Pathology in horses involves the study of diseases and abnormalities affecting equine health, encompassing a range of conditions that can impact various systems within the horse's body. This field examines the causes, mechanisms, and effects of diseases, as well as the structural and functional changes they induce in equine tissues and organs. Common pathological conditions in horses include laminitis, colic, equine infectious anemia, and respiratory disorders. Understanding these diseases involves evaluating clinical signs, diagnostic methods, and treatment options. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathogenesis, and clinical implications of pathological conditions in horses.
Hamir AN, Tornquist SJ, Gerros TC, Topper MJ, Dubey JP.Equine protozoal myeloencephalitis (EPM) was clinically diagnosed in a 20-year-old horse with severe ataxia. The cerebrospinal fluid was positive for Sarcocystis neurona antibodies by western blot. The horse was administered corticosteroids to facilitate in vitro culture of S. neurona from its spinal cord following necropsy. Microscopic lesions of EPM were present in the brain and in the spinal cord, including multifocal inflammatory cellular infiltrates and several large groups of protozoa. Immunohistochemical, and light and electron microscopic examinations revealed that the protozoa were Ne...
Poonacha KB, Gregory CR, Vickers ML.The primary lesions of eastern equine encephalomyelitis (EEE) virus infection in the horse are limited to the brain and spinal cord. Intestinal lesions in addition to the changes in the central nervous system were found in a 6-month-old male Tennessee Walking Horse. One week prior to death, this colt was vaccinated for EEE virus, western equine encephalomyelitis virus, influenza virus, equine rhinopneumonitis virus, and tetanus. The clinical signs consisted of ataxia and rear-end weakness, with a body temperature of 102.8 F. Gross lesions consisted of yellowish discoloration, swelling, edema, ...
Bueschel D, Walker R, Woods L, Kokai-Kun J, McClane B, Songer JG.A Thoroughbred-Quarter Horse crossbred foal developed hemorrhagic enteritis and died < 48 hours after birth. Gross and histologic findings were suggestive of Clostridium perfringens type C infection, and large numbers of C perfringens were isolated from intestinal contents. However, genotyping of isolates indicated that they were enterotoxigenic C perfringens type A, and isolates were found to produce C perfringens enterotoxin in vitro. This case suggests that enterotoxigenic C perfringens type A may cause enteric disease in horses.
Fogarty U, Perl D, Good P, Ensley S, Seawright A, Noonan J.A cluster of 6 cases of equine granulomatous enteritis is described. Aluminium was demonstrated in the tissues and lesions of these horses and in the intimal bodies of intestinal vessels. The relationship between granulomatous lesions, aluminium, acidity and invading microorganisms, particularly parasites, is presented and discussed.
Pirie RS, Mayhew IG, Clarke CJ, Tremaine WH.Intraoperative brain ultrasonography is commonly used clinically
in human and canine neonates (Johnson and Rumack 1980;
Babock and Han 1981; Cappe and Lam 1985; Hudson et al. 1990,
1991) and a single report exists of its use to assist in defining
hydrocephalus in an equine neonate (Foreman et al. 1983). This
technique has also been reported to be clinically useful in human
adults (Rubenstein et al. 1984) and ultrasound-guided brain biopsy
has also been described in mature dogs (Thomas et al. 1993).
%ours of the central nervous system in the horse are
extremely rare, with the exception...
Haussler KK, Stover SM.Thirty-six Thoroughbred racehorses that died at California racetracks between October 1993 and July 1994 were evaluated for stress fractures in the caudal portion of the thoracic and lumbosacral regions of the spine and the pelvis. The lumbosacral spine and pelvis were collected, debrided of soft tissues and examined visually for the presence of an incomplete fracture line and focal periosteal proliferation, characteristic of a stress fracture. Sixty-one per cent of specimens had evidence of stress fracture in the caudal portion of the thoracic and lumbosacral regions of the spine and the pelv...
