with RAO. Methods: The first population (P1) included 119 randomly sampled horses re...
Immune responses to ectoparasites of horses, with a focus on insect bite hypersensitivity.
Parasite immunology    September 3, 2014   Volume 36, Issue 11 560-572 doi: 10.1111/pim.12142
Wilson AD.Horses are affected by a wide variety of arthropod ectoparasites, ranging from lice which spend their entire life on the host, through ticks which feed over a period of days, to numerous biting insects that only transiently visit the host to feed. The presence of ectoparasites elicits a number of host responses including innate inflammatory responses, adaptive immune reactions and altered behaviour; all of which can reduce the severity of the parasite burden. All of these different responses are linked through immune mechanisms mediated by mast cells and IgE antibodies which have an important ...
Factors associated with Culicoides Obsoletus complex spp.-specific IgE reactivity in Icelandic horses and Shetland ponies.
Veterinary journal (London, England : 1997)    May 6, 2014   Volume 201, Issue 3 395-400 doi: 10.1016/j.tvjl.2014.04.023
Schurink A, van der Meide NM, Savelkoul HF, Ducro BJ, Tijhaar E.Insect bite hypersensitivity (IBH) is a common allergic skin disease in horses, caused by biting insects of the Culicoides spp. In The Netherlands, Culicoides spp. of the Obsoletus complex are the most important midges involved in IBH. The aim of the present study was to identify and quantify associations between several endogenous (host) and exogenous (environmental) factors and immunoglobulin E (IgE) reactivity against Obsoletus complex-derived whole body extract or seven recombinant allergens, measured by ELISA. Data from 143 Icelandic horses and 177 Shetland ponies were analysed using mult...