Bacon Miller C, Wilson DA, Martin DD, Pace LW, Constantinescu GM.A 3-year-old Quarter Horse gelding was treated for left guttural pouch mycosis by ligation and balloon catheterization of the left internal carotid artery. Catheter advancement was shorter (10 cm) than the normally reported distance (13-15 cm), but was observed endoscopically during placement as it coursed within the internal carotid artery through the guttural pouch. The horse developed a persistently abnormal respiratory pattern after catheter placement, failed to gain consciousness, developed pulmonary edema, and died 5.5 hours postoperatively. Postmortem examination revealed an aberrant le...
Crevier-Denoix N, Collobert C, Sanaa M, Bernard N, Joly C, Pourcelot P, Geiger D, Bortolussi C, Bousseau B, Denoix JM.To assess histologic variations of the equine superficial digital flexor tendon (SDFT) according to site and to horse age and activity, and to correlate these data with reported segmental mechanical results. Methods: Superficial digital flexor tendons isolated from 42 horses 0.5 hour to 23 years old. Methods: 7 segments of each SDFT were delimited and submitted for conventional histologic examination. Each segment was examined and graded for fiber undulation, cellularity, number and size of interfascicular connective spaces (ICS), presence or absence of focal and diffuse chondroid metaplasia, ...
Borchers K, Wolfinger U, Ludwig H, Thein P, Baxi S, Field HJ, Slater JD.Two 18-month-old naturally reared ponies were used to investigate the pathogenicity of EHV-2. After dexamethasone treatment, pony 1 was inoculated intranasally with EHV-2 strain T16, which has been isolated from a foal with keratoconjunctivitis superficialis and pony 2 was similarly inoculated with strain LK4 which was originally isolated from a horse with upper respiratory tract disease. Following virus inoculation, pyrexia was not detected in either pony but both developed conjunctivitis, lymphadenopathy, and coughing. EHV-2 was detected in nasal mucus samples up to day 12 post infection (p....
Gerard MP, Healy LN, Bowman KF, Miller RT.Two months after colic surgery, subcutaneous masses were found on the ventral and lateral portions of the thorax of a 3-year-old Hanoverian-cross filly. Six months later, the filly was admitted for evaluation of severe lameness. Arthrocentesis of the tarsocrural joint yielded clotted sanguineous material; however, unusual multinucleated giant cells were seen. Radiography of the right tarsus revealed soft tissue opacity and degenerative joint disease. The filly was euthanatized to prevent further suffering. At necropsy, multiple soft-tissue masses were located throughout the fascial planes of t...
Gottschalk RD, Reyers F, van den Berg SS.The effects of a commercially available equine hyperimmune anti-endotoxin serum on synovial fluid parameters were evaluated in an induced synovitis model in normal horses. Four groups of 3 horses each received lipopolysaccharide (LPS) plus hyperimmune antiendotoxin (anti-LPS), LPS, anti-LPS, and Ringers lactate (control) respectively injected into the left intercarpal joint. Synovial fluid parameters were measured at 4, 8, 24 and 72 h. It was found that anti-LPS had no attenuating effect on the LPS and that it induced a synovitis almost equivalent to that induced by LPS alone. The introduction...
Schulman ML, Bolton LA.A sunflower-based feed supplement grossly contaminated with the seed of a Datura sp. resulted in severe signs of poisoning in 2 horses. One horse died peracutely of acute gastric dilatation and rupture following ingestion of the contaminated feed. The 2nd horse developed unresponsive paralytic ileus that led to euthanasia. Examination of the feed and gastrointestinal contents of both horses showed a high proportion of the characteristic Datura sp. seeds. The clinical signs and pathology in both cases were consistent with intoxication by the parasympatholytic alkaloid components of Datura sp.
Parente EJ, Martin BB, Tulleners EP.Many disorders of the upper respiratory tract which cause severe
respiratory compromise and poor performance have been
described in the equine athlete (Williams et al. 1990; Morris 1991;
King et al. 1994). Until recently, the diagnosis of upper respiratory
tract dysfunction was based on observations made during resting
endoscopic examination; and conclusions regarding the extent and
exact nature of the dysfunction during exercise were often
inaccurate. This report describes 2 horses presented to the George
D. Widener Hospital in which no significant abnormalities were
noted during res...
Wright IM, Kidd L, Thorp BH.Forelimb navicular bones and associated soft tissues were collected from 3 groups of horses and subjected to pathological examinations. The groups consisted of 38 horses with clinical navicular disease (ND) and 2 control groups, with no history of forelimb lameness, consisting of 25 age-matched mature horses (A-MC) and 9 immature horses (IC). Histological and histomorphometric studies were performed on tissue samples from 10 ND, 10 A-MC and 5 IC horses. Gross changes seen only in ND horses included: full thickness defects in the palmar surface fibrocartilage, palmar cortex erosion, medullary l...
Schumacher J, Yarbrough T, Pascoe J, Woods P, Meagher D, Honnas C.To examine the response of horses with progressive ethmoidal hematoma (PEH) to intralesional injection of 4% formaldehyde solution. Methods: Nasal passages of horses affected with PEH were examined endoscopically at different intervals to determine the effects of intralesional injection of formaldehyde solution. Methods: 21 horses with PEH. Methods: PEHs were injected transendoscopically with 4% formaldehyde solution. Horses were examined endoscopically and retreated at different intervals until the PEH was eliminated or was so small that reinjection was not possible. Results: Lesions diminish...
Monahan CM, Chapman MR, Taylor HW, French DD, Klei TR.Eighteen mixed-breed, naturally infected ponies ranging in age from 1 to 16 yr and four cyathostome-naïve ponies reared and maintained under parasite-free conditions ranging in age from 1 to 4 yr were used in this study. Naturally-infected ponies were treated with 1 dose of ivermectin (IVM) at 200 micrograms kg-1, followed by a 5-day regimen of oxibendazole (OBZ) at 20 mg kg-1 to remove existing cyathostome burdens; cyathostome-naïve control ponies were treated with IVM alone. The naturally infected ponies were matched on age and gender, then randomly assigned to one of three treatment group...
Kuwamura M, Shirota A, Yamate J, Kotani T, Ohashi F, Sakuma S.A thyroid gland tumor, showing unusual histology, was identified in a 13-year-old male Andalusian horse. Microscopically, the tumor consisted of neoplastic proliferation of C-cell (parafollicular cell) with cytoplasmic fine granules, containing diffusely distributed, variously sized colloid-containing follicles. Immunohistochemically, the neoplastic C-cell were positive for calcitonin and follicleforming epithelial cells showed a positive reaction for thyroglobulin. Ultrastructurally, membrane-bound secretory granules up to 250 nm in diameter were found in the cytoplasm of the parafollicular c...
Kofler J, Kübber-Heiss A, Schilcher F.Clinical, ultrasonographic and pathological findings of a cutaneous, multilocular T-cell lymphosarcoma (malignant lymphoma) in a 13-year-old, brown Austrian warmblood mare are reported. The horse was under clinical observation, and the tumours were sonographically monitored over an 8 month period, revealing worsening of body condition, weight loss, lameness of the left hindlimb and a slight increase in the tumours size. Most of the tumours were covered by normal skin, one showed ulceration. Ultrasonography of the tumours allowed accurate anatomical localization in relation to the adjoining tis...
Rebhun WC, Del Piero F.To determine the most common ocular lesions in horses with lymphosarcoma. Methods: Retrospective study. Methods: 79 horses histologically confirmed to have lymphosarcoma. Methods: Ophthalmic examinations were performed by a single individual. Results: 21 of 79 horses had lesions involving the eye or ocular adnexa. Infiltration of the palpebral conjunctiva and eyelids was the most common lesion (n = 11). Other lesions included uveitis (n = 4), corneoscleral masses (2), third eyelid masses (2), and diffuse retrobulbar infiltrates (2). Conclusions: In horses with lymphosarcoma, ocular lesions may...
Hardy J, Bertone AL, Malemud CJ.To determine the functional response of synovium to infection, and the influence of infected synovium on articular cartilage metabolism. Methods: Synovium and articular cartilage explants from the midcarpal and tarsocrural joints of adult horses. Methods: For experiment 1, synovium explants were incubated as follows: control--incubation in standard medium, infected (I)--incubation with Staphylococcus aureus, and infected-filtered (IF)--incubation with medium collected from the infected group and filtered (0.22-micron filter). Daily collected medium was assayed for interleukin 1 beta (IL-1 beta...
Scholes SF, Holliman A, May PD, Holmes MA.Fell pony foals developed a syndrome of anaemia, immunodeficiency and peripheral ganglionopathy. They became ill in the second or third week, and died in the second or third month of life. Clinical and pathological investigations revealed severe anaemia associated with small numbers of late erythroid precursors in bone marrow, small thymi, an absence of secondary lymphoid follicles, a lack of plasma cells and neuronal chromatolysis involving trigeminal, cranial mesenteric and dorsal root ganglia. Some of the foals had cryptosporidial enteritis and adenoviral bronchopneumonia and pancreatitis. ...
Meana A, Luzon M, Corchero J, Gómez-Bautista M.Three coprological methods were tested to establish the reliability of in vivo diagnosis of Anoplocephala perfoliata. A total of 107 faecal samples were analyzed, and the presence of tapeworms were confirmed postmortem in 24 animals with burdens that ranged from 1 to 248 worms; most of them (71%) with less than 100 parasites. Best results were obtained with a combination of two sedimentation/flotation methods, detecting only half the parasitized animals (54% sensitivity). No relationship could be established between tapeworm burden and egg detection, but results indicate that coprological meth...
Williamson RM, Gasser RB, Middleton D, Beveridge I.The intestinal tracts of 130 horses were examined for infection with Anoplocephala perfoliata at necropsy. Fifty horses (38.5%) harboured the tapeworm, and the site of attachment of each worm was recorded using predetermined anatomical landmarks. The worms were attached in four regions of the gastrointestinal tract: 17% of the worms were found at the ileocaecal junction, 81% on the caecal wall, 1.7% in the terminal ileum and 0.2% in the ventral colon. The severity of lesions produced at the sites of attachment was related to the number of worms attached. Due to the small area of the ileocaecal...
Leifsson PS, Olsen SN, Larsen S.This paper is the first report of systemic tuberculosis involving the eyes in a horse. The animal lost condition and gradually became increasingly blind in both eyes; it was eventually euthanased. The pathological findings included bilateral, mycobacterial granulomatous uveitis with unilateral retinal detachment and necrosis, and disseminated, mycobacterial granulomatous foci in the myocardium, lungs, bronchial lymph nodes, kidneys, liver, pancreas, colon and visceral serosal surfaces, with the most extensive lesions in the myocardium. The mycobacteria were identified as Mycobacterium avium.
Bergh A, Ridderstråle Y, Ekman S.No studies have been published on effects of treatment with a defocused beam carbon dioxide (CO2) laser on equine skin histology. A better understanding of this will help to define how lasers should be used, in order to reduce potential side effects. Objective: To describe the acute effects of different doses of defocused CO2 laser, ranging from therapeutic to surgical levels, on equine skin. Methods: Defocused CO2 laser was administered to the skin in the hamstrings (91 J/cm2), fetlock (137 J/cm2) and loin (450 J/cm2) areas of 13 Standardbred horses. The acute effects on skin histology were e...
Shibahara T, Kuwano A, Ueno T, Katayama Y, Ohya T, Taharaguchi S, Yamamoto S, Umemura T, Ishikawa Y, Kadota K.Studies of equine intestinal spirochetes have long focused on intestinal contents alone, but intestinal spirochetosis has been reported recently in a 21-month-old Thoroughbred colt in Japan. To define the clinical and pathological significances of intestinal spirochetosis in several horses, an epizootiologic survey with histologic, immunohistochemical, and ultrastructural methods was conducted for Brachyspira antigen-containing intestinal spirochetes in 12 diseased or injured Thoroughbred horses, aged from 35 days to 17 years. Brachyspira antigen-containing spirochetes were found in 7 of 12 ho...
Regnier A, Martin C, Semin MO, Lienard E, Geffre A, Douet JY, Raymond-Letron I.An 18-month-old Arabian-English filly resident in southwest France was referred for evaluation of a conjunctival mass in the right eye (OD). A pink, solid, and mobile nodular formation, measuring approximately 1.2 × 0.8 cm was found under the superior nasal bulbar conjunctiva during an ophthalmic examination that was otherwise normal. The mass was surgically removed using a standing procedure. Cytological examination of fine-needle aspirates from the mass revealed a mixed eosinophilic-lymphocytic inflammation. Histological examination confirmed the dense and diffuse eosinophilic-lymphocyti...
Rucker A.In the chronic-laminitic foot, severe soft-tissue compression and compromised circulation can result in osteitis and sepsis at the margin of the distal phalanx. Resultant inflammation and sepsis may cause the coronary corium to swell, drain, or separate from the hoof capsule, usually within 8 weeks of laminitis onset. Slow-onset cases of soft-tissue impingement can develop secondary to distal phalanx displacement due to lack of wall attachment. With either presentation, partial upper wall resection is required to reverse compression and vascular impingement by the hoof capsule. If the patholog...
Pope DC, Heslop CH.An outbreak of myoglobinuria under unusual circumstances in a group of four horses, together with the events leading up to the diagnosis, is described, and a brief mention of two previously recorded similar cases is made.
Viranta S, Mannermaa K.Development of dental abnormalities due to improper occlusal wear is common among modern domestic horses. This phenomenon often is attributed to jaw conformation. Rostral mandibular hooks may develop in horses with underjet or mandibular prognathism, a condition where the lower jaw protrudes forward, beyond the upper jaw. Less abrasive diet, free of phytoliths and matrix-like plant fibers, also may promote enamel and focal overgrowths of equine dentition. Here we report a rostral mandibular hook in a lower premolar tooth of a medieval horse, found in a spring deposit in Levänluhta, Osthroboth...
Force L, Jortner BS, Scarrat K.Suchwann cells from a variety of nerves in two adult horses and one adult pony contained perinuclear intracytoplasmic inclusion complexes consisting of lipid droplets, variably electron-dense rounded to elongated bodies and rod-shaped multilamellar structures. The latter were characteristic of pi granules of Reich. There were no significant axonal or myelin alterations associated with these inclusions. It was concluded that the inclusions are a component of normal equine Schwann cells.
Angsubhakorn S, Poomvises P, Romruen K, Newberne PM.Two episodes of acute aflatoxin poisoning in horses suggest that horses are susceptible to the toxic effects of this mycotoxin. Lesions associated with exposure to aflatoxin included encephalomalacia of cerebral hemispheres, fatty degeneration, necrosis, bile duct hyperplasia, fibrosis of the liver, fatty infiltration of the kidney, hemorrhagic enteritis, and myocardial degeneration. Hypoglycemia, hyperlipidemia, and depletion of lymphocytes accompanied these lesions. The diagnosis was based on gross and histopathologic observations, consistent with observations of other species poisoned with ...
Erickson HH, Lowe BS.This article discusses exercise-induced pulmonary hemorrhage (EIPH), a pathophysiological syndrome which occurs worldwide in the equine athlete. It reviews the history of EIPH, the incidence in performance horses, the etiology, studies performed on the treadmill to determine the mechanisms of EIPH, and the most likely causes of stress failure of the pulmonary capillaries.
Campbell-Beggs CL, Kiper ML, MacAllister C, Henry G, Roszel JF.Esophagoscopy allowed visualization and biopsy of a lesion within a diverticulum of the esophagus in an adult horse. Although the biopsy specimen obtained was small, diagnosis of squamous cell carcinoma was possible from histologic examination of the esophageal tissue sample retrieved by use of endoscopy.
Kiryu K, Kaneko M, Satoh H.Histopathololgical observations were performed on the heart and cardiac nervous system of 5 horses affected with wandering pacemaker. The histopathological lesions common to all the animals were as follows: (1) Focal fibrosis in the atrial myocardium just beneath the subendocardium and/or in the endo- and subendocardium, and existence of atrial Purkinje-like fibers within the fibrotic lesions, (2) Microvascular altetation, characterized by edematous-loosening and/or fibrous swelling of the walls of the small and minute arteries, in both the atria, (3) Edema in the intracadiac nerves of both th...